Test Bank - Physical Examination and Health Assessment, 9th Edition (Jarvis, 2024), Chapter 1-32 With Complete Solutions

Test Bank - Physical Examination and Health Assessment, 9th Edition (Jarvis, 2024) 1

Test Bank - Physical Examination and Health Assessment, 9th Edition (Jarvis, 2024) 2

Table of Contents

Chapter 01: Evidence-Based Assessment ...........................................................................................3

Chapter 02: Cultural Assessment......................................................................................................17

Chapter 03: The Interview.................................................................................................................34

Chapter 04: The Complete Health History.......................................................................................56

Chapter 05: Mental Status Assessment.............................................................................................73

Chapter 06: Substance Use Assessment............................................................................................93

Chapter 07: Domestic and Family Violence Assessment...............................................................101

Chapter 08: Assessment Techniques and Safety in the Clinical Setting ......................................109

Chapter 09: General Survey and Measurement ............................................................................130

Chapter 10: Vital Signs ....................................................................................................................137

Chapter 11: Pain Assessment...........................................................................................................156

Chapter 12: Nutrition Assessment...................................................................................................165

Chapter 13: Skin, Hair, and Nails...................................................................................................181

Chapter 14: Head, Face, and Neck, and Regional Lymphatics....................................................206

Chapter 15: Eyes...............................................................................................................................226

Chapter 16: Ears...............................................................................................................................246

Chapter 17: Nose, Mouth, and Throat............................................................................................267

Chapter 18: Breasts, Axillae, and Regional Lymphatics...............................................................288

Chapter 19: Thorax and Lungs.......................................................................................................310

Chapter 20: Heart and Neck Vessels...............................................................................................331

Chapter 21: Peripheral Vascular System and Lymphatic System ...............................................351

Chapter 22: Abdomen ......................................................................................................................370

Chapter 23: Musculoskeletal System ..............................................................................................388

Chapter 24: Neurologic System .......................................................................................................413

Chapter 25: Male Genitourinary System........................................................................................442

Chapter 26: Anus, Rectum, and Prostate .......................................................................................462

Chapter 27: Female Genitourinary System....................................................................................477

Chapter 28: The Complete Health Assessment: Adult..................................................................502

Chapter 29: The Complete Physical Assessment: Infant, Young Child, and Adolescent ..........509

Chapter 30: Bedside Assessment and Electronic Documentation ................................................512

Chapter 31: The Pregnant Woman.................................................................................................519

Chapter 32: Functional Assessment of the Older Adult................................................................534

Test Bank - Physical Examination and Health Assessment, 9th Edition (Jarvis, 2024) 3

Chapter 01: Evidence-Based Assessment

Jarvis: Physical Examination and Health Assessment, 9th Edition

MULTIPLE CHOICE

1. After completing an initial assessment of a patient, the nurse has charted that his

respirations are eupneic and his pulse is 58 beats per minute. What type of assessment data is

this?

a. Objective

b. Reflective

c. Subjective

d. Introspective

ANS: A

Objective data is what the health professional observes by inspecting, percussing, palpating,

and auscultating during the physical examination. Subjective data is what the person says

about him or herself during history taking. The terms reflective and introspective are not used

to describe data.

DIF: Cognitive Level: Understanding (Comprehension)

MSC: Client Needs: Safe and Effective Care Environment: Management of Care

2. A patient tells the nurse that he is very nervous, nauseous, and “feels hot.” What type of

assessment data is this?

a. Objective

b. Reflective

c. Subjective

d. Introspective

ANS: C

Subjective data is what the person says about him or herself during history taking. Objective

data is what the health professional observes by inspecting, percussing, palpating, and

auscultating during the physical examination. The terms reflective and introspective are not

used to describe data.

DIF: Cognitive Level: Understanding (Comprehension)

MSC: Client Needs: Safe and Effective Care Environment: Management of Care

Test Bank - Physical Examination and Health Assessment, 9th Edition (Jarvis, 2024) 4

3. What do the patient’s record, laboratory studies, objective data, and subjective data

combine to form?

a. Database

b. Admitting data

c. Financial statement

d. Discharge summary

ANS: A

Together with the patient’s record and laboratory studies, the objective and subjective data

form the database. The other items are not part of the patient’s record, laboratory studies, or

data.

DIF: Cognitive Level: Remembering (Knowledge)

MSC: Client Needs: Safe and Effective Care Environment: Management of Care

4. When listening to a patient’s breath sounds, the nurse is unsure of a sound that is heard.

Which action should the nurse take next?

a. Notify the patient’s physician.

b. Document the sound exactly as it was heard.

c. Validate the data by asking another nurse to listen to the breath sounds.

d. Assess again in 20 minutes to note whether the sound is still present.

ANS: C

When unsure of a sound heard while listening to a patient’s breath sounds, the nurse validates

the data to ensure accuracy by either repeating the assessment themselves or asking another

nurse to assess the breath sounds. If the nurse has less experience analyzing breath sounds,

then he or she should ask an expert to listen. When unsure of a sound heard while listening to

a patient’s breath sounds, the nurse should validate the data before documenting to ensure

accuracy and before notifying the patient’s physician. To validate that data, the nurse either

repeats the assessment himself or herself or asks another nurse to assess the breath sounds.

DIF: Cognitive Level: Analyzing (Analysis)

MSC: Client Needs: Safe and Effective Care Environment: Management of Care