Physical examination and health assessment

Physical Examination and Health Assessment, 8th Edition by Carolyn Jarvis MULTIPLE CHOICE 1. Which of these statements best describes the action of the hormone progesterone during pregnancy? a. Progesterone produces the hormone human chorionic gonadotropin. b. Duct formation in the breast is stimulated by progesterone. c. Progesterone promotes sloughing of the endometrial wall. d. Progesterone maintains the endometrium around the fetus. ANS: D Progesterone prevents the slough...

Physical Examination and Health Assessment, 8th Edition by Carolyn Jarvis MULTIPLE CHOICE 1. At the beginning of rounds when entering the room, what should the nurse do first? a. Check the intravenous (IV) infusion site for swelling or redness. b. Check the infusion pump settings for accuracy. c. Make eye contact with the patient, and introduce him or herself as the patients nurse. d. Offer the patient something to drink. ANS: C When entering a patients room, the nurse should...

Physical Examination and Health Assessment, 8th Edition by Carolyn Jarvis MULTIPLE CHOICE 1. The nurse is assessing an older adults functional ability. Which definition correctly describes ones functiona ability? Functional ability: a. Is the measure of the expected changes of aging that one is experiencing. b. Refers to the individuals motivation to live independently. c. Refers to the level of cognition present in an older person. d. Refers to ones ability to perform activities...

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...

Physical Examination and Health Assessment, 8th Edition by Carolyn Jarvis MULTIPLE CHOICE 1. During a health history, a 22-year old woman asks, Can I get that vaccine for human papilloma virus (HPV)? I have genital warts and Id like them to go away! What is thenurses best response? a. The HPV vaccine is for girls and women ages 9 to 26 years, so we can start that today. b. This vaccine is only for girls who have not yet started to become sexually active. c. Lets check with thephysici...

Physical Examination and Health Assessment, 8th Edition by Carolyn Jarvis MULTIPLE CHOICE 1. A 5-year-old child is in the clinic for a checkup. The nurse would expect him to: a. Need to be held on his mothers lap. b. Be able to sit on the examination table. c. Be able to stand on the floor for the examination. d. Be able to remain alone in the examination room. ANS: B At 4 or 5 years old, a child usually feels comfortable on the examination table. Older infants and young chil...

Physical Examination and Health Assessment, 8th Edition by Carolyn Jarvis MULTIPLE CHOICE 1. The external male genital structures include the: a. Testis. b. Scrotum. c. Epididymis. d. Vas deferens. ANS: B The external male genital structures include thepenis and scrotum. thetestis, epididymis, and vas deferens are internal structures. DIF: Cognitive Level: Remembering (Knowledge) MSC: Client Needs: General 2. An accessory glandular structure for themale genital org...

Physical Examination and Health Assessment, 8th Edition by Carolyn Jarvis MULTIPLE CHOICE 1. The two parts of thenervous system are the: a. Motor and sensory. b. Central and peripheral. c. Peripheral and autonomic. d. Hypothalamus and cerebral. ANS: B The nervous system can be divided into two partscentral and peripheral. thecentral nervous system includes thebrain and spinal cord. theperipheral nervous system includes the12 pairs of cranial nerves (CNs), the31 pairs of spinal ...

Physical Examination and Health Assessment, 8th Edition by Carolyn Jarvis MULTIPLE CHOICE 1. Which statement concerning theanal canal is true? theanal canal: a. Is approximately 2 cm long in theadult. b. Slants backward toward thesacrum. c. Contains hair and sebaceous glands. d. Is theoutlet for thegastrointestinal tract. ANS: D The anal canal is theoutlet for thegastrointestinal tract and is approximately 3.8 cm long in theadult. It is lined with a modified skin that does no...

Physical Examination and Health Assessment, 8th Edition by Carolyn Jarvis MULTIPLE CHOICE 1. The nurse is percussing theseventh right intercostal space at themidclavicular line over theliver. Which sound should thenurse expect to hear? a. Dullness b. Tympany c. Resonance d. Hyperresonance ANS: A The liver is located in theright upper quadrant and would elicit a dull percussion note. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and Effectiv...

Physical Examination and Health Assessment, 8th Edition by Carolyn Jarvis MULTIPLE CHOICE 1. Which statement is true regarding the arterial system? a. Arteries are large-diameter vessels. b. The arterial system is a high-pressure system. c. The walls of arteries are thinner than those of the veins. d. Arteries can greatly expand to accommodate a large blood volume increase. ANS: B The pumping heart makes the arterial system a high-pressure system. DIF: Cognitive Level: R...

Physical Examination and Health Assessment, 8th Edition by Carolyn Jarvis MULTIPLE CHOICE 1. A patient is being assessed for range-of-joint movement. The nurse asks him to move his arm in toward the center of his body. This movement is called: a. Flexion. b. Abduction. c. Adduction. d. Extension. ANS: C Moving a limb toward themidline of thebody is called adduction; moving a limb away from themidline of thebody is called abduction. Flexion is bending a limb at a joint; and exte...

Physical Examination and Health Assessment, 8th Edition by Carolyn Jarvis MULTIPLE CHOICE 1. The sac that surrounds and protects theheart is called the: a. Pericardium. b. Myocardium. c. Endocardium. d. Pleuralspace. ANS: A The pericardium is a tough, fibrous double-walled sac that surrounds and protects theheart. It has two layers that contain a few milliliters of serous pericardial fluid. DIF: Cognitive Level: Remembering (Knowledge) MSC: Client Needs: General 2....

Physical Examination and Health Assessment, 8th Edition by Carolyn Jarvis MULTIPLE CHOICE 1. Which of the following statements is true regarding the internal structures of the breast? The breast is made up of: a. Primarily muscle with very little fibrous tissue. b. Fibrous, glandular, and adipose tissues. c. Primarily milk ducts, known as lactiferous ducts. d. Glandular tissue, which supports the breast by attaching to the chest wall. ANS: B The breast is made up of glandular...

Physical Examination and Health Assessment, 8th Edition by Carolyn Jarvis MULTIPLE CHOICE 1. The primary purpose of the ciliated mucous membrane in the nose is to: a. Warm the inhaled air. b. Filter out dust and bacteria. c. Filter coarse particles from inhaled air. d. Facilitate the movement of air through the nares. ANS: B The nasal hairs filter the coarsest matter from inhaled air, whereas the mucous blanket filters out dust and bacteria. The rich blood supply of the nasal ...

Physical Examination and Health Assessment, 8th Edition by Carolyn Jarvis MULTIPLE CHOICE 1. Which of these statements is true regarding the vertebra prominens? The vertebra prominens is: a. The spinous process of C7. b. Usually nonpalpable in most individuals. c. Opposite the interior border of the scapula. d. Located next to the manubrium of the sternum. ANS: A The spinous process of C7 is the vertebra prominens and is the most prominent bony spur protruding at the base of ...

Physical Examination and Health Assessment, 8th Edition by Carolyn Jarvis MULTIPLE CHOICE 1. When examining the eye, the nurse notices that the patients eyelid margins approximate completely. The nurse recognizes that this assessment finding: a. Is expected. b. May indicate a problem with extraocular muscles. c. May result in problems with tearing. d. Indicates increased intraocular pressure. ANS: A The palpebral fissure is the elliptical open space between the eyelids, and, ...

Physical Examination and Health Assessment, 8th Edition by Carolyn Jarvis MULTIPLE CHOICE 1. A physician tells the nurse that a patients vertebra prominens is tender and asks the nurse to reevaluate the area in 1 hour. The area of the body the nurse will assess is: a. Just above the diaphragm. b. Just lateral to the knee cap. c. At the level of the C7 vertebra. d. At the level of the T11 vertebra. ANS: C The C7 vertebra has a long spinous process, called the vertebra prominen...

Physical Examination and Health Assessment, 8th Edition by Carolyn Jarvis MULTIPLE CHOICE 1. The nurse needs to pull the portion of the ear that consists of movable cartilage and skin down and back when administering eardrops. This portion of the ear is called the: a. Auricle. b. Concha. c. Outer meatus. d. Mastoid process. ANS: A The external ear is called the auricle or pinna and consists of movable cartilage and skin. DIF: Cognitive Level: Remembering (Knowledge) MSC...

Physical Examination and Health Assessment, 8th Edition by Carolyn Jarvis MULTIPLE CHOICE 1. The nurse recognizes which of these persons is at greatest risk for undernutrition? a. 5-month-old infant b. 50-year-old woman c. 20-year-old college student d. 30-year-oldhospitaladministrator ANS: A Vulnerable groups for undernutrition are infants, children, pregnant women, recent immigrants, persons with low incomes, hospitalized people, and aging adults. DIF: Cognitive Level: Re...