,
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 3rd EDITION JARVIS TEST BANK
+i +i +i +i +i +i +i +i +i
Test Bank - Physical Examination and Health Assessment 3rd (by Jarvis)
+i +i +i +i +i +i +i +i +i 2
Chapter 01: Evidence-Based Assessment +i +i +i
MULTIPLE CHOICE +i
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic an
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d his pulse is 58 beats per minute. These types of data would be:
+i + i + i + i + i + i + i + i +i +i + i + i + i
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A +i
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating
+i +i +i +i +i +i +i +i +i +i +i +i +i +
during the physical examination. Subjective data is what the person says about him or herself during history t
i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
aking. The terms reflective and introspective are not used to describe data.
+i + i + i + i + i + i + i + i + i + i + i
DIF: Cognitive Level: Understanding (Comprehension)
+i +i +i +i
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
+i +i +i +i +i +i +i +i +i +i
2. A patient tells the nurse that he is very n e r vNo uUsR, SisIN
+i +i +i naGuTsB
ea.CteOdM
+i , and feels hot. These types of data would be:
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C +i
Subjective data are what the person says about him or herself during history taking. Objective data are what the
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
health professional observes by inspecting, percussing, palpating, and auscultating during the physical
+ i + i + i + i + i + i + i + i + i + i + i +i
examination. The terms reflective and introspective are not used to describe data.
+ i + i + i + i + i + i + i + i +i + i + i
DIF: Cognitive Level: Understanding (Comprehension)
+i +i +i +i
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
+i +i +i +i +i +i +i +i +i +i
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
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a. Data base. +i
b. Admitting data. +i
NURSINGTB.COM
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 3rd EDITION JARVIS TEST BANK
+i +i +i +i +i +i +i +i +i
Test Bank - Physical Examination and Health Assessment 3rd (by Jarvis)
+i +i +i +i +i +i +i +i +i 3
c. Financial statement. +i
d. Discharge summary. +i
ANS: A +i
Together with the patients record and laboratory studies, the objective and subjective data form the data base
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
. The other items are not part of the patients record, laboratory studies, or data.
+i +i + i + i +i +i + i +i + i + i + i + i + i +i
DIF: Cognitive Level: Remembering (Knowledge)
+i +i +i +i
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
+i +i +i +i +i +i +i +i +i +i
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses ne
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
xt action should be to:
+i +i +i +i
a. Immediately notify the patients physician. +i +i +i +i
b. Document the sound exactly as it was heard. +i +i +i +i +i +i +i
c. Validate the data by asking a coworker to listen to the breath sounds.
+i +i +i +i +i +i +i +i +i +i +i +i
d. Assess again in 20 minutes to note whether the sound is still present.
+i +i +i +i +i +i +i +i +i +i +i +i
NURSINGTB.COM
ANS: C +i
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
DIF: Cognitive Level: Analyzing (Analysis)
+i +i +i +i
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
+i +i +i +i +i +i +i +i +i +i
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
keep in mind that novice nurses, without a background of skills and experience from which to draw, are m
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
ore likely to make their decisions using:
+i +i +i +i +i +i
a. Intuition.
b. A set of rules.
+i +i +i
c. Articles in journals. +i +i
d. Advice from supervisors. +i +i
ANS: B +i
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
DIF: Cognitive Level: Understanding (Comprehension)
+i + i +i + i
NURSINGTB.COM
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 3rd EDITION JARVIS TEST BANK
+i +i +i +i +i +i +i +i +i
Test Bank - Physical Examination and Health Assessment 3rd (by Jarvis)
+i +i +i +i +i +i +i +i +i 2
Chapter 01: Evidence-Based Assessment +i +i +i
MULTIPLE CHOICE +i
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic an
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
d his pulse is 58 beats per minute. These types of data would be:
+i + i + i + i + i + i + i + i +i +i + i + i + i
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A +i
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating
+i +i +i +i +i +i +i +i +i +i +i +i +i +
during the physical examination. Subjective data is what the person says about him or herself during history t
i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
aking. The terms reflective and introspective are not used to describe data.
+i + i + i + i + i + i + i + i + i + i + i
DIF: Cognitive Level: Understanding (Comprehension)
+i +i +i +i
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
+i +i +i +i +i +i +i +i +i +i
2. A patient tells the nurse that he is very n e r vNo uUsR, SisIN
+i +i +i naGuTsB
ea.CteOdM
+i , and feels hot. These types of data would be:
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C +i
Subjective data are what the person says about him or herself during history taking. Objective data are what the
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
health professional observes by inspecting, percussing, palpating, and auscultating during the physical
+ i + i + i + i + i + i + i + i + i + i + i +i
examination. The terms reflective and introspective are not used to describe data.
+ i + i + i + i + i + i + i + i +i + i + i
DIF: Cognitive Level: Understanding (Comprehension)
+i +i +i +i
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
+i +i +i +i +i +i +i +i +i +i
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
+i +i +i +i +i +i +i +i +i +i +i +i +i
a. Data base. +i
b. Admitting data. +i
NURSINGTB.COM
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 3rd EDITION JARVIS TEST BANK
+i +i +i +i +i +i +i +i +i
Test Bank - Physical Examination and Health Assessment 3rd (by Jarvis)
+i +i +i +i +i +i +i +i +i 3
c. Financial statement. +i
d. Discharge summary. +i
ANS: A +i
Together with the patients record and laboratory studies, the objective and subjective data form the data base
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
. The other items are not part of the patients record, laboratory studies, or data.
+i +i + i + i +i +i + i +i + i + i + i + i + i +i
DIF: Cognitive Level: Remembering (Knowledge)
+i +i +i +i
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
+i +i +i +i +i +i +i +i +i +i
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses ne
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
xt action should be to:
+i +i +i +i
a. Immediately notify the patients physician. +i +i +i +i
b. Document the sound exactly as it was heard. +i +i +i +i +i +i +i
c. Validate the data by asking a coworker to listen to the breath sounds.
+i +i +i +i +i +i +i +i +i +i +i +i
d. Assess again in 20 minutes to note whether the sound is still present.
+i +i +i +i +i +i +i +i +i +i +i +i
NURSINGTB.COM
ANS: C +i
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
DIF: Cognitive Level: Analyzing (Analysis)
+i +i +i +i
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
+i +i +i +i +i +i +i +i +i +i
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
keep in mind that novice nurses, without a background of skills and experience from which to draw, are m
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
ore likely to make their decisions using:
+i +i +i +i +i +i
a. Intuition.
b. A set of rules.
+i +i +i
c. Articles in journals. +i +i
d. Advice from supervisors. +i +i
ANS: B +i
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
+i +i +i +i +i +i +i +i +i +i +i +i +i +i +i +i
DIF: Cognitive Level: Understanding (Comprehension)
+i + i +i + i
NURSINGTB.COM