Physical examination and health assessment
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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...
Physical Examination and Health Assessment, 8th Edition by Carolyn Jarvis 
MULTIPLE CHOICE 
 
1.	When evaluating a patients pain, thenurse knows that an example of acute pain would be: 
a.	Arthriticpain. 
b.	Fibromyalgia. 
c.	Kidney stones. 
d.	Low back pain. 
ANS: C 
Acute pain is short-term and dissipates after an injury heals, such as with kidney stones. theother conditions are examples of chronic pain during which thepain continues for 6 months or longer and does not stop when theinj...
Physical Examination and Health Assessment, 8th Edition by Carolyn Jarvis 
 
MULTIPLE CHOICE 
 
1.	A patients weekly blood pressure readings for 2 months have ranged between 124/84 mm Hg and 136/88 mm Hg, with an average reading of 126/86 mm Hg. The nurse knows that this blood pressure falls within which blood pressure category? 
a.	Normal blood pressure 
b.	Prehypertension 
c.	Stage 1 hypertension 
d.	Stage 2 hypertension 
ANS: B 
According to the Seventh Report of the Joint National Co...