Physical Examination and Health Assessment
8th Edition by Carolyn Jarvis,
All Chapters 1 - 32
Physical Examination and Health Assessment
,TABLE OF CONTENTS
Physical Examination and Health Assessment
,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.
ANSWER: 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 n a u s e a. Ct eOd M
, and feels hot. These types of data would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANSWER: 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:
Physical Examination and Health Assessment
, a. Data base.
b. Admitting data.
c. Financial statement.
d. Discharge summary.
ANSWER: 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 ilistening ito ia ipatients ibreath isounds, ithe inurse iis iunsure iof ia isound ithat iis iheard. iThe
inurses inext iaction ishould ibe ito:
a. Immediately inotify ithe ipatients i physician.
b. Document ithe isound iexactly ias iit iwas i heard.
c. Validate ithe idata i by iasking ia i coworker ito ilisten ito ithe ibreath isounds.
d. Assess iagain iin i20 iminutes i to inote iwhether i the isound iis istill ipresent.
ANSWER: iC
When iunsure iof ia isound iheard iwhile ilistening ito ia ipatients ibreath isounds, ithe inurse ivalidates ithe idata ito
iensure iaccuracy. iIf ithe inurse ihas iless iexperience iin ian iarea, ithen ihe ior ishe iasks ian iexpert ito ilisten.
DIF: iCognitive i Level: iAnalyzing i(Analysis)
MSC: iClient iNeeds: iSafe iand iEffective iCare iEnvironment: i Management i of iCare
5. The inurse iis iconducting ia iclass ifor inew igraduate i nurses. iDuring i the iteaching isession, ithe inurse ishould
i keep i in i mind ithat i novice i nurses, i without i a ibackground i of iskills i and iexperience i from i which i to idraw,
i are i more i likely ito imake itheir idecisions iusing:
a. Intuition.
b. A iset iof irules.
c. Articles iin ijournals.
d. Advice ifrom isupervisors.
Physical Examination and Health Assessment