2
Chapter 01: Evidence-Based Assessment
PHYSICAL EXAMINATION AND HEALTH ASSESSMENT
MULTIPLE CHOICE
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and
TEST BANK FOR PHYSICAL his pulse is 58 beats per minute. These types of data would be:
EXAMINATION AND HEALTH a. Objective.
ASSESSMENT, 8TH EDITION, CAROLYN
b. Reflective.
JARVIS
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 nervN
ouUsR, SisIN
naGuTsB
ea.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.
NURSINGTB.COM
, 3 4
MSC: Client Needs: General
c. Financial statement.
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. These
responses are referred to as:
d. Discharge summary.
a. Intuition.
ANS: A
Together with the patients record and laboratory studies, the objective and subjective data form the data base. b. The nursing process.
The other items are not part of the patients record, laboratory studies, or data.
DIF: Cognitive Level: Remembering (Knowledge) c. Clinical knowledge.
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
d. Diagnostic reasoning.
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:
ANS: A
a. Immediately notify the patients physician. Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data and
act without consciously labeling it. The other options are not correct.
b. Document the sound exactly as it was heard. DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: General
c. Validate the data by asking a coworker to listen to the breath sounds.
7. The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects
EBP?
d. Assess again in 20 minutes to note whether the sound is still present.
NURSINGTB.COM a. EBP relies on tradition for supportNoUf RbSesIN
t pGrT
acBt.iC
ceOsM
.
ANS: C
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure b. EBP is simply the use of best practice techniques for the treatment of patients.
accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
DIF: Cognitive Level: Analyzing (Analysis) c. EBP emphasizes the use of best evidence with the clinicians experience.
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
d. The patients own preferences are not important with EBP.
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
ANS: C
to make their decisions using:
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the
a. Intuition. clinicians 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.
b. A set of rules.
DIF: Cognitive Level: Applying (Application)
c. Articles in journals. 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
d. Advice from supervisors. of a first-level priority problem?
ANS: B a. Patient with postoperative pain
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
b. Newly diagnosed patient with diabetes who needs diabetic teaching
DIF: Cognitive Level: Understanding (Comprehension)
NURSINGTB.COM NURSINGTB.COM
Chapter 01: Evidence-Based Assessment
PHYSICAL EXAMINATION AND HEALTH ASSESSMENT
MULTIPLE CHOICE
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and
TEST BANK FOR PHYSICAL his pulse is 58 beats per minute. These types of data would be:
EXAMINATION AND HEALTH a. Objective.
ASSESSMENT, 8TH EDITION, CAROLYN
b. Reflective.
JARVIS
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 nervN
ouUsR, SisIN
naGuTsB
ea.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.
NURSINGTB.COM
, 3 4
MSC: Client Needs: General
c. Financial statement.
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. These
responses are referred to as:
d. Discharge summary.
a. Intuition.
ANS: A
Together with the patients record and laboratory studies, the objective and subjective data form the data base. b. The nursing process.
The other items are not part of the patients record, laboratory studies, or data.
DIF: Cognitive Level: Remembering (Knowledge) c. Clinical knowledge.
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
d. Diagnostic reasoning.
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:
ANS: A
a. Immediately notify the patients physician. Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data and
act without consciously labeling it. The other options are not correct.
b. Document the sound exactly as it was heard. DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: General
c. Validate the data by asking a coworker to listen to the breath sounds.
7. The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects
EBP?
d. Assess again in 20 minutes to note whether the sound is still present.
NURSINGTB.COM a. EBP relies on tradition for supportNoUf RbSesIN
t pGrT
acBt.iC
ceOsM
.
ANS: C
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure b. EBP is simply the use of best practice techniques for the treatment of patients.
accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
DIF: Cognitive Level: Analyzing (Analysis) c. EBP emphasizes the use of best evidence with the clinicians experience.
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
d. The patients own preferences are not important with EBP.
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
ANS: C
to make their decisions using:
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the
a. Intuition. clinicians 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.
b. A set of rules.
DIF: Cognitive Level: Applying (Application)
c. Articles in journals. 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
d. Advice from supervisors. of a first-level priority problem?
ANS: B a. Patient with postoperative pain
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
b. Newly diagnosed patient with diabetes who needs diabetic teaching
DIF: Cognitive Level: Understanding (Comprehension)
NURSINGTB.COM NURSINGTB.COM
