TEST BANK for Evidence-Based
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Physical Examination: Best Practices
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for Health and Well-Being Assessment
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2nd Edition by Kate Gawlik
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ALL CHAPTERS 1-29 WITH RATIONALES| A+ GRADE
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Page 1 of 810
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, Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OF HEALTH AND WELL-
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BEING kk
MULTIPLE CHOICE kk
1. After completing an initial assessment of a patient, the nurse has charted that his
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respirations are eupneic and his pulse is 58 beats per minute. These types of data would
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be:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A kk
Objective data are what the health professional observes by inspecting, percussing, palpating, and
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auscultating during the physical examination. Subjective data is what the person says about him or
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herself during history taking. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
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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 nauseated, and feels hot. These types of
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data would be:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C kk
Subjective data are what the person says about him or herself during history taking. Objective
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data are what the health professional observes by inspecting, percussing, palpating, and
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auscultating during the physical examination. The terms reflective and introspective are not
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used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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Page 2 of 810
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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. kk
b. Admitting data. kk
c. Financial statement. kk
d. Discharge summary. kk
ANS: A kk
Together with the patients record and laboratory studies, the objective and subjective data form the
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data base. The other items are not part of the patients record, laboratory studies, or data.
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DIF: Cognitive Level: Remembering (Knowledge) REF: z. 2
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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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a. Immediately notify the patients physician. kk kk kk kk
b. Document the sound exactly as it was heard. kk kk kk kk kk kk kk
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 kk
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the
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data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an
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expert to listen.
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DIF: Cognitive Level: Analyzing (Analysis) REF: z. 2
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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
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should keep in mind that novice nurses, without a background of skills and experience from
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which to draw, are more likely to make their decisions using:
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a. Intuition.
b. A set of rules.
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Page 3 of 810
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, c. Articles in journals. kk kk
d. Advice from supervisors.kk kk
ANS: B kk
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive
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kk links. DIF: Cognitive Level: Understanding (Comprehension) REF: z. 3 MSC: Client Needs:
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kk General
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously
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labeling it. These responses are referred to as:
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a. Intuition.
b. The nursing process.
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c. Clinical knowledge. kk
d. Diagnostic reasoning. kk
ANS: A kk
Intuition is characterized by pattern recognition expert nurses learn to attend to a pattern of
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assessment data and act without consciously labeling it. The other options are not correct.
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DIF: Cognitive Level: Understanding (Comprehension) REF: z. 4 MSC: Client Needs: General
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7. The nurse is reviewing information about evidence-based practice (EBP). Which statement best
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reflects EBP?
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a. EBP relies on tradition for support of best practices.
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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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EBP. ANS: C
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EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with
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the clinicians experience, as well as patient preferences and values, when making decisions about care
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and treatment. EBP is more than simply using the best practice techniques to treat patients, and
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questioning tradition is important when no compelling and supportive research evidence exists.
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Page 4 of 810
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kk kk kk
Physical Examination: Best Practices
kk kk kk
for Health and Well-Being Assessment
kk kk kk kk kk
2nd Edition by Kate Gawlik
kk kk kk kk kk
ALL CHAPTERS 1-29 WITH RATIONALES| A+ GRADE
kk kk kk kk kk kk
Page 1 of 810
kk kk kk
, Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OF HEALTH AND WELL-
kk kk kk kk kk kk kk kk kk
BEING kk
MULTIPLE CHOICE kk
1. After completing an initial assessment of a patient, the nurse has charted that his
kk kk kk kk kk kk kk kk kk kk kk kk kk
respirations are eupneic and his pulse is 58 beats per minute. These types of data would
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
be:
kk
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A kk
Objective data are what the health professional observes by inspecting, percussing, palpating, and
kk kk kk kk kk kk kk kk kk kk kk kk
auscultating during the physical examination. Subjective data is what the person says about him or
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
herself during history taking. The terms reflective and introspective are not used to describe data.
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
kk kk kk kk kk kk kk kk kk kk
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
data would be:
kk kk kk
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C kk
Subjective data are what the person says about him or herself during history taking. Objective
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
data are what the health professional observes by inspecting, percussing, palpating, and
kk kk kk kk kk kk kk kk kk kk kk kk
auscultating during the physical examination. The terms reflective and introspective are not
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used to describe data.
kk kk kk kk
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
kk kk kk kk kk kk kk kk kk kk
Page 2 of 810
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,3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
kk kk kk kk kk kk kk kk kk kk kk kk kk
a. Data base. kk
b. Admitting data. kk
c. Financial statement. kk
d. Discharge summary. kk
ANS: A kk
Together with the patients record and laboratory studies, the objective and subjective data form the
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
data base. The other items are not part of the patients record, laboratory studies, or data.
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
DIF: Cognitive Level: Remembering (Knowledge) REF: z. 2
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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
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
nurses next action should be to:
kk kk kk kk kk kk
a. Immediately notify the patients physician. kk kk kk kk
b. Document the sound exactly as it was heard. kk kk kk kk kk kk kk
c. Validate the data by asking a coworker to listen to the breath sounds.
kk kk kk kk kk kk kk kk kk kk kk kk
d. Assess again in 20 minutes to note whether the sound is still present.
kk kk kk kk kk kk kk kk kk kk kk kk
ANS: C kk
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
expert to listen.
kk kk kk
DIF: Cognitive Level: Analyzing (Analysis) REF: z. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
kk kk kk kk kk kk kk kk kk kk
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
should keep in mind that novice nurses, without a background of skills and experience from
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
which to draw, are more likely to make their decisions using:
kk kk kk kk kk kk kk kk kk kk kk
a. Intuition.
b. A set of rules.
kk kk kk
Page 3 of 810
kk kk kk
, c. Articles in journals. kk kk
d. Advice from supervisors.kk kk
ANS: B kk
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
kk links. DIF: Cognitive Level: Understanding (Comprehension) REF: z. 3 MSC: Client Needs:
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kk General
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
labeling it. These responses are referred to as:
kk kk kk kk kk kk kk kk
a. Intuition.
b. The nursing process.
kk kk
c. Clinical knowledge. kk
d. Diagnostic reasoning. kk
ANS: A kk
Intuition is characterized by pattern recognition expert nurses learn to attend to a pattern of
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
assessment data and act without consciously labeling it. The other options are not correct.
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 4 MSC: Client Needs: General
kk kk kk kk kk kk kk kk kk kk kk
7. The nurse is reviewing information about evidence-based practice (EBP). Which statement best
kk kk kk kk kk kk kk kk kk kk kk
reflects EBP?
kk kk
a. EBP relies on tradition for support of best practices.
kk kk kk kk kk kk kk kk
b. EBP is simply the use of best practice techniques for the treatment of patients.
kk kk kk kk kk kk kk kk kk kk kk kk kk
c. EBP emphasizes the use of best evidence with the clinicians experience.
kk kk kk kk kk kk kk kk kk kk
d. The patients own preferences are not important with
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EBP. ANS: C
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EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
the clinicians experience, as well as patient preferences and values, when making decisions about care
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
and treatment. EBP is more than simply using the best practice techniques to treat patients, and
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
questioning tradition is important when no compelling and supportive research evidence exists.
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Page 4 of 810
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