Assessment 8 Test Bank Physical Examination
Health 8th Edition With Question And Correct
Answers
Table Of Contents
Chapter 01: Evidence-Based Assessment 2
Chapter 02: Cultural Assessment 14
Chapter 03: The Interview 29
Chapter 04: The Complete Health History 46
,Chapter 05: Mental Status Assessment 60
Chapter 06: Substance Use Assessment 75
Chapter 07: Domestic And Family Violence Assessment 80
Chapter 08: Assessment Techniques And Safety In The Clinical Setting 86
Chapter 09: General Survey And Measurement 104
Chapter 10: Vital Signs 110
Chapter 11: Pain Assessment 124
Chapter 12: Nutrition Assessment 132
Chapter 13: Skin, Hair, And Nails 145
Chapter 14: Head, Face, Neck, And Regional Lymphatics 165
Chapter 15: Eyes 182
Chapter 16: Ears 198
Chapter 17: Nose, Mouth, And Throat 216
Chapter 18: Breasts, Axillae, And Regional Lymphatics 234
Chapter 19: Thorax And Lungs 266
Chapter 20: Heart And Neck Vessels 284
Chapter 21: Peripheral Vascular System And Lymphatic System 303
Chapter 22: Abdomen 320
Chapter 23: Musculoskeletal System 337
Chapter 24: Neurologic System 358
Chapter 25: Male Genitourinary System 382
Chapter 26: Anus, Rectum, And Prostate 400
Chapter 27: Female Genitourinary System 414
Chapter 28: The Complete Health Assessment: Adult 436
Chapter 29: The Complete Physical Assessment: Infant, Child, And Adolescent 449
Chapter 30: Bedside Assessment And Electronic Documentation 452
Chapter 31: The Pregnant Woman 458
Chapter 32: Functional Assessment Of The Older Adult 471
Chapter 01: Evidence-Based Assessment
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. These Types Of Data Would Be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A
Objective Data Are 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, Is Nauseated, And Feels Hot. These Types Of Data Would
Be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C
Subjective Data Are What The Person Says About Him Or Herself During History Taking. Objective Data Are
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
3. The Patients Record, Laboratory Studies, Objective Data, And Subjective Data Combine To Form The:
a. Data Base.
b. Admitting Data.
c. Financial Statement.
d. Discharge Summary.
ANS: A
Together With The Patients Record And Laboratory Studies, The Objective And Subjective Data Form The Data
Base. The Other Items Are Not Part Of The Patients 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 Patients Breath Sounds, The Nurse Is Unsure Of A Sound That Is Heard. The Nurses Next
Action Should Be To:
a. Immediately Notify The Patients Physician.
b. Document The Sound Exactly As It Was Heard.
c. Validate The Data By Asking A Coworker 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 Patients Breath Sounds, The Nurse Validates The Data To
Ensure Accuracy. If The Nurse Has Less Experience In An Area, Then He Or She Asks An Expert To Listen.
DIF: Cognitive Level: Analyzing (Analysis)
MSC: Client Needs: Safe And Effective Care Environment: Management Of Care
5. The Nurse Is Conducting A Class For New Graduate Nurses. During The Teaching Session, The Nurse Should
Keep In Mind That Novice Nurses, Without A Background Of Skills And Experience From Which To Draw, Are
More Likely To Make Their Decisions Using:
a. Intuition.
b. A Set Of Rules.
c. Articles In Journals.
d. Advice From Supervisors.
ANS: B
Novice Nurses Operate From A Set Of Defined, Structured Rules. The Expert Practitioner Uses Intuitive Links.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: General
6. Expert Nurses Learn To Attend To A Pattern Of Assessment Data And Act Without Consciously Labeling It.
These Responses Are Referred To As:
a. Intuition.
b. The Nursing Process.
c. Clinical Knowledge.
d. Diagnostic Reasoning.
ANS: A
Intuition Is Characterized By Pattern Recognitionexpert Nurses Learn To Attend To A Pattern Of Assessment Data
And Act Without Consciously Labeling It. The Other Options Are Not Correct.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: General
7. The Nurse Is Reviewing Information About Evidence-Based Practice (EBP). Which Statement Best Reflects
EBP?
a. EBP Relies On Tradition For Support Of Best Practices.
b. EBP Is Simply The Use Of Best Practice Techniques For The Treatment Of Patients.
