, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 3rd EDITION JARVIS TEST BANK
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Test Bank - Physical Examination and Health Assessment 3rd (by Jarvis)
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2
Chapter 01: Evidence-Based Assessment dt dt dt
MULTIPLE CHOICE dt
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and hi
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s pulse is 58 beats per minute. These types of data would be:
d t d t d t d t d t d t d t dt dt d t d t d t
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A dt
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating dur
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ing the physical examination. Subjective data is what the person says about him or herself during history taking.
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt d t
The terms reflective and introspective are not used to describe data.
d t d t d t d t d t d t d t d t d t d t
DIF: Cognitive Level: Understanding (Comprehension)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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2. A patient tells the nurse that he is very n e r vNo uUsR, SisIN
dt dt naGuTsB
ea.CteOdM
dt , and feels hot. These types of data would be:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C dt
Subjective data are what the person says about him or herself during history taking. Objective data are what the healt
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
h professional observes by inspecting, percussing, palpating, and auscultating during the physical examin
d t d t d t d t d t d t d t d t d t d t d t dt
ation. The terms reflective and introspective are not used to describe data.
d t d t d t d t d t d t d t d t d t d t d t
DIF: Cognitive Level: Understanding (Comprehension)
dt dt dt dt
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
dt dt dt dt dt dt dt dt dt dt
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
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a. Data base. dt
b. Admitting data. dt
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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 3rd EDITION JARVIS TEST BANK
dt dt dt dt dt dt dt dt dt
Test Bank - Physical Examination and Health Assessment 3rd (by Jarvis)
dt dt dt dt dt dt dt dt dt dt
3
c. Financial statement. dt
d. Discharge summary. dt
ANS: A dt
Together with the patients record and laboratory studies, the objective and subjective data form the data base. Th
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
e other items are not part of the patients record, laboratory studies, or data.
d t d t d t d t d t d t d t d t d t d t d t d t d t
DIF: Cognitive Level: Remembering (Knowledge)
dt dt dt dt
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
dt dt dt dt dt dt dt dt dt dt
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next ac
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tion should be to:
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a. Immediately notify the patients physician. dt dt dt dt
b. Document the sound exactly as it was heard. dt dt dt dt dt dt dt
c. Validate the data by asking a coworker to listen to the breath sounds.
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d. Assess again in 20 minutes to note whether the sound is still present.
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ANS: C dt
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure accur
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
acy. If the nurse has less experience in an area, then he or she asks an expert to listen.
d t dt d t d t d t dt d t dt dt dt d t dt dt d t dt d t d t dt
DIF: Cognitive Level: Analyzing (Analysis)
dt dt dt dt
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
dt dt dt dt dt dt dt dt dt dt
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should kee
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
p in mind that novice nurses, without a background of skills and experience from which to draw, are more like
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ly to make their decisions using:
dt dt dt dt dt
a. Intuition.
b. A set of rules.
dt dt dt
c. Articles in journals. dt dt
d. Advice from supervisors. dt dt
ANS: B dt
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links. DIF:
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
dt Cognitive Level: Understanding (Comprehension)
d t dt d t
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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 3rd EDITION JARVIS TEST BANK
dt dt dt dt dt dt dt dt dt
Test Bank - Physical Examination and Health Assessment 3rd (by Jarvis)
dt dt dt dt dt dt dt dt dt dt
4
MSC: Client Needs: Generaldt dt dt
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. These re
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
sponses are referred to as: dt dt dt dt
a. Intuition.
b. The nursing process.dt dt
c. Clinical knowledge. dt
d. Diagnostic reasoning. dt
ANS: A dt
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data and a
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ct without consciously labeling it. The other options are not correct.
d t d t d t d t d t d t d t d t d t d t
DIF: Cognitive Level: Understanding (Comprehension)
dt dt dt dt dt
MSC: Client Needs: General dt dt dt
7. The nurse is reviewing information about evidence-
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based practice (EBP). Which statement best reflects EBP?
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a. EBP relies on tradition for supportNoUfR
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acBt.iC
ceOsM
dt. dt dt dt dt
b. EBP is simply the use of best practice techniques for the treatment of patients.
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c. EBP emphasizes the use of best evidence with the clinicians experience.
dt dt dt dt dt dt dt dt dt dt
d. The patients own preferences are not important with EBP.
dt dt dt dt dt dt dt dt dt
ANS: C dt
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the cli
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
nicians experience, as well as patient preferences and values, when making decisions about care and treatme
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
nt. EBP is more than simply using the best practice techniques to treat patients, and questioning tradition is
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt d t d
timportant when no compelling and supportive research evidence exists.
d t d t d t d t d t d t d t d t
DIF: Cognitive Level: Applying (Application)
dt dt dt dt
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
dt dt dt dt dt dt dt dt dt dt
8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example of
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
a first-level priority problem?
dt dt dt
a. Patient with postoperative pain dt dt dt
b. Newly diagnosed patient with diabetes who needs diabetic teaching
dt dt dt dt dt dt dt dt
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dt dt dt dt dt dt dt dt dt
Test Bank - Physical Examination and Health Assessment 3rd (by Jarvis)
dt dt dt dt dt dt dt dt dt dt
2
Chapter 01: Evidence-Based Assessment dt dt dt
MULTIPLE CHOICE dt
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and hi
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
s pulse is 58 beats per minute. These types of data would be:
d t d t d t d t d t d t d t dt dt d t d t d t
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A dt
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating dur
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ing the physical examination. Subjective data is what the person says about him or herself during history taking.
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt d t
The terms reflective and introspective are not used to describe data.
d t d t d t d t d t d t d t d t d t d t
DIF: Cognitive Level: Understanding (Comprehension)
dt dt dt dt
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
dt dt dt dt dt dt dt dt dt dt
2. A patient tells the nurse that he is very n e r vNo uUsR, SisIN
dt dt naGuTsB
ea.CteOdM
dt , and feels hot. These types of data would be:
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C dt
Subjective data are what the person says about him or herself during history taking. Objective data are what the healt
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
h professional observes by inspecting, percussing, palpating, and auscultating during the physical examin
d t d t d t d t d t d t d t d t d t d t d t dt
ation. The terms reflective and introspective are not used to describe data.
d t d t d t d t d t d t d t d t d t d t d t
DIF: Cognitive Level: Understanding (Comprehension)
dt dt dt dt
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
dt dt dt dt dt dt dt dt dt dt
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
dt dt dt dt dt dt dt dt dt dt dt dt dt
a. Data base. dt
b. Admitting data. dt
NURSINGTB.COM
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 3rd EDITION JARVIS TEST BANK
dt dt dt dt dt dt dt dt dt
Test Bank - Physical Examination and Health Assessment 3rd (by Jarvis)
dt dt dt dt dt dt dt dt dt dt
3
c. Financial statement. dt
d. Discharge summary. dt
ANS: A dt
Together with the patients record and laboratory studies, the objective and subjective data form the data base. Th
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
e other items are not part of the patients record, laboratory studies, or data.
d t d t d t d t d t d t d t d t d t d t d t d t d t
DIF: Cognitive Level: Remembering (Knowledge)
dt dt dt dt
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
dt dt dt dt dt dt dt dt dt dt
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next ac
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
tion should be to:
dt dt dt
a. Immediately notify the patients physician. dt dt dt dt
b. Document the sound exactly as it was heard. dt dt dt dt dt dt dt
c. Validate the data by asking a coworker to listen to the breath sounds.
dt dt dt dt dt dt dt dt dt dt dt dt
d. Assess again in 20 minutes to note whether the sound is still present.
dt dt dt dt dt dt dt dt dt dt dt dt
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ANS: C dt
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure accur
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
acy. If the nurse has less experience in an area, then he or she asks an expert to listen.
d t dt d t d t d t dt d t dt dt dt d t dt dt d t dt d t d t dt
DIF: Cognitive Level: Analyzing (Analysis)
dt dt dt dt
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
dt dt dt dt dt dt dt dt dt dt
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should kee
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
p in mind that novice nurses, without a background of skills and experience from which to draw, are more like
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ly to make their decisions using:
dt dt dt dt dt
a. Intuition.
b. A set of rules.
dt dt dt
c. Articles in journals. dt dt
d. Advice from supervisors. dt dt
ANS: B dt
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links. DIF:
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
dt Cognitive Level: Understanding (Comprehension)
d t dt d t
NURSINGTB.COM
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 3rd EDITION JARVIS TEST BANK
dt dt dt dt dt dt dt dt dt
Test Bank - Physical Examination and Health Assessment 3rd (by Jarvis)
dt dt dt dt dt dt dt dt dt dt
4
MSC: Client Needs: Generaldt dt dt
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. These re
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
sponses are referred to as: dt dt dt dt
a. Intuition.
b. The nursing process.dt dt
c. Clinical knowledge. dt
d. Diagnostic reasoning. dt
ANS: A dt
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data and a
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ct without consciously labeling it. The other options are not correct.
d t d t d t d t d t d t d t d t d t d t
DIF: Cognitive Level: Understanding (Comprehension)
dt dt dt dt dt
MSC: Client Needs: General dt dt dt
7. The nurse is reviewing information about evidence-
dt dt dt dt dt dt
based practice (EBP). Which statement best reflects EBP?
dt dt dt dt dt dt dt
a. EBP relies on tradition for supportNoUfR
dt beSsItNpGrT
acBt.iC
ceOsM
dt. dt dt dt dt
b. EBP is simply the use of best practice techniques for the treatment of patients.
dt dt dt dt dt dt dt dt dt dt dt dt dt
c. EBP emphasizes the use of best evidence with the clinicians experience.
dt dt dt dt dt dt dt dt dt dt
d. The patients own preferences are not important with EBP.
dt dt dt dt dt dt dt dt dt
ANS: C dt
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the cli
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
nicians experience, as well as patient preferences and values, when making decisions about care and treatme
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
nt. EBP is more than simply using the best practice techniques to treat patients, and questioning tradition is
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt d t d
timportant when no compelling and supportive research evidence exists.
d t d t d t d t d t d t d t d t
DIF: Cognitive Level: Applying (Application)
dt dt dt dt
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
dt dt dt dt dt dt dt dt dt dt
8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example of
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
a first-level priority problem?
dt dt dt
a. Patient with postoperative pain dt dt dt
b. Newly diagnosed patient with diabetes who needs diabetic teaching
dt dt dt dt dt dt dt dt
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