b
lOMoARcPSD|578 85
2
b 3
Test Bank: Phb b
ysical Examin b
ation & Health b b b
Assessment 7 t
b
h
bEdition (Jarvi b
s) b
CHAPTERS 1- b
31 COMPLETE TESTBANK
b b
, b
lOMoARcPSD|578 85
2
b 3
Test bBank: bPhysicalbExaminationb&bHealthbAssessment b7thbEdition 1
Table of Contents
b b
Tableb of b Contents 1
Chapterb01:bEvidence- 2
BasedbAssessmentbChapterb02:b Culturalb 15
CompetencebChapterb 03:bThebInterview 31
Chapterb04:bThebCompletebHealthbHistory b 49
Chapterb05:bMentalbStatusbAssessmentbCh 64
apterb06:bSubstancebUsebAssessm ent 81
Chapterb 07:b Domestic b andb Family b Violenceb Assessments 87
Chapterb08:bAssessmentbTechniquesbandbSafety binbthebClinicalbSettingb 93
Chapterb09:bGeneralbSurvey,bMeasurement,bVitalbSigns 112
Chapterb10:bPainbAssessment:bThebFifthbVitalbSignb 134
Chapterb11:bNutritionalbAssessment 142
Chapterb12:bSkin,bHair,bandb Nails 156
Chapterb13:bHead,bFace,b andbNeck,bIncludingbRegionalbLymphaticsbCha 177
pterb14:bEyes 195
Chapterb15:bEars 212
Chapterb16:bNose,b Mouth,b andb Throatb Chapte 229
rb17:bBreastsbandbRegionalb LymphaticsbChapte 247
rb18:bThorax bandbLungs 267
Chapterb 19:bHeartb andb Neck b Vessels 285
Chapterb20:bPeripheralbVascularbSystem bandbLymphatic bSystem bChapte 304
rb21:bAbdomen 321
Chapterb22:bMusculoskeletalbSystem bCha 338
pterb23:b Neurologic b System b Chapterb24: 359
bMalebGenitourinary bSystem bChapterb25:b 384
Anus,bRectum,bandbProstate 402
Chapterb 26:b Femaleb Genitourinary b System 416
Chapterb 27:bTheb Completeb Healthb Assessm ent:b Adult 438
Chapterb28:bThebCompletebPhysicalbAssessment:bInfant,bChild,bandbAdolescentbC 451
hapterb29:bBedsidebAssessmentbof bthebHospitalizedbPatient 454
Chapterb 30:b Theb PregnantbWoman 460
Chapterb 31:bFunctionalb Assessmentb of b theb Olderb Adult 473
, b
lOMoARcPSD|578 85
2
b 3
Test bBank: bPhysicalbExaminationb&bHealthbAssessment b7thbEdition 2
Chapter 01: Evidence-Based Assessment
b b b
MULTIPLEbCHOICE
1. Afterb completingb anb initialb assessmentb ofb ab patient, bthebnurseb hasb chartedb thatb hisb respirationsb areb eupneicb andbhi
sb pulseb isb 58b beatsb perb minute. b Theseb typesb ofb datab wouldb be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:b A
Objectiveb datab areb whatb theb healthb professionalb observesb byb inspecting,b percussing, b palpating,b andb auscultatingb du
ringb theb physicalb examination.b Subjectiveb databisb whatb theb personb saysb aboutb himb orb herselfb duringb historybtaking.
b Theb termsb reflectiveb andb introspectiveb areb notb usedb tob describeb data.
DIF:b Cognitiveb Level:b Understandingb (Comprehension) b REF:b p. b 2
MSC:b Clientb Needs:b Safeb andb Effectiveb Careb Environment:b Managementb ofb Care
2. Ab patientb tellsb theb nurseb thatb heb isb veryb nervous, b isb nauseated, b andb feelsb hot. b Theseb typesb ofb datab wouldb be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:b C
Subjectiveb datab areb whatb theb personb saysb aboutb himborbherself b duringb historybtaking.b Objectiveb databareb whatbthebh
ealthb professionalb observesb byb inspecting, b percussing, b palpating, b andb auscultatingb duringb theb physicalb exami
nation. b Theb termsb reflectiveb andb introspectiveb areb notb usedb tob describeb data.
DIF:b Cognitiveb Level:b Understandingb (Comprehension) b REF:b p. b 2
MSC:b Clientb Needs:b Safeb andb Effectiveb Careb Environment:b Managementb ofb Care
3. Theb patientsb record, b laboratoryb studies, b objectiveb data, b andb subjectiveb datab combineb tob formb the:
a. Datab base.
b. Admittingb data.
, b
lOMoARcPSD|578 85
2
b 3
Test bBank: bPhysicalbExaminationb&bHealthbAssessment b7thbEdition 3
c. Financialb statement.
d. Dischargeb summary.
ANS:b A
Togetherb withb theb patientsb recordb andb laboratorybstudies, b thebobjectiveb andbsubjectiveb datab formb theb datab base. b T
heb otherb itemsb areb notb partb ofb theb patientsb record, b laboratoryb studies, b orb data.
DIF:b Cognitiveb Level:b Rememberingb (Knowledge) b REF:b p. b 2
MSC:b Clientb Needs:b Safeb andb Effectiveb Careb Environment:b Managementb ofb Care
4. Whenb listeningb tob ab patientsb breathb sounds, b theb nurseb isb unsureb ofb absoundb thatbisb heard. bTheb nursesb nextb ac
tionb shouldb beb to:
a. Immediatelyb notifyb theb patientsb physician.
b. Documentb theb soundb exactlyb asb itb wasb heard.
c. Validateb theb datab byb askingb ab coworkerb tob listenb tob theb breathb sounds.
d. Assessb againb inb 20b minutesb tob noteb whetherb theb soundb isb stillb present.
ANS:b C
Whenb unsureb ofb ab soundb heardb whileb listeningb tob abpatientsb breathbsounds, b thebnurseb validatesb theb databtob ensureb accu
racy. b Ifb theb nurseb hasb lessb experienceb inb anb area, b thenb heb orb sheb asksb anb expertb tob listen.
DIF:b Cognitiveb Level:b Analyzingb (Analysis) b REF:b p. b 2
MSC:b Clientb Needs:b Safeb andb Effectiveb Careb Environment:b Managementb ofb Care
5. Theb nurseb isb conductingb ab classb forb newb graduateb nurses. b Duringb theb teachingb session, b theb nurseb shouldb keepb i
nb mindb thatb noviceb nurses, b withoutb ab backgroundb ofb skillsb andb experienceb fromb whichb tob draw,b areb moreb likelyb t
ob makeb theirb decisionsb using:
a. Intuition.
b. Ab setb ofb rules.
c. Articlesb inb journals.
d. Adviceb fromb supervisors.
ANS:b B
Noviceb nursesb operateb fromb ab setb ofbdefined, bstructuredb rules. b Theb expertbpractitioner busesb intuitiveb links. b DIF
:b Cognitiveb Level:b Understandingb (Comprehension) b REF:b p. b 3
lOMoARcPSD|578 85
2
b 3
Test Bank: Phb b
ysical Examin b
ation & Health b b b
Assessment 7 t
b
h
bEdition (Jarvi b
s) b
CHAPTERS 1- b
31 COMPLETE TESTBANK
b b
, b
lOMoARcPSD|578 85
2
b 3
Test bBank: bPhysicalbExaminationb&bHealthbAssessment b7thbEdition 1
Table of Contents
b b
Tableb of b Contents 1
Chapterb01:bEvidence- 2
BasedbAssessmentbChapterb02:b Culturalb 15
CompetencebChapterb 03:bThebInterview 31
Chapterb04:bThebCompletebHealthbHistory b 49
Chapterb05:bMentalbStatusbAssessmentbCh 64
apterb06:bSubstancebUsebAssessm ent 81
Chapterb 07:b Domestic b andb Family b Violenceb Assessments 87
Chapterb08:bAssessmentbTechniquesbandbSafety binbthebClinicalbSettingb 93
Chapterb09:bGeneralbSurvey,bMeasurement,bVitalbSigns 112
Chapterb10:bPainbAssessment:bThebFifthbVitalbSignb 134
Chapterb11:bNutritionalbAssessment 142
Chapterb12:bSkin,bHair,bandb Nails 156
Chapterb13:bHead,bFace,b andbNeck,bIncludingbRegionalbLymphaticsbCha 177
pterb14:bEyes 195
Chapterb15:bEars 212
Chapterb16:bNose,b Mouth,b andb Throatb Chapte 229
rb17:bBreastsbandbRegionalb LymphaticsbChapte 247
rb18:bThorax bandbLungs 267
Chapterb 19:bHeartb andb Neck b Vessels 285
Chapterb20:bPeripheralbVascularbSystem bandbLymphatic bSystem bChapte 304
rb21:bAbdomen 321
Chapterb22:bMusculoskeletalbSystem bCha 338
pterb23:b Neurologic b System b Chapterb24: 359
bMalebGenitourinary bSystem bChapterb25:b 384
Anus,bRectum,bandbProstate 402
Chapterb 26:b Femaleb Genitourinary b System 416
Chapterb 27:bTheb Completeb Healthb Assessm ent:b Adult 438
Chapterb28:bThebCompletebPhysicalbAssessment:bInfant,bChild,bandbAdolescentbC 451
hapterb29:bBedsidebAssessmentbof bthebHospitalizedbPatient 454
Chapterb 30:b Theb PregnantbWoman 460
Chapterb 31:bFunctionalb Assessmentb of b theb Olderb Adult 473
, b
lOMoARcPSD|578 85
2
b 3
Test bBank: bPhysicalbExaminationb&bHealthbAssessment b7thbEdition 2
Chapter 01: Evidence-Based Assessment
b b b
MULTIPLEbCHOICE
1. Afterb completingb anb initialb assessmentb ofb ab patient, bthebnurseb hasb chartedb thatb hisb respirationsb areb eupneicb andbhi
sb pulseb isb 58b beatsb perb minute. b Theseb typesb ofb datab wouldb be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:b A
Objectiveb datab areb whatb theb healthb professionalb observesb byb inspecting,b percussing, b palpating,b andb auscultatingb du
ringb theb physicalb examination.b Subjectiveb databisb whatb theb personb saysb aboutb himb orb herselfb duringb historybtaking.
b Theb termsb reflectiveb andb introspectiveb areb notb usedb tob describeb data.
DIF:b Cognitiveb Level:b Understandingb (Comprehension) b REF:b p. b 2
MSC:b Clientb Needs:b Safeb andb Effectiveb Careb Environment:b Managementb ofb Care
2. Ab patientb tellsb theb nurseb thatb heb isb veryb nervous, b isb nauseated, b andb feelsb hot. b Theseb typesb ofb datab wouldb be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:b C
Subjectiveb datab areb whatb theb personb saysb aboutb himborbherself b duringb historybtaking.b Objectiveb databareb whatbthebh
ealthb professionalb observesb byb inspecting, b percussing, b palpating, b andb auscultatingb duringb theb physicalb exami
nation. b Theb termsb reflectiveb andb introspectiveb areb notb usedb tob describeb data.
DIF:b Cognitiveb Level:b Understandingb (Comprehension) b REF:b p. b 2
MSC:b Clientb Needs:b Safeb andb Effectiveb Careb Environment:b Managementb ofb Care
3. Theb patientsb record, b laboratoryb studies, b objectiveb data, b andb subjectiveb datab combineb tob formb the:
a. Datab base.
b. Admittingb data.
, b
lOMoARcPSD|578 85
2
b 3
Test bBank: bPhysicalbExaminationb&bHealthbAssessment b7thbEdition 3
c. Financialb statement.
d. Dischargeb summary.
ANS:b A
Togetherb withb theb patientsb recordb andb laboratorybstudies, b thebobjectiveb andbsubjectiveb datab formb theb datab base. b T
heb otherb itemsb areb notb partb ofb theb patientsb record, b laboratoryb studies, b orb data.
DIF:b Cognitiveb Level:b Rememberingb (Knowledge) b REF:b p. b 2
MSC:b Clientb Needs:b Safeb andb Effectiveb Careb Environment:b Managementb ofb Care
4. Whenb listeningb tob ab patientsb breathb sounds, b theb nurseb isb unsureb ofb absoundb thatbisb heard. bTheb nursesb nextb ac
tionb shouldb beb to:
a. Immediatelyb notifyb theb patientsb physician.
b. Documentb theb soundb exactlyb asb itb wasb heard.
c. Validateb theb datab byb askingb ab coworkerb tob listenb tob theb breathb sounds.
d. Assessb againb inb 20b minutesb tob noteb whetherb theb soundb isb stillb present.
ANS:b C
Whenb unsureb ofb ab soundb heardb whileb listeningb tob abpatientsb breathbsounds, b thebnurseb validatesb theb databtob ensureb accu
racy. b Ifb theb nurseb hasb lessb experienceb inb anb area, b thenb heb orb sheb asksb anb expertb tob listen.
DIF:b Cognitiveb Level:b Analyzingb (Analysis) b REF:b p. b 2
MSC:b Clientb Needs:b Safeb andb Effectiveb Careb Environment:b Managementb ofb Care
5. Theb nurseb isb conductingb ab classb forb newb graduateb nurses. b Duringb theb teachingb session, b theb nurseb shouldb keepb i
nb mindb thatb noviceb nurses, b withoutb ab backgroundb ofb skillsb andb experienceb fromb whichb tob draw,b areb moreb likelyb t
ob makeb theirb decisionsb using:
a. Intuition.
b. Ab setb ofb rules.
c. Articlesb inb journals.
d. Adviceb fromb supervisors.
ANS:b B
Noviceb nursesb operateb fromb ab setb ofbdefined, bstructuredb rules. b Theb expertbpractitioner busesb intuitiveb links. b DIF
:b Cognitiveb Level:b Understandingb (Comprehension) b REF:b p. b 3
