JARVIS Exam # 2 Health Assessment

Exam # 2 Health Assessment: HLTH ASSESSMNT + HLTH PROMOTIO 7/1/18, 5(35 PM
Exam # 2 Health Assessment

Due Jul 2 at 8am Points 50 Questions 50
Available Jun 30 at 8am - Jul 2 at 8am 2 days Time Limit 60 Minutes
A!empt History
Attempt Time Score
LATEST Attempt 1 47 minutes 43 out of 50
! Correct answers are hidden.
Score for this quiz: 43 out of 50

Submitted Jul 1 at 5:34pm
This attempt took 47 minutes.
Question 1 1 / 1 pts
When using percussion, it is important to percuss ____ times in one location

using even, staccato blows?
https://calstatela.instructure.com/courses/280/quizzes/1955 Page 1 of 24
When taking an oral temperature, the professional nurse acknowledges that

at least a time period must lapse if the patient has just ingested hot, warm, or
cold food or beverages?
8 minutes
15 minutes
20 minutes
2 minutes
During palpation the dorsum of the hand is best for assessing what or which
factor/s?
to detect position, shape, and consistency of organs or masses
to detect temperature
to detect vibrations
fine tactile discrimination, skin texture, swelling, pulsation
A mechanical injury resulting in hemorrhage into the intact skin is
documented in medical terminology as a/an?
Contusion
Purpura
Bruise
Petechiae
A mother and her 13-year-old daughter express their concern related to the
daughter's recent weight gain and increase in appetite. Which of these
statements represents information the nurse should discuss with them?
Snacks should be high in protein, iron, and calcium.
A low-calorie diet is important to prevent the accumulation of fat.
Teenagers who have a weight problem should not be allowed to snack.
It is necessary to diet and exercise at this age.
Incorrect Question 6 0 / 1 pts
During the inspection of an infant, the professional nurse notes a large round
patch of light brown pigmentation on the infant’s lumbar sacral region. The
professional nurse documents this as which of the following?
Cutis marmorata
Mongolian spot
Neurofibromatosis
Café au lait spot
A full bounding pulse denotes an increased stroke volume and is

documented as?
+2
+1
+3
Percussion has the following uses in a physical examination.
replaces radiological examination
determines the density of a body structure
allows the nurse to utilize the sense of touch for texture
provides a close scrutiny of the individual
When considering the nutritional needs of those under 18 years of age the
professional nurse acknowledges which of the following statements?
growth and nutrition needs stabilize during adolescence
most rapid period of growth is birth to 4 months
by 4 years of life, the child’s height increases by 75%
infants increase their length by 35% during the first year of life
The nurse notices that a patient has a solid, elevated, circumscribed lesion
that is less than 1 cm in diameter. When documenting this finding, the nurse
would report this as a?
wheal.
bulla.
papule.
nodule.
Which of the following statements is correct when performing a physical

examination on a school age child?
Have the child sitting on the examination table
Follow the same sequence as with the adult
Examine everything possible at first before having the child disrobe
Have the parent in the room to assist with restraining the child as necessary
According to Jarvis, which of the following statements is true concerning

immigrants and potential nutritional problems?
Many familiar foods are difficult or impossible to obtain
It is not important for the immigrant to understand the new language and
culture
Low income does not play a role in obtaining appropriate food
Food preparation and storage are the same in all modern countries
The suggested scale for use in assessing pain in advanced dementia

patients is the _____?
FPA scale
BPI scale
QUCHER scale
PAINAD scale
Mrs. Pensky, a 23-year-old female in her child bearing years is?
as likely to experience migraine headaches as a 75-year-old female
2 to 3 times less likely to experience migraine headaches
2 to 3 times more likely to experience migraine headaches
as likely to experience migraine headaches as a 23-year-old male
According to Jarvis, which of the following Body Mass Index (BMI) indicate
overweight?
30.0 – 39.9
25.0 – 29.9
≥ 40
18.5 – 24.9
The nurse practitioner has diagnosed the infant as having milia and instructs
the professional nurse to educate the professional nurse to educate the
parents on the appropriate treatment. Which of the following statements is
the appropriate treatment?
Apply warm compresses for 5 minutes 4 times a day
Gently apply pressure to the sides of the acne to express the purulence daily
Do nothing other than normal bathing as milia will spontaneously resolve
Apply the acne cream prescribed by the nurse practitioner after each bath
When considering a nutritional assessment, the nurse is aware that the most
common anthropometric measurements to measure body fat distribution
is/are?
hip and waist measurement
biceps skinfold thickness.
height and weight.
leg circumference
The characteristic percussion sound that is medium loud, low pitched, clear,
hollow, moderate in duration and located over normal lung tissue is
documented as?
Hyperresonant
Flat
Resonant
Tympany
According to Jarvis, hypotension as an abnormal blood pressure occurs with

which of the following?
Vasoconstriction
Marfan’s disease
Diabetes mellitus
Acute myocardial infarction
In the aging adult small, flat, brown macules that appear after extensive sun
exposure appearing on the forearms and dorsa of the hands are known as?
senile lentigines
folliculitis
acrochordons
keratosis
The nurse is preparing to perform a physical assessment. Which statement is

true about the inspection phase of the physical assessment?
Inspection usually yields little information
Inspection takes time and reveals a surprising amount of information.
Inspection requires a quick glance at the patient’s body systems before

proceeding on with palpation.
Inspection may be somewhat uncomfortable for the expert practitioner.
When taking a blood pressure, which of the following statements is

appropriate professional behavior, according to Jarvis?
Inflating the cuff until the patient complains of pain
Deflating the cuff slowly to ensure accuracy
Deflating quickly to decrease the patient’s discomfort
Keeping the examiners eyes level with the meniscus of the mercury column
Which of the following statements is most appropriate, according to Jarvis,

when performing an assessment on an adolescent?
position the adolescent in the supine position on the exam table
apprise the adolescent of any abnormalities without the presence of parents
perform the assessment in the head to toe approach with the genitalia last
treat the adolescent as a child as he/she is not of legal age
Ms. Janazian, a 37-year-old female, has been diagnosed with neuropathic

pain. The symptoms she is most likely to express to the professional nurse is
which of the following?
Nocturnal tenderness and hyperalgesia
Vice-like, numbness, and allodynia
Dull, aching, electric shock-like
Deep, squeezing pressure and hyperpathia
Which of the following statements is correct regarding Kwashiorkor?
it is caused by severe starvation and severe catabolic states
it is caused by bowel obstruction, cancer cachexia, and chronic illness
it is caused by diets high in calories but contain little or no protein
it is due to excess calorie intake
Poorly controlled acute and chronic pain have a negative impact on

physiologic systems. according to Jarvis, poorly controlled chronic pain may
present with which of the following signs and symptoms?
Fear, anxiety, fatigue, impaired immunity
Confusion, isolation, diminished quality of life
Impaired wound healing, vomiting, hypoxia
Tachycardia, hypotension, oliguria
In general at what age should the physical examination of the normal infant
be conducted while the infant is positioned in the parent’s lap?
9 months
6 months
Neonate
3 months
According to Jarvis, Mrs. Yang, a 72-year-old female, when compared to

other younger patients will experience pain:
To a lesser degree with diminished sensitivity
To a greater degree with increased sensitivity
To the same degree with the same sensitivity
As a normal process of aging
The process of inspection for the professional nurse begins:
the moment the patient is admitted for health care
the moment the nurse begins asking history questions of the patient
the moment the nurse places the sphygmomanometer on the patient’s arm
the moment the nurse first meets the patient
When inspecting the fingernail profile sign, the normal angle of the nail base
should be about ____ degrees?
180 degrees
160 degrees
< 160 degrees
140 degrees
The increased pigment that may be seen in some women on the midline of
the abdomen is known as the?
Cholasma
Striae gravidarum
Linea nigra
Linea pregnatum
According to Jarvis, the normal respiratory rate for a neonate should be?
25-28 breaths per minute
When performing a physical examination, the single most important step to

decrease risk of micro-organism transmission is?
Wear latex free gloves
Wash hands promptly and thoroughly
Always wear a mask if the patient is coughing
Cleanse all instruments with alcohol based cleansers after each use
According to Jarvis, a beefy red-colored tongue is caused by which of the

following?
Vitamin-B complex deficiency
Iron deficiency
Linoleic acid deficiency
Vitamin-C complex deficiency
Which of the glands in the skin secrete a thick, milky fluid into the hair
follicles?
Eccrine glands
Sebaceous glands
Sweat glands
Apocrine glands
To reduce the potential for contaminating patients and the nurse which of the
following behaviors should the professional nurse follow routinely?
Cleanse the stethoscope endpiece with an alcohol wipe before and after each
patient use
Handwashing frequently with chemical waterless solutions
Place the stethoscope on a sterile drape between each patient use
Use only disposable stethoscopes for every patient contact
According to Jarvis, the following which of the heart rates represent

bradycardia and tachycardia in the adult?
50 and 95
60 and 100
50 and 100
60 and 90
The middle finger of the nurse’s dominant hand used as the striking finger is
known as which of the following medical terms?
Plexor
Flexor
Fleximeter
Pleximeter
When performing a physical examination on the aging adult the professional

nurse should remember to?
Speak louder to compensate for maturity onset hearing deficits
Avoid physical touch as this is often culturally insensitive
Adjust the examination pace to meet the s\possible slowed pace of the patient
Expect the majority of these patients to have some confusion or difficulty

remembering
According to Jarvis, when documenting edema of the skin a numerical scale

is most appropriate. Which of the following numbers indicates an edema
described as deep pitting, indentation remains for a short time?”
2+
4+
3+
1+
According to Jarvis, which of the following laboratory studies is the better

indicator of long term protein status?
Hematocrit
Serum prealbumin
Serum transferrin
Serum albumin
The section of the nail defined as white, opaque, semilunar area is known as
the?
The lunula
Nail plate
Posterior nail fold
Nail matrix
The best lighting for the physical examination, according to Jarvis, is?
wall mounted
tangential
natural daylight
gooseneck
During assessment of a patient's pain, the nurse keeps in mind that certain
nonverbal
behaviors are associated with chronic pain. Which one of these behaviors is
associated with chronic pain?
Bracing
Diaphoresis
Restlessness
Moaning
Which of the following statements about a stethoscope is correct?
A high quality stethoscope magnifies the sound
The diaphragm should be held firmly against the skin for soft, low-pitched
sounds
The tubing should be thick with an internal diameter of 4 mm and 36 to 46 cm

long
The bell should be held firmly against the skin for high pitched sounds
According to Jarvis, the blood pressure in which of the following groups is

often higher than white person of the same age?
Asian Americans
African Americans
Africans
American Indians
A dull amplitude from percussion is generally very soft, high, very short and is
located in which of the following area/s?
When no air is present
Over air-filled viscus
Over relatively dense organs such as the spleen
Normal lung tissue
When taking the pulse on a patient with an irregular rhythm, Jarvis states that
the professional nurse should take the pulse for a total of ______ minutes?
60 seconds
30 seconds
60 minutes
15 seconds
The nurse is teaching a class on basic assessment skills. Which of these

statements is true regarding the stethoscope and its use?
The ideal tubing length should be 22 inches to dampen distortion of sound.
The fit and quality of the stethoscope are not as important as its ability to
magnify sound.
The stethoscope does not magnify sound but does block out extraneous room
noise.
The slope of the earpieces should point posteriorly (toward the occiput).
Some of the normal physiologic changes in aging adults directly affect

nutritional status. Some of these deficits include?
Decreased gastrointestinal absorption, increased energy requirements
Dentures, increased visual acuity, increased saliva production
Diminished olfactory and taste sensitivity
Increased fat mass, protein, and mineral needs
Quiz Score: 43 out of 50

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Exam # 2 Health Assessment: HLTH ASSESSMNT + HLTH PROMOTIO 7/1/18, 5(35 PM

Exam # 2 Health Assessment

! Correct answers are hidden.

Score for this quiz: 43 out of 50

When using percussion, it is important to percuss ____ times in one location

When taking an oral temperature, the professional nurse acknowledges that

to detect position, shape, and consistency of organs or masses

fine tactile discrimination, skin texture, swelling, pulsation

A mechanical injury resulting in hemorrhage into the intact skin is

documented in medical terminology as a/an?

Snacks should be high in protein, iron, and calcium.

A low-calorie diet is important to prevent the accumulation of fat.

Teenagers who have a weight problem should not be allowed to snack.

It is necessary to diet and exercise at this age.

Incorrect Question 6 0 / 1 pts

Café au lait spot

A full bounding pulse denotes an increased stroke volume and is

Percussion has the following uses in a physical examination.

replaces radiological examination

determines the density of a body structure

allows the nurse to utilize the sense of touch for texture

provides a close scrutiny of the individual

growth and nutrition needs stabilize during adolescence

most rapid period of growth is birth to 4 months

by 4 years of life, the child’s height increases by 75%

Incorrect Question 11 0 / 1 pts

Which of the following statements is correct when performing a physical

Have the child sitting on the examination table

Follow the same sequence as with the adult

Examine everything possible at first before having the child disrobe

According to Jarvis, which of the following statements is true concerning

Many familiar foods are difficult or impossible to obtain

Low income does not play a role in obtaining appropriate food

The suggested scale for use in assessing pain in advanced dementia

Mrs. Pensky, a 23-year-old female in her child bearing years is?

as likely to experience migraine headaches as a 75-year-old female

2 to 3 times less likely to experience migraine headaches

2 to 3 times more likely to experience migraine headaches

as likely to experience migraine headaches as a 23-year-old male

Apply warm compresses for 5 minutes 4 times a day

Do nothing other than normal bathing as milia will spontaneously resolve

Incorrect Question 17 0 / 1 pts

hip and waist measurement

biceps skinfold thickness.

height and weight.

Incorrect Question 19 0 / 1 pts

According to Jarvis, hypotension as an abnormal blood pressure occurs with

Acute myocardial infarction

The nurse is preparing to perform a physical assessment. Which statement is

Inspection usually yields little information

Inspection takes time and reveals a surprising amount of information.

Inspection requires a quick glance at the patient’s body systems before

Inspection may be somewhat uncomfortable for the expert practitioner.

Incorrect Question 22 0 / 1 pts

When taking a blood pressure, which of the following statements is

Inflating the cuff until the patient complains of pain

Deflating the cuff slowly to ensure accuracy

Deflating quickly to decrease the patient’s discomfort