Test Bank: Phn n
ysical Examin n
ation & Health n n n
Assessment 7 t
n
h
nEdition (Jarvi n
s) n
CHAPTERS 1- n
31 COMPLETE TESTBANK
n n
, lOMoARcPSD|5788523
Test nBank: nPhysicalnExaminationn&nHealthnAssessment n7thnEditionn(Jarvi 1
s n2015)
Table of Contents
n n
Tablen of n Contents 1
Chaptern 01:n Evidence- 2
Basedn Assessm entnC haptern02:n Culturaln 15
CompetencenChaptern 03:nThenInterview 31
Chaptern 04:n Then Completen Healthn History n 49
Chaptern 05:n Mentaln Statusn Assessm entnCh 64
aptern 06:n Substancen Usen Assessm ent 81
Chaptern 07:n Domestic n andn Family n Violencen Assessments 87
Chaptern 08:n Assessmentn Techniquesn andn Safety n inn then Clinicaln SettingnC 93
haptern09:nGeneraln Survey,nM easurement,n VitalnSigns 112
Chaptern 10:n Painn Assessment:n Then Fifthn Vitaln SignnChapter 134
n11:nNutritionalnAssessment 142
Chaptern 12:n Skin,n Hair,n andn Nails 156
Chaptern 13:n Head,n Face,n andn Neck,n Includingn Regionaln LymphaticsnC ha 177
ptern14:nEyes 195
Chaptern 15:n Ears 212
Chaptern16:nNose,n Mouth,n andn ThroatnChapte 229
rn 17:n Breastsn andn Regionaln LymphaticsnC hapte 247
rn18:nThorax nandnLungs 267
Chaptern 19:n Heartn andn Neck n Vessels 285
Chaptern 20:n Peripheraln Vascularn System n andn Lymphatic n System nChapter 304
n21:nAbdomen 321
Chaptern 22:n Musculoskeletaln System nCh 338
aptern23:n Neurologic n System nChaptern 2 359
4:n Malen Genitourinary n System 384
Chaptern 25:n Anus,n Rectum,n andn ProstatenChap 402
tern 26:n Femalen Genitourinary n System 416
Chaptern 27:n Then Completen Healthn Assessment:n Adult 438
Chaptern 28:n Then Completen Physicaln Assessm ent:n Infant,n Child,n andn Adolescentn 451
Chaptern29:nBedsidenAssessmentnof nthenHospitalizedn Patient 454
Chaptern 30:n Then Pregnantn Woman 460
Chaptern 31:n Functionaln Assessmentn of n then Oldern Adult 473
, lOMoARcPSD|5788523
Test nBank: nPhysicalnExaminationn&nHealthnAssessment n7thnEditionn(Jarvi 2
s n2015)
Chapter 01: Evidence-Based Assessment
n n n
MULTIPLEn CHOICE
1. Afterncompletingnanninitialnassessmentnofnanpatient, nthennursenhasnchartednthatnhisnrespirationsn areneupneicnandn
hisn pulsen isn 58n beatsn pern minute. n Thesen typesn ofn datan wouldn be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:nA
Objectivendatanarenwhatnthenhealthnprofessionalnobservesnbyninspecting, npercussing, npalpating, nandnauscultatingn
duringn then physicaln examination. n Subjectiven datan isn whatn then personn saysn aboutn himn orn herselfn duringn historynt
aking. n Then termsn reflectiven andn introspectiven aren notn usedn ton describen data.
DIF:nCognitivenLevel:nUnderstandingn(Comprehension) nREF:np. n2
MSC:nClientnNeeds:nSafenandnEffectiven CarenEnvironment:n Managementnofn Care
2. Anpatientntellsnthennursenthatnhenisnverynnervous, nisnnauseated, nandnfeelsnhot. nThesentypesnofndatan wouldnbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:nC
Subjectivendatanarenwhatnthenpersonn saysnaboutnhimnornherself nduringnhistoryntaking. nObjectivendatanarenwhatnthenh
ealthn professionaln observesn byn inspecting, n percussing, n palpating, n andn auscultatingn duringn then physicaln examinat
ion. n Then termsn reflectiven andn introspectiven aren notn usedn ton describen data.
DIF:nCognitivenLevel:nUnderstandingn(Comprehension) nREF:np. n2
MSC:nClientnNeeds:nSafenandnEffectiven CarenEnvironment:n Managementnofn Care
3. Thenpatientsnrecord, nlaboratoryn studies, nobjectivendata, nandn subjectivendatancombinentonformnthe:
a. Datanbase.
b. Admittingndata.
, lOMoARcPSD|5788523
Test nBank: nPhysicalnExaminationn&nHealthnAssessment n7thnEditionn(Jarvi 3
s n2015)
c. Financialn statement.
d. Dischargensummary.
ANS:nA
Togethernwithnthenpatientsnrecordnandnlaboratorynstudies, nthenobjectivenandnsubjectivendatanformnthendatanbase. nT
hen othern itemsn aren notn partn ofn then patientsn record, n laboratoryn studies, n orn data.
DIF:nCognitivenLevel:nRememberingn(Knowledge) nREF:np. n2
MSC:nClientnNeeds:nSafenandnEffectiven CarenEnvironment:n Managementnofn Care
4. Whennlisteningntonanpatientsnbreathnsounds, nthennursenisnunsurenofnan soundnthatnisnheard. nThennursesnnextn
actionn shouldn ben to:
a. Immediatelynnotifynthenpatientsnphysician.
b. Documentnthensoundnexactlynasnitnwasnheard.
c. Validatenthendatanbynaskingnancoworker ntonlistenntonthenbreathnsounds.
d. Assessnagainninn20nminutesntonnotenwhethernthensoundnisnstillnpresent.
ANS:nC
Whennunsurenofnansoundnheardnwhilenlisteningntonanpatientsnbreathnsounds, nthennursenvalidatesnthendatantonensurenac
curacy. n Ifn then nursen hasn lessn experiencen inn ann area, n thenn hen orn shen asksn ann expertn ton listen.
DIF:nCognitivenLevel:nAnalyzingn(Analysis) n REF:np. n2
MSC:nClientnNeeds:nSafenandnEffectiven CarenEnvironment:n Managementnofn Care
5. Thennursenisnconductingnanclassnfornnewngraduatennurses. nDuringnthenteachingnsession, nthennursenshouldnkeepni
nnmindnthatnnovicennurses, nwithoutnanbackgroundnofnskillsnandnexperiencenfromnwhichntondraw, narenmorenlikelynt
on maken theirn decisionsn using:
a. Intuition.
b. Ansetn ofnrules.
c. Articlesninnjournals.
d. Advicenfromnsupervisors.
ANS:nB
Novicennursesnoperatenfromnan setnofndefined, nstructurednrules. nThenexpertnpractitioner nusesnintuitivenlinks. nDI
F:n Cognitiven Level:n Understandingn (Comprehension) n RE F:n p. n 3