Exam (elaborations)
Chapter 12 Physical Assessment
- Course
- Nursing
- Institution
- Western Piedmont Community College
Chapter 12 Physical Assessment
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Chapter 12: Physical AssessmentMULTIPLE CHOICE
1. The nurse is collecting data during an initial assessment. What can be seen, heard, measured,
or felt and is objective?
a. Symptom
b. Observation
c. Sign
d. Assessment
ANS: C
A sign can be seen, heard, measured, or felt.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 286
OBJ: 1 TOP: Assessment KEY: Nursing Process Step: Assessment
MSC: NCLEX: N/A
2. As part of an assessment, the nurse asks the patient for subjective information related to the
present illness. What are the subjective findings perceived by the patient?
a. Assessments
b. Symptoms
c. Signs
d. Observations
ANS: B
Symptoms are subjective indications of illness that are perceived by the patient.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 287
OBJ: 1 TOP: Assessment KEY: Nursing Process Step: Assessment
MSC: NCLEX: N/A
3. Any disturbance of a structure or function of the body is a pathologic condition. What is the
term for this condition?
a. Injury
b. Condition
c. Disease
d. Pathology
ANS: C
A disease is any disturbance of a structure or function of the body.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 287
OBJ: 2 TOP: Disease KEY: Nursing Process Step: Assessment
MSC: NCLEX: N/A
4. The nurse is assessing a patient for collection of subjective and objective data. What will this
data provide the basis for making?
a. Care plan
b. Medical diagnosis
, c. Nursing assessment
d. Nursing diagnosis
ANS: D
Nurses rely on assessment of signs and symptoms to formulate a nursing diagnosis.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 287
OBJ: 11 TOP: Assessment KEY: Nursing Process Step: Assessment
MSC: NCLEX: N/A
5. The nurse is discussing the origin of diabetes with a diabetic patient. What will the nurse
discuss as the most appropriate explanation for the cause of this disease?
a. Pituitary
b. Adrenals
c. Pancreas
d. Thyroid
ANS: C
Diabetes mellitus results from dysfunction of the pancreas.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 287
OBJ: 2 TOP: Disease KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Physiological Integrity
6. There are four categories of factors that increase an individual‘s vulnerability to develop a
disease: genetic, physiological, age, and lifestyle. What is the term for these factors?
a. Risk factors
b. Causative factors
c. Etiologic factors
d. Hazardous factors
ANS: A
Risk factors are placed into four categories.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 288
OBJ: 3 TOP: Disease KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Physiological Integrity
7. When discussing diabetes with a patient, the nurse describes this disease as falling into which
group in terms of duration?
a. Acute
b. Organic
c. Chronic
d. Functional
ANS: C
Diabetes mellitus is an example of a chronic disease.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 288
OBJ: 4 TOP: Disease KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
, 8. What is the term used to describe a disease where there has been a partial or complete
disappearance of clinical and subjective characteristics of the disease?
a. Acute
b. Functional
c. Chronic
d. Remission
ANS: D
Remission means there has been partial or complete disappearance of the clinical and
subjective characteristics.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 288
OBJ: 4 TOP: Disease KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
9. What type of disease results in a structural change in an organ that interferes with its
functioning?
a. Functional disease
b. Organic disease
c. Acute disease
d. Chronic disease
ANS: B
An organic disease results in a structural change in an organ.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 288
OBJ: 2 TOP: Disease KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
10. The signs and symptoms of both infection and inflammation include erythema, edema, and
pain. What is considered the major difference between infection and inflammation?
a. Inflammation is a result of bacteria.
b. Inflammation is a protective response.
c. Inflammation is a disease process.
d. Inflammation produces tissue damage.
ANS: B
Inflammation is a protective response.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 288
OBJ: 5 TOP: Disease KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
11. A nursing assessment is a process of collecting data to establish a database. The information
contained in the database is a basis for:
a. a complete physical examination.
b. a medical assessment.
c. an individualized plan of care.
d. writing nursing orders.
ANS: C
The information contained in the database is the basis for an individualized plan of care.
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