1
Test Bank for Physical Examination and Health Asses
g g g g g g gg
sment Latest Update 2024
g g g
Table of Contents
Tableg of 1
Contents
Chapterg 01:g Evidence-Based 2
AssessmentgChapterg 02:g Cultural 15
Assessment 31
Chapterg 03:g Theg Interview 49
Chapterg 04:g Theg Completeg Health 64
HistoryChapterg 05:g Mentalg StatusgAsse 80
ssmentg Chapterg 06:g SubstancegUseg A 86
ssessment 92
Chapterg 07:g Domesticg andg Familyg Violenceg Assessmen 111
t
Chapterg 08:g Assessmentg Techniquesg andg Safetyg ing the Clinical 118
SettingChapterg 09:g Generalg Surveyg andg Measurement 133
Chapterg 10:g Vitalg Signs 141
Chapterg 11:g Pain 155
Assessment 176
Chapterg 12:g Nutrition 194
AssessmentChapterg 13:g Skin, 211
Hair,g andg Nails 228
Chapterg 14:g Head,g Face,g Neck,g andg Regional 246
g LymphaticsChapterg 15:g Eyes 266
Chapter 16: Ears 284
Chapterg 17:g Nose,g Mouth,g andg Throat 303
Chapterg 18:g Breasts,g Axillae,g andg Regional 320
LymphaticsChapterg 19:g Thoraxg andg Lungs 337
Chapterg 20:g Heartg andg Neckg Vessels 358
Chapterg 21:g Peripheralg Vascularg Systemg andg Lymphatic System 382
Chapterg 22:g Abdomen 400
Chapterg 23:g Musculoskeletalg System 414
Chapterg 24: Neurologic System 436
Chapterg 25:g Maleg Genitourinary 449
System 452
Chapterg 26:g Anus,g Rectum,g andg Prostate 458
Chapterg 27:g Femaleg Genitourinaryg System 471
Chapterg 28:g Theg Completeg Healthg Assessment:g Adult
Chapterg 29:g Theg Completeg Physicalg Assessment:g Infant,g Child,g andg Adolescent
Chapterg 30:g Bedsideg Assessmentg andg Electronicg DocumentationgChapterg 31:g The
g Pregnantg Woman
Chapterg 32:g Functionalg Assessmentg ofg theg Olderg Adult
, 2
Chapter 01: Evidence-Based Assessment
MULTIPLEg CHOICE
1. Afterg completingg ang initialg assessmentg ofg ag patient,g theg nurseg hasg chartedg thatg hisg respirationsg
aregeupneicg andhisg pulseg isg 58g beatsg perg minute.g Theseg typesg ofg datag wouldg be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:g A
Objectiveg datag areg whatg theg healthg professionalg observesg byg inspecting,g percussing,g palpating,g andg
auscultatingduringg theg physicalg examination.g Subjectiveg datag isg whatg theg persong saysg aboutg himg or
gherselfg duringg historytaking.g Theg termsg reflectiveg andg introspectiveg areg notg usedg tog describeg data
.
DIF:g Cognitiveg Level:g Understandingg (Comprehension)
MSC:g Clientg Needs:g Safeg andg Effectiveg Careg Environment:g Managementg ofg Care
2. Ag patientg tellsg theg nurseg thatg heg isg veryg nervous,g isg nauseated,g andg feelsg hot.g Theseg typesg ofg
datagwouldg be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:g C
Subjectiveg datag areg whatg theg persong saysg aboutg himg org herselfg duringg historyg taking.g Objectiveg datag ar
egwhatg thehealthg professionalg observesg byg inspecting,g percussing,g palpating,g andg auscultatingg duringg the
gphysicalg examination.g Theg termsg reflectiveg andg introspectiveg areg notg usedg tog describeg data.
DIF:g Cognitiveg Level:g Understandingg (Comprehension)
MSC:g Clientg Needs:g Safeg andg Effectiveg Careg Environment:g Managementg ofg Care
3. Theg patientsg record,g laboratoryg studies,g objectiveg data,g andg subjectiveg datag combineg tog formg the:
a. Datag base.
b. Admittingg data.
, 3
c. Financialg statement.
d. Dischargeg summary.
ANS:g A
Togetherg withg theg patientsg recordg andg laboratoryg studies,g theg objectiveg andg subjectiveg datag formg theg
datag base.Theg otherg itemsg areg notg partg ofg theg patientsg record,g laboratoryg studies,g org data.
DIF:g Cognitiveg Level:g Rememberingg (Knowledge)
MSC:g Clientg Needs:g Safeg andg Effectiveg Careg Environment:g Managementg ofg Care
4. Wheng listeningg tog ag patientsg breathg sounds,g theg nurseg isg unsureg ofg ag soundg thatg isg heard.g
Thegnursesg nextactiong shouldg beg to:
a. Immediatelyg notifyg theg patientsg physician.
b. Documentg theg soundg exactlyg asg itg wasg heard.
c. Validateg theg datag byg askingg ag coworkerg tog listeng tog theg breathg sounds.
d. Assessg againg ing 20g minutesg tog noteg whetherg theg soundg isg stillg present.
ANS:g C
Wheng unsureg ofg ag soundg heardg whileg listeningg tog ag patientsg breathg sounds,g theg nurseg validatesg theg
datagtog ensureaccuracy.g Ifg theg nurseg hasg lessg experienceg ing ang area,g theng heg org sheg asksg ang expert
g toglisten.
DIF:g Cognitiveg Level:g Analyzingg (Analysis)
MSC:g Clientg Needs:g Safeg andg Effectiveg Careg Environment:g Managementg ofg Care
5. Theg nurseg isg conductingg ag classg forg newg graduateg nurses.g Duringg theg teachingg session,g theg nurseg
shouldgkeepging mindg thatg noviceg nurses,g withoutg ag backgroundg ofg skillsg andg experienceg fromg which
g togdraw,g areg moreg likelytog makeg theirg decisionsg using:
a. Intuition.
b. Ag setg ofg rules.
c. Articlesg ing journals.
d. Adviceg fromg supervisors.
ANS:g B
Noviceg nursesg operateg fromg ag setg ofg defined,g structuredg rules.g Theg expertg practitionerg usesg intuitiveglinks.
DIF:g Cognitiveg Level:g Understandingg (Comprehension)
, 4
MSC:g Clientg Needs:g General
6. Expertg nursesg learng tog attendg tog ag patterng ofg assessmentg datag andg actg withoutg consciouslyg label
inggit.g Theseresponsesg areg referredg tog as:
a. Intuition.
b. Theg nursingg process.
c. Clinicalg knowledge.
d. Diagnosticgreasoning.
ANS:g A
Intuitiong isg characterizedg byg patterng recognitionexpertg nursesg learng tog attendg tog ag patterng ofg assessm
entgdatag andactg withoutg consciouslyg labelingg it.g Theg otherg optionsg areg notg correct.
DIF:g Cognitiveg Level:g Understandingg(Comprehens
ion)MSC:g Clientg Needs:g General
7. Thegnursegisgreviewingginformationgaboutgevidence-
basedgpracticeg(EBP).gWhichgstatementg bestg reflectsEBP?
a. EBPg reliesg ong traditiong forg supportg ofg bestg practices.
b. EBPg isg simplyg theg useg ofg bestg practiceg techniquesg forg theg treatmentg ofg patients.
c. EBPg emphasizesg theg useg ofg bestg evidenceg withg theg cliniciansg experience.
d. Theg patientsg owng preferencesg areg notg importantg with
EBP.ANS:g C
EBPg isg ag systematicg approachg tog practiceg thatg emphasizesg theg useg ofg bestg evidenceg ing combinationg w
ithgthecliniciansg experience,g asg wellg asg patientg preferencesg andg values,g wheng makingg decisionsg
aboutgcareg andg treatment.g EBPg isg moreg thang simplyg usingg theg bestg practiceg techniquesg tog treat
g patients,gandg questioning g traditiong isg importantg wheng nog compellingg andg supportiveg researchg evide
nceg exists.
DIF:g Cognitiveg Level:g Applyingg (Application)
MSC:g Clientg Needs:g Safeg andg Effectiveg Careg Environment:g Managementg ofg Care
8. Theg nurseg isg conductingg ag classg ong priorityg settingg forg ag groupg ofg newg graduateg nurses.g Whic
hg isgang exampleofg ag first-levelg priorityg problem?
a. Patientg withg postoperativeg pain
b. Newlyg diagnosedg patientg withg diabetesg whog needsg diabeticg teaching
Test Bank for Physical Examination and Health Asses
g g g g g g gg
sment Latest Update 2024
g g g
Table of Contents
Tableg of 1
Contents
Chapterg 01:g Evidence-Based 2
AssessmentgChapterg 02:g Cultural 15
Assessment 31
Chapterg 03:g Theg Interview 49
Chapterg 04:g Theg Completeg Health 64
HistoryChapterg 05:g Mentalg StatusgAsse 80
ssmentg Chapterg 06:g SubstancegUseg A 86
ssessment 92
Chapterg 07:g Domesticg andg Familyg Violenceg Assessmen 111
t
Chapterg 08:g Assessmentg Techniquesg andg Safetyg ing the Clinical 118
SettingChapterg 09:g Generalg Surveyg andg Measurement 133
Chapterg 10:g Vitalg Signs 141
Chapterg 11:g Pain 155
Assessment 176
Chapterg 12:g Nutrition 194
AssessmentChapterg 13:g Skin, 211
Hair,g andg Nails 228
Chapterg 14:g Head,g Face,g Neck,g andg Regional 246
g LymphaticsChapterg 15:g Eyes 266
Chapter 16: Ears 284
Chapterg 17:g Nose,g Mouth,g andg Throat 303
Chapterg 18:g Breasts,g Axillae,g andg Regional 320
LymphaticsChapterg 19:g Thoraxg andg Lungs 337
Chapterg 20:g Heartg andg Neckg Vessels 358
Chapterg 21:g Peripheralg Vascularg Systemg andg Lymphatic System 382
Chapterg 22:g Abdomen 400
Chapterg 23:g Musculoskeletalg System 414
Chapterg 24: Neurologic System 436
Chapterg 25:g Maleg Genitourinary 449
System 452
Chapterg 26:g Anus,g Rectum,g andg Prostate 458
Chapterg 27:g Femaleg Genitourinaryg System 471
Chapterg 28:g Theg Completeg Healthg Assessment:g Adult
Chapterg 29:g Theg Completeg Physicalg Assessment:g Infant,g Child,g andg Adolescent
Chapterg 30:g Bedsideg Assessmentg andg Electronicg DocumentationgChapterg 31:g The
g Pregnantg Woman
Chapterg 32:g Functionalg Assessmentg ofg theg Olderg Adult
, 2
Chapter 01: Evidence-Based Assessment
MULTIPLEg CHOICE
1. Afterg completingg ang initialg assessmentg ofg ag patient,g theg nurseg hasg chartedg thatg hisg respirationsg
aregeupneicg andhisg pulseg isg 58g beatsg perg minute.g Theseg typesg ofg datag wouldg be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:g A
Objectiveg datag areg whatg theg healthg professionalg observesg byg inspecting,g percussing,g palpating,g andg
auscultatingduringg theg physicalg examination.g Subjectiveg datag isg whatg theg persong saysg aboutg himg or
gherselfg duringg historytaking.g Theg termsg reflectiveg andg introspectiveg areg notg usedg tog describeg data
.
DIF:g Cognitiveg Level:g Understandingg (Comprehension)
MSC:g Clientg Needs:g Safeg andg Effectiveg Careg Environment:g Managementg ofg Care
2. Ag patientg tellsg theg nurseg thatg heg isg veryg nervous,g isg nauseated,g andg feelsg hot.g Theseg typesg ofg
datagwouldg be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:g C
Subjectiveg datag areg whatg theg persong saysg aboutg himg org herselfg duringg historyg taking.g Objectiveg datag ar
egwhatg thehealthg professionalg observesg byg inspecting,g percussing,g palpating,g andg auscultatingg duringg the
gphysicalg examination.g Theg termsg reflectiveg andg introspectiveg areg notg usedg tog describeg data.
DIF:g Cognitiveg Level:g Understandingg (Comprehension)
MSC:g Clientg Needs:g Safeg andg Effectiveg Careg Environment:g Managementg ofg Care
3. Theg patientsg record,g laboratoryg studies,g objectiveg data,g andg subjectiveg datag combineg tog formg the:
a. Datag base.
b. Admittingg data.
, 3
c. Financialg statement.
d. Dischargeg summary.
ANS:g A
Togetherg withg theg patientsg recordg andg laboratoryg studies,g theg objectiveg andg subjectiveg datag formg theg
datag base.Theg otherg itemsg areg notg partg ofg theg patientsg record,g laboratoryg studies,g org data.
DIF:g Cognitiveg Level:g Rememberingg (Knowledge)
MSC:g Clientg Needs:g Safeg andg Effectiveg Careg Environment:g Managementg ofg Care
4. Wheng listeningg tog ag patientsg breathg sounds,g theg nurseg isg unsureg ofg ag soundg thatg isg heard.g
Thegnursesg nextactiong shouldg beg to:
a. Immediatelyg notifyg theg patientsg physician.
b. Documentg theg soundg exactlyg asg itg wasg heard.
c. Validateg theg datag byg askingg ag coworkerg tog listeng tog theg breathg sounds.
d. Assessg againg ing 20g minutesg tog noteg whetherg theg soundg isg stillg present.
ANS:g C
Wheng unsureg ofg ag soundg heardg whileg listeningg tog ag patientsg breathg sounds,g theg nurseg validatesg theg
datagtog ensureaccuracy.g Ifg theg nurseg hasg lessg experienceg ing ang area,g theng heg org sheg asksg ang expert
g toglisten.
DIF:g Cognitiveg Level:g Analyzingg (Analysis)
MSC:g Clientg Needs:g Safeg andg Effectiveg Careg Environment:g Managementg ofg Care
5. Theg nurseg isg conductingg ag classg forg newg graduateg nurses.g Duringg theg teachingg session,g theg nurseg
shouldgkeepging mindg thatg noviceg nurses,g withoutg ag backgroundg ofg skillsg andg experienceg fromg which
g togdraw,g areg moreg likelytog makeg theirg decisionsg using:
a. Intuition.
b. Ag setg ofg rules.
c. Articlesg ing journals.
d. Adviceg fromg supervisors.
ANS:g B
Noviceg nursesg operateg fromg ag setg ofg defined,g structuredg rules.g Theg expertg practitionerg usesg intuitiveglinks.
DIF:g Cognitiveg Level:g Understandingg (Comprehension)
, 4
MSC:g Clientg Needs:g General
6. Expertg nursesg learng tog attendg tog ag patterng ofg assessmentg datag andg actg withoutg consciouslyg label
inggit.g Theseresponsesg areg referredg tog as:
a. Intuition.
b. Theg nursingg process.
c. Clinicalg knowledge.
d. Diagnosticgreasoning.
ANS:g A
Intuitiong isg characterizedg byg patterng recognitionexpertg nursesg learng tog attendg tog ag patterng ofg assessm
entgdatag andactg withoutg consciouslyg labelingg it.g Theg otherg optionsg areg notg correct.
DIF:g Cognitiveg Level:g Understandingg(Comprehens
ion)MSC:g Clientg Needs:g General
7. Thegnursegisgreviewingginformationgaboutgevidence-
basedgpracticeg(EBP).gWhichgstatementg bestg reflectsEBP?
a. EBPg reliesg ong traditiong forg supportg ofg bestg practices.
b. EBPg isg simplyg theg useg ofg bestg practiceg techniquesg forg theg treatmentg ofg patients.
c. EBPg emphasizesg theg useg ofg bestg evidenceg withg theg cliniciansg experience.
d. Theg patientsg owng preferencesg areg notg importantg with
EBP.ANS:g C
EBPg isg ag systematicg approachg tog practiceg thatg emphasizesg theg useg ofg bestg evidenceg ing combinationg w
ithgthecliniciansg experience,g asg wellg asg patientg preferencesg andg values,g wheng makingg decisionsg
aboutgcareg andg treatment.g EBPg isg moreg thang simplyg usingg theg bestg practiceg techniquesg tog treat
g patients,gandg questioning g traditiong isg importantg wheng nog compellingg andg supportiveg researchg evide
nceg exists.
DIF:g Cognitiveg Level:g Applyingg (Application)
MSC:g Clientg Needs:g Safeg andg Effectiveg Careg Environment:g Managementg ofg Care
8. Theg nurseg isg conductingg ag classg ong priorityg settingg forg ag groupg ofg newg graduateg nurses.g Whic
hg isgang exampleofg ag first-levelg priorityg problem?
a. Patientg withg postoperativeg pain
b. Newlyg diagnosedg patientg withg diabetesg whog needsg diabeticg teaching
