Test Bank for Physical Examination and Health Assessment
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9th Edition by Carolyn Jarvis, Ann
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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST B
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ANK
2
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
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Chapter 01: Evidence-Based Assessment
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MULTIPLE CHOICE mo
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are e
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upneic and his pulse is 58 beats per minute. These types of data would be:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A mo
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscult
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ating during the physical examination. Subjective data is what the person says about him or herself duri
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ng history taking. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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2. A patient tells the nurse that he is very nervous, is nausea.CteOdM
mo mo mo mo, and feels hot. These types of data would be:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C mo
Subjective data are what the person says about him or herself during history taking. Objective data ar
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e what the health professional observes by inspecting, percussing, palpating, and auscultating during the
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o mo mo mo mo mo mo mo mo mo mo mo
physical examination. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
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a. Data base. mo
b. Admitting data. mo
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST B
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ANK
3
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
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c. Financial statement. mo
d. Discharge summary. mo
ANS: A mo
Together with the patients record and laboratory studies, the objective and subjective data form the da
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ta base. The other items are not part of the patients record, laboratory studies, or data.
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DIF: Cognitive Level: Remembering (Knowledge)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The
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nurses next action should be to:
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o mo mo mo
a. Immediately notify the patients physician. mo mo mo mo
b. Document the sound exactly as it was heard.
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c. Validate the data by asking a coworker to listen to the breath sounds.
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d. Assess again in 20 minutes to note whether the sound is still present.
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ANS: C mo
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to
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ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
m
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DIF: Cognitive Level: Analyzing (Analysis)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse sho
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uld keep in mind that novice nurses, without a background of skills and experience from which to
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odraw, are more likely to make their decisions using:
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o mo mo mo mo
a. Intuition.
b. A set of rules.
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c. Articles in journals. mo mo
d. Advice from supervisors. mo mo
ANS: B mo
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive
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mo links. DIF: Cognitive Level: Understanding (Comprehension)
m
o mo mo mo mo
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST B
mo mo mo mo mo mo mo mo mo
ANK
4
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
mo mo mo mo mo mo mo mo mo mo
MSC: Client Needs: General
mo mo mo
6. The nurse is reviewing information about evidence-
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based practice (EBP). Which statement best reflects EBP?
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o
a. EBP relies on tradition for supportNoUf RbeSsIN
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mo a cBt.iC
c eOsM
. mo mo mo mo
b. EBP is simply the use of best practice techniques for the treatment of patients.
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c. EBP emphasizes the use of best evidence with the clinicians experience.
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d. The patients own preferences are not important with
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o EBP. ANS: C m
o mo
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination
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with the clinicians experience, as well as patient preferences and values, when making decisions ab
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out care and treatment. EBP is more than simply using the best practice techniques to treat patient
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s, and questioning tradition is important when no compelling and supportive research evidence exi
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sts.
DIF: Cognitive Level: Applying (Application)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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7. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling
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it. These responses are referred to as:
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a. Intuition.
b. The nursing process.
mo mo
c. Clinical knowledge. mo
d. Diagnostic reasoning. mo
ANS: A mo
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment
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data and act without consciously labeling it. The other options are not correct.
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o mo mo mo mo mo mo mo mo mo mo
DIF: Cognitive Level: Understanding (Comprehensi
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on) MSC: Client Needs: General
m
o mo mo mo
8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is
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an example of a first-level priority problem?
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a. Patient with postoperative pain
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b. Newly diagnosed patient with diabetes who needs diabetic teaching
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mo mo mo mo mo mo mo om
9th Edition by Carolyn Jarvis, Ann
mo mo mo mo mo
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST B
mo mo mo mo mo mo mo mo mo
ANK
2
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
mo mo mo mo mo mo mo mo mo mo
Chapter 01: Evidence-Based Assessment
mo mo mo
MULTIPLE CHOICE mo
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are e
mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo
upneic and his pulse is 58 beats per minute. These types of data would be:
mo m
o mo mo mo mo mo mo mo mo mo mo mo mo
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A mo
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscult
mo mo mo mo mo mo mo mo mo mo mo mo mo
ating during the physical examination. Subjective data is what the person says about him or herself duri
mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo
ng history taking. The terms reflective and introspective are not used to describe data.
mo mo mo mo mo mo mo mo mo mo mo mo mo
DIF: Cognitive Level: Understanding (Comprehension)
mo mo mo mo
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
mo mo mo mo mo mo mo mo mo mo
2. A patient tells the nurse that he is very nervous, is nausea.CteOdM
mo mo mo mo, and feels hot. These types of data would be:
mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C mo
Subjective data are what the person says about him or herself during history taking. Objective data ar
mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo
e what the health professional observes by inspecting, percussing, palpating, and auscultating during the
mo mo m
o mo mo mo mo mo mo mo mo mo mo mo
physical examination. The terms reflective and introspective are not used to describe data.
mo mo mo mo mo mo mo mo mo mo mo mo
DIF: Cognitive Level: Understanding (Comprehension)
mo mo mo mo
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
mo mo mo mo mo mo mo mo mo mo
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
mo mo mo mo mo mo mo mo mo mo mo mo mo
a. Data base. mo
b. Admitting data. mo
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST B
mo mo mo mo mo mo mo mo mo
ANK
3
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
mo mo mo mo mo mo mo mo mo mo
c. Financial statement. mo
d. Discharge summary. mo
ANS: A mo
Together with the patients record and laboratory studies, the objective and subjective data form the da
mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo
ta base. The other items are not part of the patients record, laboratory studies, or data.
mo m
o mo mo mo mo mo mo mo mo mo mo mo mo mo
DIF: Cognitive Level: Remembering (Knowledge)
mo mo mo mo
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
mo mo mo mo mo mo mo mo mo mo
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The
mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo m
nurses next action should be to:
o mo m
o mo mo mo
a. Immediately notify the patients physician. mo mo mo mo
b. Document the sound exactly as it was heard.
mo mo mo mo mo mo mo
c. Validate the data by asking a coworker to listen to the breath sounds.
mo mo mo mo mo mo mo mo mo mo mo mo
d. Assess again in 20 minutes to note whether the sound is still present.
mo mo mo mo mo mo mo mo mo mo mo mo
ANS: C mo
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to
mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo
ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
m
o mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo
DIF: Cognitive Level: Analyzing (Analysis)
mo mo mo mo
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
mo mo mo mo mo mo mo mo mo mo
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse sho
mo mo mo mo mo mo mo mo m o mo m o mo mo mo mo mo
uld keep in mind that novice nurses, without a background of skills and experience from which to
m o mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo m
odraw, are more likely to make their decisions using:
mo mo mo m
o mo mo mo mo
a. Intuition.
b. A set of rules.
mo mo mo
c. Articles in journals. mo mo
d. Advice from supervisors. mo mo
ANS: B mo
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive
mo mo mo mo mo mo mo mo mo mo mo mo mo mo
mo links. DIF: Cognitive Level: Understanding (Comprehension)
m
o mo mo mo mo
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST B
mo mo mo mo mo mo mo mo mo
ANK
4
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
mo mo mo mo mo mo mo mo mo mo
MSC: Client Needs: General
mo mo mo
6. The nurse is reviewing information about evidence-
mo mo mo mo mo mo
based practice (EBP). Which statement best reflects EBP?
mo mo mo mo mo mo m
o
a. EBP relies on tradition for supportNoUf RbeSsIN
mo mo t pGrT
mo a cBt.iC
c eOsM
. mo mo mo mo
b. EBP is simply the use of best practice techniques for the treatment of patients.
mo mo mo mo mo mo mo mo mo mo mo mo mo
c. EBP emphasizes the use of best evidence with the clinicians experience.
mo mo mo mo mo mo mo mo mo mo
d. The patients own preferences are not important with
mo mo mo mo mo mo mo m
o EBP. ANS: C m
o mo
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination
mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo
with the clinicians experience, as well as patient preferences and values, when making decisions ab
mo mo mo mo mo mo mo mo mo mo mo mo mo mo
out care and treatment. EBP is more than simply using the best practice techniques to treat patient
mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo
s, and questioning tradition is important when no compelling and supportive research evidence exi
mo mo mo mo mo mo mo mo mo mo mo mo mo
sts.
DIF: Cognitive Level: Applying (Application)
mo mo mo mo
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
mo mo mo mo mo mo mo mo mo mo
7. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling
mo mo mo mo mo mo mo mo mo mo mo mo mo mo mo
it. These responses are referred to as:
mo mo m
o mo mo mo mo
a. Intuition.
b. The nursing process.
mo mo
c. Clinical knowledge. mo
d. Diagnostic reasoning. mo
ANS: A mo
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment
mo mo mo mo mo mo mo mo mo mo mo mo mo mo
data and act without consciously labeling it. The other options are not correct.
mo mo m
o mo mo mo mo mo mo mo mo mo mo
DIF: Cognitive Level: Understanding (Comprehensi
mo mo mo mo
on) MSC: Client Needs: General
m
o mo mo mo
8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is
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an example of a first-level priority problem?
mo m
o mo mo mo mo
a. Patient with postoperative pain
mo mo mo
b. Newly diagnosed patient with diabetes who needs diabetic teaching
mo mo mo mo mo mo mo mo
