11/26/23, 6:53 AM Test Bank Chapter 01- Evidence-Based Assessment
Chapter 01: Evidence-Based Assessment
Jarvis: Physical Examination & Health Assessment, 7th
Edition
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 patients record, laboratory studies, objective data, and
subjective data combine to form the:
a. Data base.
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, 11/26/23, 6:53 AM Test Bank Chapter 01- Evidence-Based Assessment
b. Admitting data.
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) REF: p. 2
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.
Validate the data by asking a coworker to listen to the breath
c. sounds.
Assess again in 20 minutes to note whether the sound is still
d. 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) REF: p. 2
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. A set of rules.
c. Articles in journals.
d. Advice from supervisors.
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
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Chapter 01: Evidence-Based Assessment
Jarvis: Physical Examination & Health Assessment, 7th
Edition
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 patients record, laboratory studies, objective data, and
subjective data combine to form the:
a. Data base.
about:blank 1/14
, 11/26/23, 6:53 AM Test Bank Chapter 01- Evidence-Based Assessment
b. Admitting data.
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) REF: p. 2
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.
Validate the data by asking a coworker to listen to the breath
c. sounds.
Assess again in 20 minutes to note whether the sound is still
d. 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) REF: p. 2
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. A set of rules.
c. Articles in journals.
d. Advice from supervisors.
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
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