TEST BANK
,Table of Contents 1
Chapter 01: Evidence-Based Assessment 2
Chapter 02: Cultural Assessment 15
Chapter 03: The Interview 31
Chapter 04: The Complete Health History 49
Chapter 05: Mental Status Assessment 64
Chapter 06: Substance Use Assessment 80
Chapter 07: Domestic and Family Violence Assessment 86
Chapter 08: Assessment Techniques and Safety in the Clinical Setting 92
Chapter 09: General Survey and Measurement 111
Chapter 10: Vital Signs 118
Chapter 11: Pain Assessment 133
Chapter 12: Nutrition Assessment 141
Chapter 13: Skin, Hair, and Nails 155
Chapter 14: Head, Face, Neck, and Regional Lymphatics 176
Chapter 15: Eyes 194
Chapter 16: Ears 211
Chapter 17: Nose, Mouth, and Throat 228
Chapter 18: Breasts, Axillae, and Regional Lymphatics 246
Chapter 19: Thorax and Lungs 266
Chapter 20: Heart and Neck Vessels 284
Chapter 21: Peripheral Vascular System and Lymphatic System 303
Chapter 22: Abdomen 320
Chapter 23: Musculoskeletal System 337
Chapter 24: Neurologic System 358
Chapter 25: Male Genitourinary System 382
Chapter 26: Anus, Rectum, and Prostate 400
Chapter 27: Female Genitourinary System 414
Chapter 28: The Complete Health Assessment: Adult 436
Chapter 29: The Complete Physical Assessment: Infant, Child, and Adolescent 449
Chapter 30: Bedside Assessment and Electronic Documentation 452
Chapter 31: The Pregnant Woman 458
Chapter 32: Functional Assessment of the Older Adult 471
,Chapter 01: Evidence-Based Assessment
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 wouldbe:
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)
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 terms reflective and introspective are not used to describe data.
DIF: Cognitive Level: Understanding (Comprehension)
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 i statement.
d. Discharge i summary.
ANS: i A
Together iwith ithe ipatients irecord iand ilaboratory istudies, ithe iobjective iand isubjective idata iform ithe idata
ibase. iThe iother iitems iare inot ipart iof ithe ipatients irecord, ilaboratory istudies, ior idata.
DIF: i Cognitive i Level: i Remembering i (Knowledge)
MSC: i Client i Needs: i Safe i and i Effective i Care i Environment: i Management i of i Care
4. When ilistening ito ia ipatients ibreath isounds, ithe inurse iis iunsure iof ia isound ithat iis iheard. iThe
inurses inext iaction ishould ibe ito:
a. Immediately i notify i the i patients i physician.
b. Document ithe isound iexactly ias iit iwas iheard.
c. Validate ithe idata iby iasking i a icoworker ito ilisten ito ithe i breath i sounds.
d. Assess iagain iin i20 iminutes ito inote iwhether ithe i sound iis istill ipresent.
ANS: i C
When iunsure iof ia isound iheard iwhile ilistening ito ia ipatients ibreath isounds, ithe inurse ivalidates ithe idata ito
iensure iaccuracy. iIf ithe inurse ihas iless iexperience iin ian iarea, ithen ihe ior ishe iasks ian iexpert ito ilisten.
DIF: i Cognitive i Level: i Analyzing i (Analysis)
MSC: i Client i Needs: i Safe i and i Effective i Care i Environment: i Management i of i Care
5. The inurse iis iconducting i a iclass ifor inew i graduate inurses. i During ithe iteaching isession, ithe inurse ishould
ikeep i in i mind i that i novice i nurses, i without i a i background i of i skills i and i experience i from iwhich i to i draw,
i are i more i likely ito imake itheir idecisions iusing:
a. Intuition.
b. A iset iof irules.
c. Articles i in i journals.
d. Advice i from i supervisors.
ANS: i B
Novice inurses ioperate ifrom ia iset iof idefined, istructured irules. iThe iexpert ipractitioner iuses iintuitive
ilinks. iDIF: iCognitive iLevel: iUnderstanding i(Comprehension)
,Table of Contents 1
Chapter 01: Evidence-Based Assessment 2
Chapter 02: Cultural Assessment 15
Chapter 03: The Interview 31
Chapter 04: The Complete Health History 49
Chapter 05: Mental Status Assessment 64
Chapter 06: Substance Use Assessment 80
Chapter 07: Domestic and Family Violence Assessment 86
Chapter 08: Assessment Techniques and Safety in the Clinical Setting 92
Chapter 09: General Survey and Measurement 111
Chapter 10: Vital Signs 118
Chapter 11: Pain Assessment 133
Chapter 12: Nutrition Assessment 141
Chapter 13: Skin, Hair, and Nails 155
Chapter 14: Head, Face, Neck, and Regional Lymphatics 176
Chapter 15: Eyes 194
Chapter 16: Ears 211
Chapter 17: Nose, Mouth, and Throat 228
Chapter 18: Breasts, Axillae, and Regional Lymphatics 246
Chapter 19: Thorax and Lungs 266
Chapter 20: Heart and Neck Vessels 284
Chapter 21: Peripheral Vascular System and Lymphatic System 303
Chapter 22: Abdomen 320
Chapter 23: Musculoskeletal System 337
Chapter 24: Neurologic System 358
Chapter 25: Male Genitourinary System 382
Chapter 26: Anus, Rectum, and Prostate 400
Chapter 27: Female Genitourinary System 414
Chapter 28: The Complete Health Assessment: Adult 436
Chapter 29: The Complete Physical Assessment: Infant, Child, and Adolescent 449
Chapter 30: Bedside Assessment and Electronic Documentation 452
Chapter 31: The Pregnant Woman 458
Chapter 32: Functional Assessment of the Older Adult 471
,Chapter 01: Evidence-Based Assessment
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 wouldbe:
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)
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 terms reflective and introspective are not used to describe data.
DIF: Cognitive Level: Understanding (Comprehension)
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 i statement.
d. Discharge i summary.
ANS: i A
Together iwith ithe ipatients irecord iand ilaboratory istudies, ithe iobjective iand isubjective idata iform ithe idata
ibase. iThe iother iitems iare inot ipart iof ithe ipatients irecord, ilaboratory istudies, ior idata.
DIF: i Cognitive i Level: i Remembering i (Knowledge)
MSC: i Client i Needs: i Safe i and i Effective i Care i Environment: i Management i of i Care
4. When ilistening ito ia ipatients ibreath isounds, ithe inurse iis iunsure iof ia isound ithat iis iheard. iThe
inurses inext iaction ishould ibe ito:
a. Immediately i notify i the i patients i physician.
b. Document ithe isound iexactly ias iit iwas iheard.
c. Validate ithe idata iby iasking i a icoworker ito ilisten ito ithe i breath i sounds.
d. Assess iagain iin i20 iminutes ito inote iwhether ithe i sound iis istill ipresent.
ANS: i C
When iunsure iof ia isound iheard iwhile ilistening ito ia ipatients ibreath isounds, ithe inurse ivalidates ithe idata ito
iensure iaccuracy. iIf ithe inurse ihas iless iexperience iin ian iarea, ithen ihe ior ishe iasks ian iexpert ito ilisten.
DIF: i Cognitive i Level: i Analyzing i (Analysis)
MSC: i Client i Needs: i Safe i and i Effective i Care i Environment: i Management i of i Care
5. The inurse iis iconducting i a iclass ifor inew i graduate inurses. i During ithe iteaching isession, ithe inurse ishould
ikeep i in i mind i that i novice i nurses, i without i a i background i of i skills i and i experience i from iwhich i to i draw,
i are i more i likely ito imake itheir idecisions iusing:
a. Intuition.
b. A iset iof irules.
c. Articles i in i journals.
d. Advice i from i supervisors.
ANS: i B
Novice inurses ioperate ifrom ia iset iof idefined, istructured irules. iThe iexpert ipractitioner iuses iintuitive
ilinks. iDIF: iCognitive iLevel: iUnderstanding i(Comprehension)
