Health Assessment: Jarvis Chapter 9-
Questions & Answers
The nurse is performing a general survey. Which action is a component of the general
survey?
A) Observing the patient's body stature and nutritional status
B) Interpreting the subjective information the patient has reported
C) Measuring the patient's temperature, pulse, respirations, and blood pressure
D) Observing specific body systems while performing the physical assessment Correct Ans-A
When measuring a patient's weight, the nurse keeps in mind which of these guidelines?
A) Always weigh the patient with only his or her undergarments on.
B) It does not matter what type of scale is used, as long as the weights are similar
from day to day.
C) The patient may leave on his or her jacket and shoes as long as this is documented
next to the weight.
D) Attempt to weigh the patient at approximately the same time of day, if a sequence
of weights is necessary. Correct Ans-D
A patient's weekly blood pressure readings for 2 months have ranged between 124/84 and
136/88 mm Hg, with an average reading of 126/86 mm Hg. The nurse knows that this
blood pressure falls within which blood pressure category?
,A) Normal blood pressure
B) Prehypertension
C) Stage I hypertension
D) Stage 2 hypertension Correct Ans-B
During an examination of a child, the nurse considers that physical growth is the best
index of a child's:
A) general health.
B) genetic makeup.
C) nutritional status.
D) activity and exercise patterns. Correct Ans-A
A 1-month-old infant has a head measurement of 34 cm and has a chest circumference of
32 cm. Based on interpretation of these findings, the nurse would:
A) refer the infant to a physician for further evaluation.
B) consider this a normal finding for a 1-month-old infant.
C) expect the chest circumference to be greater than the head circumference.
D) ask the parent to return in 2 weeks to re-evaluate the head and chest circumferences.
Correct Ans-A
The nurse is assessing an 80-year-old male patient. Which assessment findings would be
considered normal?
, A) An increase in body weight from younger years
B) Additional deposits of fat on the thighs and lower legs
C) The presence of kyphosis and flexion in the knees and hips
D) A change in overall body proportion, a longer trunk, and shorter extremities Correct Ans-
C
The nurse should measure rectal temperatures in which of these patients?
A) School-age child
B) Elderly adult
C) Comatose adult
D) Patient receiving oxygen by nasal cannula Correct Ans-C
The nurse is preparing to measure the length, weight, chest, and head circumference of a
6-month-old infant. Which measurement technique is correct?
A) Measure the infant's length by using a tape measure.
B) Weigh the infant by placing him on an electronic standing scale.
C) Measure chest circumference at the nipple line with a tape measure.
D) Measure the head circumference by wrapping the tape measure over the nose and
cheekbones Correct Ans-C
The nurse knows that one advantage of the tympanic thermometer is that:
A) its rapid measurement is useful for uncooperative younger children.
Questions & Answers
The nurse is performing a general survey. Which action is a component of the general
survey?
A) Observing the patient's body stature and nutritional status
B) Interpreting the subjective information the patient has reported
C) Measuring the patient's temperature, pulse, respirations, and blood pressure
D) Observing specific body systems while performing the physical assessment Correct Ans-A
When measuring a patient's weight, the nurse keeps in mind which of these guidelines?
A) Always weigh the patient with only his or her undergarments on.
B) It does not matter what type of scale is used, as long as the weights are similar
from day to day.
C) The patient may leave on his or her jacket and shoes as long as this is documented
next to the weight.
D) Attempt to weigh the patient at approximately the same time of day, if a sequence
of weights is necessary. Correct Ans-D
A patient's weekly blood pressure readings for 2 months have ranged between 124/84 and
136/88 mm Hg, with an average reading of 126/86 mm Hg. The nurse knows that this
blood pressure falls within which blood pressure category?
,A) Normal blood pressure
B) Prehypertension
C) Stage I hypertension
D) Stage 2 hypertension Correct Ans-B
During an examination of a child, the nurse considers that physical growth is the best
index of a child's:
A) general health.
B) genetic makeup.
C) nutritional status.
D) activity and exercise patterns. Correct Ans-A
A 1-month-old infant has a head measurement of 34 cm and has a chest circumference of
32 cm. Based on interpretation of these findings, the nurse would:
A) refer the infant to a physician for further evaluation.
B) consider this a normal finding for a 1-month-old infant.
C) expect the chest circumference to be greater than the head circumference.
D) ask the parent to return in 2 weeks to re-evaluate the head and chest circumferences.
Correct Ans-A
The nurse is assessing an 80-year-old male patient. Which assessment findings would be
considered normal?
, A) An increase in body weight from younger years
B) Additional deposits of fat on the thighs and lower legs
C) The presence of kyphosis and flexion in the knees and hips
D) A change in overall body proportion, a longer trunk, and shorter extremities Correct Ans-
C
The nurse should measure rectal temperatures in which of these patients?
A) School-age child
B) Elderly adult
C) Comatose adult
D) Patient receiving oxygen by nasal cannula Correct Ans-C
The nurse is preparing to measure the length, weight, chest, and head circumference of a
6-month-old infant. Which measurement technique is correct?
A) Measure the infant's length by using a tape measure.
B) Weigh the infant by placing him on an electronic standing scale.
C) Measure chest circumference at the nipple line with a tape measure.
D) Measure the head circumference by wrapping the tape measure over the nose and
cheekbones Correct Ans-C
The nurse knows that one advantage of the tympanic thermometer is that:
A) its rapid measurement is useful for uncooperative younger children.
