L
lOMoARcPSD|578 852
L 3
Test Bank: P L L
hysical Exam L
ination& Hea L L
lth Assessme
L
nt 7 Edition
th
L L L
(Jarvis ) L
CHAPTERS 1- L
31 COMPLETETESTBANK
L L
, L
lOMoARcPSD|578 852
L 3
TestLBank:LPhysicalL ExaminationL&LHealthLAssessmentL 7thLEdition 1
Table of Contents
L L
TableL ofL Contents 1
ChapterL 01:L Evidence- 2
BasedL AssessmentLChapterL02:L CulturalL 15
CompetenceLChapterL03:LTheLInterview 31
ChapterL 04:LTheL CompleteL HealthL HistoryL 49
ChapterL 05:LMentalLStatusLAssessmentLC 64
hapterL 06:L SubstanceL UseL Assessment 81
ChapterL 07:L DomesticL andL FamilyL ViolenceL Assessments 87
ChapterL 08:L AssessmentL TechniquesL andL SafetyL inL theL ClinicalL SettingLC 93
hapterL09:LGeneralLSurvey,LMeasurement,LVitalLSigns 112
ChapterL 10:LPainL Assessment:L TheL FifthL VitalLSignL 134
ChapterL11:LNutritionalLAssessment 142
ChapterL 12:LSkin,LHair,LandL Nails 156
ChapterL 13:L Head,L Face,L andL Neck,L IncludingL RegionalL LymphaticsLChap 177
terL14:LEyes 195
ChapterL 15:LEars 212
ChapterL16:LNose,L Mouth,L andL ThroatLChapte 229
rL 17:L BreastsL andL RegionalL LymphaticsLChapte 247
rL18:LThoraxLandLLungs 267
ChapterL 19:LHeartL andL NeckL Vessels 285
ChapterL 20:L PeripheralL VascularL SystemL andL LymphaticL SystemLChapter 304
L21:LAbdomen 321
ChapterL 22:LMusculoskeletalLSystemLCh 338
apterL 23:L NeurologicL SystemLChapterL 2 359
4:L MaleL GenitourinaryL SystemLChapterL 2 384
5:LAnus,LRectum,LandL Prostate 402
ChapterL 26:L FemaleL GenitourinaryL System 416
ChapterL 27:L TheL CompleteL HealthL Assessment:L Adult 438
ChapterL 28:L TheL CompleteL PhysicalL Assessment:L Infant,L Child,L andL AdolescentL 451
ChapterL29:LBedsideLAssessmentLofLtheLHospitalizedLPatient 454
ChapterL 30:L TheL PregnantLWoman 460
ChapterL 31:L FunctionalL AssessmentL ofL theL OlderL Adult 473
, L
lOMoARcPSD|578 852
L 3
TestLBank:LPhysicalL ExaminationL&LHealthLAssessmentL 7thLEdition 2
Chapter 01: Evidence-Based Assessment
L L L
MULTIPLEL CHOICE
1. AfterL completingL anLinitialL assessmentL ofL aL patient,L theL nurseL hasL chartedL thatL hisL respirationsL areL eupneicL an
dLhisLpulseLisL58L beatsLperL minute.L TheseLtypesL ofL dataL wouldLbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:L A
ObjectiveLdataLareLwhatLtheLhealthLprofessionalLobservesLbyLinspecting,Lpercussing,Lpalpating,LandLauscultatingL
duringLtheLphysicalLexamination.LSubjectiveLdataLisLwhatLtheLpersonLsaysLaboutLhimLorLherselfLduringLhistoryLta
king.L TheLtermsL reflectiveL andLintrospectiveL areL notLusedLtoLdescribeLdata.
DIF:L CognitiveL Level:L UnderstandingL (Comprehension)L REF:L p.L 2
MSC:L ClientL Needs:L SafeLandL EffectiveL CareL Environment:L ManagementL ofL Care
2. ALpatientL tellsL theL nurseL thatL heL isLveryL nervous,L isLnauseated,L andL feelsL hot.L TheseL typesL ofL dataL wouldL be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:LC
SubjectiveL dataL areL whatLtheL personL saysL aboutL himLorL herselfL duringL historyL taking.L ObjectiveL dataL areLwhatL t
heLhealthLprofessionalLobservesLbyLinspecting,Lpercussing,Lpalpating,LandLauscultatingLduringLtheLphysicalLexamin
ation.L TheL termsL reflectiveL andLintrospectiveLareLnotL usedLtoLdescribeL data.
DIF:L CognitiveL Level:L UnderstandingL (Comprehension)L REF:L p.L 2
MSC:L ClientL Needs:L SafeLandL EffectiveL CareL Environment:L ManagementL ofL Care
3. TheL patientsL record,L laboratoryL studies,L objectiveL data,LandL subjectiveL dataL combineL toL formL the:
a. DataL base.
b. AdmittingL data.
, L
lOMoARcPSD|578 852
L 3
TestLBank:LPhysicalL ExaminationL&LHealthLAssessmentL 7thLEdition 3
c. FinancialL statement.
d. DischargeL summary.
ANS:L A
TogetherL withL theL patientsL recordL andL laboratoryL studies,L theL objectiveL andL subjectiveL dataL formLtheL dataL base.L
TheL otherL itemsL areLnotL partLofLtheL patientsL record,L laboratoryLstudies,L orL data.
DIF:L CognitiveL Level:L RememberingL (Knowledge)L REF:L p.L 2
MSC:L ClientL Needs:L SafeLandL EffectiveL CareL Environment:L ManagementL ofL Care
4. WhenLlisteningL toLaL patientsL breathL sounds,L theL nurseL isLunsureL ofLaL soundLthatL isLheard.L TheL nursesLne
xtLactionL shouldLbeLto:
a. ImmediatelyL notifyL theL patientsL physician.
b. DocumentL theL soundLexactlyL asL itLwasL heard.
c. ValidateL theL dataLbyLaskingLaL coworkerL toLlistenL toL theL breathL sounds.
d. AssessL againLinL20L minutesL toL noteL whetherL theL soundLisL stillL present.
ANS:LC
WhenLunsureL ofL aL soundL heardL whileL listeningL toLaL patientsL breathLsounds,L theL nurseL validatesL theL dataL toLensureL
accuracy.L IfL theL nurseL hasLlessL experienceL inLanLarea,LthenLheL orL sheL asksLanLexpertLtoLlisten.
DIF:L CognitiveL Level:L AnalyzingL (Analysis)L REF:L p.L 2
MSC:L ClientL Needs:L SafeLandL EffectiveL CareL Environment:L ManagementL ofL Care
5. TheL nurseL isL conductingL aL classL forL newL graduateL nurses.L DuringL theL teachingL session,L theL nurseL shouldL kee
pLinL mindL thatL noviceL nurses,L withoutL aL backgroundL ofL skillsLandL experienceL fromL whichLtoL draw,L areL moreL lik
elyLtoLmakeL theirL decisionsL using:
a. Intuition.
b. ALsetL ofLrules.
c. ArticlesL inL journals.
d. AdviceL fromL supervisors.
ANS:LB
NoviceL nursesL operateL fromLaL setL ofL defined,L structuredL rules.L TheL expertL practitionerL usesL intuitiveL links.LDI
F:LCognitiveL Level:L UnderstandingL(Comprehension)L REF:L p.L 3
lOMoARcPSD|578 852
L 3
Test Bank: P L L
hysical Exam L
ination& Hea L L
lth Assessme
L
nt 7 Edition
th
L L L
(Jarvis ) L
CHAPTERS 1- L
31 COMPLETETESTBANK
L L
, L
lOMoARcPSD|578 852
L 3
TestLBank:LPhysicalL ExaminationL&LHealthLAssessmentL 7thLEdition 1
Table of Contents
L L
TableL ofL Contents 1
ChapterL 01:L Evidence- 2
BasedL AssessmentLChapterL02:L CulturalL 15
CompetenceLChapterL03:LTheLInterview 31
ChapterL 04:LTheL CompleteL HealthL HistoryL 49
ChapterL 05:LMentalLStatusLAssessmentLC 64
hapterL 06:L SubstanceL UseL Assessment 81
ChapterL 07:L DomesticL andL FamilyL ViolenceL Assessments 87
ChapterL 08:L AssessmentL TechniquesL andL SafetyL inL theL ClinicalL SettingLC 93
hapterL09:LGeneralLSurvey,LMeasurement,LVitalLSigns 112
ChapterL 10:LPainL Assessment:L TheL FifthL VitalLSignL 134
ChapterL11:LNutritionalLAssessment 142
ChapterL 12:LSkin,LHair,LandL Nails 156
ChapterL 13:L Head,L Face,L andL Neck,L IncludingL RegionalL LymphaticsLChap 177
terL14:LEyes 195
ChapterL 15:LEars 212
ChapterL16:LNose,L Mouth,L andL ThroatLChapte 229
rL 17:L BreastsL andL RegionalL LymphaticsLChapte 247
rL18:LThoraxLandLLungs 267
ChapterL 19:LHeartL andL NeckL Vessels 285
ChapterL 20:L PeripheralL VascularL SystemL andL LymphaticL SystemLChapter 304
L21:LAbdomen 321
ChapterL 22:LMusculoskeletalLSystemLCh 338
apterL 23:L NeurologicL SystemLChapterL 2 359
4:L MaleL GenitourinaryL SystemLChapterL 2 384
5:LAnus,LRectum,LandL Prostate 402
ChapterL 26:L FemaleL GenitourinaryL System 416
ChapterL 27:L TheL CompleteL HealthL Assessment:L Adult 438
ChapterL 28:L TheL CompleteL PhysicalL Assessment:L Infant,L Child,L andL AdolescentL 451
ChapterL29:LBedsideLAssessmentLofLtheLHospitalizedLPatient 454
ChapterL 30:L TheL PregnantLWoman 460
ChapterL 31:L FunctionalL AssessmentL ofL theL OlderL Adult 473
, L
lOMoARcPSD|578 852
L 3
TestLBank:LPhysicalL ExaminationL&LHealthLAssessmentL 7thLEdition 2
Chapter 01: Evidence-Based Assessment
L L L
MULTIPLEL CHOICE
1. AfterL completingL anLinitialL assessmentL ofL aL patient,L theL nurseL hasL chartedL thatL hisL respirationsL areL eupneicL an
dLhisLpulseLisL58L beatsLperL minute.L TheseLtypesL ofL dataL wouldLbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:L A
ObjectiveLdataLareLwhatLtheLhealthLprofessionalLobservesLbyLinspecting,Lpercussing,Lpalpating,LandLauscultatingL
duringLtheLphysicalLexamination.LSubjectiveLdataLisLwhatLtheLpersonLsaysLaboutLhimLorLherselfLduringLhistoryLta
king.L TheLtermsL reflectiveL andLintrospectiveL areL notLusedLtoLdescribeLdata.
DIF:L CognitiveL Level:L UnderstandingL (Comprehension)L REF:L p.L 2
MSC:L ClientL Needs:L SafeLandL EffectiveL CareL Environment:L ManagementL ofL Care
2. ALpatientL tellsL theL nurseL thatL heL isLveryL nervous,L isLnauseated,L andL feelsL hot.L TheseL typesL ofL dataL wouldL be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:LC
SubjectiveL dataL areL whatLtheL personL saysL aboutL himLorL herselfL duringL historyL taking.L ObjectiveL dataL areLwhatL t
heLhealthLprofessionalLobservesLbyLinspecting,Lpercussing,Lpalpating,LandLauscultatingLduringLtheLphysicalLexamin
ation.L TheL termsL reflectiveL andLintrospectiveLareLnotL usedLtoLdescribeL data.
DIF:L CognitiveL Level:L UnderstandingL (Comprehension)L REF:L p.L 2
MSC:L ClientL Needs:L SafeLandL EffectiveL CareL Environment:L ManagementL ofL Care
3. TheL patientsL record,L laboratoryL studies,L objectiveL data,LandL subjectiveL dataL combineL toL formL the:
a. DataL base.
b. AdmittingL data.
, L
lOMoARcPSD|578 852
L 3
TestLBank:LPhysicalL ExaminationL&LHealthLAssessmentL 7thLEdition 3
c. FinancialL statement.
d. DischargeL summary.
ANS:L A
TogetherL withL theL patientsL recordL andL laboratoryL studies,L theL objectiveL andL subjectiveL dataL formLtheL dataL base.L
TheL otherL itemsL areLnotL partLofLtheL patientsL record,L laboratoryLstudies,L orL data.
DIF:L CognitiveL Level:L RememberingL (Knowledge)L REF:L p.L 2
MSC:L ClientL Needs:L SafeLandL EffectiveL CareL Environment:L ManagementL ofL Care
4. WhenLlisteningL toLaL patientsL breathL sounds,L theL nurseL isLunsureL ofLaL soundLthatL isLheard.L TheL nursesLne
xtLactionL shouldLbeLto:
a. ImmediatelyL notifyL theL patientsL physician.
b. DocumentL theL soundLexactlyL asL itLwasL heard.
c. ValidateL theL dataLbyLaskingLaL coworkerL toLlistenL toL theL breathL sounds.
d. AssessL againLinL20L minutesL toL noteL whetherL theL soundLisL stillL present.
ANS:LC
WhenLunsureL ofL aL soundL heardL whileL listeningL toLaL patientsL breathLsounds,L theL nurseL validatesL theL dataL toLensureL
accuracy.L IfL theL nurseL hasLlessL experienceL inLanLarea,LthenLheL orL sheL asksLanLexpertLtoLlisten.
DIF:L CognitiveL Level:L AnalyzingL (Analysis)L REF:L p.L 2
MSC:L ClientL Needs:L SafeLandL EffectiveL CareL Environment:L ManagementL ofL Care
5. TheL nurseL isL conductingL aL classL forL newL graduateL nurses.L DuringL theL teachingL session,L theL nurseL shouldL kee
pLinL mindL thatL noviceL nurses,L withoutL aL backgroundL ofL skillsLandL experienceL fromL whichLtoL draw,L areL moreL lik
elyLtoLmakeL theirL decisionsL using:
a. Intuition.
b. ALsetL ofLrules.
c. ArticlesL inL journals.
d. AdviceL fromL supervisors.
ANS:LB
NoviceL nursesL operateL fromLaL setL ofL defined,L structuredL rules.L TheL expertL practitionerL usesL intuitiveL links.LDI
F:LCognitiveL Level:L UnderstandingL(Comprehension)L REF:L p.L 3
