EVIDENCE-BASED PHYSICAL EXAMINATION BEST PRACTICES FOR
HEALTH & WELL-BEING ASSESSMENT 1ST EDITION TEST BANK
TEST BANK FOR
EVIDENCE-BASED
PHYSICAL
EXAMINATION
BEST PRACTICES
FOR HEALTH &
WELL-BEING
ASSESSMENT 1ST
EDITION
,EVIDENCE-BASED PHYSICAL EXAMINATION BEST PRACTICES FOR
HEALTH & WELL-BEING ASSESSMENT 1ST EDITION TEST BANK
Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OF HEALTH AND
WELL- BEING
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) REF: z. 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.
.
ANSWER: C
Subjective data are what the person says about him or herself during history taking.
Objective
,EVIDENCE-BASED PHYSICAL EXAMINATION BEST PRACTICES FOR
HEALTH & WELL-BEING ASSESSMENT 1ST EDITION TEST BANK
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: z. 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.
.
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) REF: z. 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.
.
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.
.
ANSWER: 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.
, EVIDENCE-BASED PHYSICAL EXAMINATION BEST PRACTICES FOR
HEALTH & WELL-BEING ASSESSMENT 1ST EDITION TEST BANK
DIF: Cognitive Level: Analyzing (Analysis) REF: z. 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.
.
ANSWER: B
Novice nurses operate from a set of defined, structured rules. The expert
practitioner uses intuitive links.
DIF: Cognitive Level: Understanding (Comprehension)
REF: z. 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.
.
ANSWER: A
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.
DIF: Cognitive Level: Understanding (Comprehension)
REF: z. 4 MSC: Client Needs: General
7. The nurse is reviewing information about evidence-based practice (EBP).
HEALTH & WELL-BEING ASSESSMENT 1ST EDITION TEST BANK
TEST BANK FOR
EVIDENCE-BASED
PHYSICAL
EXAMINATION
BEST PRACTICES
FOR HEALTH &
WELL-BEING
ASSESSMENT 1ST
EDITION
,EVIDENCE-BASED PHYSICAL EXAMINATION BEST PRACTICES FOR
HEALTH & WELL-BEING ASSESSMENT 1ST EDITION TEST BANK
Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OF HEALTH AND
WELL- BEING
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) REF: z. 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.
.
ANSWER: C
Subjective data are what the person says about him or herself during history taking.
Objective
,EVIDENCE-BASED PHYSICAL EXAMINATION BEST PRACTICES FOR
HEALTH & WELL-BEING ASSESSMENT 1ST EDITION TEST BANK
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: z. 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.
.
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) REF: z. 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.
.
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.
.
ANSWER: 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.
, EVIDENCE-BASED PHYSICAL EXAMINATION BEST PRACTICES FOR
HEALTH & WELL-BEING ASSESSMENT 1ST EDITION TEST BANK
DIF: Cognitive Level: Analyzing (Analysis) REF: z. 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.
.
ANSWER: B
Novice nurses operate from a set of defined, structured rules. The expert
practitioner uses intuitive links.
DIF: Cognitive Level: Understanding (Comprehension)
REF: z. 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.
.
ANSWER: A
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.
DIF: Cognitive Level: Understanding (Comprehension)
REF: z. 4 MSC: Client Needs: General
7. The nurse is reviewing information about evidence-based practice (EBP).
