Jarvis Chapter 27 The Complete Health Assessment: Adult

B
The nurse examines the face of the patient to assess cranial nerve VII. The facial expression and symmetry of the face indicate normal functioning of cranial nerve VII. The nurse examines the eyes to test the visual fields and assess the functioning of

Which part of the body should the nurse examine to assess Cranial nerve VII?
A. Eye
B. Face
C. Mouth
D. Throat

D
The nurse notes the size and shape of the bones and strength of the muscles during the musculoskeletal examination. The nurse assesses the patient's pulse and murmurs during a cardiovascular examination. The nurse assesses for tenderness and the presenc

Which assessment includes size, shape and strength parameters?
A. Breast examination
B. Abdominal examination
C. Cardiovascular examination
D. Musculoskeletal examination

D
The visual acuity of 20/20, symmetric corneal reflex, white sclera, pupil size of 3 mm resting and 2 mm constricted are normal findings. Therefore, the patient has normal vision. Ptosis is the drooping of the upper eyelid, which blocks the vision. Strab

While examining the eyes, the nurse finds that the patient has 20/20 vision, symmetric corneal reflex, and white sclera. The patient's pupil size is 3 mm while resting and 2 mm while constricting. What does the nurse infer from these findings?
A. The pati

A
If the adult exhibits hyperextension of the great toe when the nurse strokes the lateral aspect and ball of the foot, it indicates that the adult has a positive Babinski reflex. Babinski reflex is a pathologic reflex, which suggests the presence of an u

The nurse finds a positive Babinski reflex in an adult during a physical assessment. What could be the reason for such an abnormality?
A. Neurologic impairment
B. Cardiovascular impairment
C. Musculoskeletal impairment
D. Gastrointestinal impairment

A
The Snellen chart is an eye chart that helps in the assessment of visual acuity. Stereognosis is assessed by asking the patient to recognize an object by holding it. Facial symmetry is assessed during the inspection of the face. The nurse palpates the c

While collecting data, the nurse uses the Snellen chart. What does the nurse examine in the patient?
A. Vision acuity
B. Stereognosis
C. Facial symmetry
D. Costovertebral angle

A
Normocephalic indicates that the patient has a normal sized head or cranium. Flat and symmetric are words that would describe the patient's abdomen. The nurse uses words like alert, oriented, or coherent thought to describe a patient's mental status. Th

The nurse documents normocephalic as an assessment finding. What did the nurse assess in the patient?
A. Cranium
B. Abdomen
C. Optic nerve
D. Mental status

D
While assessing the neck of a patient, simultaneous palpation of the carotid pulse on both sides at the same time activates the baroreceptor reflex, which slows the heart rate and thereby decreases blood pressure in the patient. Therefore, the nurse sho

The student nurse is assessing the neck of a patient under the supervision of a nurse educator. Which intervention by the student nurse needs correction?
A. Palpation of the trachea in the midline
B. Palpation of the cervical lymph nodes
C. Assessment for

A
The nurse asks the patient to say "ahh" while performing oral examination to inspect the uvula. The mobility of the uvula helps the nurse determine abnormal findings and diseases associated with it. To inspect the hard palate, the nurse tilts the head o

While performing an oral examination, the nurse instructs the patient to say "ahh." What is the reason for giving this instruction?
A. To inspect the uvula
B. To inspect the hard palate
C. To inspect the buccal mucosa
D. To inspect the teeth and gums

D
Low blood pressure in the lower limbs indicates that the patient may have peripheral arterial disease. Ankle brachial index refers to the ratio of the blood pressure in the lower leg to the blood pressure in the arms. This test helps in assessing the ri

The nurse, while checking the vital signs, finds that the patient's blood pressure is decreased in the lower extremities. Which test does the nurse perform to evaluate the patient's condition?
A. Romberg test
B. Gag reflex test
C. Babinski reflex test
D.

D
The nurse places a familiar object such as a key into the patient's hand and asks the patient to identify the object without looking. This enables the nurse to test the stereognosis of the patient. The nurse tests the cerebellar function of the upper ex

What intervention does the nurse perform to test the stereognosis of a patient?
A. Ask the patient to perform the rapid alternating movements test.
B. Ask the patient to run each heel down the shin of the opposite leg.
C. Ask the patient to extend the arm

C
An occult blood test is performed to assess for blood in the feces, which is not visible to the eye. The nurse collects the patient's stool specimen for performing the occult blood test. The nurse collects the blood samples for assessing the components

The health care provider has prescribed an occult blood test for a patient. Which specimen does the nurse collect for the test?
A. Blood
B. Urine
C. Stool
D. Mucus