Physical Examination and Health Assessment 8th Edition Test
m m m m m m m m
Bank (complete)|Jarvis: Physical Examination and Health Ass
m m m m m m
essment, 8th Edition Updated Revision Guide
m m m m m
Table of Contents
m m
Tablem ofm Contents 1
Chapterm 01:m Evidence- 2
Basedm AssessmentmChapterm 02:m Culturalm 15
Assessment 31
Chapterm 03:m Them Interview 49
Chapterm 04:m Them Completem Healthm Histor 64
ymChapterm 05:m Mentalm Statusm Assessmentm 80
Chapterm 06:m Substancem Usem Assessment 86
Chapterm 07:m Domesticm andm Familym Violencem Assessment 92
Chapterm 08:m Assessmentm Techniquesm andm Safetym inm them Clinicalm Settin 111
gmChapterm09:mGeneralmSurveymandmMeasurement 118
Chapterm10:mVitalm SignsmChapt 133
erm 11:m Painm Assessment 141
Chapterm 12:m Nutritionm Assessmen 155
tmChapterm 13:m Skin,m Hair,m andm Nail 176
s 194
Chapterm 14:m Head,m Face,m Neck,m andm Regionalm Lymphatic 211
smChapterm15:mEyes 228
Chapterm 16:m Ears 246
Chapterm 17:m Nose,m Mouth,m andm Throat 266
Chapterm 18:m Breasts,m Axillae,m andm Regionalm Lymphaticsm 284
Chapterm19:mThoraxmandmLungs 303
Chapterm 20:m Heartm andm Neckm Vessels 320
Chapterm 21:m Peripheralm Vascularm Systemm andm Lymphaticm SystemmChapt 337
erm22:mAbdomen 358
Chapterm 23:m Musculoskeletalm SystemmC 382
hapterm24:m Neurologicm SystemmChapter 400
m 25:m Malem Genitourinarym System 414
Chapterm 26:m Anus,m Rectum,m andm ProstatemChapt 436
erm 27:m Femalem Genitourinarym System 449
Chapterm 28:m Them Completem Healthm Assessment:m Adult 452
Chapterm 29:m Them Completem Physicalm Assessment:m Infant,m Child,m andm Adolesce 458
ntmChapterm 30:m BedsidemAssessmentm andm Electronicm Documentation 471
Chapterm 31:m Them Pregnantm Woman
Chapterm 32:m Functionalm Assessmentm ofm them Olderm Adult
,Physical Examination and Health Assessment 8th Edition Test
m m m m m m m m
Bank (complete)|Jarvis: Physical Examination and Health Ass
m m m m m m
essment, 8th Edition Updated Revision Guide
m m m m m
Chapter 01: Evidence-Based Assessment
m m m
MULTIPLEm CHOICE
1. Aftermcompletingmanminitialmassessmentmofmampatient,mthemnursemhasmchartedmthatmhismrespirationsmaremeupnei
cmandmhismpulsemism58mbeatsmpermminute.mThesemtypesmofmdatamwouldmbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:mA
Objectivemdatamaremwhatmthemhealthmprofessionalmobservesmbyminspecting,mpercussing,mpalpating,mandmausculta
tingmduringmthemphysicalmexamination.mSubjectivemdatamismwhatmthempersonmsaysmaboutmhimmormherselfmdurin
gmhistorymtaking.mThemtermsmreflectivemandmintrospectivemaremnotmusedmtomdescribemdata.
DIF:m Cognitivem Level:m Understandingm (Comprehension)
MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare
2. Ampatientmtellsmthemnursemthatmhemismverymnervous,mismnauseated,mandmfeelsmhot.mThesemtypesmofmdatamwouldmb
e:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:mC
Subjectivemdatamaremwhatmthempersonmsaysmaboutmhimmormherselfmduringmhistorymtaking.mObjectivemdatamaremwhat
mthemhealthm professional m observes m byminspecting,m percussing, m palpating,mandm auscultating m duringmthem physical
m examination. mThemtermsmreflective mandmintrospective maremnotmusedmtomdescribemdata.
DIF:m Cognitivem Level:m Understandingm (Comprehension)
MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare
3. Thempatientsmrecord,mlaboratorymstudies,mobjectivemdata,mandmsubjectivemdatamcombinemtomformmthe:
a. Datambase.
b. Admittingmdata.
,Physical Examination and Health Assessment 8th Edition Test
m m m m m m m m
Bank (complete)|Jarvis: Physical Examination and Health Ass
m m m m m m
essment, 8th Edition Updated Revision Guide
m m m m m
c. Financialm statement.
d. Dischargemsummary.
ANS:mA
Togethermwithmthempatientsmrecordmandmlaboratorymstudies,mthemobjectivemandmsubjectivemdatamformmthemdatamb
ase.mThemothermitemsmaremnotmpartmofmthempatientsmrecord,mlaboratorymstudies,mormdata.
DIF:m Cognitivem Level:m Rememberingm (Knowledge)
MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare
4. Whenmlisteningmtomampatientsmbreathmsounds,mthemnursemismunsuremofmamsoundmthatmismheard.mThemnurse
smnextmactionmshouldmbemto:
a. Immediatelymnotifymthempatientsmphysician.
b. Documentmthemsoundmexactlymasmitmwasmheard.
c. Validatemthemdatambymaskingmamcoworkermtomlistenmtomthembreathmsounds.
d. Assessmagainminm20mminutesmtomnotemwhethermthemsoundmismstillmpresent.
ANS:mC
Whenmunsuremofmamsoundmheardmwhilemlisteningmtomampatientsmbreathmsounds,mthemnursemvalidatesmthemdatamtomen
suremaccuracy.mIfmthemnursemhasmlessmexperienceminmanmarea,mthenmhemormshemasksmanmexpertmtomlisten.
DIF:mCognitivemLevel:mAnalyzingm(Analysis)
MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare
5. Themnursemismconductingmamclassmformnewmgraduatemnurses.mDuringmthemteachingmsession,mthemnursemshouldm
keepminmmindmthatmnovicemnurses,mwithoutmambackgroundmofmskillsmandmexperiencemfrommwhichmtomdraw,marem
moremlikelymtommakemtheirmdecisionsmusing:
a. Intuition.
b. Amsetmofmrules.
c. Articlesminmjournals.
d. Advicemfrommsupervisors.
ANS:mB
Novicemnursesmoperatemfrommamsetmofmdefined,mstructuredmrules.mThemexpertmpractitionermusesmintuitivemlink
s.mDIF:mCognitivemLevel:mUnderstandingm(Comprehension)
, Physical Examination and Health Assessment 8th Edition Test
m m m m m m m m
Bank (complete)|Jarvis: Physical Examination and Health Ass
m m m m m m
essment, 8th Edition Updated Revision Guide
m m m m m
MSC:mClientmNeeds:mGeneral
6. Expertmnursesmlearnmtomattendmtomampatternmofmassessmentmdatamandmactmwithoutmconsciouslymlabelingmit.m
Thesemresponsesmaremreferredmtomas:
a. Intuition.
b. Themnursingmprocess.
c. Clinicalmknowledge.
d. Diagnosticmreasoning.
ANS:mA
Intuitionmismcharacterizedmbympatternmrecognitionexpertmnursesmlearnmtomattendmtomampatternmofmassessmentmdatam
andmactmwithoutmconsciouslymlabelingmit.mThemothermoptionsmaremnotmcorrect.
DIF:m Cognitivem Level:m Understandingm (Comprehension
)mMSC:mClientmNeeds:mGeneral
7. Themnursemismreviewingminformationmaboutmevidence-
basedmpracticem(EBP).mWhichmstatementmbestmreflectsmEBP?
a. EBPmreliesmonmtraditionmformsupportmofmbestmpractices.
b. EBPmismsimplymthemusemofmbestmpracticemtechniquesmformthemtreatmentmofmpatients.
c. EBPmemphasizesmthemusemofmbestmevidencemwithmthemcliniciansmexperience.
d. ThempatientsmownmpreferencesmaremnotmimportantmwithmE
BP.mANS:mC
EBPmismamsystematicmapproachmtompracticemthatmemphasizesmthemusemofmbestmevidenceminmcombinationmwithmthemc
liniciansmexperience,masmwellmasmpatientmpreferencesmandmvalues,mwhenmmakingmdecisionsmaboutmcaremandmtrea
tment.mEBPmismmoremthanmsimplymusingmthembestmpracticemtechniquesmtomtreatmpatients,mandmquestioningmtradit
ionmismimportantmwhenmnomcompellingmandmsupportivemresearchmevidencemexists.
DIF:mCognitivemLevel:mApplyingm(Application)
MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare
8. Themnursemismconductingmamclassmonmprioritymsettingmformamgroupmofmnewmgraduatemnurses.mWhichmismanmex
amplemofmamfirst-levelmprioritymproblem?
a. Patientmwithmpostoperativempain
b. Newlymdiagnosedmpatientmwithmdiabetesmwhomneedsmdiabeticmteaching
m m m m m m m m
Bank (complete)|Jarvis: Physical Examination and Health Ass
m m m m m m
essment, 8th Edition Updated Revision Guide
m m m m m
Table of Contents
m m
Tablem ofm Contents 1
Chapterm 01:m Evidence- 2
Basedm AssessmentmChapterm 02:m Culturalm 15
Assessment 31
Chapterm 03:m Them Interview 49
Chapterm 04:m Them Completem Healthm Histor 64
ymChapterm 05:m Mentalm Statusm Assessmentm 80
Chapterm 06:m Substancem Usem Assessment 86
Chapterm 07:m Domesticm andm Familym Violencem Assessment 92
Chapterm 08:m Assessmentm Techniquesm andm Safetym inm them Clinicalm Settin 111
gmChapterm09:mGeneralmSurveymandmMeasurement 118
Chapterm10:mVitalm SignsmChapt 133
erm 11:m Painm Assessment 141
Chapterm 12:m Nutritionm Assessmen 155
tmChapterm 13:m Skin,m Hair,m andm Nail 176
s 194
Chapterm 14:m Head,m Face,m Neck,m andm Regionalm Lymphatic 211
smChapterm15:mEyes 228
Chapterm 16:m Ears 246
Chapterm 17:m Nose,m Mouth,m andm Throat 266
Chapterm 18:m Breasts,m Axillae,m andm Regionalm Lymphaticsm 284
Chapterm19:mThoraxmandmLungs 303
Chapterm 20:m Heartm andm Neckm Vessels 320
Chapterm 21:m Peripheralm Vascularm Systemm andm Lymphaticm SystemmChapt 337
erm22:mAbdomen 358
Chapterm 23:m Musculoskeletalm SystemmC 382
hapterm24:m Neurologicm SystemmChapter 400
m 25:m Malem Genitourinarym System 414
Chapterm 26:m Anus,m Rectum,m andm ProstatemChapt 436
erm 27:m Femalem Genitourinarym System 449
Chapterm 28:m Them Completem Healthm Assessment:m Adult 452
Chapterm 29:m Them Completem Physicalm Assessment:m Infant,m Child,m andm Adolesce 458
ntmChapterm 30:m BedsidemAssessmentm andm Electronicm Documentation 471
Chapterm 31:m Them Pregnantm Woman
Chapterm 32:m Functionalm Assessmentm ofm them Olderm Adult
,Physical Examination and Health Assessment 8th Edition Test
m m m m m m m m
Bank (complete)|Jarvis: Physical Examination and Health Ass
m m m m m m
essment, 8th Edition Updated Revision Guide
m m m m m
Chapter 01: Evidence-Based Assessment
m m m
MULTIPLEm CHOICE
1. Aftermcompletingmanminitialmassessmentmofmampatient,mthemnursemhasmchartedmthatmhismrespirationsmaremeupnei
cmandmhismpulsemism58mbeatsmpermminute.mThesemtypesmofmdatamwouldmbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:mA
Objectivemdatamaremwhatmthemhealthmprofessionalmobservesmbyminspecting,mpercussing,mpalpating,mandmausculta
tingmduringmthemphysicalmexamination.mSubjectivemdatamismwhatmthempersonmsaysmaboutmhimmormherselfmdurin
gmhistorymtaking.mThemtermsmreflectivemandmintrospectivemaremnotmusedmtomdescribemdata.
DIF:m Cognitivem Level:m Understandingm (Comprehension)
MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare
2. Ampatientmtellsmthemnursemthatmhemismverymnervous,mismnauseated,mandmfeelsmhot.mThesemtypesmofmdatamwouldmb
e:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:mC
Subjectivemdatamaremwhatmthempersonmsaysmaboutmhimmormherselfmduringmhistorymtaking.mObjectivemdatamaremwhat
mthemhealthm professional m observes m byminspecting,m percussing, m palpating,mandm auscultating m duringmthem physical
m examination. mThemtermsmreflective mandmintrospective maremnotmusedmtomdescribemdata.
DIF:m Cognitivem Level:m Understandingm (Comprehension)
MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare
3. Thempatientsmrecord,mlaboratorymstudies,mobjectivemdata,mandmsubjectivemdatamcombinemtomformmthe:
a. Datambase.
b. Admittingmdata.
,Physical Examination and Health Assessment 8th Edition Test
m m m m m m m m
Bank (complete)|Jarvis: Physical Examination and Health Ass
m m m m m m
essment, 8th Edition Updated Revision Guide
m m m m m
c. Financialm statement.
d. Dischargemsummary.
ANS:mA
Togethermwithmthempatientsmrecordmandmlaboratorymstudies,mthemobjectivemandmsubjectivemdatamformmthemdatamb
ase.mThemothermitemsmaremnotmpartmofmthempatientsmrecord,mlaboratorymstudies,mormdata.
DIF:m Cognitivem Level:m Rememberingm (Knowledge)
MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare
4. Whenmlisteningmtomampatientsmbreathmsounds,mthemnursemismunsuremofmamsoundmthatmismheard.mThemnurse
smnextmactionmshouldmbemto:
a. Immediatelymnotifymthempatientsmphysician.
b. Documentmthemsoundmexactlymasmitmwasmheard.
c. Validatemthemdatambymaskingmamcoworkermtomlistenmtomthembreathmsounds.
d. Assessmagainminm20mminutesmtomnotemwhethermthemsoundmismstillmpresent.
ANS:mC
Whenmunsuremofmamsoundmheardmwhilemlisteningmtomampatientsmbreathmsounds,mthemnursemvalidatesmthemdatamtomen
suremaccuracy.mIfmthemnursemhasmlessmexperienceminmanmarea,mthenmhemormshemasksmanmexpertmtomlisten.
DIF:mCognitivemLevel:mAnalyzingm(Analysis)
MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare
5. Themnursemismconductingmamclassmformnewmgraduatemnurses.mDuringmthemteachingmsession,mthemnursemshouldm
keepminmmindmthatmnovicemnurses,mwithoutmambackgroundmofmskillsmandmexperiencemfrommwhichmtomdraw,marem
moremlikelymtommakemtheirmdecisionsmusing:
a. Intuition.
b. Amsetmofmrules.
c. Articlesminmjournals.
d. Advicemfrommsupervisors.
ANS:mB
Novicemnursesmoperatemfrommamsetmofmdefined,mstructuredmrules.mThemexpertmpractitionermusesmintuitivemlink
s.mDIF:mCognitivemLevel:mUnderstandingm(Comprehension)
, Physical Examination and Health Assessment 8th Edition Test
m m m m m m m m
Bank (complete)|Jarvis: Physical Examination and Health Ass
m m m m m m
essment, 8th Edition Updated Revision Guide
m m m m m
MSC:mClientmNeeds:mGeneral
6. Expertmnursesmlearnmtomattendmtomampatternmofmassessmentmdatamandmactmwithoutmconsciouslymlabelingmit.m
Thesemresponsesmaremreferredmtomas:
a. Intuition.
b. Themnursingmprocess.
c. Clinicalmknowledge.
d. Diagnosticmreasoning.
ANS:mA
Intuitionmismcharacterizedmbympatternmrecognitionexpertmnursesmlearnmtomattendmtomampatternmofmassessmentmdatam
andmactmwithoutmconsciouslymlabelingmit.mThemothermoptionsmaremnotmcorrect.
DIF:m Cognitivem Level:m Understandingm (Comprehension
)mMSC:mClientmNeeds:mGeneral
7. Themnursemismreviewingminformationmaboutmevidence-
basedmpracticem(EBP).mWhichmstatementmbestmreflectsmEBP?
a. EBPmreliesmonmtraditionmformsupportmofmbestmpractices.
b. EBPmismsimplymthemusemofmbestmpracticemtechniquesmformthemtreatmentmofmpatients.
c. EBPmemphasizesmthemusemofmbestmevidencemwithmthemcliniciansmexperience.
d. ThempatientsmownmpreferencesmaremnotmimportantmwithmE
BP.mANS:mC
EBPmismamsystematicmapproachmtompracticemthatmemphasizesmthemusemofmbestmevidenceminmcombinationmwithmthemc
liniciansmexperience,masmwellmasmpatientmpreferencesmandmvalues,mwhenmmakingmdecisionsmaboutmcaremandmtrea
tment.mEBPmismmoremthanmsimplymusingmthembestmpracticemtechniquesmtomtreatmpatients,mandmquestioningmtradit
ionmismimportantmwhenmnomcompellingmandmsupportivemresearchmevidencemexists.
DIF:mCognitivemLevel:mApplyingm(Application)
MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare
8. Themnursemismconductingmamclassmonmprioritymsettingmformamgroupmofmnewmgraduatemnurses.mWhichmismanmex
amplemofmamfirst-levelmprioritymproblem?
a. Patientmwithmpostoperativempain
b. Newlymdiagnosedmpatientmwithmdiabetesmwhomneedsmdiabeticmteaching
