g
lOMoARcPSD|578 85
g
2 3
Test Bank: P g g
hysical Exam g
ination& He g g
alth Assessm g
ent 7 Editio
th
g g
n (Jarvis )
g g
CHAPTERS 1- g
31 COMPLETETESTBANK
g g
, g
lOMoARcPSD|578 85
2g 3
TestgBank:gPhysicalg Examinationg&gHealthgAssessmentg 7thgEditio 1
n
Table of Contents
g g
Tableg ofg Contents 1
Chapterg 01:g Evidence- 2
Basedg AssessmentgChapterg02:g Culturalg 15
CompetencegChapterg03:gThegInterview 31
Chapterg 04:g Theg Completeg Healthg Historyg 49
Chapterg 05:g Mentalg Statusg AssessmentgC 64
hapterg 06:g Substanceg Useg Assessment 81
Chapterg 07:g Domesticg andg Familyg Violenceg Assessments 87
Chapterg 08:g Assessmentg Techniquesg andg Safetyg ing theg Clinicalg Settingg 93
Chapterg09:gGeneralgSurvey,gMeasurement,gVitalgSigns 112
Chapterg 10:g Paing Assessment:g Theg Fifthg Vitalg Sign 134
gChapterg11:gNutritionalgAssessment 142
Chapterg 12:gSkin,gHair,g andg Nails 156
Chapterg 13:g Head,g Face,g andg Neck,g Includingg Regionalg LymphaticsgCha 177
pterg14:gEyes 195
Chapterg 15:g Ears 212
Chapterg16:gNose,g Mouth,g andg ThroatgChapt 229
erg 17:g Breastsg andg Regionalg LymphaticsgChap 247
terg18:gThoraxgandgLungs 267
Chapterg 19:g Heartg andg Neckg Vessels 285
Chapterg 20:g Peripheralg Vascularg Systemg andg Lymphaticg SystemgChapte 304
rg21:gAbdomen 321
Chapterg 22:gMusculoskeletalg SystemgCh 338
apterg 23:g Neurologicg SystemgChapterg 2 359
4:g Maleg Genitourinaryg SystemgChapterg 2 384
5:g Anus,g Rectum,g andg Prostate 402
Chapterg 26:g Femaleg Genitourinaryg System 416
Chapterg 27:g Theg Completeg Healthg Assessment:g Adult 438
Chapterg 28:g Theg Completeg Physicalg Assessment:g Infant,g Child,g andg Adolescentg 451
Chapterg29:gBedsidegAssessmentgofgthegHospitalizedgPatient 454
Chapterg 30:g Theg PregnantgWoman 460
Chapterg 31:g Functionalg Assessmentg ofg theg Olderg Adult 473
, g
lOMoARcPSD|578 85
2g 3
TestgBank:gPhysicalg Examinationg&gHealthgAssessmentg 7thgEditio 2
n
Chapter 01: Evidence-Based Assessment
g g g
MULTIPLEg CHOICE
1. Afterg completingg anginitialg assessmentg ofg ag patient,g theg nurseg hasg chartedg thatg hisg respirationsg areg eupneicg an
dghisgpulsegisg58g beatsg perg minute.g Thesegtypesg ofg datag wouldgbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:g A
Objectivegdatagaregwhatgtheghealthgprofessionalgobservesgbyginspecting,gpercussing,gpalpating,gandgauscultatingg
duringgthegphysicalgexamination.gSubjectivegdatagisgwhatgthegpersongsaysgaboutghimgorgherselfgduringghistorygtak
ing.g Thegtermsg reflectiveg andgintrospectiveg areg notg usedgtogdescribeg data.
DIF:g Cognitiveg Level:g Understandingg (Comprehension)g REF:g p.g 2
MSC:g Clientg Needs:g Safegandg Effectiveg Careg Environment:g Managementg ofg Care
2. Ag patientg tellsg theg nurseg thatg heg isg veryg nervous,g isgnauseated,g andg feelsg hot.g Theseg typesg ofg datag wouldg be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:gC
Subjectiveg datag areg whatgtheg persong saysg aboutg himgorg herselfg duringg historyg taking.g Objectiveg datag areg whatg t
heghealthgprofessionalgobservesgbyginspecting,gpercussing,gpalpating,gandgauscultatinggduringgthegphysicalgexamin
ation.g Theg termsg reflectiveg andgintrospectivegareg notg usedgtogdescribeg data.
DIF:g Cognitiveg Level:g Understandingg (Comprehension)g REF:g p.g 2
MSC:g Clientg Needs:g Safegandg Effectiveg Careg Environment:g Managementg ofg Care
3. Theg patientsg record,g laboratoryg studies,g objectiveg data,gandg subjectiveg datag combineg tog formg the:
a. Datag base.
b. Admittingg data.
, g
lOMoARcPSD|578 85
2g 3
TestgBank:gPhysicalg Examinationg&gHealthgAssessmentg 7thgEditio 3
n
c. Financialg statement.
d. Dischargeg summary.
ANS:g A
Togetherg withg theg patientsg recordg andg laboratoryg studies,g theg objectiveg andg subjectiveg datag formgtheg datag base.g
Theg otherg itemsg aregnotg partgofgtheg patientsg record,g laboratorygstudies,g org data.
DIF:g Cognitiveg Level:g Rememberingg (Knowledge)g REF:g p.g 2
MSC:g Clientg Needs:g Safegandg Effectiveg Careg Environment:g Managementg ofg Care
4. Whenglisteningg togag patientsg breathg sounds,g theg nurseg isgunsureg ofgag soundgthatg isg heard.g Theg nursesg ne
xtgactiong shouldgbegto:
a. Immediatelyg notifyg theg patientsg physician.
b. Documentg theg soundgexactlyg asg itg wasg heard.
c. Validateg theg datag bygaskinggag coworkerg toglisteng tog theg breathg sounds.
d. Assessg againging20g minutesg tog noteg whetherg theg soundgisg stillg present.
ANS:gC
Whengunsureg ofg ag soundg heardg whileg listeningg togag patientsg breathgsounds,g theg nurseg validatesg theg datag togensureg
accuracy.g Ifg theg nurseg hasglessg experienceg ingangarea,gthengheg org shegasksgangexpertgtoglisten.
DIF:g Cognitiveg Level:g Analyzingg (Analysis)g REF:g p.g 2
MSC:g Clientg Needs:g Safegandg 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 shouldg kee
pging mindg thatg noviceg nurses,g withoutg ag backgroundg ofg skillsgandg experienceg fromg whichgtog draw,g areg moreg lik
elygtogmakeg theirg decisionsg using:
a. Intuition.
b. Agsetg ofgrules.
c. Articlesg ing journals.
d. Adviceg fromg supervisors.
ANS:gB
Noviceg nursesg operateg fromgag setg ofg defined,g structuredg rules.g Theg expertg practitionerg usesg intuitiveg links.gDI
F:g Cognitiveg Level:g Understandingg(Comprehension)g REF:g p.g 3
lOMoARcPSD|578 85
g
2 3
Test Bank: P g g
hysical Exam g
ination& He g g
alth Assessm g
ent 7 Editio
th
g g
n (Jarvis )
g g
CHAPTERS 1- g
31 COMPLETETESTBANK
g g
, g
lOMoARcPSD|578 85
2g 3
TestgBank:gPhysicalg Examinationg&gHealthgAssessmentg 7thgEditio 1
n
Table of Contents
g g
Tableg ofg Contents 1
Chapterg 01:g Evidence- 2
Basedg AssessmentgChapterg02:g Culturalg 15
CompetencegChapterg03:gThegInterview 31
Chapterg 04:g Theg Completeg Healthg Historyg 49
Chapterg 05:g Mentalg Statusg AssessmentgC 64
hapterg 06:g Substanceg Useg Assessment 81
Chapterg 07:g Domesticg andg Familyg Violenceg Assessments 87
Chapterg 08:g Assessmentg Techniquesg andg Safetyg ing theg Clinicalg Settingg 93
Chapterg09:gGeneralgSurvey,gMeasurement,gVitalgSigns 112
Chapterg 10:g Paing Assessment:g Theg Fifthg Vitalg Sign 134
gChapterg11:gNutritionalgAssessment 142
Chapterg 12:gSkin,gHair,g andg Nails 156
Chapterg 13:g Head,g Face,g andg Neck,g Includingg Regionalg LymphaticsgCha 177
pterg14:gEyes 195
Chapterg 15:g Ears 212
Chapterg16:gNose,g Mouth,g andg ThroatgChapt 229
erg 17:g Breastsg andg Regionalg LymphaticsgChap 247
terg18:gThoraxgandgLungs 267
Chapterg 19:g Heartg andg Neckg Vessels 285
Chapterg 20:g Peripheralg Vascularg Systemg andg Lymphaticg SystemgChapte 304
rg21:gAbdomen 321
Chapterg 22:gMusculoskeletalg SystemgCh 338
apterg 23:g Neurologicg SystemgChapterg 2 359
4:g Maleg Genitourinaryg SystemgChapterg 2 384
5:g Anus,g Rectum,g andg Prostate 402
Chapterg 26:g Femaleg Genitourinaryg System 416
Chapterg 27:g Theg Completeg Healthg Assessment:g Adult 438
Chapterg 28:g Theg Completeg Physicalg Assessment:g Infant,g Child,g andg Adolescentg 451
Chapterg29:gBedsidegAssessmentgofgthegHospitalizedgPatient 454
Chapterg 30:g Theg PregnantgWoman 460
Chapterg 31:g Functionalg Assessmentg ofg theg Olderg Adult 473
, g
lOMoARcPSD|578 85
2g 3
TestgBank:gPhysicalg Examinationg&gHealthgAssessmentg 7thgEditio 2
n
Chapter 01: Evidence-Based Assessment
g g g
MULTIPLEg CHOICE
1. Afterg completingg anginitialg assessmentg ofg ag patient,g theg nurseg hasg chartedg thatg hisg respirationsg areg eupneicg an
dghisgpulsegisg58g beatsg perg minute.g Thesegtypesg ofg datag wouldgbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:g A
Objectivegdatagaregwhatgtheghealthgprofessionalgobservesgbyginspecting,gpercussing,gpalpating,gandgauscultatingg
duringgthegphysicalgexamination.gSubjectivegdatagisgwhatgthegpersongsaysgaboutghimgorgherselfgduringghistorygtak
ing.g Thegtermsg reflectiveg andgintrospectiveg areg notg usedgtogdescribeg data.
DIF:g Cognitiveg Level:g Understandingg (Comprehension)g REF:g p.g 2
MSC:g Clientg Needs:g Safegandg Effectiveg Careg Environment:g Managementg ofg Care
2. Ag patientg tellsg theg nurseg thatg heg isg veryg nervous,g isgnauseated,g andg feelsg hot.g Theseg typesg ofg datag wouldg be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:gC
Subjectiveg datag areg whatgtheg persong saysg aboutg himgorg herselfg duringg historyg taking.g Objectiveg datag areg whatg t
heghealthgprofessionalgobservesgbyginspecting,gpercussing,gpalpating,gandgauscultatinggduringgthegphysicalgexamin
ation.g Theg termsg reflectiveg andgintrospectivegareg notg usedgtogdescribeg data.
DIF:g Cognitiveg Level:g Understandingg (Comprehension)g REF:g p.g 2
MSC:g Clientg Needs:g Safegandg Effectiveg Careg Environment:g Managementg ofg Care
3. Theg patientsg record,g laboratoryg studies,g objectiveg data,gandg subjectiveg datag combineg tog formg the:
a. Datag base.
b. Admittingg data.
, g
lOMoARcPSD|578 85
2g 3
TestgBank:gPhysicalg Examinationg&gHealthgAssessmentg 7thgEditio 3
n
c. Financialg statement.
d. Dischargeg summary.
ANS:g A
Togetherg withg theg patientsg recordg andg laboratoryg studies,g theg objectiveg andg subjectiveg datag formgtheg datag base.g
Theg otherg itemsg aregnotg partgofgtheg patientsg record,g laboratorygstudies,g org data.
DIF:g Cognitiveg Level:g Rememberingg (Knowledge)g REF:g p.g 2
MSC:g Clientg Needs:g Safegandg Effectiveg Careg Environment:g Managementg ofg Care
4. Whenglisteningg togag patientsg breathg sounds,g theg nurseg isgunsureg ofgag soundgthatg isg heard.g Theg nursesg ne
xtgactiong shouldgbegto:
a. Immediatelyg notifyg theg patientsg physician.
b. Documentg theg soundgexactlyg asg itg wasg heard.
c. Validateg theg datag bygaskinggag coworkerg toglisteng tog theg breathg sounds.
d. Assessg againging20g minutesg tog noteg whetherg theg soundgisg stillg present.
ANS:gC
Whengunsureg ofg ag soundg heardg whileg listeningg togag patientsg breathgsounds,g theg nurseg validatesg theg datag togensureg
accuracy.g Ifg theg nurseg hasglessg experienceg ingangarea,gthengheg org shegasksgangexpertgtoglisten.
DIF:g Cognitiveg Level:g Analyzingg (Analysis)g REF:g p.g 2
MSC:g Clientg Needs:g Safegandg 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 shouldg kee
pging mindg thatg noviceg nurses,g withoutg ag backgroundg ofg skillsgandg experienceg fromg whichgtog draw,g areg moreg lik
elygtogmakeg theirg decisionsg using:
a. Intuition.
b. Agsetg ofgrules.
c. Articlesg ing journals.
d. Adviceg fromg supervisors.
ANS:gB
Noviceg nursesg operateg fromgag setg ofg defined,g structuredg rules.g Theg expertg practitionerg usesg intuitiveg links.gDI
F:g Cognitiveg Level:g Understandingg(Comprehension)g REF:g p.g 3
