Jarvis: Physical Examination & Health Assessment Test Bank 2026 Questions And Answers 2026

Jarvis: Physical Examination & Health Assessment Test Bank 2021 Questions And Answers Chapter 01: Evidence-Based Assessment Chapter 01: Evidence-Based Assessment Jarvis: Physical Examination & Health 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) REF: p. 2 MSC: Client Needs: Safe and Effective Care Environment: Management of Care 2.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. 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) REF: p. 2 MSC: Client Needs: Safe and Effective Care Environment: Management of Care 3.The patient’s record, laboratory studies, objective data, and subjective data combine to form the: a.Data base. b.Admitting data. c.Financial statement. d.Discharge summary. ANS: A Together with the patient’s record and laboratory studies, the objective and subjective data form the data base. The other items are not part of the patient’s record, laboratory studies, or data. DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2 MSC: Client Needs: Safe and Effective Care Environment: Management of Care 4.When listening to a patient’s breath sounds, the nurse is unsure of a sound that is heard. The nurse’s next action should be to: a.Immediately notify the patient’s 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 patient’s 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) REF: p. 2 MSC: Client Needs: Safe and Effective Care Environment: Management of Care ANS: B Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links. DIF: Cognitive Level: Understanding (Comprehension) REF: p. 3 MSC: Client Needs: General 6.Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. These responses are referred to as: a.Intuition. b.The nursing process. c.Clinical knowledge. d.Diagnostic reasoning. ANS: A Intuition is characterized by pattern recognition—expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. The other options are not correct. DIF: Cognitive Level: Understanding (Comprehension) REF: p. 4 MSC: Client Needs: General 7.The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects EBP? a.EBP relies on tradition for support of best practices. b.EBP is simply the use of best practice techniques for the treatment of patients. evidence exists. DIF: Cognitive Level: Applying (Application) REF: p. 5 MSC: Client Needs: Safe and Effective Care Environment: Management of Care 8.The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example of a first-level priority problem? a.Patient with postoperative pain b.Newly diagnosed patient with diabetes who needs diabetic teaching c.Individual with a small laceration on the sole of the foot d.Individual with shortness of breath and respiratory distress ANS: D First-level priority problems are those that are emergent, life threatening, and immediate (e.g., establishing an airway, supporting breathing, maintaining circulation, monitoring abnormal vital signs) (see Table 1-1). DIF: Cognitive Level: Understanding (Comprehension) REF: p. 4 MSC: Client Needs: Safe and Effective Care Environment: Management of Care 9.When considering priority setting of problems, the nurse keeps in mind that second-level priority problems include which of these aspects? a.Low self-esteem b.Lack of knowledge c.Abnormal laboratory values d.Severely abnormal vital signs ANS: C Second-level priority problems are those that require prompt intervention to forestall further deterioration (e.g., mental status change, acute pain, abnormal laboratory values, risks to safety or security) (see Table 1-1). DIF: Cognitive Level: Understanding (Comprehension) REF: p. 4 MSC: Client Needs: Safe and Effective Care Environment: Management of Care 10.Which critical thinking skill helps the nurse see relationships among the data? a.Validation b.Clustering related cues c.Identifying gaps in data d.Distinguishing relevant from irrelevant ANS: B Clustering related cues helps the nurse see relationships among the data. DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2 MSC: Client Needs: Safe and Effective Care Environment: Management of Care 11.The nurse knows that developing appropriate nursing interventions for a patient relies on the appropriateness of the diagnosis. a.Nursing b.Medical c.Admission d.Collaborative ANS: A An accurate nursing diagnosis provides the basis for the selection of nursing interventions to achieve outcomes for which the nurse is accountable. The other items do not contribute to the development of appropriate nursing interventions. DIF: Cognitive Level: Understanding (Comprehension) REF: p. 6 MSC: Client Needs: Safe and Effective Care Environment: Management of Care 12.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 ANS: D The nursing process is a method of problem solving that includes assessment, diagnosis, outcome identification, planning, implementation, and evaluation. DIF: Cognitive Level: Understanding (Comprehension) REF: p. 3 MSC: Client Needs: Safe and Effective Care Environment: Management of Care