g
lOMoARcPSD| 578 852
g 3
Test Bank: P g g
hysical Exam g
ination& Hea g g
lth Assessme
g
nt 7 Edition
th
g g g
(Jarvis ) g
CHAPTERS 1- g
31 COMPLETETESTBANK
g g
, g
lOMoARcPSD| 578 852
g 3
TestgBank:gPhysicalg Examinationg&gHealthgAssessmentg 7thgEdition 1
Table of Contents
g g
Tableg ofg Contents 1
Chapterg 01:g Evidence- 2
Basedg AssessmentgChapterg02:g Culturalg 15
CompetencegChapterg03:gThegInterview 31
Chapterg 04:gTheg Completeg Healthg Historyg 49
Chapterg 05:g MentalgStatusgAssessmentgC 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 SettinggC 93
hapterg09:gGeneralgSurvey,gMeasurement,gVitalgSigns 112
Chapterg 10:gPaing Assessment:g Theg Fifthg VitalgSigng 134
Chapterg11:gNutritionalgAssessment 142
Chapterg 12:gSkin,gHair,gandg Nails 156
Chapterg 13:g Head,g Face,g andg Neck,g Includingg Regionalg LymphaticsgChap 177
terg14:gEyes 195
Chapterg 15:gEars 212
Chapterg16:gNose,g Mouth,g andg ThroatgChapte 229
rg 17:g Breastsg andg Regionalg LymphaticsgChapte 247
rg18:gThoraxgandgLungs 267
Chapterg 19:gHeartg andg Neckg Vessels 285
Chapterg 20:g Peripheralg Vascularg Systemg andg Lymphaticg SystemgChapter 304
g21:gAbdomen 321
Chapterg 22:gMusculoskeletalgSystemgCh 338
apterg 23:g Neurologicg SystemgChapterg 2 359
4:g Maleg Genitourinaryg SystemgChapterg 2 384
5:gAnus,gRectum,gandg 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| 578 852
g 3
TestgBank:gPhysicalg Examinationg&gHealthgAssessmentg 7thgEdition 2
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 andg
hisgpulsegisg58g beatsg perg minute.g Thesegtypesg ofg datag wouldgbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:g A
Objectivegdatagaregwhatgtheghealthgprofessionalgobservesgbyginspecting,gpercussing,gpalpating,gandgauscultatinggdu
ringgthegphysicalgexamination.gSubjectivegdatagisgwhatgthegpersongsaysgaboutghimgorgherselfgduringghistorygtaking.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 thatgheg 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 theg
healthgprofessionalgobservesgbyginspecting,gpercussing,gpalpating,gandgauscultatinggduringgthegphysicalgexaminatio
n.g Theg termsg reflectiveg andgintrospectivegaregnotg 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,g andg subjectiveg datag combineg tog formg the:
a. Datag base.
b. Admittingg data.
, g
lOMoARcPSD| 578 852
g 3
TestgBank:gPhysicalg Examinationg&gHealthgAssessmentg 7thgEdition 3
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.gT
heg 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 isg unsureg ofgag soundgthatg isg heard.g Theg nursesg nextg
actiong shouldgbegto:
a. Immediatelyg notifyg theg patientsg physician.
b. Documentg theg soundgexactlyg asg itg wasg heard.
c. Validateg theg datag bygaskingg ag 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 togensuregac
curacy.g Ifg theg nurseg hasglessg experienceg ingangarea,gthengheg org sheg asksgangexpertgtoglisten.
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 keepgi
ng mindg thatg noviceg nurses,g withoutg ag backgroundg ofg skillsgandg experienceg fromg whichgtog draw,g areg moreg likelygt
ogmakeg 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.gDIF:
g Cognitiveg Level:g Understandingg(Comprehension)g REF:g p.g 3
lOMoARcPSD| 578 852
g 3
Test Bank: P g g
hysical Exam g
ination& Hea g g
lth Assessme
g
nt 7 Edition
th
g g g
(Jarvis ) g
CHAPTERS 1- g
31 COMPLETETESTBANK
g g
, g
lOMoARcPSD| 578 852
g 3
TestgBank:gPhysicalg Examinationg&gHealthgAssessmentg 7thgEdition 1
Table of Contents
g g
Tableg ofg Contents 1
Chapterg 01:g Evidence- 2
Basedg AssessmentgChapterg02:g Culturalg 15
CompetencegChapterg03:gThegInterview 31
Chapterg 04:gTheg Completeg Healthg Historyg 49
Chapterg 05:g MentalgStatusgAssessmentgC 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 SettinggC 93
hapterg09:gGeneralgSurvey,gMeasurement,gVitalgSigns 112
Chapterg 10:gPaing Assessment:g Theg Fifthg VitalgSigng 134
Chapterg11:gNutritionalgAssessment 142
Chapterg 12:gSkin,gHair,gandg Nails 156
Chapterg 13:g Head,g Face,g andg Neck,g Includingg Regionalg LymphaticsgChap 177
terg14:gEyes 195
Chapterg 15:gEars 212
Chapterg16:gNose,g Mouth,g andg ThroatgChapte 229
rg 17:g Breastsg andg Regionalg LymphaticsgChapte 247
rg18:gThoraxgandgLungs 267
Chapterg 19:gHeartg andg Neckg Vessels 285
Chapterg 20:g Peripheralg Vascularg Systemg andg Lymphaticg SystemgChapter 304
g21:gAbdomen 321
Chapterg 22:gMusculoskeletalgSystemgCh 338
apterg 23:g Neurologicg SystemgChapterg 2 359
4:g Maleg Genitourinaryg SystemgChapterg 2 384
5:gAnus,gRectum,gandg 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| 578 852
g 3
TestgBank:gPhysicalg Examinationg&gHealthgAssessmentg 7thgEdition 2
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 andg
hisgpulsegisg58g beatsg perg minute.g Thesegtypesg ofg datag wouldgbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:g A
Objectivegdatagaregwhatgtheghealthgprofessionalgobservesgbyginspecting,gpercussing,gpalpating,gandgauscultatinggdu
ringgthegphysicalgexamination.gSubjectivegdatagisgwhatgthegpersongsaysgaboutghimgorgherselfgduringghistorygtaking.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 thatgheg 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 theg
healthgprofessionalgobservesgbyginspecting,gpercussing,gpalpating,gandgauscultatinggduringgthegphysicalgexaminatio
n.g Theg termsg reflectiveg andgintrospectivegaregnotg 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,g andg subjectiveg datag combineg tog formg the:
a. Datag base.
b. Admittingg data.
, g
lOMoARcPSD| 578 852
g 3
TestgBank:gPhysicalg Examinationg&gHealthgAssessmentg 7thgEdition 3
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.gT
heg 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 isg unsureg ofgag soundgthatg isg heard.g Theg nursesg nextg
actiong shouldgbegto:
a. Immediatelyg notifyg theg patientsg physician.
b. Documentg theg soundgexactlyg asg itg wasg heard.
c. Validateg theg datag bygaskingg ag 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 togensuregac
curacy.g Ifg theg nurseg hasglessg experienceg ingangarea,gthengheg org sheg asksgangexpertgtoglisten.
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 keepgi
ng mindg thatg noviceg nurses,g withoutg ag backgroundg ofg skillsgandg experienceg fromg whichgtog draw,g areg moreg likelygt
ogmakeg 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.gDIF:
g Cognitiveg Level:g Understandingg(Comprehension)g REF:g p.g 3
