MG
Physical Examination and Health
EE
Assessment – 8th Edition
K?
TEST BANK
_AP
PR
O
Carolyn Jarvis
VE
D?
Comprehensive Test Bank for Instructors
?
and Students
© Carolyn Jarvis
All rights reserved. Reproduction or distribution without permission is prohibited.
©MedGeek Libraries
,MG
Table of Contents 1
Chapter 01: Evidence-Based Assessment 2
Chapter 02: Cultural Assessment 15
Chapter 03: The Interview 31
EE
Chapter 04: The Complete Health History
Chapter 05: Mental Status Assessment
49
64
Chapter 06: Substance Use Assessment 80
Chapter 07: Domestic and Family Violence Assessment 86
K?
Chapter 08: Assessment Techniques and Safety in the Clinical Setting
Chapter 09: General Survey and Measurement
92
111
Chapter 10: Vital Signs 118
Chapter 11: Pain Assessment 133
_AP
Chapter 12: Nutrition Assessment 141
Chapter 13: Skin, Hair, and Nails 155
Chapter 14: Head, Face, Neck, and Regional Lymphatics 176
Chapter 15: Eyes 194
Chapter 16: Ears 211
PR
Chapter 17: Nose, Mouth, and Throat
Chapter 18: Breasts, Axillae, and Regional Lymphatics
228
246
Chapter 19: Thorax and Lungs 266
Chapter 20: Heart and Neck Vessels 284
Chapter 22: Abdomen
O
Chapter 21: Peripheral Vascular System and Lymphatic System
VE 303
320
Chapter 23: Musculoskeletal System 337
Chapter 24: Neurologic System 358
Chapter 25: Male Genitourinary System 382
Chapter 26: Anus, Rectum, and Prostate 400
Chapter 27: Female Genitourinary System
Chapter 28: The Complete Health Assessment: Adult
D? 414
436
Chapter 29: The Complete Physical Assessment: Infant, Child, and Adolescent 449
Chapter 30: Bedside Assessment and Electronic Documentation 452
Chapter 31: The Pregnant Woman
Chapter 32: Functional Assessment of the Older Adult
? 458
471
,Chapter 01: Evidence-Based Assessment
MG
MULTIPLE CHOICE
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 wouldbe:
EE
a. Objective.
K?
b. Reflective.
c. Subjective.
_AP
d. Introspective.
ANS: A
PR
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.
O
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
VE
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would be:
a. Objective.
D?
b. Reflective.
c. Subjective.
?
d. Introspective.
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)
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.
, MG
c. Financial statement.
d. EE Discharge summary.
ANS: A
Together with the patients record and laboratory studies, the objective and subjective data form the data base.
The other items are not part of the patients record, laboratory studies, or data.
K?
DIF: Cognitive Level: Remembering (Knowledge)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
_AP
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next
action should be to:
a. Immediately notify the patients physician.
b.
PR
Document the sound exactly as it was heard.
c. Validate the data by asking a coworker to listen to the breath sounds.
O VE
d. Assess again in 20 minutes to note whether the sound is still present.
ANS: C
D?
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure
accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
DIF: Cognitive Level: Analyzing (Analysis)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
?
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should keep
in mind that novice nurses, without a background of skills and experience from which to draw, are more likely
to make their decisions using:
a. Intuition.
b. A set of rules.
c. Articles in journals.
d. Advice from supervisors.
ANS: B
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
DIF: Cognitive Level: Understanding (Comprehension)
Physical Examination and Health
EE
Assessment – 8th Edition
K?
TEST BANK
_AP
PR
O
Carolyn Jarvis
VE
D?
Comprehensive Test Bank for Instructors
?
and Students
© Carolyn Jarvis
All rights reserved. Reproduction or distribution without permission is prohibited.
©MedGeek Libraries
,MG
Table of Contents 1
Chapter 01: Evidence-Based Assessment 2
Chapter 02: Cultural Assessment 15
Chapter 03: The Interview 31
EE
Chapter 04: The Complete Health History
Chapter 05: Mental Status Assessment
49
64
Chapter 06: Substance Use Assessment 80
Chapter 07: Domestic and Family Violence Assessment 86
K?
Chapter 08: Assessment Techniques and Safety in the Clinical Setting
Chapter 09: General Survey and Measurement
92
111
Chapter 10: Vital Signs 118
Chapter 11: Pain Assessment 133
_AP
Chapter 12: Nutrition Assessment 141
Chapter 13: Skin, Hair, and Nails 155
Chapter 14: Head, Face, Neck, and Regional Lymphatics 176
Chapter 15: Eyes 194
Chapter 16: Ears 211
PR
Chapter 17: Nose, Mouth, and Throat
Chapter 18: Breasts, Axillae, and Regional Lymphatics
228
246
Chapter 19: Thorax and Lungs 266
Chapter 20: Heart and Neck Vessels 284
Chapter 22: Abdomen
O
Chapter 21: Peripheral Vascular System and Lymphatic System
VE 303
320
Chapter 23: Musculoskeletal System 337
Chapter 24: Neurologic System 358
Chapter 25: Male Genitourinary System 382
Chapter 26: Anus, Rectum, and Prostate 400
Chapter 27: Female Genitourinary System
Chapter 28: The Complete Health Assessment: Adult
D? 414
436
Chapter 29: The Complete Physical Assessment: Infant, Child, and Adolescent 449
Chapter 30: Bedside Assessment and Electronic Documentation 452
Chapter 31: The Pregnant Woman
Chapter 32: Functional Assessment of the Older Adult
? 458
471
,Chapter 01: Evidence-Based Assessment
MG
MULTIPLE CHOICE
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 wouldbe:
EE
a. Objective.
K?
b. Reflective.
c. Subjective.
_AP
d. Introspective.
ANS: A
PR
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.
O
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
VE
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would be:
a. Objective.
D?
b. Reflective.
c. Subjective.
?
d. Introspective.
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)
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.
, MG
c. Financial statement.
d. EE Discharge summary.
ANS: A
Together with the patients record and laboratory studies, the objective and subjective data form the data base.
The other items are not part of the patients record, laboratory studies, or data.
K?
DIF: Cognitive Level: Remembering (Knowledge)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
_AP
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next
action should be to:
a. Immediately notify the patients physician.
b.
PR
Document the sound exactly as it was heard.
c. Validate the data by asking a coworker to listen to the breath sounds.
O VE
d. Assess again in 20 minutes to note whether the sound is still present.
ANS: C
D?
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure
accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
DIF: Cognitive Level: Analyzing (Analysis)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
?
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should keep
in mind that novice nurses, without a background of skills and experience from which to draw, are more likely
to make their decisions using:
a. Intuition.
b. A set of rules.
c. Articles in journals.
d. Advice from supervisors.
ANS: B
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
DIF: Cognitive Level: Understanding (Comprehension)
