lOMoARcPSD| 578 ll 852
Test Bank: ll
Physical
ll
Examination
ll
& Health
ll ll
Assessment
ll
th
7 Edition
ll ll
(Jarvis )
ll ll
CHAPTERS1-31COMPLETE l l
TESTBANK
ll
, lOMoARcPSD| 578 ll 852
th
Test Bank: Physical Examination & HealthAssessment 7 Edition
l l ll l ll l ll l 1
Table of Contents l l l l
Table of Contents
ll ll 1
Chapter 01: Evidence-Based Assessment
ll ll ll 2
Chapter 02: Cultural Competence
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Chapter 03: The Interview
ll ll ll ll 31
Chapter 04: The Complete Health History
ll ll ll ll ll 49
Chapter 05: Mental Status Assessment
ll ll ll ll ll 64
Chapter 06: Substance Use Assessment
ll ll ll ll ll 81
Chapter 07: Domestic and Family Violence Assessments
ll ll ll ll ll ll 87
Chapter 08: Assessment Techniques and Safety in the Clinical Setting
ll ll ll ll ll ll ll ll ll 93
Chapter 09: General Survey, Measurement, Vital Signs
ll ll ll ll ll ll ll 112
Chapter 10: Pain Assessment: The Fifth Vital Sign
ll ll ll ll ll ll ll 134
Chapter 11: Nutritional Assessment
ll ll ll ll 142
Chapter 12: Skin, Hair, and Nails
ll ll ll ll ll 156
Chapter 13: Head, Face, and Neck, Including Regional Lymphatics
ll ll ll ll ll ll ll ll 177
Chapter 14: Eyes
ll ll ll 195
Chapter 15: Ears ll ll 212
Chapter 16: Nose, Mouth, and Throat
ll ll l l l l l l 229
Chapter 17: Breasts and Regional Lymphatics
l l ll ll ll ll ll 247
Chapter 18: Thorax and Lungs
ll ll ll ll ll 267
Chapter 19: Heart and Neck Vessels
ll ll ll ll ll 285
Chapter 20: Peripheral Vascular System and Lymphatic System Chapter
ll ll ll ll ll ll ll ll 304
21: Abdomen
ll ll 321
Chapter 22: Musculoskeletal System
ll ll ll 338
Chapter 23: Neurologic System
ll ll l l l l 359
lChapter 24: Male Genitourinary System
l ll ll ll ll 384
Chapter 25: Anus, Rectum, and Prostate
ll ll ll ll ll ll 402
Chapter 26: Female Genitourinary System
ll ll ll ll 416
Chapter 27: The Complete Health Assessment: Adult
ll ll ll ll ll ll 438
Chapter 28: The Complete Physical Assessment: Infant, Child, and Adolescent
ll ll ll ll ll ll ll ll ll 451
Chapter 29: Bedside Assessment of the Hospitalized Patient
ll ll ll ll ll ll ll ll 454
Chapter 30: The Pregnant Woman
ll ll ll ll 460
Chapter 31: Functional Assessment of the Older Adult
ll ll ll ll ll ll ll 473
, lOMoARcPSD| 578 ll 852
th
Test Bank: Physical Examination & HealthAssessment 7 Edition
l l ll l ll l ll l 2
Chapter 01: Evidence-Based Assessment l l l l l l
MULTIPLE CHOICE ll
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and
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his pulse is 58 beats per minute. These types of data would be:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A ll
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating
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during the physical examination. Subjective data is what the person says about him or herself during history
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taking. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would be:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C ll
Subjective data are what the person says about him or herself during history taking. Objective data are what the
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health professional observes by inspecting, percussing, palpating, and auscultating during the
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physical examination. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
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a. Data base. ll
b. Admitting data. ll
, lOMoARcPSD| 578 ll 852
th
Test Bank: Physical Examination & HealthAssessment 7 Edition
l l ll l ll l ll l 3
c. Financial statement. ll
d. Discharge summary. ll
ANS: A ll
Together with the patients record and laboratory studies, the objective and subjective data form the data base.
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The other items are not part of the patients record, laboratory studies, or data.
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DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next
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action should be to:
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a. Immediately notify the patients physician. ll ll ll ll
b. Document the sound exactly as it was heard. ll ll ll ll ll ll ll
c. Validate the data by asking a coworker to listen to the breath sounds.
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d. Assess again in 20 minutes to note whether the sound is still present.
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ANS: C ll
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure
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accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
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DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should
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keep in mind that novice nurses, without a background of skills and experience from which to draw, are
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more likely to make their decisions using:
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a. Intuition.
b. A set of rules.
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c. Articles in journals. ll ll
d. Advice from supervisors. ll ll
ANS: B ll
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
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DIF: Cognitive Level: Understanding (Comprehension) REF: p. 3
ll l l l l l l l l l l l l l l
Test Bank: ll
Physical
ll
Examination
ll
& Health
ll ll
Assessment
ll
th
7 Edition
ll ll
(Jarvis )
ll ll
CHAPTERS1-31COMPLETE l l
TESTBANK
ll
, lOMoARcPSD| 578 ll 852
th
Test Bank: Physical Examination & HealthAssessment 7 Edition
l l ll l ll l ll l 1
Table of Contents l l l l
Table of Contents
ll ll 1
Chapter 01: Evidence-Based Assessment
ll ll ll 2
Chapter 02: Cultural Competence
ll ll l l l l 15
Chapter 03: The Interview
ll ll ll ll 31
Chapter 04: The Complete Health History
ll ll ll ll ll 49
Chapter 05: Mental Status Assessment
ll ll ll ll ll 64
Chapter 06: Substance Use Assessment
ll ll ll ll ll 81
Chapter 07: Domestic and Family Violence Assessments
ll ll ll ll ll ll 87
Chapter 08: Assessment Techniques and Safety in the Clinical Setting
ll ll ll ll ll ll ll ll ll 93
Chapter 09: General Survey, Measurement, Vital Signs
ll ll ll ll ll ll ll 112
Chapter 10: Pain Assessment: The Fifth Vital Sign
ll ll ll ll ll ll ll 134
Chapter 11: Nutritional Assessment
ll ll ll ll 142
Chapter 12: Skin, Hair, and Nails
ll ll ll ll ll 156
Chapter 13: Head, Face, and Neck, Including Regional Lymphatics
ll ll ll ll ll ll ll ll 177
Chapter 14: Eyes
ll ll ll 195
Chapter 15: Ears ll ll 212
Chapter 16: Nose, Mouth, and Throat
ll ll l l l l l l 229
Chapter 17: Breasts and Regional Lymphatics
l l ll ll ll ll ll 247
Chapter 18: Thorax and Lungs
ll ll ll ll ll 267
Chapter 19: Heart and Neck Vessels
ll ll ll ll ll 285
Chapter 20: Peripheral Vascular System and Lymphatic System Chapter
ll ll ll ll ll ll ll ll 304
21: Abdomen
ll ll 321
Chapter 22: Musculoskeletal System
ll ll ll 338
Chapter 23: Neurologic System
ll ll l l l l 359
lChapter 24: Male Genitourinary System
l ll ll ll ll 384
Chapter 25: Anus, Rectum, and Prostate
ll ll ll ll ll ll 402
Chapter 26: Female Genitourinary System
ll ll ll ll 416
Chapter 27: The Complete Health Assessment: Adult
ll ll ll ll ll ll 438
Chapter 28: The Complete Physical Assessment: Infant, Child, and Adolescent
ll ll ll ll ll ll ll ll ll 451
Chapter 29: Bedside Assessment of the Hospitalized Patient
ll ll ll ll ll ll ll ll 454
Chapter 30: The Pregnant Woman
ll ll ll ll 460
Chapter 31: Functional Assessment of the Older Adult
ll ll ll ll ll ll ll 473
, lOMoARcPSD| 578 ll 852
th
Test Bank: Physical Examination & HealthAssessment 7 Edition
l l ll l ll l ll l 2
Chapter 01: Evidence-Based Assessment l l l l l l
MULTIPLE CHOICE ll
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
his pulse is 58 beats per minute. These types of data would be:
ll ll ll ll ll ll l l l l ll ll l l l l ll
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A ll
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating
ll ll ll ll ll ll ll ll ll ll ll ll ll
during the physical examination. Subjective data is what the person says about him or herself during history
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
taking. The terms reflective and introspective are not used to describe data.
ll l l l l l l l l ll l l l l l l ll ll l l
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
ll ll ll ll ll ll ll
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
ll ll ll ll ll ll ll ll ll ll
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would be:
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C ll
Subjective data are what the person says about him or herself during history taking. Objective data are what the
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
health professional observes by inspecting, percussing, palpating, and auscultating during the
ll l l l l l l l l l l l l l l l l l l l l
physical examination. The terms reflective and introspective are not used to describe data.
l l ll l l l l l l l l l l ll l l l l l l l l l l
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
ll ll ll ll ll ll ll
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
ll ll ll ll ll ll ll ll ll ll
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
ll ll ll ll ll ll ll ll ll ll ll ll ll
a. Data base. ll
b. Admitting data. ll
, lOMoARcPSD| 578 ll 852
th
Test Bank: Physical Examination & HealthAssessment 7 Edition
l l ll l ll l ll l 3
c. Financial statement. ll
d. Discharge summary. ll
ANS: A ll
Together with the patients record and laboratory studies, the objective and subjective data form the data base.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
The other items are not part of the patients record, laboratory studies, or data.
ll l l l l l l l l l l ll l l l l l l l l l l l l l l
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2
ll ll ll ll ll ll ll
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
ll ll ll ll ll ll ll ll ll ll
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
action should be to:
ll ll ll ll
a. Immediately notify the patients physician. ll ll ll ll
b. Document the sound exactly as it was heard. ll ll ll ll ll ll ll
c. Validate the data by asking a coworker to listen to the breath sounds.
ll ll ll ll ll ll ll ll ll ll ll ll
d. Assess again in 20 minutes to note whether the sound is still present.
ll ll ll ll ll ll ll ll ll ll ll ll
ANS: C ll
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
ll l l ll l l l l ll l l l l ll ll ll ll ll l l l l ll ll ll ll
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
ll ll ll ll ll ll ll
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
ll ll ll ll ll ll ll ll ll ll
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
keep in mind that novice nurses, without a background of skills and experience from which to draw, are
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
more likely to make their decisions using:
ll ll ll ll ll ll ll
a. Intuition.
b. A set of rules.
ll ll ll
c. Articles in journals. ll ll
d. Advice from supervisors. ll ll
ANS: B ll
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 3
ll l l l l l l l l l l l l l l
