Question 1

Gloves should be worn for which of the following examinations?

Accepted Answer

A) Measurement of vital signs 
B) Palpation of the sinuses 
C) Palpation of the mouth and tongue 
D) Inspection of the eye with an ophthalmoscope 
A) Measurement of vital signs 
B) Palpation of the sinuses 
C) Palpation of the mouth and tongue 
D) Inspection of the eye with an ophthalmoscope

Question 2

During the examination of a patient's mouth,the nurse observes a nodular,bony ridge down the middle of the hard palate.The nurse would chart this finding as:
(This question reflects the results an examiner may find during a complete physical examination.Content in this question is not necessarily addressed directly in Jarvis' Physical Examination & Health Assessment. )

Accepted Answer

A) cheilosis. 
B) leukoplakia. 
C) ankyloglossia. 
D) torus palatinus. 
A) cheilosis. 
B) leukoplakia. 
C) ankyloglossia. 
D) torus palatinus.

Question 3

MATCHING
Place the following abdominal assessment techniques in the correct order,with 1 being performed first,and 5 being performed last.

-Fourth perform:

Accepted Answer

A) Deep palpation,all quadrants 
B) Light palpation,all quadrants 
C) Auscultation of bowel sounds 
D) Inspection of abdomen for contour,skin characteristics,and pulsations 
E) Percussion of all quadrants 
A) Deep palpation,all quadrants 
B) Light palpation,all quadrants 
C) Auscultation of bowel sounds 
D) Inspection of abdomen for contour,skin characteristics,and pulsations 
E) Percussion of all quadrants

Question 4

When the nurse performs the confrontation test,the nurse has assessed:

Accepted Answer

A) EOMs. 
B) PERRLA. 
C) near vision. 
D) visual fields. 
A) EOMs. 
B) PERRLA. 
C) near vision. 
D) visual fields.

Question 5

A patient is unable to shrug her shoulders against the nurse's resistant hands.What cranial nerve is involved with successful shoulder shrugging?

Accepted Answer

A) VII 
B) IX 
C) XI 
D) XII 
A) VII 
B) IX 
C) XI 
D) XII

Question 6

While recording in a patient's chart,the nurse notes that a patient's hematest results have been positive.This means that:
(This question reflects the results an examiner may find during a complete physical examination.Content in this question is not necessarily addressed directly in Jarvis' Physical Examination & Health Assessment. )

Accepted Answer

A) there are crystals in his urine. 
B) there are parasites in his stool. 
C) there is occult blood in his stool. 
D) there are bacteria in his sputum. 
A) there are crystals in his urine. 
B) there are parasites in his stool. 
C) there is occult blood in his stool. 
D) there are bacteria in his sputum.

Question 7

After the examination of an infant,the nurse notes opisthotonos.The nurse recognizes that this finding often occurs with:
(This question reflects the results an examiner may find during a complete physical examination.Content in this question is not necessarily addressed directly in Jarvis' Physical Examination & Health Assessment. )

Accepted Answer

A) cerebral palsy. 
B) meningeal irritation. 
C) lower motor neuron lesion. 
D) upper motor neuron lesion. 
A) cerebral palsy. 
B) meningeal irritation. 
C) lower motor neuron lesion. 
D) upper motor neuron lesion.

Question 8

During an examination,the patient tells the nurse that she sometimes feels as if objects are spinning around her.The nurse would note that she occasionally experiences:
(This question reflects the results an examiner may find during a complete physical examination.Content in this question is not necessarily addressed directly in Jarvis' Physical Examination & Health Assessment. )

Accepted Answer

A) vertigo. 
B) tinnitus. 
C) syncope. 
D) dizziness. 
A) vertigo. 
B) tinnitus. 
C) syncope. 
D) dizziness.

Question 9

MATCHING
Place the following abdominal assessment techniques in the correct order,with 1 being performed first,and 5 being performed last.

-Third perform:

Accepted Answer

A) Deep palpation,all quadrants 
B) Light palpation,all quadrants 
C) Auscultation of bowel sounds 
D) Inspection of abdomen for contour,skin characteristics,and pulsations 
E) Percussion of all quadrants 
A) Deep palpation,all quadrants 
B) Light palpation,all quadrants 
C) Auscultation of bowel sounds 
D) Inspection of abdomen for contour,skin characteristics,and pulsations 
E) Percussion of all quadrants

Question 10

Which of the following statements is true regarding the recording of data from the health history and physical examination?

Accepted Answer

A) Use long,descriptive sentences to document findings. 
B) Record the data as soon as possible after the interview and physical examination. 
C) If the information is not documented,it can be assumed that it was done as a standard of care. 
D) The examiner should avoid taking any notes during the history and examination because of the possibility of decreasing rapport with the patient. 
A) Use long,descriptive sentences to document findings. 
B) Record the data as soon as possible after the interview and physical examination. 
C) If the information is not documented,it can be assumed that it was done as a standard of care. 
D) The examiner should avoid taking any notes during the history and examination because of the possibility of decreasing rapport with the patient.

Question 11

When assessing the neonate,the nurse should use which of the following methods to test for hip stability?

Accepted Answer

A) Elicit the Moro reflex. 
B) Perform Romberg's test. 
C) Check for the Ortolani sign. 
D) Assess the stepping reflex. 
A) Elicit the Moro reflex. 
B) Perform Romberg's test. 
C) Check for the Ortolani sign. 
D) Assess the stepping reflex.

Question 12

During inspection of a patient's face,the nurse notes that the facial features are symmetrical.This finding indicates that which cranial nerve is intact?

Accepted Answer

A) VII 
B) IX 
C) XI 
D) XII 
A) VII 
B) IX 
C) XI 
D) XII

Question 13

Which of the following is an appropriate location for eliciting deep tendon reflexes?

Accepted Answer

A) Achilles 
B) Femoral 
C) Scapular 
D) Abdominal 
A) Achilles 
B) Femoral 
C) Scapular 
D) Abdominal

Question 14

The nurse notes that a patient has ulcerations on the tips of the toes and on the lateral ankles.This finding would indicate:
(This question reflects the results an examiner may find during a complete physical examination.Content in this question is not necessarily addressed directly in Jarvis' Physical Examination & Health Assessment. )

Accepted Answer

A) lymphedema. 
B) Raynaud's disease. 
C) arterial insufficiency. 
D) venous insufficiency. 
A) lymphedema. 
B) Raynaud's disease. 
C) arterial insufficiency. 
D) venous insufficiency.

Question 15

A patient's uvula rises midline when she says "ahh," and she has a positive gag reflex.The nurse has just tested which cranial nerves?

Accepted Answer

A) IX,X 
B) IX,XII 
C) X,XII 
D) XI,XII 
A) IX,X 
B) IX,XII 
C) X,XII 
D) XI,XII

Question 16

Which of the following assessments is most appropriate to perform on a 9-month-old well child?
(This question reflects the results an examiner may find during a complete physical examination.Content in this question is not necessarily addressed directly in Jarvis' Physical Examination & Health Assessment. )

Accepted Answer

A) Assessment for the Ortolani sign 
B) Assessment for stereognosis 
C) Assessment of blood pressure 
D) Assessment for the presence of the startle reflex 
A) Assessment for the Ortolani sign 
B) Assessment for stereognosis 
C) Assessment of blood pressure 
D) Assessment for the presence of the startle reflex

Question 17

Which of the following is included in assessment of general appearance?

Accepted Answer

A) Height 
B) Weight 
C) Skin colour 
D) Vital signs 
A) Height 
B) Weight 
C) Skin colour 
D) Vital signs

Question 18

When the nurse flexes the patient's knee and gently compresses the gastrocnemius muscle anteriorly against the tibia,the patient indicates that he is having calf pain.The nurse would document:
(This question reflects the results an examiner may find during a complete physical examination.Content in this question is not necessarily addressed directly in Jarvis' Physical Examination & Health Assessment. )

Accepted Answer

A) positive Allen's sign. 
B) negative Allen's sign. 
C) positive Homan's sign. 
D) negative Homan's sign. 
A) positive Allen's sign. 
B) negative Allen's sign. 
C) positive Homan's sign. 
D) negative Homan's sign.

Question 19

The nurse has just recorded a positive obturator test on a patient who has abdominal pain.This test is used to confirm a(n):
(This question reflects the results an examiner may find during a complete physical examination.Content in this question is not necessarily addressed directly in Jarvis' Physical Examination & Health Assessment. )

Accepted Answer

A) inflamed liver. 
B) perforated spleen. 
C) perforated appendix. 
D) enlarged gallbladder. 
A) inflamed liver. 
B) perforated spleen. 
C) perforated appendix. 
D) enlarged gallbladder.

Question 20

If the nurse records the results to the Hirschberg test,the nurse has:
(This question reflects the results an examiner may find during a complete physical examination.Content in this question is not necessarily addressed directly in Jarvis' Physical Examination & Health Assessment. )

Accepted Answer

A) tested the patellar reflex. 
B) assessed for appendicitis. 
C) tested the corneal light reflex. 
D) assessed for thrombophlebitis. 
A) tested the patellar reflex. 
B) assessed for appendicitis. 
C) tested the corneal light reflex. 
D) assessed for thrombophlebitis.

Exam 28: The Complete Health Assessment: Putting It All Together

Gloves should be worn for which of the following examinations?

MATCHING Place the following abdominal assessment techniques in the correct order,with 1 being performed first,and 5 being performed last. -Fourth perform:

When the nurse performs the confrontation test,the nurse has assessed:

A patient is unable to shrug her shoulders against the nurse's resistant hands.What cranial nerve is involved with successful shoulder shrugging?

MATCHING Place the following abdominal assessment techniques in the correct order,with 1 being performed first,and 5 being performed last. -Third perform:

Which of the following statements is true regarding the recording of data from the health history and physical examination?

When assessing the neonate,the nurse should use which of the following methods to test for hip stability?

During inspection of a patient's face,the nurse notes that the facial features are symmetrical.This finding indicates that which cranial nerve is intact?

Which of the following is an appropriate location for eliciting deep tendon reflexes?

A patient's uvula rises midline when she says "ahh," and she has a positive gag reflex.The nurse has just tested which cranial nerves?

Which of the following is included in assessment of general appearance?

If the nurse records the results to the Hirschberg test,the nurse has: (This question reflects the results an examiner may find during a complete physical examination.Content in this question is not necessarily addressed directly in Jarvis' Physical Examination & Health Assessment. )

Critical Thinking and Evidence-Informed Assessment

Health Promotion in the Context of Health Assessment

Cultural Competence: Cultural Care and Social Considerations in Health Assessment

The Interview

The Complete Health History

Mental Health Assessment

Substance Use in the Context of Health Assessment

Interpersonal Violence Assessment

Assessment Techniques and the Clinical Setting

General Survey, measurement, and Vital Signs

Pain Assessment

Nutritional Assessment and Nursing Practice

Skin, hair, and Nails

Head and Neck, including Regional Lymphatic System

Eyes

Ears

Nose, mouth, and Throat

Breasts and Regional Lymphatic System

Thorax and Lungs

Heart and Neck Vessels

Peripheral Vascular System and Lymphatic System

Abdomen

Anus,rectum and Prostate

Musculoskeletal System

Neurological System

Male Genitourinary System

Female Genitourinary System

Bedside Assessment of the Hospitalized Patient

Pregnancy

Functional Assessment of the Older Adult

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