Test Bank for Physical Examination and Health Assessment9
pc pc pc pc pc pc pc p
c
th
Edition by Carolyn Jarvis, Ann
pc pc pc pc pc
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
pc pc pc pc pc pc pc pc pc
K
2
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
pc pc pc pc pc pc pc pc pc pc
Chapter 01: Evidence-Based Assessment pc pc pc
MULTIPLE CHOICE pc
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupnei
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
c andhis pulse is 58 beats per minute. These types of data would be:
pc c
p pc pc pc pc pc pc pc pc pc pc pc pc
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A pc
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultatin
pc pc pc pc pc pc pc pc pc pc pc pc pc
g during the physical examination. Subjective data is what the person says about him or herself during histor
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
y taking. The terms reflective and introspective are not used to describe data.
pc pc pc pc pc pc pc pc pc pc pc pc
DIF: Cognitive Level: Understanding (Comprehension)
pc pc pc pc
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
pc pc pc pc pc pc pc pc pc pc
2. A patient tells the nurse that he is very nervous, is nausea.CteOdM
pc pc pc , and feels hot. These types of data would be:
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C pc
Subjective data are what the person says about him or herself during history taking. Objective data are wh
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
at thehealth professional observes by inspecting, percussing, palpating, and auscultating during the physical
pc c
p pc pc pc pc pc pc pc pc pc pc pc pc
examination. The terms reflective and introspective are not used to describe data.
pc pc pc pc pc pc pc pc pc pc pc
DIF: Cognitive Level: Understanding (Comprehension)
pc pc pc pc
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
pc pc pc pc pc pc pc pc pc pc
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
pc pc pc pc pc pc pc pc pc pc pc pc pc
a. Data base. pc
b. Admitting data. pc
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
pc pc pc pc pc pc pc pc pc
K
3
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
pc pc pc pc pc pc pc pc pc pc
c. Financial statement. pc
d. Discharge summary. pc
ANS: A pc
Together with the patients record and laboratory studies, the objective and subjective data form the data b
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
ase.The other items are not part of the patients record, laboratory studies, or data.
c
p pc pc pc pc pc pc pc pc pc pc pc pc pc
DIF: Cognitive Level: Remembering (Knowledge)
pc pc pc pc
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
pc pc pc pc pc pc pc pc pc pc
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurse
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
s nextaction should be to:
pc c
p pc pc pc
a. Immediately notify the patients physician. pc pc pc pc
b. Document the sound exactly as it was heard. pc pc pc pc pc pc pc
c. Validate the data by asking a coworker to listen to the breath sounds.
pc pc pc pc pc pc pc pc pc pc pc pc
d. Assess again in 20 minutes to note whether the sound is still present.
pc pc pc pc pc pc pc pc pc pc pc pc
ANS: C pc
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc c
p
accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
DIF: Cognitive Level: Analyzing (Analysis)
pc pc pc pc
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
pc pc pc pc pc pc pc pc pc pc
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should
pc pc pc pc pc pc pc pc p c pc p c pc pc pc pc pc p
ckeep in mind that novice nurses, without a background of skills and experience from which to draw, ar
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
e more likelyto make their decisions using:
pc pc c
p pc pc pc pc
a. Intuition.
b. A set of rules.
pc pc pc
c. Articles in journals. pc pc
d. Advice from supervisors. pc pc
ANS: B pc
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive link
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
s.DIF: Cognitive Level: Understanding (Comprehension)
c
p pc pc pc pc
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
pc pc pc pc pc pc pc pc pc
K
4
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
pc pc pc pc pc pc pc pc pc pc
MSC: Client Needs: General
pc pc pc
6. The nurse is reviewing information about evidence-
pc pc pc pc pc pc
based practice (EBP). Which statement best reflectsEBP?
pc pc pc pc pc pc c
p
a. EBP relies on tradition for supportNoUf RbeSsI N
pc pc t pGrT
acBt.iC
c eOsM
pc . pc pc pc pc
b. EBP is simply the use of best practice techniques for the treatment of patients.
pc pc pc pc pc pc pc pc pc pc pc pc pc
c. EBP emphasizes the use of best evidence with the clinicians experience.
pc pc pc pc pc pc pc pc pc pc
d. The patients own preferences are not important with E
pc pc pc pc pc pc pc pc
BP.ANS: C c
p pc
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
the clinicians experience, as well as patient preferences and values, when making decisions about care a
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
nd treatment. EBP is more than simply using the best practice techniques to treat patients, and questioni
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
ng tradition is important when no compelling and supportive research evidence exists.
pc pc pc pc pc pc pc pc pc pc pc
DIF: Cognitive Level: Applying (Application)
pc pc pc pc
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
pc pc pc pc pc pc pc pc pc pc
7. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it.
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
Theseresponses are referred to as:
c
p pc pc pc pc
a. Intuition.
b. The nursing process.
pc pc
c. Clinical knowledge. pc
d. Diagnostic reasoning. pc
ANS: A pc
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
andact without consciously labeling it. The other options are not correct.
pc c
p pc pc pc pc pc pc pc pc pc pc
DIF: Cognitive Level: Understanding (Comprehensio
pc pc pc pc
n)MSC: Client Needs: General
c
p pc pc pc
8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an ex
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
ampleof a first-level priority problem?
c
p pc pc pc pc
a. Patient with postoperative pain
pc pc pc
b. Newly diagnosed patient with diabetes who needs diabetic teaching
pc pc pc pc pc pc pc pc
pc pc pc pc pc pc pc p
c
th
Edition by Carolyn Jarvis, Ann
pc pc pc pc pc
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
pc pc pc pc pc pc pc pc pc
K
2
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
pc pc pc pc pc pc pc pc pc pc
Chapter 01: Evidence-Based Assessment pc pc pc
MULTIPLE CHOICE pc
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupnei
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
c andhis pulse is 58 beats per minute. These types of data would be:
pc c
p pc pc pc pc pc pc pc pc pc pc pc pc
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A pc
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultatin
pc pc pc pc pc pc pc pc pc pc pc pc pc
g during the physical examination. Subjective data is what the person says about him or herself during histor
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
y taking. The terms reflective and introspective are not used to describe data.
pc pc pc pc pc pc pc pc pc pc pc pc
DIF: Cognitive Level: Understanding (Comprehension)
pc pc pc pc
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
pc pc pc pc pc pc pc pc pc pc
2. A patient tells the nurse that he is very nervous, is nausea.CteOdM
pc pc pc , and feels hot. These types of data would be:
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C pc
Subjective data are what the person says about him or herself during history taking. Objective data are wh
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
at thehealth professional observes by inspecting, percussing, palpating, and auscultating during the physical
pc c
p pc pc pc pc pc pc pc pc pc pc pc pc
examination. The terms reflective and introspective are not used to describe data.
pc pc pc pc pc pc pc pc pc pc pc
DIF: Cognitive Level: Understanding (Comprehension)
pc pc pc pc
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
pc pc pc pc pc pc pc pc pc pc
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
pc pc pc pc pc pc pc pc pc pc pc pc pc
a. Data base. pc
b. Admitting data. pc
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
pc pc pc pc pc pc pc pc pc
K
3
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
pc pc pc pc pc pc pc pc pc pc
c. Financial statement. pc
d. Discharge summary. pc
ANS: A pc
Together with the patients record and laboratory studies, the objective and subjective data form the data b
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
ase.The other items are not part of the patients record, laboratory studies, or data.
c
p pc pc pc pc pc pc pc pc pc pc pc pc pc
DIF: Cognitive Level: Remembering (Knowledge)
pc pc pc pc
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
pc pc pc pc pc pc pc pc pc pc
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurse
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
s nextaction should be to:
pc c
p pc pc pc
a. Immediately notify the patients physician. pc pc pc pc
b. Document the sound exactly as it was heard. pc pc pc pc pc pc pc
c. Validate the data by asking a coworker to listen to the breath sounds.
pc pc pc pc pc pc pc pc pc pc pc pc
d. Assess again in 20 minutes to note whether the sound is still present.
pc pc pc pc pc pc pc pc pc pc pc pc
ANS: C pc
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc c
p
accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
DIF: Cognitive Level: Analyzing (Analysis)
pc pc pc pc
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
pc pc pc pc pc pc pc pc pc pc
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should
pc pc pc pc pc pc pc pc p c pc p c pc pc pc pc pc p
ckeep in mind that novice nurses, without a background of skills and experience from which to draw, ar
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
e more likelyto make their decisions using:
pc pc c
p pc pc pc pc
a. Intuition.
b. A set of rules.
pc pc pc
c. Articles in journals. pc pc
d. Advice from supervisors. pc pc
ANS: B pc
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive link
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
s.DIF: Cognitive Level: Understanding (Comprehension)
c
p pc pc pc pc
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
pc pc pc pc pc pc pc pc pc
K
4
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
pc pc pc pc pc pc pc pc pc pc
MSC: Client Needs: General
pc pc pc
6. The nurse is reviewing information about evidence-
pc pc pc pc pc pc
based practice (EBP). Which statement best reflectsEBP?
pc pc pc pc pc pc c
p
a. EBP relies on tradition for supportNoUf RbeSsI N
pc pc t pGrT
acBt.iC
c eOsM
pc . pc pc pc pc
b. EBP is simply the use of best practice techniques for the treatment of patients.
pc pc pc pc pc pc pc pc pc pc pc pc pc
c. EBP emphasizes the use of best evidence with the clinicians experience.
pc pc pc pc pc pc pc pc pc pc
d. The patients own preferences are not important with E
pc pc pc pc pc pc pc pc
BP.ANS: C c
p pc
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
the clinicians experience, as well as patient preferences and values, when making decisions about care a
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
nd treatment. EBP is more than simply using the best practice techniques to treat patients, and questioni
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
ng tradition is important when no compelling and supportive research evidence exists.
pc pc pc pc pc pc pc pc pc pc pc
DIF: Cognitive Level: Applying (Application)
pc pc pc pc
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
pc pc pc pc pc pc pc pc pc pc
7. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it.
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
Theseresponses are referred to as:
c
p pc pc pc pc
a. Intuition.
b. The nursing process.
pc pc
c. Clinical knowledge. pc
d. Diagnostic reasoning. pc
ANS: A pc
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
andact without consciously labeling it. The other options are not correct.
pc c
p pc pc pc pc pc pc pc pc pc pc
DIF: Cognitive Level: Understanding (Comprehensio
pc pc pc pc
n)MSC: Client Needs: General
c
p pc pc pc
8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an ex
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
ampleof a first-level priority problem?
c
p pc pc pc pc
a. Patient with postoperative pain
pc pc pc
b. Newly diagnosed patient with diabetes who needs diabetic teaching
pc pc pc pc pc pc pc pc
