lOMoARcPSD|578
|!| 852
|!| 3
Test Bank: |!|
Physical
|!|
Examination
|!|
& Health
|!| |!|
Assessment
|!|
th
7 Edition
|!| |!|
(Jarvis )
|!| |!|
CHAPTERS1-31COMPLETE |! |!
TESTBANK
|!|
, lOMoARcPSD|578
|!| 852
|!| 3
Test |!|Bank: |!|Physical |!|Examination |!|& |!|Health |!|Assessment |!|7th 1
|!|Edition
Table of Contents
|!| |!|
Table | ! | of 1
| ! | Contents
Chapter |!|01: |!|Evidence-Based 2
|!|Assessment |!|Chapter |!|02: | ! | Cultural 15
| ! | Competence |!|Chapter |!|03: |!| The 31
|!|Interview 49
Chapter |!|04: |!|The |!|Complete |!|Health 64
|!|History |!|Chapter |!|05: |!|Mental |!|Status 81
|!|Assessment |!|Chapter |!|06: |!|Substance 87
|!|Use |!| Assessment 93
Chapter | ! | 07: |!| Domestic | ! | and | ! | Family | ! | Violence | ! | Assessments 112
Chapter |!|08: |!|Assessment |!|Techniques |!|and |!|Safety |!|in |!|the |!|Clinical 134
|!|Setting |!|Chapter |!|09: |!|General |!|Survey, |!|Measurement, |!|Vital |!|Signs 142
Chapter |!|10: |!|Pain |!|Assessment: |!|The |!|Fifth |!|Vital 156
|!|Sign |!|Chapter |!|11: |!|Nutritional |!|Assessment 177
Chapter |!| 12: |!| Skin, |!|Hair, |!| and |!| Nails 195
Chapter |!|13: |!|Head, |!|Face, |!|and |!|Neck, |!|Including |!|Regional |!|Lymphatics 212
|!|Chapter |!|14: |!|Eyes 229
Chapter |!| 15: |!| Ears 247
Chapter |!|16: |!|Nose, | ! | Mouth, | ! | and | ! | Throat 267
| ! | Chapter |!|17: |!|Breasts |!|and |!|Regional 285
|!|Lymphatics |!|Chapter |!|18: |!|Thorax |!|and |!|Lungs 304
Chapter |! | 19: |!| Heart | !| and | !| Neck | ! | Vessels 321
Chapter |!|20: |!|Peripheral |!|Vascular |!|System |!|and |!|Lymphatic |!|System 338
|!|Chapter |!|21: |!|Abdomen 359
Chapter |!|22: |!|Musculoskeletal |!|System 384
|!|Chapter |!|23: | ! | Neurologic | ! | System 402
| ! | Chapter |!|24: |!|Male |!|Genitourinary 416
|!|System |!|Chapter |!|25: |!|Anus, |!|Rectum, 438
|!|and |!| Prostate 451
Chapter | ! | 26: | ! | Female | ! | Genitourinary | ! | System 454
Chapter | !| 27: |!| The |! | Complete | ! | Health | !| Assessment: | !| Adult 460
Chapter |!|28: |!|The |!|Complete |!|Physical |!|Assessment: |!|Infant, |!|Child, |!|and 473
|!|Adolescent |!|Chapter |!|29: |!|Bedside |!|Assessment |!|of |!|the |!|Hospitalized |!|Patient
Chapter | ! | 30: |!| The | ! | Pregnant |!|Woman
Chapter | !| 31: |!| Functional |!| Assessment |!| of |!| the | ! | Older | ! | Adult
, lOMoARcPSD|578
|!| 852
|!| 3
Test |!|Bank: |!|Physical |!|Examination |!|& |!|Health |!|Assessment |!|7th 2
|!|Edition
Chapter 01: Evidence-Based Assessment
|!| |!| |!|
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 | ! | would |!|be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
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: | ! | p. |! |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.
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: | ! | p. |! |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.
, lOMoARcPSD|578
|!| 852
|!| 3
Test |!|Bank: |!|Physical |!|Examination |!|& |!|Health |!|Assessment |!|7th 3
|!|Edition
c. Financial |!|statement.
d. 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.
DIF: |!|Cognitive | ! | Level: |!| Remembering |!|(Knowledge) | ! | REF: | ! | p. |!|2
MSC: |!| Client |!| Needs: |!| Safe |!|and |!|Effective |!| Care |!|Environment: |! | Management | ! | of | ! | Care
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. Document |!|the |!|sound |!|exactly |!|as |!|it |!|was | ! | heard.
c. Validate |!|the |!| data |!|by |!|asking |!|a |!| coworker |!| to |!|listen |!|to |!|the |!|breath |!|sounds.
d. Assess |!|again |!|in |!|20 |!| minutes |!|to |!|note |!| whether |!|the |!|sound |!|is |!|still |!|present.
ANS: |!| C
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) | ! | REF: |!| p. |!| 2
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) |!| REF: |!| p. |!| 3
|!| 852
|!| 3
Test Bank: |!|
Physical
|!|
Examination
|!|
& Health
|!| |!|
Assessment
|!|
th
7 Edition
|!| |!|
(Jarvis )
|!| |!|
CHAPTERS1-31COMPLETE |! |!
TESTBANK
|!|
, lOMoARcPSD|578
|!| 852
|!| 3
Test |!|Bank: |!|Physical |!|Examination |!|& |!|Health |!|Assessment |!|7th 1
|!|Edition
Table of Contents
|!| |!|
Table | ! | of 1
| ! | Contents
Chapter |!|01: |!|Evidence-Based 2
|!|Assessment |!|Chapter |!|02: | ! | Cultural 15
| ! | Competence |!|Chapter |!|03: |!| The 31
|!|Interview 49
Chapter |!|04: |!|The |!|Complete |!|Health 64
|!|History |!|Chapter |!|05: |!|Mental |!|Status 81
|!|Assessment |!|Chapter |!|06: |!|Substance 87
|!|Use |!| Assessment 93
Chapter | ! | 07: |!| Domestic | ! | and | ! | Family | ! | Violence | ! | Assessments 112
Chapter |!|08: |!|Assessment |!|Techniques |!|and |!|Safety |!|in |!|the |!|Clinical 134
|!|Setting |!|Chapter |!|09: |!|General |!|Survey, |!|Measurement, |!|Vital |!|Signs 142
Chapter |!|10: |!|Pain |!|Assessment: |!|The |!|Fifth |!|Vital 156
|!|Sign |!|Chapter |!|11: |!|Nutritional |!|Assessment 177
Chapter |!| 12: |!| Skin, |!|Hair, |!| and |!| Nails 195
Chapter |!|13: |!|Head, |!|Face, |!|and |!|Neck, |!|Including |!|Regional |!|Lymphatics 212
|!|Chapter |!|14: |!|Eyes 229
Chapter |!| 15: |!| Ears 247
Chapter |!|16: |!|Nose, | ! | Mouth, | ! | and | ! | Throat 267
| ! | Chapter |!|17: |!|Breasts |!|and |!|Regional 285
|!|Lymphatics |!|Chapter |!|18: |!|Thorax |!|and |!|Lungs 304
Chapter |! | 19: |!| Heart | !| and | !| Neck | ! | Vessels 321
Chapter |!|20: |!|Peripheral |!|Vascular |!|System |!|and |!|Lymphatic |!|System 338
|!|Chapter |!|21: |!|Abdomen 359
Chapter |!|22: |!|Musculoskeletal |!|System 384
|!|Chapter |!|23: | ! | Neurologic | ! | System 402
| ! | Chapter |!|24: |!|Male |!|Genitourinary 416
|!|System |!|Chapter |!|25: |!|Anus, |!|Rectum, 438
|!|and |!| Prostate 451
Chapter | ! | 26: | ! | Female | ! | Genitourinary | ! | System 454
Chapter | !| 27: |!| The |! | Complete | ! | Health | !| Assessment: | !| Adult 460
Chapter |!|28: |!|The |!|Complete |!|Physical |!|Assessment: |!|Infant, |!|Child, |!|and 473
|!|Adolescent |!|Chapter |!|29: |!|Bedside |!|Assessment |!|of |!|the |!|Hospitalized |!|Patient
Chapter | ! | 30: |!| The | ! | Pregnant |!|Woman
Chapter | !| 31: |!| Functional |!| Assessment |!| of |!| the | ! | Older | ! | Adult
, lOMoARcPSD|578
|!| 852
|!| 3
Test |!|Bank: |!|Physical |!|Examination |!|& |!|Health |!|Assessment |!|7th 2
|!|Edition
Chapter 01: Evidence-Based Assessment
|!| |!| |!|
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 | ! | would |!|be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
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: | ! | p. |! |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.
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: | ! | p. |! |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.
, lOMoARcPSD|578
|!| 852
|!| 3
Test |!|Bank: |!|Physical |!|Examination |!|& |!|Health |!|Assessment |!|7th 3
|!|Edition
c. Financial |!|statement.
d. 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.
DIF: |!|Cognitive | ! | Level: |!| Remembering |!|(Knowledge) | ! | REF: | ! | p. |!|2
MSC: |!| Client |!| Needs: |!| Safe |!|and |!|Effective |!| Care |!|Environment: |! | Management | ! | of | ! | Care
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. Document |!|the |!|sound |!|exactly |!|as |!|it |!|was | ! | heard.
c. Validate |!|the |!| data |!|by |!|asking |!|a |!| coworker |!| to |!|listen |!|to |!|the |!|breath |!|sounds.
d. Assess |!|again |!|in |!|20 |!| minutes |!|to |!|note |!| whether |!|the |!|sound |!|is |!|still |!|present.
ANS: |!| C
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) | ! | REF: |!| p. |!| 2
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) |!| REF: |!| p. |!| 3
