Physical Examination and Health Assessment
9th Edition by Carolyn Jarvis,Ann Eckhard All
Chapters 1-32 Full Complete 2024/2025 A+
Grade
____________________________________
Depression.
A female patient has denied any abuse when answering the Abuse Assessment Screen, but
the nurse has noticed some other conditions that are associated with IPV. Examples of such
conditions include:
The higher the number of yes answers, the more serious the danger of the woman's
situation.
The nurse is using the danger assessment (DA) tool to evaluate the risk of homicide. Which
of these statements best describes its use?
Red
The nurse is assessing bruising on an injured patient. Which color indicates a new bruise
that is less than 2 hours old?
Use the words the child has said to describe how the injury occurred.
The nurse suspects abuse when a 10-year-old child is taken to the urgent care center for a
leg injury. The best way to document the history and physical findings is to:
Tell me about this abuse in your relationship.
During an interview, a woman has answered yes to two of the Abuse Assessment Screen
questions. What should the nurse say next?
Bruising on the abdomen
,The nurse is examining a 3-year-old child who was brought to the emergency department
after a fall. Which bruise, if found, would be of most concern?
Has anyone made you afraid, touched you in ways that you did not want, or hurt you
physically?
Have you relied on people for any of the following: bathing, dressing, shopping, banking,
or meals?
Have you been upset because someone talked to you in a way that made you feel shamed
or threatened?
Have you relied on people for any of the following: bathing, dressing, shopping, banking,
or meals?
The nurse assesses an older woman and suspects physical abuse. Which questions are
appropriate for screening for abuse? Select all that apply.
Inspection.
When performing a physical assessment, the first technique the nurse will always use is:
Takes time and reveals a surprising amount of information.
The nurse is preparing to perform a physical assessment. Which statement is true about the
physical assessment? The inspection phase:
Dorsal surface of the hand; the skin is thinner on this surface than on the palms.
The nurse is assessing a patient's skin during an office visit. What part of the hand and
technique should be used to best assess the patient's skin temperature?
Palpation
Which of these techniques uses the sense of touch to assess texture, temperature,
moisture, and swelling when the nurse is assessing a patient?
The assessment begins with light palpation to detect surface characteristics and to
accustom the patient to being touched.
The nurse is preparing to assess a patients abdomen by palpation. How should the nurse
proceed?
,Palpating the kidneys and uterus
The nurse would use bimanual palpation technique in which situation?
Density
The nurse is preparing to percuss the abdomen of a patient. The purpose of the percussion
is to assess the __________ of the underlying tissue.
Percussing once over each area
The nurse is reviewing percussion techniques with a newly graduated nurse. Which
technique, if used by the new nurse, indicates that more review is needed?
Consider this a normal finding.
When percussing over the liver of a patient, the nurse notices a dull sound. The nurse
should:
Increase the amount of strength used when attempting to percuss over the abdomen.
The nurse is unable to identify any changes in sound when percussing over the abdomen of
an obese patient. What should the nurse do next?
Consider this finding as normal for a child this age, and proceed with the examination.
The nurse hears bilateral loud, long, and low tones when percussing over the lungs of a 4-
year-old child. The nurse should:
Bilaterally percuss the thorax, noting any differences in percussion tones.
A patient has suddenly developed shortness of breath and appears to be in significant
respiratory distress. After calling the physician and placing the patient on oxygen, which of
these actions is the best for the nurse to take when further assessing the patient?
Although the stethoscope does not magnify sound, it does block out extraneous room
noise.
The nurse is teaching a class on basic assessment skills. Which of these statements is true
regarding the stethoscope and its use?
Is used to listen for high-pitched sounds.
, The nurse is preparing to use a stethoscope for auscultation. Which statement is true
regarding the diaphragm of the stethoscope? The diaphragm:
Check the temperature of the room, and offer blankets to the patient if he or she feels
cold.
Before auscultating the abdomen for the presence of bowel sounds on a patient, the nurse
should:
Palpation
The nurse will use which technique of assessment to determine the presence of crepitus,
swelling, and pulsations?
Directs light into the ear canal and onto the tympanic membrane.
The nurse is preparing to use an otoscope for an examination. Which statement is true
regarding the otoscope? The otoscope:
Rotating the lens selector dial to bring the object into focus
An examiner is using an ophthalmoscope to examine a patients eyes. The patient has
astigmatism and is nearsighted. The use of which of these techniques would indicate that
the examination is being correctly performed?
Use a Doppler device to check for pulsations over the area.
The nurse is unable to palpate the right radial pulse on a patient. The best action would be
to:
Organizes the assessment to ensure that the patient does not change positions too often.
The nurse is preparing to perform a physical assessment. The correct action by the nurse is
reflected by which statement? The nurse:
Appear unhurried and confident when examining him.
A man is at the clinic for a physical examination. He states that he is very anxious about the
physical examination. What steps can the nurse take to make him more comfortable?
Hands are washed before and after every physical patient encounter.
9th Edition by Carolyn Jarvis,Ann Eckhard All
Chapters 1-32 Full Complete 2024/2025 A+
Grade
____________________________________
Depression.
A female patient has denied any abuse when answering the Abuse Assessment Screen, but
the nurse has noticed some other conditions that are associated with IPV. Examples of such
conditions include:
The higher the number of yes answers, the more serious the danger of the woman's
situation.
The nurse is using the danger assessment (DA) tool to evaluate the risk of homicide. Which
of these statements best describes its use?
Red
The nurse is assessing bruising on an injured patient. Which color indicates a new bruise
that is less than 2 hours old?
Use the words the child has said to describe how the injury occurred.
The nurse suspects abuse when a 10-year-old child is taken to the urgent care center for a
leg injury. The best way to document the history and physical findings is to:
Tell me about this abuse in your relationship.
During an interview, a woman has answered yes to two of the Abuse Assessment Screen
questions. What should the nurse say next?
Bruising on the abdomen
,The nurse is examining a 3-year-old child who was brought to the emergency department
after a fall. Which bruise, if found, would be of most concern?
Has anyone made you afraid, touched you in ways that you did not want, or hurt you
physically?
Have you relied on people for any of the following: bathing, dressing, shopping, banking,
or meals?
Have you been upset because someone talked to you in a way that made you feel shamed
or threatened?
Have you relied on people for any of the following: bathing, dressing, shopping, banking,
or meals?
The nurse assesses an older woman and suspects physical abuse. Which questions are
appropriate for screening for abuse? Select all that apply.
Inspection.
When performing a physical assessment, the first technique the nurse will always use is:
Takes time and reveals a surprising amount of information.
The nurse is preparing to perform a physical assessment. Which statement is true about the
physical assessment? The inspection phase:
Dorsal surface of the hand; the skin is thinner on this surface than on the palms.
The nurse is assessing a patient's skin during an office visit. What part of the hand and
technique should be used to best assess the patient's skin temperature?
Palpation
Which of these techniques uses the sense of touch to assess texture, temperature,
moisture, and swelling when the nurse is assessing a patient?
The assessment begins with light palpation to detect surface characteristics and to
accustom the patient to being touched.
The nurse is preparing to assess a patients abdomen by palpation. How should the nurse
proceed?
,Palpating the kidneys and uterus
The nurse would use bimanual palpation technique in which situation?
Density
The nurse is preparing to percuss the abdomen of a patient. The purpose of the percussion
is to assess the __________ of the underlying tissue.
Percussing once over each area
The nurse is reviewing percussion techniques with a newly graduated nurse. Which
technique, if used by the new nurse, indicates that more review is needed?
Consider this a normal finding.
When percussing over the liver of a patient, the nurse notices a dull sound. The nurse
should:
Increase the amount of strength used when attempting to percuss over the abdomen.
The nurse is unable to identify any changes in sound when percussing over the abdomen of
an obese patient. What should the nurse do next?
Consider this finding as normal for a child this age, and proceed with the examination.
The nurse hears bilateral loud, long, and low tones when percussing over the lungs of a 4-
year-old child. The nurse should:
Bilaterally percuss the thorax, noting any differences in percussion tones.
A patient has suddenly developed shortness of breath and appears to be in significant
respiratory distress. After calling the physician and placing the patient on oxygen, which of
these actions is the best for the nurse to take when further assessing the patient?
Although the stethoscope does not magnify sound, it does block out extraneous room
noise.
The nurse is teaching a class on basic assessment skills. Which of these statements is true
regarding the stethoscope and its use?
Is used to listen for high-pitched sounds.
, The nurse is preparing to use a stethoscope for auscultation. Which statement is true
regarding the diaphragm of the stethoscope? The diaphragm:
Check the temperature of the room, and offer blankets to the patient if he or she feels
cold.
Before auscultating the abdomen for the presence of bowel sounds on a patient, the nurse
should:
Palpation
The nurse will use which technique of assessment to determine the presence of crepitus,
swelling, and pulsations?
Directs light into the ear canal and onto the tympanic membrane.
The nurse is preparing to use an otoscope for an examination. Which statement is true
regarding the otoscope? The otoscope:
Rotating the lens selector dial to bring the object into focus
An examiner is using an ophthalmoscope to examine a patients eyes. The patient has
astigmatism and is nearsighted. The use of which of these techniques would indicate that
the examination is being correctly performed?
Use a Doppler device to check for pulsations over the area.
The nurse is unable to palpate the right radial pulse on a patient. The best action would be
to:
Organizes the assessment to ensure that the patient does not change positions too often.
The nurse is preparing to perform a physical assessment. The correct action by the nurse is
reflected by which statement? The nurse:
Appear unhurried and confident when examining him.
A man is at the clinic for a physical examination. He states that he is very anxious about the
physical examination. What steps can the nurse take to make him more comfortable?
Hands are washed before and after every physical patient encounter.
