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For Physical Examination and Health Assessment Fifth 5th Edition
by Carolyn Jarvis
Latest Update Graded A+
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5TH EDITION
Complete Test Bank, All Chapter Are Included
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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 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
,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
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.
c. Ebp Emphasizes The Use Of Best Evidence With The Clinician’s Experience.
d. The Patient’s Own Preferences Are Not Important With
Ebp. Ans: C
Ebp Is A Systematic Approach To Practice That Emphasizes The Use Of Best Evidence In Combination With The Clinician’s
Experience, As Well As Patient Preferences And Values, When Making Decisions About Care And Treatment. Ebp Is More Than
Simply Using The Best Practice Techniques To Treat Patients, And Questioning Tradition Is Important When No Compelling And
Supportive Research 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
13. A Newly Admitted Patient Is In Acute Pain, Has Not Been Sleeping Well Lately, And Is Having Difficulty Breathing. How
Should The Nurse Prioritize These Problems?
a. Breathing, Pain, And Sleep
b. Breathing, Sleep, And Pain
c. Sleep, Breathing, And Pain
d. Sleep, Pain, And
Breathing Ans: A
For Physical Examination and Health Assessment Fifth 5th Edition
by Carolyn Jarvis
Latest Update Graded A+
PRINTEND PDF|ORIGINAL DIRECT FROM PUBLISHER|100% VERIFIED
ANSWERS|DOWLOAD IMMEDIATELY AFTER THE ORDER
5TH EDITION
Complete Test Bank, All Chapter Are Included
For More Documents Search (Testbankproferssor.Stuvia)
,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 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
,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
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.
c. Ebp Emphasizes The Use Of Best Evidence With The Clinician’s Experience.
d. The Patient’s Own Preferences Are Not Important With
Ebp. Ans: C
Ebp Is A Systematic Approach To Practice That Emphasizes The Use Of Best Evidence In Combination With The Clinician’s
Experience, As Well As Patient Preferences And Values, When Making Decisions About Care And Treatment. Ebp Is More Than
Simply Using The Best Practice Techniques To Treat Patients, And Questioning Tradition Is Important When No Compelling And
Supportive Research 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
13. A Newly Admitted Patient Is In Acute Pain, Has Not Been Sleeping Well Lately, And Is Having Difficulty Breathing. How
Should The Nurse Prioritize These Problems?
a. Breathing, Pain, And Sleep
b. Breathing, Sleep, And Pain
c. Sleep, Breathing, And Pain
d. Sleep, Pain, And
Breathing Ans: A
