Chapter 28: The Complete Health
Assessment: Adult
Physical Examination and Health Assessment, 8th Edition by
Carolyn Jarvis
MULTIPLE CHOICE
1. An 85-year-old man has come in for a physical examination, and thenurse notices that he
uses a cane. When documenting general appearance, thenurse should document this
information under thesection that covers:
a. Posture.
b. Mobility.
c. Mood and affect.
d. Physical deformity.
ANS: B
Use of assistive devices would be documented under themobility section. theother
responses are all other categories of thegeneral appearance section of thehealth
history.
DIF: Cognitive Level: Remembering (Knowledge)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. The nurse is performing a vision examination. Which of these charts is most widely
used for vision examinations?
a. Snellen
b. Shetllen
c. Smoollen
d. Schwellon
ANS: A
The Snellen eye chart is most widely used for vision examinations. theother
options are not tests for vision examinations.
DIF: Cognitive Level: Remembering (Knowledge)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. After thehealth history has been obtained and before beginning thephysical examination,
thenurse should first ask thepatient to:
a. Empty thebladder.
b. Completely disrobe.
c. Lie on theexamination table.
, d. Walk around theroom.
ANS: A
Before beginning theexamination, thenurse should ask theperson to empty
thebladder (save thespecimen if needed), disrobe except for underpants, put on a
gown, and sit with thelegs dangling off side of thebed or table.
DIF: Cognitive Level: Remembering (Knowledge)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. During a complete health assessment, how would thenurse test thepatients hearing?
a. Observing how thepatient participates in normal conversation
b. Using thewhispered voice test
c. Using theWeber and Rinne tests
d. Testing with an audiometer
ANS: B
During thecomplete health assessment, thenurse should test hearing with
thewhispered voice test. theother options are not correct.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. A patient states, Whenever I open my mouth real wide, I feel this popping sensation in
front of my ears. To further examine this, thenurse would:
a. Place thestethoscope over thetemporomandibular joint, and listen for bruits.
b. Place thehands over his ears, and ask him to open his mouth really wide.
c. Place one hand on his forehead and theother on his jaw, and ask him to try to open
his mouth.
d. Place a finger on his temporomandibular joint, and ask him to open and close his
mouth.
ANS: D
The nurse should palpate thetemporomandibular joint by placing his or her fingers
over thejoint as theperson opens and closes themouth.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
6. The nurse has just completed an examination of a patients extraocular muscles. When
documenting thefindings, thenurse should document theassessment of which cranial
nerves?
a. II, III, and VI
b. II, IV, and V
c. III, IV, and V
d. III, IV, and VI
ANS: D
Assessment: Adult
Physical Examination and Health Assessment, 8th Edition by
Carolyn Jarvis
MULTIPLE CHOICE
1. An 85-year-old man has come in for a physical examination, and thenurse notices that he
uses a cane. When documenting general appearance, thenurse should document this
information under thesection that covers:
a. Posture.
b. Mobility.
c. Mood and affect.
d. Physical deformity.
ANS: B
Use of assistive devices would be documented under themobility section. theother
responses are all other categories of thegeneral appearance section of thehealth
history.
DIF: Cognitive Level: Remembering (Knowledge)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. The nurse is performing a vision examination. Which of these charts is most widely
used for vision examinations?
a. Snellen
b. Shetllen
c. Smoollen
d. Schwellon
ANS: A
The Snellen eye chart is most widely used for vision examinations. theother
options are not tests for vision examinations.
DIF: Cognitive Level: Remembering (Knowledge)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. After thehealth history has been obtained and before beginning thephysical examination,
thenurse should first ask thepatient to:
a. Empty thebladder.
b. Completely disrobe.
c. Lie on theexamination table.
, d. Walk around theroom.
ANS: A
Before beginning theexamination, thenurse should ask theperson to empty
thebladder (save thespecimen if needed), disrobe except for underpants, put on a
gown, and sit with thelegs dangling off side of thebed or table.
DIF: Cognitive Level: Remembering (Knowledge)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. During a complete health assessment, how would thenurse test thepatients hearing?
a. Observing how thepatient participates in normal conversation
b. Using thewhispered voice test
c. Using theWeber and Rinne tests
d. Testing with an audiometer
ANS: B
During thecomplete health assessment, thenurse should test hearing with
thewhispered voice test. theother options are not correct.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. A patient states, Whenever I open my mouth real wide, I feel this popping sensation in
front of my ears. To further examine this, thenurse would:
a. Place thestethoscope over thetemporomandibular joint, and listen for bruits.
b. Place thehands over his ears, and ask him to open his mouth really wide.
c. Place one hand on his forehead and theother on his jaw, and ask him to try to open
his mouth.
d. Place a finger on his temporomandibular joint, and ask him to open and close his
mouth.
ANS: D
The nurse should palpate thetemporomandibular joint by placing his or her fingers
over thejoint as theperson opens and closes themouth.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
6. The nurse has just completed an examination of a patients extraocular muscles. When
documenting thefindings, thenurse should document theassessment of which cranial
nerves?
a. II, III, and VI
b. II, IV, and V
c. III, IV, and V
d. III, IV, and VI
ANS: D
