Test Bank Complete Physical Examination & Health Assessment, 7th Edition
1
,Test Bank Complete Physical Examination & Health Assessment, 7th Edition
Chapter 01: Evidence-Based Assessment My Nursing Test Banks ..................... 3
Chapter 02: Cultural Competence My Nursing Test Banks ............................... 13
Chapter 03: The Interview My Nursing Test Banks ........................................... 27
Chapter 04: The Complete Health History My Nursing Test Banks .................. 43
Chapter 05: Mental Status Assessment My Nursing Test Banks ....................... 54
Chapter 06: Substance Use Assessment My Nursing Test Banks ...................... 70
Chapter 07: Domestic and Family Violence Assessments My Nursing Test Banks
.............................................................................................................................
75
Chapter 08: Assessment Techniques and Safety in the Clinical Setting My
Nursing Test Banks .............................................................................................
80
Chapter 09: General Survey, Measurement, Vital Signs My Nursing Test Banks
.............................................................................................................................
96
Chapter 10: Pain Assessment: The Fifth Vital Sign My Nursing Test Banks .. 115
Chapter 11: Nutritional Assessment My Nursing Test Banks .......................... 121
Chapter 12: Skin, Hair, and Nails My Nursing Test Banks ............................. 133
Chapter 13: Head, Face, and Neck, Including Regional Lymphatics My Nursing
Test Banks .........................................................................................................
150
Chapter 14: Eyes My Nursing Test Banks ........................................................ 164
Chapter 15: Ears My Nursing Test Banks ........................................................ 178
Chapter 16: Nose, Mouth, and Throat .............................................................. 192
Chapter 17: Breasts and Regional Lymphatics My Nursing Test Banks ......... 206
Chapter 18: Thorax and Lungs My Nursing Test Banks .................................. 224
Chapter 19: Heart and Neck Vessels My Nursing Test Banks ......................... 239
Chapter 20: Peripheral Vascular System and Lymphatic System My Nursing Test
Banks .................................................................................................................
255
Chapter 21: Abdomen My Nursing Test Banks ............................................... 268
Chapter 22: Musculoskeletal System My Nursing Test Banks ........................ 281
Chapter 23: Neurologic System My Nursing Test Banks ................................ 298
Chapter 24: Male Genitourinary System My Nursing Test Banks ................... 319
Chapter 25: Anus, Rectum, and Prostate My Nursing Test Banks ................... 333
Chapter 26: Female Genitourinary System My Nursing Test Banks ............... 344
Chapter 27: The Complete Health Assessment: Adult My Nursing Test Banks
,Test Bank Complete Physical Examination & Health Assessment, 7th Edition
...........................................................................................................................
363
Chapter 28: The Complete Physical Assessment: Infant, Child, and Adolescent
My Nursing Test Banks .................................................................................... 373
Chapter 29: Bedside Assessment of the Hospitalized Patient My Nursing Test
Banks .................................................................................................................
375
Chapter 30: The Pregnant Woman My Nursing Test Banks ............................ 379
Chapter 31: Functional Assessment of the Older Adult My Nursing Test Banks
...........................................................................................................................
391 Chapter 01: Evidence-Based Assessment My Nursing Test Banks
Chapter 01: Evidence-Based Assessment
Jarvis: Physical Examination & Health Assessment, 7th Edition
MULTIPLE CHOICE
1. After completing an initial assessment of a patient, the nurse has charted that
his respirations are eupneic and his pulse is 58 beats per minute. These types of
data would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A
Objective data are what the health professional observes by inspecting,
percussing, palpating, and auscultating during the physical examination.
Subjective data is what the person says about him or herself during history taking.
The terms reflective and introspective are not used to describe data.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot.
These types of data would be: a.
Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C
Subjective data are what the person says about him or herself during history
taking. Objective data are what the health professional observes by inspecting,
percussing, palpating, and auscultating during the physical examination. The
3
, terms reflective and introspective are not used to describe data. DIF: Cognitive
Level: Understanding (Comprehension) REF: p. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of
Care 3. The patients record, laboratory studies, objective data, and subjective
data combine to form the: a. Data base.
b. Admitting data.
c. Financial statement.
d. Discharge summary. ANS: A
Together with the patients record and laboratory studies, the objective and
subjective data form the data base. The other items are not part of the patients
record, laboratory studies, or data.
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. When listening to a patients breath sounds, the nurse is unsure of a sound that
is heard. The nurses next action should be to:
a. Immediately notify the patients physician.
b. Document the sound exactly as it was heard.
c. Validate the data by asking a coworker to listen to the breath sounds.
d. Assess again in 20 minutes to note whether the sound is still present.
ANS: C
When unsure of a sound heard while listening to a patients breath sounds, the
nurse validates the data to ensure accuracy. If the nurse has less experience in an
area, then he or she asks an expert to listen.
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of
Care 5. The nurse is conducting a class for new graduate nurses. During the
teaching session, the nurse should keep in mind that novice nurses, without a
background of skills and experience from which to draw, are more likely to
make their decisions using: a. Intuition.
b. A set of rules.
c. Articles in journals.
d. Advice from supervisors.
ANS: B
Novice nurses operate from a set of defined, structured rules. The expert
practitioner uses intuitive links.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 3
MSC: Client Needs: General
6. Expert nurses learn to attend to a pattern of assessment data and act without
consciously labeling it. These responses are referred to as: a. Intuition.
1
,Test Bank Complete Physical Examination & Health Assessment, 7th Edition
Chapter 01: Evidence-Based Assessment My Nursing Test Banks ..................... 3
Chapter 02: Cultural Competence My Nursing Test Banks ............................... 13
Chapter 03: The Interview My Nursing Test Banks ........................................... 27
Chapter 04: The Complete Health History My Nursing Test Banks .................. 43
Chapter 05: Mental Status Assessment My Nursing Test Banks ....................... 54
Chapter 06: Substance Use Assessment My Nursing Test Banks ...................... 70
Chapter 07: Domestic and Family Violence Assessments My Nursing Test Banks
.............................................................................................................................
75
Chapter 08: Assessment Techniques and Safety in the Clinical Setting My
Nursing Test Banks .............................................................................................
80
Chapter 09: General Survey, Measurement, Vital Signs My Nursing Test Banks
.............................................................................................................................
96
Chapter 10: Pain Assessment: The Fifth Vital Sign My Nursing Test Banks .. 115
Chapter 11: Nutritional Assessment My Nursing Test Banks .......................... 121
Chapter 12: Skin, Hair, and Nails My Nursing Test Banks ............................. 133
Chapter 13: Head, Face, and Neck, Including Regional Lymphatics My Nursing
Test Banks .........................................................................................................
150
Chapter 14: Eyes My Nursing Test Banks ........................................................ 164
Chapter 15: Ears My Nursing Test Banks ........................................................ 178
Chapter 16: Nose, Mouth, and Throat .............................................................. 192
Chapter 17: Breasts and Regional Lymphatics My Nursing Test Banks ......... 206
Chapter 18: Thorax and Lungs My Nursing Test Banks .................................. 224
Chapter 19: Heart and Neck Vessels My Nursing Test Banks ......................... 239
Chapter 20: Peripheral Vascular System and Lymphatic System My Nursing Test
Banks .................................................................................................................
255
Chapter 21: Abdomen My Nursing Test Banks ............................................... 268
Chapter 22: Musculoskeletal System My Nursing Test Banks ........................ 281
Chapter 23: Neurologic System My Nursing Test Banks ................................ 298
Chapter 24: Male Genitourinary System My Nursing Test Banks ................... 319
Chapter 25: Anus, Rectum, and Prostate My Nursing Test Banks ................... 333
Chapter 26: Female Genitourinary System My Nursing Test Banks ............... 344
Chapter 27: The Complete Health Assessment: Adult My Nursing Test Banks
,Test Bank Complete Physical Examination & Health Assessment, 7th Edition
...........................................................................................................................
363
Chapter 28: The Complete Physical Assessment: Infant, Child, and Adolescent
My Nursing Test Banks .................................................................................... 373
Chapter 29: Bedside Assessment of the Hospitalized Patient My Nursing Test
Banks .................................................................................................................
375
Chapter 30: The Pregnant Woman My Nursing Test Banks ............................ 379
Chapter 31: Functional Assessment of the Older Adult My Nursing Test Banks
...........................................................................................................................
391 Chapter 01: Evidence-Based Assessment My Nursing Test Banks
Chapter 01: Evidence-Based Assessment
Jarvis: Physical Examination & Health Assessment, 7th Edition
MULTIPLE CHOICE
1. After completing an initial assessment of a patient, the nurse has charted that
his respirations are eupneic and his pulse is 58 beats per minute. These types of
data would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A
Objective data are what the health professional observes by inspecting,
percussing, palpating, and auscultating during the physical examination.
Subjective data is what the person says about him or herself during history taking.
The terms reflective and introspective are not used to describe data.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot.
These types of data would be: a.
Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C
Subjective data are what the person says about him or herself during history
taking. Objective data are what the health professional observes by inspecting,
percussing, palpating, and auscultating during the physical examination. The
3
, terms reflective and introspective are not used to describe data. DIF: Cognitive
Level: Understanding (Comprehension) REF: p. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of
Care 3. The patients record, laboratory studies, objective data, and subjective
data combine to form the: a. Data base.
b. Admitting data.
c. Financial statement.
d. Discharge summary. ANS: A
Together with the patients record and laboratory studies, the objective and
subjective data form the data base. The other items are not part of the patients
record, laboratory studies, or data.
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. When listening to a patients breath sounds, the nurse is unsure of a sound that
is heard. The nurses next action should be to:
a. Immediately notify the patients physician.
b. Document the sound exactly as it was heard.
c. Validate the data by asking a coworker to listen to the breath sounds.
d. Assess again in 20 minutes to note whether the sound is still present.
ANS: C
When unsure of a sound heard while listening to a patients breath sounds, the
nurse validates the data to ensure accuracy. If the nurse has less experience in an
area, then he or she asks an expert to listen.
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of
Care 5. The nurse is conducting a class for new graduate nurses. During the
teaching session, the nurse should keep in mind that novice nurses, without a
background of skills and experience from which to draw, are more likely to
make their decisions using: a. Intuition.
b. A set of rules.
c. Articles in journals.
d. Advice from supervisors.
ANS: B
Novice nurses operate from a set of defined, structured rules. The expert
practitioner uses intuitive links.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 3
MSC: Client Needs: General
6. Expert nurses learn to attend to a pattern of assessment data and act without
consciously labeling it. These responses are referred to as: a. Intuition.