lOMoARcPSD| 578
h 852
h 3
Test Bank: h
Physical
h
Examination
h h
& Healthh
Assessment
h
th
7 Edition
h h
(Jarvis )
h h
CHAPTERS 1-31 h
COMPLETETESTBANK
h h
, lOMoARcPSD| 578
h 852
h 3
th
Test hBank: hPhysical h Examination h& hHealth hAssessment h 7 1
hEdition
Table h of h Contents
Table h of 1
h Contents
Chapter h 01: h Evidence-Based 2
h AssessmenthChapter h02: h Cultural 15
h Competence hChapter h03: hThe 31
hInterview 49
Chapter h 04: hThe h Complete h Health 64
h HistoryhChapter h 05: hMental h Status 81
h Assessment hChapter h 06: h Substance 87
h Use h Assessment 93
Chapter h 07: h Domestic h and h Family h Violence h Assessments 112
Chapter h 08: h Assessment h Techniques h and h Safety h in h the h Clinical 134
h SettinghChapter h09: hGeneral hSurvey, hMeasurement, hVital hSigns 142
Chapter h 10: hPain h Assessment: hThe h Fifth h Vital 156
h SignhChapter h11: hNutritional hAssessment 177
Chapter h 12: hSkin, hHair, hand hNails 195
Chapter h 13: h Head, h Face, h and h Neck, h Including h Regional 212
h LymphaticshChapter h14: hEyes 229
Chapter h 15: hEars 247
Chapter h16: hNose, h Mouth, h and h Throat 267
hChapter h 17: h Breasts h and h Regional 285
h LymphaticshChapter h18: hThorax hand hLungs 304
Chapter h 19: hHeart h and h Neck h Vessels 321
Chapter h 20: h Peripheral h Vascular h System h and h Lymphatic h System 338
hChapter h21: hAbdomen 359
Chapter h 22: hMusculoskeletal hSystem 384
hChapter h 23: h Neurologic h System 402
hChapter h 24: h Male h Genitourinary 416
h System hChapter h 25: h Anus, h Rectum, 438
h and h Prostate 451
Chapter h 26: h Female h Genitourinary h System 454
Chapter h 27: h The h Complete h Health h Assessment: h Adult 460
Chapter h 28: h The h Complete h Physical h Assessment: h Infant, h Child, h and 473
h AdolescenthChapter h29: hBedside hAssessment hof hthe hHospitalized hPatient
Chapter h 30: h The h Pregnant hWoman
Chapter h 31: h Functional h Assessment h of h the h Older h Adult
, lOMoARcPSD| 578
h 852
h 3
th
Test hBank: hPhysical h Examination h& hHealth hAssessment h 7 2
hEdition
Chapter h 01: h Evidence-Based h Assessment
MULTIPLE h CHOICE
1. After h completing h an hinitial h assessment h of ha h patient, h the h nurse h has h charted h that h his h respirations
h are h eupneic h andhhis hpulse h is h58 h beats h per h minute. h These h types h of h data h would hbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: h A
Objective hdata hare hwhat hthe hhealth hprofessional hobserves hby hinspecting, hpercussing, hpalpating, hand
hauscultating hduring hthe hphysical hexamination. hSubjective hdata his hwhat hthe hperson hsays habout hhim hor
hherself hduring hhistory htaking. h The h terms h reflective h and hintrospective h are h not h used hto hdescribe h data.
DIF: h Cognitive h Level: h Understanding h (Comprehension) h REF: h p. h 2
MSC: h Client h Needs: h Safe hand hEffective h Care h Environment: h Management h of h Care
2. A h patient h tells h the h nurse h that h he h is h very h nervous, h is hnauseated, h and h feels h hot. h These h types h of h data
h would h be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: hC
Subjective h data h are h what hthe hperson h says h about h him hor h herself h during h history h taking. h Objective
h data h are h what h thehhealth hprofessional hobserves hby hinspecting, hpercussing, hpalpating, hand hauscultating
hduring hthe hphysical hexamination. h The h terms h reflective h and h introspective hare h not h used h to hdescribe
h data.
DIF: h Cognitive h Level: h Understanding h (Comprehension) h REF: h p. h 2
MSC: h Client h Needs: h Safe hand hEffective h Care h Environment: h Management h of h Care
3. The h patients h record, h laboratory h studies, h objective h data, h and h subjective h data h combine h to h form h the:
a. Data h base.
b. Admitting h data.
, lOMoARcPSD| 578
h 852
h 3
th
Test hBank: hPhysical h Examination h& hHealth hAssessment h 7 3
hEdition
c. Financial h statement.
d. Discharge h summary.
ANS: h A
Together h with h the h patients h record h and h laboratory h studies, h the h objective h and h subjective h data h form hthe
h data h base.hThe h other h items h are h not h part hof h the h patients h record, h laboratory h studies, h or h data.
DIF: h Cognitive h Level: h Remembering h (Knowledge) h REF: h p. h 2
MSC: h Client h Needs: h Safe hand hEffective h Care h Environment: h Management h of h Care
4. When hlistening h to ha h patients h breath h sounds, h the h nurse h is h unsure h of ha h sound hthat h is h heard.
h The h nurses h nexthaction h should h be hto:
a. Immediately h notify h the h patients h physician.
b. Document h the h sound hexactly h as h it h was h heard.
c. Validate h the h data h by hasking h a h coworker h to hlisten hto h the h breath h sounds.
d. Assess h again hin h20 h minutes h to h note h whether h the h sound his h still h present.
ANS: hC
When hunsure h of h a h sound h heard h while h listening h to ha h patients h breath h sounds, h the h nurse h validates h the
h data h to hensure haccuracy. h If h the h nurse h has h less h experience h in h an h area, h then h he h or h she h asks han hexpert
h to h listen.
DIF: h Cognitive h Level: h Analyzing h (Analysis) h REF: h p. h 2
MSC: h Client h Needs: h Safe hand hEffective h Care h Environment: h Management h of h Care
5. The h nurse h is h conducting h a h class h for h new h graduate h nurses. h During h the h teaching h session, h the
h nurse h should h keep hin h mind h that h novice h nurses, h without h a h background h of h skills h and h experience
h from h which h to h draw, h are h more h likely hto h make h their h decisions h using:
a. Intuition.
b. A hset h of hrules.
c. Articles h in h journals.
d. Advice h from h supervisors.
ANS: hB
Novice h nurses h operate h from ha h set h of h defined, h structured h rules. h The h expert h practitioner h uses
h intuitive h links.hDIF: h Cognitive h Level: h Understanding h (Comprehension) h REF: h p. h 3
h 852
h 3
Test Bank: h
Physical
h
Examination
h h
& Healthh
Assessment
h
th
7 Edition
h h
(Jarvis )
h h
CHAPTERS 1-31 h
COMPLETETESTBANK
h h
, lOMoARcPSD| 578
h 852
h 3
th
Test hBank: hPhysical h Examination h& hHealth hAssessment h 7 1
hEdition
Table h of h Contents
Table h of 1
h Contents
Chapter h 01: h Evidence-Based 2
h AssessmenthChapter h02: h Cultural 15
h Competence hChapter h03: hThe 31
hInterview 49
Chapter h 04: hThe h Complete h Health 64
h HistoryhChapter h 05: hMental h Status 81
h Assessment hChapter h 06: h Substance 87
h Use h Assessment 93
Chapter h 07: h Domestic h and h Family h Violence h Assessments 112
Chapter h 08: h Assessment h Techniques h and h Safety h in h the h Clinical 134
h SettinghChapter h09: hGeneral hSurvey, hMeasurement, hVital hSigns 142
Chapter h 10: hPain h Assessment: hThe h Fifth h Vital 156
h SignhChapter h11: hNutritional hAssessment 177
Chapter h 12: hSkin, hHair, hand hNails 195
Chapter h 13: h Head, h Face, h and h Neck, h Including h Regional 212
h LymphaticshChapter h14: hEyes 229
Chapter h 15: hEars 247
Chapter h16: hNose, h Mouth, h and h Throat 267
hChapter h 17: h Breasts h and h Regional 285
h LymphaticshChapter h18: hThorax hand hLungs 304
Chapter h 19: hHeart h and h Neck h Vessels 321
Chapter h 20: h Peripheral h Vascular h System h and h Lymphatic h System 338
hChapter h21: hAbdomen 359
Chapter h 22: hMusculoskeletal hSystem 384
hChapter h 23: h Neurologic h System 402
hChapter h 24: h Male h Genitourinary 416
h System hChapter h 25: h Anus, h Rectum, 438
h and h Prostate 451
Chapter h 26: h Female h Genitourinary h System 454
Chapter h 27: h The h Complete h Health h Assessment: h Adult 460
Chapter h 28: h The h Complete h Physical h Assessment: h Infant, h Child, h and 473
h AdolescenthChapter h29: hBedside hAssessment hof hthe hHospitalized hPatient
Chapter h 30: h The h Pregnant hWoman
Chapter h 31: h Functional h Assessment h of h the h Older h Adult
, lOMoARcPSD| 578
h 852
h 3
th
Test hBank: hPhysical h Examination h& hHealth hAssessment h 7 2
hEdition
Chapter h 01: h Evidence-Based h Assessment
MULTIPLE h CHOICE
1. After h completing h an hinitial h assessment h of ha h patient, h the h nurse h has h charted h that h his h respirations
h are h eupneic h andhhis hpulse h is h58 h beats h per h minute. h These h types h of h data h would hbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: h A
Objective hdata hare hwhat hthe hhealth hprofessional hobserves hby hinspecting, hpercussing, hpalpating, hand
hauscultating hduring hthe hphysical hexamination. hSubjective hdata his hwhat hthe hperson hsays habout hhim hor
hherself hduring hhistory htaking. h The h terms h reflective h and hintrospective h are h not h used hto hdescribe h data.
DIF: h Cognitive h Level: h Understanding h (Comprehension) h REF: h p. h 2
MSC: h Client h Needs: h Safe hand hEffective h Care h Environment: h Management h of h Care
2. A h patient h tells h the h nurse h that h he h is h very h nervous, h is hnauseated, h and h feels h hot. h These h types h of h data
h would h be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: hC
Subjective h data h are h what hthe hperson h says h about h him hor h herself h during h history h taking. h Objective
h data h are h what h thehhealth hprofessional hobserves hby hinspecting, hpercussing, hpalpating, hand hauscultating
hduring hthe hphysical hexamination. h The h terms h reflective h and h introspective hare h not h used h to hdescribe
h data.
DIF: h Cognitive h Level: h Understanding h (Comprehension) h REF: h p. h 2
MSC: h Client h Needs: h Safe hand hEffective h Care h Environment: h Management h of h Care
3. The h patients h record, h laboratory h studies, h objective h data, h and h subjective h data h combine h to h form h the:
a. Data h base.
b. Admitting h data.
, lOMoARcPSD| 578
h 852
h 3
th
Test hBank: hPhysical h Examination h& hHealth hAssessment h 7 3
hEdition
c. Financial h statement.
d. Discharge h summary.
ANS: h A
Together h with h the h patients h record h and h laboratory h studies, h the h objective h and h subjective h data h form hthe
h data h base.hThe h other h items h are h not h part hof h the h patients h record, h laboratory h studies, h or h data.
DIF: h Cognitive h Level: h Remembering h (Knowledge) h REF: h p. h 2
MSC: h Client h Needs: h Safe hand hEffective h Care h Environment: h Management h of h Care
4. When hlistening h to ha h patients h breath h sounds, h the h nurse h is h unsure h of ha h sound hthat h is h heard.
h The h nurses h nexthaction h should h be hto:
a. Immediately h notify h the h patients h physician.
b. Document h the h sound hexactly h as h it h was h heard.
c. Validate h the h data h by hasking h a h coworker h to hlisten hto h the h breath h sounds.
d. Assess h again hin h20 h minutes h to h note h whether h the h sound his h still h present.
ANS: hC
When hunsure h of h a h sound h heard h while h listening h to ha h patients h breath h sounds, h the h nurse h validates h the
h data h to hensure haccuracy. h If h the h nurse h has h less h experience h in h an h area, h then h he h or h she h asks han hexpert
h to h listen.
DIF: h Cognitive h Level: h Analyzing h (Analysis) h REF: h p. h 2
MSC: h Client h Needs: h Safe hand hEffective h Care h Environment: h Management h of h Care
5. The h nurse h is h conducting h a h class h for h new h graduate h nurses. h During h the h teaching h session, h the
h nurse h should h keep hin h mind h that h novice h nurses, h without h a h background h of h skills h and h experience
h from h which h to h draw, h are h more h likely hto h make h their h decisions h using:
a. Intuition.
b. A hset h of hrules.
c. Articles h in h journals.
d. Advice h from h supervisors.
ANS: hB
Novice h nurses h operate h from ha h set h of h defined, h structured h rules. h The h expert h practitioner h uses
h intuitive h links.hDIF: h Cognitive h Level: h Understanding h (Comprehension) h REF: h p. h 3
