lOMoARcPSD| 578 f 852
f 3
, lOMoARcPSD| 578 f 852
f 3
th
Test Bank: Physical Examination & Health Assessment 7 Edition
f f f f f f f f 1
Table of Contents f f
Table of Contents
f f 1
Chapter 01: Evidence-Based Assessment
f f f 2
Chapter 02: Cultural Competence
f f f f 15
Chapter 03: The Interview
f f f f 31
Chapter 04: The Complete Health History
f f f f f 49
Chapter 05: Mental Status Assessment
f f f f f 64
Chapter 06: Substance Use Assessment
f f f f f 81
Chapter 07: Domestic and Family Violence Assessments
f f f f f f 87
Chapter 08: Assessment Techniques and Safety in the Clinical Setting
f f f f f f f f f 93
Chapter 09: General Survey, Measurement, Vital Signs
f f f f f f f 112
Chapter 10: Pain Assessment: The Fifth Vital Sign
f f f f f f f 134
Chapter 11: Nutritional Assessment
f f f f 142
Chapter 12: Skin, Hair, and Nails
f f f f f 156
Chapter 13: Head, Face, and Neck, Including Regional Lymphatics
f f f f f f f f 177
Chapter 14: Eyes
f f f 195
Chapter 15: Ears
f f 212
Chapter 16: Nose, Mouth, and Throat
f f f f f 229
Chapter 17: Breasts and Regional Lymphatics
f f f f f f 247
Chapter 18: Thorax and Lungs
f f f f f 267
Chapter 19: Heart and Neck Vessels
f f f f f 285
Chapter 20: Peripheral Vascular System and Lymphatic System Chapter
f f f f f f f f 304
21: Abdomen
f f 321
Chapter 22: Musculoskeletal System
f f f 338
Chapter 23: Neurologic System
f f f f 359
fChapter 24: Male Genitourinary System
f f f f 384
Chapter 25: Anus, Rectum, and Prostate
f f f f f f 402
Chapter 26: Female Genitourinary System
f f f f 416
Chapter 27: The Complete Health Assessment: Adult
f f f f f f 438
Chapter 28: The Complete Physical Assessment: Infant, Child, and Adolescent
f f f f f f f f f 451
Chapter 29: Bedside Assessment of the Hospitalized Patient
f f f f f f f f 454
Chapter 30: The Pregnant Woman
f f f f 460
Chapter 31: Functional Assessment of the Older Adult
f f f f f f f 473
, lOMoARcPSD| 578 f 852
f 3
th
Test Bank: Physical Examination & Health Assessment 7 Edition
f f f f f f f f 2
Chapter 01: Evidence-Based Assessment f f f
MULTIPLE CHOICE f
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and his
f f f f f f f f f f f f f f f f f f
pulse is 58 beats per minute. These types of data would be:
f f f f f f f f f f f f
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A f
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating
f f f f f f f f f f f f f
during the physical examination. Subjective data is what the person says about him or herself during history
f f f f f f f f f f f f f f f f f
taking. The terms reflective and introspective are not used to describe data.
f f f f f f f f f f f f
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
f f f f f f f
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
f f f f f f f f f f
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would be:
f f f f f f f f f f f f f f f f f f f f
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C f
Subjective data are what the person says about him or herself during history taking. Objective data are what the
f f f f f f f f f f f f f f f f f f
health professional observes by inspecting, percussing, palpating, and auscultating during the physical
f f f f f f f f f f f f
examination. The terms reflective and introspective are not used to describe data.
f f f f f f f f f f f f
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
f f f f f f f
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
f f f f f f f f f f
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
f f f f f f f f f f f f f
a. Data base. f
b. Admitting data. f
, lOMoARcPSD| 578 f 852
f 3
th
Test Bank: Physical Examination & Health Assessment 7 Edition
f f f f f f f f 3
c. Financial statement. f
d. Discharge summary. f
ANS: A f
Together with the patients record and laboratory studies, the objective and subjective data form the data base.
f f f f f f f f f f f f f f f f
The other items are not part of the patients record, laboratory studies, or data.
f f f f f f f f f f f f f f
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2
f f f f f f f
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
f f f f f f f f f f
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next
f f f f f f f f f f f f f f f f f f f
action should be to:
f f f f
a. Immediately notify the patients physician. f f f f
b. Document the sound exactly as it was heard. f f f f f f f
c. Validate the data by asking a coworker to listen to the breath sounds.
f f f f f f f f f f f f
d. Assess again in 20 minutes to note whether the sound is still present.
f f f f f f f f f f f f
ANS: C f
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure
f f f f f f f f f f f f f f f f f f f
accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
f f f f f f f f f f f f f f f f f f f
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
f f f f f f f
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
f f f f f f f f f f
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should keep
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in mind that novice nurses, without a background of skills and experience from which to draw, are more likely
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to make their decisions using:
f f f f f
a. Intuition.
b. A set of rules.
f f f
c. Articles in journals. f f
d. Advice from supervisors. f f
ANS: B f
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links. DIF:
f f f f f f f f f f f f f f f f
f Cognitive Level: Understanding (Comprehension) REF: p. 3
f f f f f f
f 3
, lOMoARcPSD| 578 f 852
f 3
th
Test Bank: Physical Examination & Health Assessment 7 Edition
f f f f f f f f 1
Table of Contents f f
Table of Contents
f f 1
Chapter 01: Evidence-Based Assessment
f f f 2
Chapter 02: Cultural Competence
f f f f 15
Chapter 03: The Interview
f f f f 31
Chapter 04: The Complete Health History
f f f f f 49
Chapter 05: Mental Status Assessment
f f f f f 64
Chapter 06: Substance Use Assessment
f f f f f 81
Chapter 07: Domestic and Family Violence Assessments
f f f f f f 87
Chapter 08: Assessment Techniques and Safety in the Clinical Setting
f f f f f f f f f 93
Chapter 09: General Survey, Measurement, Vital Signs
f f f f f f f 112
Chapter 10: Pain Assessment: The Fifth Vital Sign
f f f f f f f 134
Chapter 11: Nutritional Assessment
f f f f 142
Chapter 12: Skin, Hair, and Nails
f f f f f 156
Chapter 13: Head, Face, and Neck, Including Regional Lymphatics
f f f f f f f f 177
Chapter 14: Eyes
f f f 195
Chapter 15: Ears
f f 212
Chapter 16: Nose, Mouth, and Throat
f f f f f 229
Chapter 17: Breasts and Regional Lymphatics
f f f f f f 247
Chapter 18: Thorax and Lungs
f f f f f 267
Chapter 19: Heart and Neck Vessels
f f f f f 285
Chapter 20: Peripheral Vascular System and Lymphatic System Chapter
f f f f f f f f 304
21: Abdomen
f f 321
Chapter 22: Musculoskeletal System
f f f 338
Chapter 23: Neurologic System
f f f f 359
fChapter 24: Male Genitourinary System
f f f f 384
Chapter 25: Anus, Rectum, and Prostate
f f f f f f 402
Chapter 26: Female Genitourinary System
f f f f 416
Chapter 27: The Complete Health Assessment: Adult
f f f f f f 438
Chapter 28: The Complete Physical Assessment: Infant, Child, and Adolescent
f f f f f f f f f 451
Chapter 29: Bedside Assessment of the Hospitalized Patient
f f f f f f f f 454
Chapter 30: The Pregnant Woman
f f f f 460
Chapter 31: Functional Assessment of the Older Adult
f f f f f f f 473
, lOMoARcPSD| 578 f 852
f 3
th
Test Bank: Physical Examination & Health Assessment 7 Edition
f f f f f f f f 2
Chapter 01: Evidence-Based Assessment f f f
MULTIPLE CHOICE f
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and his
f f f f f f f f f f f f f f f f f f
pulse is 58 beats per minute. These types of data would be:
f f f f f f f f f f f f
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A f
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating
f f f f f f f f f f f f f
during the physical examination. Subjective data is what the person says about him or herself during history
f f f f f f f f f f f f f f f f f
taking. The terms reflective and introspective are not used to describe data.
f f f f f f f f f f f f
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
f f f f f f f
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
f f f f f f f f f f
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would be:
f f f f f f f f f f f f f f f f f f f f
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C f
Subjective data are what the person says about him or herself during history taking. Objective data are what the
f f f f f f f f f f f f f f f f f f
health professional observes by inspecting, percussing, palpating, and auscultating during the physical
f f f f f f f f f f f f
examination. The terms reflective and introspective are not used to describe data.
f f f f f f f f f f f f
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
f f f f f f f
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
f f f f f f f f f f
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
f f f f f f f f f f f f f
a. Data base. f
b. Admitting data. f
, lOMoARcPSD| 578 f 852
f 3
th
Test Bank: Physical Examination & Health Assessment 7 Edition
f f f f f f f f 3
c. Financial statement. f
d. Discharge summary. f
ANS: A f
Together with the patients record and laboratory studies, the objective and subjective data form the data base.
f f f f f f f f f f f f f f f f
The other items are not part of the patients record, laboratory studies, or data.
f f f f f f f f f f f f f f
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2
f f f f f f f
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
f f f f f f f f f f
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next
f f f f f f f f f f f f f f f f f f f
action should be to:
f f f f
a. Immediately notify the patients physician. f f f f
b. Document the sound exactly as it was heard. f f f f f f f
c. Validate the data by asking a coworker to listen to the breath sounds.
f f f f f f f f f f f f
d. Assess again in 20 minutes to note whether the sound is still present.
f f f f f f f f f f f f
ANS: C f
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure
f f f f f f f f f f f f f f f f f f f
accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
f f f f f f f f f f f f f f f f f f f
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
f f f f f f f
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
f f f f f f f f f f
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should keep
f f f f f f f f f f f f f f f f f
in mind that novice nurses, without a background of skills and experience from which to draw, are more likely
f f f f f f f f f f f f f f f f f f f
to make their decisions using:
f f f f f
a. Intuition.
b. A set of rules.
f f f
c. Articles in journals. f f
d. Advice from supervisors. f f
ANS: B f
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links. DIF:
f f f f f f f f f f f f f f f f
f Cognitive Level: Understanding (Comprehension) REF: p. 3
f f f f f f
