Test Bank for Physical Examination and Health Assessment9t
h/ h/ h/ h/ h/ h/ h/ h
/
h
Edition by Carolyn Jarvis, Ann
h/ h/ h/ h/ h/
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
h/ h/ h/ h/ h/ h/ h/ h/ h/
K
2
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
Chapter 01: Evidence-Based Assessment h/ h/ h/
MULTIPLE CHOICE h/
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
andhis pulse is 58 beats per minute. These types of data would be:
/
h h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A h/
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
during the physical examination. Subjective data is what the person says about him or herself during history ta
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
king. The terms reflective and introspective are not used to describe data.
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
DIF: Cognitive Level: Understanding (Comprehension)
h/ h/ h/ h/
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
2. A patient tells the nurse that he is very nervous, is nausea.CteOdM
h/ h/ h/ , and feels hot. These types of data would be:
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C h/
Subjective data are what the person says about him or herself during history taking. Objective data are what
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
thehealth professional observes by inspecting, percussing, palpating, and auscultating during the physical exam
/
h h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
ination. The terms reflective and introspective are not used to describe data.
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
DIF: Cognitive Level: Understanding (Comprehension)
h/ h/ h/ h/
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
a. Data base. h/
b. Admitting data. h/
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
h/ h/ h/ h/ h/ h/ h/ h/ h/
K
3
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
c. Financial statement. h/
d. Discharge summary. h/
ANS: A h/
Together with the patients record and laboratory studies, the objective and subjective data form the data base
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
.The other items are not part of the patients record, laboratory studies, or data.
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
DIF: Cognitive Level: Remembering (Knowledge)
h/ h/ h/ h/
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
nextaction should be to:
/
h h/ h/ h/
a. Immediately notify the patients physician. h/ h/ h/ h/
b. Document the sound exactly as it was heard. h/ h/ h/ h/ h/ h/ h/
c. Validate the data by asking a coworker to listen to the breath sounds.
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
d. Assess again in 20 minutes to note whether the sound is still present.
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
ANS: C h/
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensureacc
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ /
h
uracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
DIF: Cognitive Level: Analyzing (Analysis)
h/ h/ h/ h/
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should ke
h/ h/ h/ h/ h/ h/ h/ h/ h / h/ h / h/ h/ h/ h/ h/ h /
ep in mind that novice nurses, without a background of skills and experience from which to draw, are mor
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
e likelyto make their decisions using:
h/ /
h h/ h/ h/ h/
a. Intuition.
b. A set of rules.
h/ h/ h/
c. Articles in journals. h/ h/
d. Advice from supervisors. h/ h/
ANS: B h/
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ /
h
DIF: Cognitive Level: Understanding (Comprehension)
h/ h/ h/ h/
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
h/ h/ h/ h/ h/ h/ h/ h/ h/
K
4
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
MSC: Client Needs: General h/ h/ h/
6. The nurse is reviewing information about evidence-
h/ h/ h/ h/ h/ h/
based practice (EBP). Which statement best reflectsEBP?
h/ h/ h/ h/ h/ h/ /
h
a. EBP relies on tradition for supportNoUf RbeSsI N
h/ t pGrT
acBt.iC
h/ ceOsM
. h/ h/ h/ h/ h/
b. EBP is simply the use of best practice techniques for the treatment of patients.
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
c. EBP emphasizes the use of best evidence with the clinicians experience.
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
d. The patients own preferences are not important with EB
h/ h/ h/ h/ h/ h/ h/ h/
P.ANS: C
/
h h/
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
clinicians experience, as well as patient preferences and values, when making decisions about care and tr
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
eatment. EBP is more than simply using the best practice techniques to treat patients, and questioning trad
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
ition is important when no compelling and supportive research evidence exists.
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
DIF: Cognitive Level: Applying (Application)
h/ h/ h/ h/
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
7. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. Th
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
eseresponses are referred to as:
/
h h/ h/ h/ h/
a. Intuition.
b. The nursing process.
h/ h/
c. Clinical knowledge. h/
d. Diagnostic reasoning. h/
ANS: A h/
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data a
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
ndact without consciously labeling it. The other options are not correct.
/
h h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
DIF: Cognitive Level: Understanding (Comprehensio
h/ h/ h/ h/
n)MSC: Client Needs: General
/
h h/ h/ h/
8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an exam
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
pleof a first-level priority problem?
/
h h/ h/ h/ h/
a. Patient with postoperative painh/ h/ h/
b. Newly diagnosed patient with diabetes who needs diabetic teaching
h/ h/ h/ h/ h/ h/ h/ h/
h/ h/ h/ h/ h/ h/ h/ h
/
h
Edition by Carolyn Jarvis, Ann
h/ h/ h/ h/ h/
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
h/ h/ h/ h/ h/ h/ h/ h/ h/
K
2
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
Chapter 01: Evidence-Based Assessment h/ h/ h/
MULTIPLE CHOICE h/
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
andhis pulse is 58 beats per minute. These types of data would be:
/
h h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A h/
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
during the physical examination. Subjective data is what the person says about him or herself during history ta
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
king. The terms reflective and introspective are not used to describe data.
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
DIF: Cognitive Level: Understanding (Comprehension)
h/ h/ h/ h/
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
2. A patient tells the nurse that he is very nervous, is nausea.CteOdM
h/ h/ h/ , and feels hot. These types of data would be:
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C h/
Subjective data are what the person says about him or herself during history taking. Objective data are what
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
thehealth professional observes by inspecting, percussing, palpating, and auscultating during the physical exam
/
h h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
ination. The terms reflective and introspective are not used to describe data.
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
DIF: Cognitive Level: Understanding (Comprehension)
h/ h/ h/ h/
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
a. Data base. h/
b. Admitting data. h/
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
h/ h/ h/ h/ h/ h/ h/ h/ h/
K
3
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
c. Financial statement. h/
d. Discharge summary. h/
ANS: A h/
Together with the patients record and laboratory studies, the objective and subjective data form the data base
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
.The other items are not part of the patients record, laboratory studies, or data.
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
DIF: Cognitive Level: Remembering (Knowledge)
h/ h/ h/ h/
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
nextaction should be to:
/
h h/ h/ h/
a. Immediately notify the patients physician. h/ h/ h/ h/
b. Document the sound exactly as it was heard. h/ h/ h/ h/ h/ h/ h/
c. Validate the data by asking a coworker to listen to the breath sounds.
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
d. Assess again in 20 minutes to note whether the sound is still present.
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
ANS: C h/
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensureacc
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ /
h
uracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
DIF: Cognitive Level: Analyzing (Analysis)
h/ h/ h/ h/
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should ke
h/ h/ h/ h/ h/ h/ h/ h/ h / h/ h / h/ h/ h/ h/ h/ h /
ep in mind that novice nurses, without a background of skills and experience from which to draw, are mor
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
e likelyto make their decisions using:
h/ /
h h/ h/ h/ h/
a. Intuition.
b. A set of rules.
h/ h/ h/
c. Articles in journals. h/ h/
d. Advice from supervisors. h/ h/
ANS: B h/
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ /
h
DIF: Cognitive Level: Understanding (Comprehension)
h/ h/ h/ h/
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
h/ h/ h/ h/ h/ h/ h/ h/ h/
K
4
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
MSC: Client Needs: General h/ h/ h/
6. The nurse is reviewing information about evidence-
h/ h/ h/ h/ h/ h/
based practice (EBP). Which statement best reflectsEBP?
h/ h/ h/ h/ h/ h/ /
h
a. EBP relies on tradition for supportNoUf RbeSsI N
h/ t pGrT
acBt.iC
h/ ceOsM
. h/ h/ h/ h/ h/
b. EBP is simply the use of best practice techniques for the treatment of patients.
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
c. EBP emphasizes the use of best evidence with the clinicians experience.
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
d. The patients own preferences are not important with EB
h/ h/ h/ h/ h/ h/ h/ h/
P.ANS: C
/
h h/
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
clinicians experience, as well as patient preferences and values, when making decisions about care and tr
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
eatment. EBP is more than simply using the best practice techniques to treat patients, and questioning trad
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
ition is important when no compelling and supportive research evidence exists.
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
DIF: Cognitive Level: Applying (Application)
h/ h/ h/ h/
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
7. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. Th
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
eseresponses are referred to as:
/
h h/ h/ h/ h/
a. Intuition.
b. The nursing process.
h/ h/
c. Clinical knowledge. h/
d. Diagnostic reasoning. h/
ANS: A h/
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data a
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
ndact without consciously labeling it. The other options are not correct.
/
h h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
DIF: Cognitive Level: Understanding (Comprehensio
h/ h/ h/ h/
n)MSC: Client Needs: General
/
h h/ h/ h/
8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an exam
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
pleof a first-level priority problem?
/
h h/ h/ h/ h/
a. Patient with postoperative painh/ h/ h/
b. Newly diagnosed patient with diabetes who needs diabetic teaching
h/ h/ h/ h/ h/ h/ h/ h/