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Chapter 09: General Survey, Measurement, Vital Signs
Chapter 09: General Survey, Measurement, Vital Signs
Jarvis: Physical Examination & Health Assessment, 7th Edition
MULTIPLE CHOICE
1. The nurse is performing a general survey. Which action is a component of the
general survey?
a. Observing the patient’s body stature and nutritional status
b. Interpreting the subjective information the patient has reported
c. Measuring the patient’s temperature, pulse, respirations, and blood
pressure
d. Observing specific body systems while performing the physical
assessment
,ANS: A
The general survey is a study of the whole person that includes observing the
patient’s physical appearance, body structure, mobility, and behavior.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 127
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. When measuring a patient’s weight, the nurse is aware of which of these
guidelines?
a. The patient is always weighed wearing only his or her undergarments.
b. The type of scale does not matter, as long as the weights are similar from
day to day.
c. The patient may leave on his or her jacket and shoes as long as these are
documented next to the weight.
d. Attempts should be made to weigh the patient at approximately the same
time of day, if a sequence of weights is necessary.
ANS: D
,A standardized balance scale is used to measure weight. The patient should
remove his or her shoes and heavy outer clothing. If a sequence of repeated
weights is necessary, then the nurse should attempt to weigh the patient at
approximately the same time of day and with the same types of clothing worn
each time.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 129
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. A patient’s weekly blood pressure readings for 2 months have ranged
between 124/84 mm Hg and 136/88 mm Hg, with an average reading of 126/86
mm Hg. The nurse knows that this blood pressure falls within which blood
pressure category?
a. Normal blood pressure
b. Prehypertension
c. Stage 1 hypertension
d. Stage 2 hypertension
ANS: B
, According to the Seventh Report of the Joint National Committee (JNC 7)
guidelines, prehypertension blood pressure readings are systolic readings of
120 to 139 mm Hg or diastolic readings of 50 to 89 mm Hg.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 159
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. During an examination of a child, the nurse considers that physical growth is
the best index of a child’s:
a. General health.
b. Genetic makeup.
c. Nutritional status.
d. Activity and exercise patterns.
ANS: A
Physical growth is the best index of a child’s general health; recording the
child’s height and weight helps determine normal growth patterns.
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 146
One Account Get all Test Banks
Chapter 09: General Survey, Measurement, Vital Signs
Chapter 09: General Survey, Measurement, Vital Signs
Jarvis: Physical Examination & Health Assessment, 7th Edition
MULTIPLE CHOICE
1. The nurse is performing a general survey. Which action is a component of the
general survey?
a. Observing the patient’s body stature and nutritional status
b. Interpreting the subjective information the patient has reported
c. Measuring the patient’s temperature, pulse, respirations, and blood
pressure
d. Observing specific body systems while performing the physical
assessment
,ANS: A
The general survey is a study of the whole person that includes observing the
patient’s physical appearance, body structure, mobility, and behavior.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 127
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. When measuring a patient’s weight, the nurse is aware of which of these
guidelines?
a. The patient is always weighed wearing only his or her undergarments.
b. The type of scale does not matter, as long as the weights are similar from
day to day.
c. The patient may leave on his or her jacket and shoes as long as these are
documented next to the weight.
d. Attempts should be made to weigh the patient at approximately the same
time of day, if a sequence of weights is necessary.
ANS: D
,A standardized balance scale is used to measure weight. The patient should
remove his or her shoes and heavy outer clothing. If a sequence of repeated
weights is necessary, then the nurse should attempt to weigh the patient at
approximately the same time of day and with the same types of clothing worn
each time.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 129
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. A patient’s weekly blood pressure readings for 2 months have ranged
between 124/84 mm Hg and 136/88 mm Hg, with an average reading of 126/86
mm Hg. The nurse knows that this blood pressure falls within which blood
pressure category?
a. Normal blood pressure
b. Prehypertension
c. Stage 1 hypertension
d. Stage 2 hypertension
ANS: B
, According to the Seventh Report of the Joint National Committee (JNC 7)
guidelines, prehypertension blood pressure readings are systolic readings of
120 to 139 mm Hg or diastolic readings of 50 to 89 mm Hg.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 159
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. During an examination of a child, the nurse considers that physical growth is
the best index of a child’s:
a. General health.
b. Genetic makeup.
c. Nutritional status.
d. Activity and exercise patterns.
ANS: A
Physical growth is the best index of a child’s general health; recording the
child’s height and weight helps determine normal growth patterns.
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 146
