TEST BANK PHYSICAL EXAMINATION
AND HEALTH ASSESSMENT 8TH
EDITION.ALL CHAPTERS COMPLETE
GUIDE A+, Q&A .
Table of Contents
Chapter 01: Evidence-Based AssessmentChapter
02: Cultural Assessment
Chapter 03: The Interview
Chapter 04: The Complete Health HistoryChapter
05: Mental Status Assessment Chapter 06:
Substance Use Assessment
Chapter 07: Domestic and Family Violence Assessment
Chapter 08: Assessment Techniques and Safety in the Clinical SettingChapter
09: General Survey and Measurement
Chapter 10: Vital Signs Chapter 11:
Pain Assessment
Chapter 12: Nutrition AssessmentChapter
13: Skin, Hair, and Nails
Chapter 14: Head, Face, Neck, and Regional LymphaticsChapter
15: Eyes
Chapter 16: Ears
Chapter 17: Nose, Mouth, and Throat
Chapter 18: Breasts, Axillae, and Regional LymphaticsChapter 19:
Thorax and Lungs
Chapter 20: Heart and Neck Vessels
Chapter 21: Peripheral Vascular System and Lymphatic SystemChapter 22:
Abdomen
Chapter 23: Musculoskeletal System Chapter 24:
Neurologic System Chapter 25: Male
Genitourinary System
Chapter 26: Anus, Rectum, and Prostate Chapter 27:
Female Genitourinary System
Chapter 28: The Complete Health Assessment: Adult
Chapter 29: The Complete Physical Assessment: Infant, Child, and AdolescentChapter
30: Bedside Assessment and Electronic Documentation
Chapter 31: The Pregnant Woman
Chapter 32: Functional Assessment of the Older Adult
,Chapter 01: Evidence-Based Assessment
MULTIPLE CHOICE
• After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic
andhis 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
auscultatingduring the physical examination. Subjective data is what the person says about him or herself
during historytaking. 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
A. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would be:
B. Objective.
C. Reflective.
D. Subjective.
E. 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
A. The patients record, laboratory studies, objective data, and subjective data combine to form the:
B. Data base.
,C. Admitting data.
D. Financial statement.
E. 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)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
• When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses
nextaction 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)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
• 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
likelyto 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)
, MSC: Client Needs: General
• Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it.
Theseresponses are referred to as:
A. Intuition.
B. The nursing process.
C. Clinical knowledge.
D. Diagnostic reasoning.
ANS: A
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data and
act without consciously labeling it. The other options are not correct.
DIF: Cognitive Level: Understanding
(Comprehension) MSC: Client Needs: General
• The nurse is reviewing information about evidence-based practice (EBP). Which statement best
reflectsEBP?
A. EBP relies on tradition for support of best practices.
B. EBP is simply the use of best practice techniques for the treatment of patients.
C. EBP emphasizes the use of best evidence with the clinicians experience.
D. The patients own preferences are not important with
EBP
ANS: C
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the
clinicians experience, as well as patient preferences and values, when making decisions about care and
treatment. EBP is more than simply using the best practice techniques to treat patients, and questioning
tradition is important when no compelling and supportive research evidence exists.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
AND HEALTH ASSESSMENT 8TH
EDITION.ALL CHAPTERS COMPLETE
GUIDE A+, Q&A .
Table of Contents
Chapter 01: Evidence-Based AssessmentChapter
02: Cultural Assessment
Chapter 03: The Interview
Chapter 04: The Complete Health HistoryChapter
05: Mental Status Assessment Chapter 06:
Substance Use Assessment
Chapter 07: Domestic and Family Violence Assessment
Chapter 08: Assessment Techniques and Safety in the Clinical SettingChapter
09: General Survey and Measurement
Chapter 10: Vital Signs Chapter 11:
Pain Assessment
Chapter 12: Nutrition AssessmentChapter
13: Skin, Hair, and Nails
Chapter 14: Head, Face, Neck, and Regional LymphaticsChapter
15: Eyes
Chapter 16: Ears
Chapter 17: Nose, Mouth, and Throat
Chapter 18: Breasts, Axillae, and Regional LymphaticsChapter 19:
Thorax and Lungs
Chapter 20: Heart and Neck Vessels
Chapter 21: Peripheral Vascular System and Lymphatic SystemChapter 22:
Abdomen
Chapter 23: Musculoskeletal System Chapter 24:
Neurologic System Chapter 25: Male
Genitourinary System
Chapter 26: Anus, Rectum, and Prostate Chapter 27:
Female Genitourinary System
Chapter 28: The Complete Health Assessment: Adult
Chapter 29: The Complete Physical Assessment: Infant, Child, and AdolescentChapter
30: Bedside Assessment and Electronic Documentation
Chapter 31: The Pregnant Woman
Chapter 32: Functional Assessment of the Older Adult
,Chapter 01: Evidence-Based Assessment
MULTIPLE CHOICE
• After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic
andhis 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
auscultatingduring the physical examination. Subjective data is what the person says about him or herself
during historytaking. 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
A. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would be:
B. Objective.
C. Reflective.
D. Subjective.
E. 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
A. The patients record, laboratory studies, objective data, and subjective data combine to form the:
B. Data base.
,C. Admitting data.
D. Financial statement.
E. 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)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
• When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses
nextaction 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)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
• 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
likelyto 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)
, MSC: Client Needs: General
• Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it.
Theseresponses are referred to as:
A. Intuition.
B. The nursing process.
C. Clinical knowledge.
D. Diagnostic reasoning.
ANS: A
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data and
act without consciously labeling it. The other options are not correct.
DIF: Cognitive Level: Understanding
(Comprehension) MSC: Client Needs: General
• The nurse is reviewing information about evidence-based practice (EBP). Which statement best
reflectsEBP?
A. EBP relies on tradition for support of best practices.
B. EBP is simply the use of best practice techniques for the treatment of patients.
C. EBP emphasizes the use of best evidence with the clinicians experience.
D. The patients own preferences are not important with
EBP
ANS: C
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the
clinicians experience, as well as patient preferences and values, when making decisions about care and
treatment. EBP is more than simply using the best practice techniques to treat patients, and questioning
tradition is important when no compelling and supportive research evidence exists.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
