TEST BANK FOR
JENSEN NURSING HEALTH ASSESSMENT: A BEST PRACTICE APPROACH 3RD EDITION
||LATEST EDITION {2024 – 2025}
,Table of Contents
Unit 1: Foundations Of Nursing Health Assessment ..................................................................................... 4
Chapter 1. Nurse’s Role In Health Assessment ......................................................................................... 4
Chapter 2. The Health History And Interview ......................................................................................... 30
Chapter 3. Techniques Of Physical Assessment...................................................................................... 52
Chapter 4. Documentation And Interdisciplinary Communication ........................................................ 69
UNIT 2; GENERAL EXAMINATIONS ............................................................................................................ 102
Chapter 5. Vital Signs And General Survey ........................................................................................... 102
Chapter 6. Pain Assessment .................................................................................................................. 106
Chapter 7. Nutrition Assessment .......................................................................................................... 112
Chapter 8. Assessment Of Developmental Stages ................................................................................ 125
Chapter 9. Mental Health And Violence Assessment ........................................................................... 127
Chapter 10. Cultural Assessment ......................................................................................................... 172
UNIT 3; REGIONAL EXAMINATIONS .......................................................................................................... 177
Chapter 11. The Skin, Hair, And Nails ................................................................................................... 178
Chapter 12. Head And Neck With Lymphatics ...................................................................................... 188
Chapter 13. Eyes ................................................................................................................................... 204
Chapter 14: Ear Assessment For Advanced And Specialty Practice...................................................... 236
Chapter 15. Nose, Mouth, And Throat ................................................................................................. 264
Chapter 16: Thorax And Lungs .............................................................................................................. 292
Chapter 17. Heart And Neck Vessels .................................................................................................... 311
Chapter 18. Peripheral Vascular With Lymphatics ............................................................................... 323
Chapter 19. Breasts And Axillae ............................................................................................................ 337
Chapter 20: Abdomen Assessment ....................................................................................................... 378
Chapter 21: Musculoskeletal Assessment ............................................................................................ 388
Chapter 22. Neurological And Mental Status ....................................................................................... 400
Chapter 23. Male Genitalia And Rectum .......................................................................................... 419
Chapter 24. Female Genitalia And Rectum ........................................................................................... 435
UNIT 4; SPECIAL POPULATIONS AND FOCI................................................................................................ 455
Chapter 25. Pregnant Female ............................................................................................................... 455
Chapter 27. Children And Adolescents ................................................................................................. 475
Chapter 28. Older Adults ...................................................................................................................... 485
UNIT 5; PUTTING IT ALL TOGETHER .......................................................................................................... 491
,Chapter 29. Hospitalized Adult Assessment ......................................................................................... 491
Chapter 30. Head-To Toe Assessment Of Adult.................................................................................... 496
, Unit 1: Foundations Of Nursing Health Assessment
Chapter 1. Nurse’s Role In Health Assessment
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 Would Be:
A. Objective.
B. Reflective.
C. Subjective.
D. Introspective.
CORRECT 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) REF: Dm. 2
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.
CORRECT 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) REF: Dm. 2
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.
JENSEN NURSING HEALTH ASSESSMENT: A BEST PRACTICE APPROACH 3RD EDITION
||LATEST EDITION {2024 – 2025}
,Table of Contents
Unit 1: Foundations Of Nursing Health Assessment ..................................................................................... 4
Chapter 1. Nurse’s Role In Health Assessment ......................................................................................... 4
Chapter 2. The Health History And Interview ......................................................................................... 30
Chapter 3. Techniques Of Physical Assessment...................................................................................... 52
Chapter 4. Documentation And Interdisciplinary Communication ........................................................ 69
UNIT 2; GENERAL EXAMINATIONS ............................................................................................................ 102
Chapter 5. Vital Signs And General Survey ........................................................................................... 102
Chapter 6. Pain Assessment .................................................................................................................. 106
Chapter 7. Nutrition Assessment .......................................................................................................... 112
Chapter 8. Assessment Of Developmental Stages ................................................................................ 125
Chapter 9. Mental Health And Violence Assessment ........................................................................... 127
Chapter 10. Cultural Assessment ......................................................................................................... 172
UNIT 3; REGIONAL EXAMINATIONS .......................................................................................................... 177
Chapter 11. The Skin, Hair, And Nails ................................................................................................... 178
Chapter 12. Head And Neck With Lymphatics ...................................................................................... 188
Chapter 13. Eyes ................................................................................................................................... 204
Chapter 14: Ear Assessment For Advanced And Specialty Practice...................................................... 236
Chapter 15. Nose, Mouth, And Throat ................................................................................................. 264
Chapter 16: Thorax And Lungs .............................................................................................................. 292
Chapter 17. Heart And Neck Vessels .................................................................................................... 311
Chapter 18. Peripheral Vascular With Lymphatics ............................................................................... 323
Chapter 19. Breasts And Axillae ............................................................................................................ 337
Chapter 20: Abdomen Assessment ....................................................................................................... 378
Chapter 21: Musculoskeletal Assessment ............................................................................................ 388
Chapter 22. Neurological And Mental Status ....................................................................................... 400
Chapter 23. Male Genitalia And Rectum .......................................................................................... 419
Chapter 24. Female Genitalia And Rectum ........................................................................................... 435
UNIT 4; SPECIAL POPULATIONS AND FOCI................................................................................................ 455
Chapter 25. Pregnant Female ............................................................................................................... 455
Chapter 27. Children And Adolescents ................................................................................................. 475
Chapter 28. Older Adults ...................................................................................................................... 485
UNIT 5; PUTTING IT ALL TOGETHER .......................................................................................................... 491
,Chapter 29. Hospitalized Adult Assessment ......................................................................................... 491
Chapter 30. Head-To Toe Assessment Of Adult.................................................................................... 496
, Unit 1: Foundations Of Nursing Health Assessment
Chapter 1. Nurse’s Role In Health Assessment
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 Would Be:
A. Objective.
B. Reflective.
C. Subjective.
D. Introspective.
CORRECT 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) REF: Dm. 2
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.
CORRECT 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) REF: Dm. 2
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.
