HEALTH ASSESSMENT FINAL TEST
BANK QUESTIONS AND EXPERT
VERIFIED ANSWERS WITH
RATIONALES GRADED A+
After completing an initial assessment of a patient, the nurse has charted
that his respirations are eupneic and his pulse is 58 beats per minute.
These types of data would be:
a. Objective
b. Reflective
c. Subjective
d. Introspective - ANSWER- a. Objective
Rationale: Objective data are what the health professional observes
by inspecting, percussing, palpating, and auscultating during the
physical examination. Subjective data is what the person says about
him or herself during history taking. The terms reflective and
introspective are not used to describe data.
A patient tells the nurse that he is very nervous, is nauseated, and feels
hot. These types of data would be:
,a. Objective
b. Reflective
c. Subjective
d. Introspective - ANSWER- c. Subjective
Rationale: Subjective data are what the person says about him or
herself during history taking. Objective data are what the health
professional observes by inspecting, percussing, palpating, and
auscultating during the physical examination. The terms reflective
and introspective are not used to describe data.
When listening to a patients breath sounds, the nurse is unsure of a
sound that is heard. The nurses next action should be to:
a. Immediately notify the patients physician
b. Document the sound exactly as it was heard
c. Validate the data by asking a coworker to listen to the breath sounds
d. Assess again in 20 minutes to note whether the sound is still present -
ANSWER- c. Validate the data by asking a coworker to listen to the
breath sounds
Rationale: When unsure of a sound heard while listening to a
patients breath sounds, the nurse validates the data to ensure
accuracy. If the nurse has less experience in an area, then he or she
asks an expert to listen.
,The patients record, laboratory studies, objective data, and subjective
data combine to form the:
a. Data base
b. Admitting data
c. Financial statement
d. Discharge summary - ANSWER- a. Data base
Rationale: Together with the patients record and laboratory studies,
the objective and subjective data form the data base. The other
items are not part of the patients record, laboratory studies, or data.
The nursing process is a sequential method of problem solving that
nurses use and includes which steps?
a. Assessment, treatment, planning, evaluation, discharge, and follow-up
b. Admission, assessment, diagnosis, treatment, and discharge planning
c. Admission, diagnosis, treatment, evaluation, and discharge planning
, d. Assessment, diagnosis, outcome identification, planning,
implementation, and evaluation - ANSWER- d. Assessment, diagnosis,
outcome identification, planning, implementation, and evaluation
Rationale: The nursing process is a method of problem solving that
includes assessment, diagnosis, outcome identification, planning,
implementation, and evaluation.
Barriers to incorporating EBP include:
a. Nurses lack of research skills in evaluating the quality of research
studies
b. Lack of significant research studies
c. Insufficient clinical skills of nurses
d. Inadequate physical assessment skills - ANSWER- a. Nurses lack of
research skills in evaluating the quality of research studies
Rationale: As individuals, nurses lack research skills in evaluating
the quality of research studies, are isolated from other colleagues
who are knowledgeable in research, and often lack the time to visit
the library to read research. The other responses are not considered
barriers.
BANK QUESTIONS AND EXPERT
VERIFIED ANSWERS WITH
RATIONALES GRADED A+
After completing an initial assessment of a patient, the nurse has charted
that his respirations are eupneic and his pulse is 58 beats per minute.
These types of data would be:
a. Objective
b. Reflective
c. Subjective
d. Introspective - ANSWER- a. Objective
Rationale: Objective data are what the health professional observes
by inspecting, percussing, palpating, and auscultating during the
physical examination. Subjective data is what the person says about
him or herself during history taking. The terms reflective and
introspective are not used to describe data.
A patient tells the nurse that he is very nervous, is nauseated, and feels
hot. These types of data would be:
,a. Objective
b. Reflective
c. Subjective
d. Introspective - ANSWER- c. Subjective
Rationale: Subjective data are what the person says about him or
herself during history taking. Objective data are what the health
professional observes by inspecting, percussing, palpating, and
auscultating during the physical examination. The terms reflective
and introspective are not used to describe data.
When listening to a patients breath sounds, the nurse is unsure of a
sound that is heard. The nurses next action should be to:
a. Immediately notify the patients physician
b. Document the sound exactly as it was heard
c. Validate the data by asking a coworker to listen to the breath sounds
d. Assess again in 20 minutes to note whether the sound is still present -
ANSWER- c. Validate the data by asking a coworker to listen to the
breath sounds
Rationale: When unsure of a sound heard while listening to a
patients breath sounds, the nurse validates the data to ensure
accuracy. If the nurse has less experience in an area, then he or she
asks an expert to listen.
,The patients record, laboratory studies, objective data, and subjective
data combine to form the:
a. Data base
b. Admitting data
c. Financial statement
d. Discharge summary - ANSWER- a. Data base
Rationale: Together with the patients record and laboratory studies,
the objective and subjective data form the data base. The other
items are not part of the patients record, laboratory studies, or data.
The nursing process is a sequential method of problem solving that
nurses use and includes which steps?
a. Assessment, treatment, planning, evaluation, discharge, and follow-up
b. Admission, assessment, diagnosis, treatment, and discharge planning
c. Admission, diagnosis, treatment, evaluation, and discharge planning
, d. Assessment, diagnosis, outcome identification, planning,
implementation, and evaluation - ANSWER- d. Assessment, diagnosis,
outcome identification, planning, implementation, and evaluation
Rationale: The nursing process is a method of problem solving that
includes assessment, diagnosis, outcome identification, planning,
implementation, and evaluation.
Barriers to incorporating EBP include:
a. Nurses lack of research skills in evaluating the quality of research
studies
b. Lack of significant research studies
c. Insufficient clinical skills of nurses
d. Inadequate physical assessment skills - ANSWER- a. Nurses lack of
research skills in evaluating the quality of research studies
Rationale: As individuals, nurses lack research skills in evaluating
the quality of research studies, are isolated from other colleagues
who are knowledgeable in research, and often lack the time to visit
the library to read research. The other responses are not considered
barriers.
