Test Bank for Physical Examination and Health Assessment
9th Edition by Carolyn Jarvis, Ann
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis) 2
Chapter 01: Evidence-Based Assessment
MULTIPLE CHOICE
1. 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.
ANS: A
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.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A patient tells the nurse that he is very nervous, is nausea.CteOdM
, and feels hot. These types of data would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C
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.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
a. Data base.
b. Admitting data.
, PHYSICALffEXAMINATIONffANDffHEALTHffASSESSMENTff9THffEDITIONffJARVISffTESTffB
ANK
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TestffBankff-ffPhysicalffExaminationffandffHealthffAssessmentff9eff(byffJarvis)
c. Financial statement.
d. Discharge summary.
ANS: A
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.
DIF: Cognitive Level: Remembering (Knowledge)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. 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.
ANS: C
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.
DIF: Cognitive Level: Analyzing (Analysis)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should keep
in mind that novice nurses, without a background of skills and experience from which to draw, are more likely
to make their decisions using:
a. Intuition.
b. Aff setffofffrules.
c. Articlesffinffjournals.
d. Adviceff fromffsupervisors.
ANS:ffB
Noviceffnursesffoperatefffromffaff setffofffdefined,ff structuredff rules.ffTheff expertff practitionerff usesff intuitiv
eff links.fDIF:ffCognitiveff Level:ffUnderstandingff (Comprehension)
, PHYSICALffEXAMINATIONffANDffHEALTHffASSESSMENTff9THffEDITIONffJARVISffTESTffB
ANK
4
TestffBankff-ffPhysicalffExaminationffandffHealthffAssessmentff9eff(byffJarvis)
MSC:ff Clientff Needs:ff General
6. Theffnurseff isff reviewingff informationff aboutffevidence-
basedffpracticeff (EBP).ff Whichff statementff bestffreflectsfEBP?
a. EBPffreliesffonfftraditionff forffsupportNoUfffRbeSsIN
tff pGrT
acBt.iC
ceOsM
.
b. EBPff isff simplyff theff useffofffbestffpracticefftechniquesff forff thefftreatmentffofffpatients.
c. EBPffemphasizesff theffuseffofffbestff evidenceffwithff theff cliniciansffexperience.
d. Theffpatientsff ownff preferencesffareff notffimportantff withf
f EBP.fANS:ffC
EBPffisffaffsystematicffapproachfftoffpracticeffthatffemphasizesfftheffuseffofffbestffevidenceffinffcombinationf
fwithfftheffcliniciansffexperience,ffasffwellffasffpatientffpreferencesffandffvalues,ffwhenffmakingffdecisionsffa
boutffcareffandfftreatment.ffEBPffisffmoreffthanffsimplyffusingfftheffbestffpracticefftechniquesfftofftreatffpatie
nts,ffandffquestioningfftraditionff isffimportantffwhenff noff compellingff andff supportiveff researchff evidenceff
exists.
DIF:ffCognitiveff Level:ffApplyingff (Application)
MSC:ffClientffNeeds:ffSafeffandffEffectiveffCareffEnvironment:ff Managementff offfCare
7. Expertffnursesfflearnfftoff attendfftoff aff patternff offfassessmentff dataff andffactffwithoutffconsciouslyfflabelin
gff it.ff Thesefresponsesffareffreferredff toff as:
a. Intuition.
b. Theff nursingff process.
c. Clinicalffknowledge.
d. Diagnosticffreasoning.
ANS:ffA
Intuitionffisffcharacterizedffbyff patternffrecognitionexpertff nursesfflearnff toffattendff toffaff patternff offfassessment
ff dataff andfactffwithoutff consciouslyfflabelingff it.ffTheff otherff optionsff areffnotff correct.
DIF:ff Cognitivef f Level:ff Understandingff (Comprehensi
on)fMSC:ffClientffNeeds:ffGeneral
8. Theffnurseffisffconductingffaff classffonff priorityffsettingff forffaff groupff offfnewffgraduateff nurses.ff Whichff is
ffanff examplefofffaff first-levelff priorityffproblem?
a. Patientffwithff postoperativeff pain
b. Newlyffdiagnosedff patientffwithff diabetesffwhoff needsffdiabeticff teaching
9th Edition by Carolyn Jarvis, Ann
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis) 2
Chapter 01: Evidence-Based Assessment
MULTIPLE CHOICE
1. 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.
ANS: A
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.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A patient tells the nurse that he is very nervous, is nausea.CteOdM
, and feels hot. These types of data would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C
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.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
a. Data base.
b. Admitting data.
, PHYSICALffEXAMINATIONffANDffHEALTHffASSESSMENTff9THffEDITIONffJARVISffTESTffB
ANK
3
TestffBankff-ffPhysicalffExaminationffandffHealthffAssessmentff9eff(byffJarvis)
c. Financial statement.
d. Discharge summary.
ANS: A
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.
DIF: Cognitive Level: Remembering (Knowledge)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. 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.
ANS: C
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.
DIF: Cognitive Level: Analyzing (Analysis)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should keep
in mind that novice nurses, without a background of skills and experience from which to draw, are more likely
to make their decisions using:
a. Intuition.
b. Aff setffofffrules.
c. Articlesffinffjournals.
d. Adviceff fromffsupervisors.
ANS:ffB
Noviceffnursesffoperatefffromffaff setffofffdefined,ff structuredff rules.ffTheff expertff practitionerff usesff intuitiv
eff links.fDIF:ffCognitiveff Level:ffUnderstandingff (Comprehension)
, PHYSICALffEXAMINATIONffANDffHEALTHffASSESSMENTff9THffEDITIONffJARVISffTESTffB
ANK
4
TestffBankff-ffPhysicalffExaminationffandffHealthffAssessmentff9eff(byffJarvis)
MSC:ff Clientff Needs:ff General
6. Theffnurseff isff reviewingff informationff aboutffevidence-
basedffpracticeff (EBP).ff Whichff statementff bestffreflectsfEBP?
a. EBPffreliesffonfftraditionff forffsupportNoUfffRbeSsIN
tff pGrT
acBt.iC
ceOsM
.
b. EBPff isff simplyff theff useffofffbestffpracticefftechniquesff forff thefftreatmentffofffpatients.
c. EBPffemphasizesff theffuseffofffbestff evidenceffwithff theff cliniciansffexperience.
d. Theffpatientsff ownff preferencesffareff notffimportantff withf
f EBP.fANS:ffC
EBPffisffaffsystematicffapproachfftoffpracticeffthatffemphasizesfftheffuseffofffbestffevidenceffinffcombinationf
fwithfftheffcliniciansffexperience,ffasffwellffasffpatientffpreferencesffandffvalues,ffwhenffmakingffdecisionsffa
boutffcareffandfftreatment.ffEBPffisffmoreffthanffsimplyffusingfftheffbestffpracticefftechniquesfftofftreatffpatie
nts,ffandffquestioningfftraditionff isffimportantffwhenff noff compellingff andff supportiveff researchff evidenceff
exists.
DIF:ffCognitiveff Level:ffApplyingff (Application)
MSC:ffClientffNeeds:ffSafeffandffEffectiveffCareffEnvironment:ff Managementff offfCare
7. Expertffnursesfflearnfftoff attendfftoff aff patternff offfassessmentff dataff andffactffwithoutffconsciouslyfflabelin
gff it.ff Thesefresponsesffareffreferredff toff as:
a. Intuition.
b. Theff nursingff process.
c. Clinicalffknowledge.
d. Diagnosticffreasoning.
ANS:ffA
Intuitionffisffcharacterizedffbyff patternffrecognitionexpertff nursesfflearnff toffattendff toffaff patternff offfassessment
ff dataff andfactffwithoutff consciouslyfflabelingff it.ffTheff otherff optionsff areffnotff correct.
DIF:ff Cognitivef f Level:ff Understandingff (Comprehensi
on)fMSC:ffClientffNeeds:ffGeneral
8. Theffnurseffisffconductingffaff classffonff priorityffsettingff forffaff groupff offfnewffgraduateff nurses.ff Whichff is
ffanff examplefofffaff first-levelff priorityffproblem?
a. Patientffwithff postoperativeff pain
b. Newlyffdiagnosedff patientffwithff diabetesffwhoff needsffdiabeticff teaching
