Test Bank Physical Examination and Health
n n n n n n
Assessment, 9th Edition by CarolynJarvis
n n n n n
, Table of Contents
n n
TablenofnContents 1
Chaptern01:nEvidence- 2
BasednAssessmentnChaptern02:nCulturaln 15
AssessmentnChaptern03:nThenInterview 31
Chaptern04:nThenCompletenHealthnHistoryn 49
Chaptern05:nMentalnStatusnAssessmentnC 64
haptern06:nSubstancenUsenAssessment 80
Chaptern07:nDomesticnandnFamilynViolencenAssessment 86
Chaptern08:nAssessmentnTechniquesnandnSafetyninnthenClinnicalnSetting 92
Chaptern09:nGeneralnSurveynandnMeasurementn 111
Chaptern10:nVitalnSignsnChapter 118
11:nPainnAssessment 133
Chaptern12:nNutritionnAssessmentn 141
Chaptern13:nSkin,nHair,nandnNails 155
Chaptern14:nHead,nFace,nNeck,nandnRegionalnLymphaticsn 176
Chaptern15:nEyes 194
Chaptern16:nEars 211
Chaptern17:nNose,nMouth,nandnThroat 228
Chaptern18:nBreasts,nAxillae,nandnRegionalnLymphaticsn 246
Chaptern19:nThoraxnandn Lungs 266
Chaptern20:nHeartnandnNecknVessels 284
Chaptern21:nPeripheralnVascularnSystemnandnLymphaticnSystemn 303
Chaptern22:nAbdomen 320
Chaptern23:nMusculoskeletalnSystemnChapt 337
ern24:nNeurologicn SystemnChaptern25:nMal 358
enGenitourinarynSystemnChaptern26: 382
Anus,nRectum,nandnProstate 400
Chaptern27:nFemalenGenitourinarynSystem 414
Chaptern28:nThenCompletenHealthnAssessment:nAdult 436
Chaptern29:nThenCompletenPhysicalnAssessment:nInfant,nChild,nandnAdolescentChaptern3 449
0:nBedsidenAssessmentnandnElectronicnDocumentation 452
Chaptern31:nThenPregnantnWoman 458
Chaptern32:nFunctionalnAssessmentnofnthenOldernAdult 471
,Chapter 01: Evidence-Based Assessment
n n n
MULTIPLEn CHOICE
1. Afterncompletingnanninitialnassessmentnofnanpatient,nthennursenhasnchartednthatnhisnrespirationsnareneupneicnandn
hisn pulsen isn 58n beatsn pern minute.n Thesen typesn ofn datan wouldbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:n A
Objectivendatanarenwhatnthenhealthnprofessionalnobservesnbyninspecting,npercussing,npalpating,nandnauscultatingndu
ringnthenphysicalnexamination.nSubjectivendatanisnwhatnthenpersonnsaysnaboutnhimnornherselfnduringnhistoryntaking.
n Then termsn reflectiven andn introspectiven aren notn usedn ton describen data.
DIF:n Cognitiven Level:n Understandingn (Comprehension)
MSC:n Clientn Needs:n Safen andn Effectiven Caren Environment:n Managementn ofn Care
2. Anpatientn tellsnthen nursen thatn henisn verynnervous,n isn nauseated,n andnfeelsn hot.n Thesentypesn ofn datan wouldnbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:n C
Subjectivendatanarenwhatnthenpersonnsaysnaboutnhimnornherselfnduringnhistoryntaking.nObjectivendatanarenwhatnthen
healthnprofessionalnobservesnbyninspecting,npercussing,npalpating,nandnauscultatingnduringnthenphysicalnexamina
tion.n Then termsn reflectiven andn introspectiven aren notn usednton describen data.
DIF:n Cognitiven Level:n Understandingn (Comprehension)
MSC:n Clientn Needs:n Safen andn Effectiven Caren Environment:n Managementn ofn Care
3. Then patientsn record,n laboratoryn studies,n objectiven data,n andnsubjectiven datan combinen ton formnthe:
a. Datanbase.
b. Admittingn data.
, c. Financialn statement.
d. Dischargen summary.
ANS:n A
Togethernwithnthenpatientsnrecordnandnlaboratorynstudies,nthenobjectivenandnsubjectivendatanformnthendatanbase.n
Then othern itemsn aren notn partn ofn then patientsn record,n laboratoryn studies,n orn data.
DIF:n Cognitiven Level:n Rememberingn (Knowledge)
MSC:n Clientn Needs:n Safen andn Effectiven Caren Environment:n Managementn ofn Care
4. Whennlisteningntonanpatientsnbreathnsounds,nthennursenisnunsurenofnansoundnthatnisnheard.nThennursesnnextn
actionnshouldnbento:
a. Immediatelyn notifyn then patientsn physician.
b. Documentn then soundn exactlyn asn itn wasn heard.
c. Validatenthen datan bynaskingnan coworkern tonlistenntonthen breathnsounds.
d. Assessnagainninn20n minutesntonnotenwhethern then soundnisn stilln present.
ANS:n C
Whennunsurenofnansoundnheardnwhilenlisteningntonanpatientsnbreathnsounds,nthennursenvalidatesnthendatantonensurena
ccuracy.n Ifn then nursen hasn lessnexperiencen inn ann area,n thenn hen orn shen asksn ann expertn ton listen.
DIF:n Cognitiven Level:n Analyzingn (Analysis)
MSC:n Clientn Needs:n Safen andn Effectiven Caren Environment:n Managementn ofn Care
5. Thennursenisnconductingn anclassnfornnewn graduatennurses.n Duringnthenteachingnsession,nthennursenshouldnkeepni
nnmindnthatnnovicennurses,n withoutnanbackgroundn ofnskillsnandnexperiencenfromnwhichntondraw,naren morenlikelynto
nmakentheirn decisionsnusing:
a. Intuition.
b. An setn ofnrules.
c. Articlesn innjournals.
d. Advicen fromn supervisors.
ANS:n B
Novicennursesnoperatenfromnansetnofndefined,nstructurednrules.nThenexpertnpractitionernusesnintuitivenlinks.nDIF
:nCognitiven Level:n Understandingn(Comprehension)
n n n n n n
Assessment, 9th Edition by CarolynJarvis
n n n n n
, Table of Contents
n n
TablenofnContents 1
Chaptern01:nEvidence- 2
BasednAssessmentnChaptern02:nCulturaln 15
AssessmentnChaptern03:nThenInterview 31
Chaptern04:nThenCompletenHealthnHistoryn 49
Chaptern05:nMentalnStatusnAssessmentnC 64
haptern06:nSubstancenUsenAssessment 80
Chaptern07:nDomesticnandnFamilynViolencenAssessment 86
Chaptern08:nAssessmentnTechniquesnandnSafetyninnthenClinnicalnSetting 92
Chaptern09:nGeneralnSurveynandnMeasurementn 111
Chaptern10:nVitalnSignsnChapter 118
11:nPainnAssessment 133
Chaptern12:nNutritionnAssessmentn 141
Chaptern13:nSkin,nHair,nandnNails 155
Chaptern14:nHead,nFace,nNeck,nandnRegionalnLymphaticsn 176
Chaptern15:nEyes 194
Chaptern16:nEars 211
Chaptern17:nNose,nMouth,nandnThroat 228
Chaptern18:nBreasts,nAxillae,nandnRegionalnLymphaticsn 246
Chaptern19:nThoraxnandn Lungs 266
Chaptern20:nHeartnandnNecknVessels 284
Chaptern21:nPeripheralnVascularnSystemnandnLymphaticnSystemn 303
Chaptern22:nAbdomen 320
Chaptern23:nMusculoskeletalnSystemnChapt 337
ern24:nNeurologicn SystemnChaptern25:nMal 358
enGenitourinarynSystemnChaptern26: 382
Anus,nRectum,nandnProstate 400
Chaptern27:nFemalenGenitourinarynSystem 414
Chaptern28:nThenCompletenHealthnAssessment:nAdult 436
Chaptern29:nThenCompletenPhysicalnAssessment:nInfant,nChild,nandnAdolescentChaptern3 449
0:nBedsidenAssessmentnandnElectronicnDocumentation 452
Chaptern31:nThenPregnantnWoman 458
Chaptern32:nFunctionalnAssessmentnofnthenOldernAdult 471
,Chapter 01: Evidence-Based Assessment
n n n
MULTIPLEn CHOICE
1. Afterncompletingnanninitialnassessmentnofnanpatient,nthennursenhasnchartednthatnhisnrespirationsnareneupneicnandn
hisn pulsen isn 58n beatsn pern minute.n Thesen typesn ofn datan wouldbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:n A
Objectivendatanarenwhatnthenhealthnprofessionalnobservesnbyninspecting,npercussing,npalpating,nandnauscultatingndu
ringnthenphysicalnexamination.nSubjectivendatanisnwhatnthenpersonnsaysnaboutnhimnornherselfnduringnhistoryntaking.
n Then termsn reflectiven andn introspectiven aren notn usedn ton describen data.
DIF:n Cognitiven Level:n Understandingn (Comprehension)
MSC:n Clientn Needs:n Safen andn Effectiven Caren Environment:n Managementn ofn Care
2. Anpatientn tellsnthen nursen thatn henisn verynnervous,n isn nauseated,n andnfeelsn hot.n Thesentypesn ofn datan wouldnbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:n C
Subjectivendatanarenwhatnthenpersonnsaysnaboutnhimnornherselfnduringnhistoryntaking.nObjectivendatanarenwhatnthen
healthnprofessionalnobservesnbyninspecting,npercussing,npalpating,nandnauscultatingnduringnthenphysicalnexamina
tion.n Then termsn reflectiven andn introspectiven aren notn usednton describen data.
DIF:n Cognitiven Level:n Understandingn (Comprehension)
MSC:n Clientn Needs:n Safen andn Effectiven Caren Environment:n Managementn ofn Care
3. Then patientsn record,n laboratoryn studies,n objectiven data,n andnsubjectiven datan combinen ton formnthe:
a. Datanbase.
b. Admittingn data.
, c. Financialn statement.
d. Dischargen summary.
ANS:n A
Togethernwithnthenpatientsnrecordnandnlaboratorynstudies,nthenobjectivenandnsubjectivendatanformnthendatanbase.n
Then othern itemsn aren notn partn ofn then patientsn record,n laboratoryn studies,n orn data.
DIF:n Cognitiven Level:n Rememberingn (Knowledge)
MSC:n Clientn Needs:n Safen andn Effectiven Caren Environment:n Managementn ofn Care
4. Whennlisteningntonanpatientsnbreathnsounds,nthennursenisnunsurenofnansoundnthatnisnheard.nThennursesnnextn
actionnshouldnbento:
a. Immediatelyn notifyn then patientsn physician.
b. Documentn then soundn exactlyn asn itn wasn heard.
c. Validatenthen datan bynaskingnan coworkern tonlistenntonthen breathnsounds.
d. Assessnagainninn20n minutesntonnotenwhethern then soundnisn stilln present.
ANS:n C
Whennunsurenofnansoundnheardnwhilenlisteningntonanpatientsnbreathnsounds,nthennursenvalidatesnthendatantonensurena
ccuracy.n Ifn then nursen hasn lessnexperiencen inn ann area,n thenn hen orn shen asksn ann expertn ton listen.
DIF:n Cognitiven Level:n Analyzingn (Analysis)
MSC:n Clientn Needs:n Safen andn Effectiven Caren Environment:n Managementn ofn Care
5. Thennursenisnconductingn anclassnfornnewn graduatennurses.n Duringnthenteachingnsession,nthennursenshouldnkeepni
nnmindnthatnnovicennurses,n withoutnanbackgroundn ofnskillsnandnexperiencenfromnwhichntondraw,naren morenlikelynto
nmakentheirn decisionsnusing:
a. Intuition.
b. An setn ofnrules.
c. Articlesn innjournals.
d. Advicen fromn supervisors.
ANS:n B
Novicennursesnoperatenfromnansetnofndefined,nstructurednrules.nThenexpertnpractitionernusesnintuitivenlinks.nDIF
:nCognitiven Level:n Understandingn(Comprehension)
