Test Bank for Evidence-Based Physical Examination: Best
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c Practices for Health & Well-Being Assessment, 2nd Edition |
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c Verified Questions & Answers with Rationales | Complete
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c Chapters
Page 1 of 759
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, Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OF HEALTH AND WELL-
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BEING
MULTIPLE CHOICE c
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are
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eupneic and his pulse is 58 beats per minute. These types of data would be:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A c
Objective data are what the health professional observes by inspecting, percussing, palpating, and
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auscultating during the physical examination. Subjective data is what the person says about him or herself
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during history taking. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
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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 nervous, is nauseated, and feels hot. These types of data would
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be:
c
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C c
Subjective data are what the person says about him or herself during history taking. Objective data are
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what the health professional observes by inspecting, percussing, palpating, and auscultating during the
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physical examination. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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Page 2 of 759
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,3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
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a. Data base. c
b. Admitting data. c
c. Financial statement. c
d. Discharge summary. c
ANS: A c
Together with the patients record and laboratory studies, the objective and subjective data form the data
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base. The other items are not part of the patients record, laboratory studies, or data.
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DIF: Cognitive Level: Remembering (Knowledge) REF: z. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next
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action should be to:
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a. Immediately notify the patients physician. c c c c
b. Document the sound exactly as it was heard. c c c c c c c
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 c
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to
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ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
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DIF: Cognitive Level: Analyzing (Analysis) REF: z. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should
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keep in mind that novice nurses, without a background of skills and experience from which to draw, are
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more likely to make their decisions using:
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a. Intuition.
b. A set of rules.
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Page 3 of 759
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, c. Articles in journals. c c
d. Advice from supervisors. c c
ANS: B c
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
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c DIF: Cognitive Level: Understanding (Comprehension) REF: z. 3 MSC: Client Needs: General
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6. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it.
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These responses are referred to as:
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a. Intuition.
b. The nursing process.c c
c. Clinical knowledge. c
d. Diagnostic reasoning. c
ANS: A c
Intuition is characterized by pattern recognition expert nurses learn to attend to a pattern of assessment
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cdata and act without consciously labeling it. The other options are not correct.
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DIF: Cognitive Level: Understanding (Comprehension) REF: z. 4 MSC: Client Needs: General
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7. The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects
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EBP?
c
a. EBP relies on tradition for support of best practices.
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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.
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d. The patients own preferences are not important with EBP.
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c ANS: C c
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the
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clinicians experience, as well as patient preferences and values, when making decisions about care and
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treatment. EBP is more than simply using the best practice techniques to treat patients, and questioning
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tradition is important when no compelling and supportive research evidence exists.
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DIF: Cognitive Level: Applying (Application) REF: z. 5
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Page 4 of 759
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c c c c c c
c Practices for Health & Well-Being Assessment, 2nd Edition |
c c c c c c c c
c Verified Questions & Answers with Rationales | Complete
c c c c c c c
c Chapters
Page 1 of 759
c c c
, Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OF HEALTH AND WELL-
c c c c c c c c c
BEING
MULTIPLE CHOICE c
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are
c c c c c c c c c c c c c c c
eupneic and his pulse is 58 beats per minute. These types of data would be:
c c c c c c c c c c c c c c c
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A c
Objective data are what the health professional observes by inspecting, percussing, palpating, and
c c c c c c c c c c c c
auscultating during the physical examination. Subjective data is what the person says about him or herself
c c c c c c c c c c c c c c c c
during history taking. The terms reflective and introspective are not used to describe data.
c c c c c c c c c c c c c c
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
c c c c c c c
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
c c c c c c c c c c
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would
c c c c c c c c c c c c c c c c c c c
be:
c
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C c
Subjective data are what the person says about him or herself during history taking. Objective data are
c c c c c c c c c c c c c c c c
what the health professional observes by inspecting, percussing, palpating, and auscultating during the
c c c c c c c c c c c c c
physical examination. The terms reflective and introspective are not used to describe data.
c c c c c c c c c c c c c
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
c c c c c c c
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
c c c c c c c c c c
Page 2 of 759
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,3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
c c c c c c c c c c c c c
a. Data base. c
b. Admitting data. c
c. Financial statement. c
d. Discharge summary. c
ANS: A c
Together with the patients record and laboratory studies, the objective and subjective data form the data
c c c c c c c c c c c c c c c
base. The other items are not part of the patients record, laboratory studies, or data.
c c c c c c c c c c c c c c c
DIF: Cognitive Level: Remembering (Knowledge) REF: z. 2
c c c c c c c
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
c c c c c c c c c c
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next
c c c c c c c c c c c c c c c c c c c
action should be to:
c c c c
a. Immediately notify the patients physician. c c c c
b. Document the sound exactly as it was heard. c c c c c c c
c. Validate the data by asking a coworker to listen to the breath sounds.
c c c c c c c c c c c c
d. Assess again in 20 minutes to note whether the sound is still present.
c c c c c c c c c c c c
ANS: C c
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to
c c c c c c c c c c c c c c c c c c
ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
c c c c c c c c c c c c c c c c c c c c
DIF: Cognitive Level: Analyzing (Analysis) REF: z. 2
c c c c c c c
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
c c c c c c c c c c
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should
c c c c c c c c c c c c c c c c
keep in mind that novice nurses, without a background of skills and experience from which to draw, are
c c c c c c c c c c c c c c c c c c
more likely to make their decisions using:
c c c c c c c
a. Intuition.
b. A set of rules.
c c c
Page 3 of 759
c c c
, c. Articles in journals. c c
d. Advice from supervisors. c c
ANS: B c
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
c c c c c c c c c c c c c c c
c DIF: Cognitive Level: Understanding (Comprehension) REF: z. 3 MSC: Client Needs: General
c c c c c c c c c c c
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it.
c c c c c c c c c c c c c c c c
These responses are referred to as:
c c c c c c
a. Intuition.
b. The nursing process.c c
c. Clinical knowledge. c
d. Diagnostic reasoning. c
ANS: A c
Intuition is characterized by pattern recognition expert nurses learn to attend to a pattern of assessment
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cdata and act without consciously labeling it. The other options are not correct.
c c c c c c c c c c c c
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 4 MSC: Client Needs: General
c c c c c c c c c c c
7. The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects
c c c c c c c c c c c c
EBP?
c
a. EBP relies on tradition for support of best practices.
c c c c c c c c
b. EBP is simply the use of best practice techniques for the treatment of patients.
c c c c c c c c c c c c c
c. EBP emphasizes the use of best evidence with the clinicians experience.
c c c c c c c c c c
d. The patients own preferences are not important with EBP.
c c c c c c c c
c ANS: C c
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the
c c c c c c c c c c c c c c c c c
clinicians experience, as well as patient preferences and values, when making decisions about care and
c c c c c c c c c c c c c c c
treatment. EBP is more than simply using the best practice techniques to treat patients, and questioning
c c c c c c c c c c c c c c c c
tradition is important when no compelling and supportive research evidence exists.
c c c c c c c c c c c
DIF: Cognitive Level: Applying (Application) REF: z. 5
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Page 4 of 759
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