.
,
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK
xc xc xc xc xc xc xc xc xc
Test Bank - Physical Examination and Health Assessment 8e (by Jarvis)
xc xc xc xc xc xc xc xc xc xc 2
Chapter 01: Evidence-Based Assessment xc xc x c
MULTIPLE CHOICE xc
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
and his pulse is 58 beats per minute. These types of data would be:
xc xc x c x c x c x c x c x c x c xc xc x c x c x c
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A xc
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating
xc xc xc xc xc xc xc xc xc xc xc xc xc
during the physical examination. Subjective data is what the person says about him or herself during history
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
taking. The terms reflective and introspective are not used to describe data.
xc x c x c x c x c x c x c x c x c x c x c x c
DIF: Cognitive Level: Understanding (Comprehension)
xc xc xc xc
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
xc xc xc xc xc xc xc xc xc xc
2. A patient tells the nurse that he is very n e r vNo uUsR, SisIN
xc xc naGuTsB
xc ea.CteOdM
xc , and feels hot. These types of data would be:
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C xc
Subjective data are what the person says about him or herself during history taking. Objective data are what the
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
health professional observes by inspecting, percussing, palpating, and auscultating during the
xc x c x c x c x c x c x c x c x c x c x c
physical examination. The terms reflective and introspective are not used to describe data.
x c xc x c x c x c x c x c x c x c x c x c x c x c
DIF: Cognitive Level: Understanding (Comprehension)
xc xc xc xc
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
xc xc xc xc xc xc xc xc xc xc
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
xc xc xc xc xc xc xc xc xc xc xc xc xc
a. Data base. xc
b. Admitting data. xc
NURSINGTB.COM
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK
xc xc xc xc xc xc xc xc xc
Test Bank - Physical Examination and Health Assessment 8e (by Jarvis)
xc xc xc xc xc xc xc xc xc xc 3
c. Financial statement. xc
d. Discharge summary. xc
ANS: A xc
Together with the patients record and laboratory studies, the objective and subjective data form the data
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
base. The other items are not part of the patients record, laboratory studies, or data.
xc xc x c x c x c x c x c x c x c x c x c x c x c x c x c
DIF: Cognitive Level: Remembering (Knowledge)
xc xc xc xc
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
xc xc xc xc xc xc xc xc xc xc
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
next action should be to:
xc xc xc xc xc
a. Immediately notify the patients physician. xc xc xc xc
b. Document the sound exactly as it was heard. xc xc xc xc xc xc xc
c. Validate the data by asking a coworker to listen to the breath sounds.
xc xc xc xc xc xc xc xc xc xc xc xc
d. Assess again in 20 minutes to note whether the sound is still present.
xc xc xc xc xc xc xc xc xc xc xc xc
NURSINGTB.COM
ANS: C xc
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
xc x c xc x c x c xc xc x c xc xc x c x c xc xc x c x c x c x c xc
DIF: Cognitive Level: Analyzing (Analysis)
xc xc xc xc
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
xc xc xc xc xc xc xc xc xc xc
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
should keep in mind that novice nurses, without a background of skills and experience from which to
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
draw, are more likely to make their decisions using:
xc xc xc xc xc xc xc xc xc
a. Intuition.
b. A set of rules.
xc xc xc
c. Articles in journals. xc xc
d. Advice from supervisors. xc xc
ANS: B xc
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
DIF: Cognitive Level: Understanding (Comprehension)
xc xc x c xc x c
NURSINGTB.COM
,
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK
xc xc xc xc xc xc xc xc xc
Test Bank - Physical Examination and Health Assessment 8e (by Jarvis)
xc xc xc xc xc xc xc xc xc xc 2
Chapter 01: Evidence-Based Assessment xc xc x c
MULTIPLE CHOICE xc
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
and his pulse is 58 beats per minute. These types of data would be:
xc xc x c x c x c x c x c x c x c xc xc x c x c x c
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A xc
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating
xc xc xc xc xc xc xc xc xc xc xc xc xc
during the physical examination. Subjective data is what the person says about him or herself during history
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
taking. The terms reflective and introspective are not used to describe data.
xc x c x c x c x c x c x c x c x c x c x c x c
DIF: Cognitive Level: Understanding (Comprehension)
xc xc xc xc
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
xc xc xc xc xc xc xc xc xc xc
2. A patient tells the nurse that he is very n e r vNo uUsR, SisIN
xc xc naGuTsB
xc ea.CteOdM
xc , and feels hot. These types of data would be:
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C xc
Subjective data are what the person says about him or herself during history taking. Objective data are what the
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
health professional observes by inspecting, percussing, palpating, and auscultating during the
xc x c x c x c x c x c x c x c x c x c x c
physical examination. The terms reflective and introspective are not used to describe data.
x c xc x c x c x c x c x c x c x c x c x c x c x c
DIF: Cognitive Level: Understanding (Comprehension)
xc xc xc xc
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
xc xc xc xc xc xc xc xc xc xc
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
xc xc xc xc xc xc xc xc xc xc xc xc xc
a. Data base. xc
b. Admitting data. xc
NURSINGTB.COM
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK
xc xc xc xc xc xc xc xc xc
Test Bank - Physical Examination and Health Assessment 8e (by Jarvis)
xc xc xc xc xc xc xc xc xc xc 3
c. Financial statement. xc
d. Discharge summary. xc
ANS: A xc
Together with the patients record and laboratory studies, the objective and subjective data form the data
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
base. The other items are not part of the patients record, laboratory studies, or data.
xc xc x c x c x c x c x c x c x c x c x c x c x c x c x c
DIF: Cognitive Level: Remembering (Knowledge)
xc xc xc xc
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
xc xc xc xc xc xc xc xc xc xc
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
next action should be to:
xc xc xc xc xc
a. Immediately notify the patients physician. xc xc xc xc
b. Document the sound exactly as it was heard. xc xc xc xc xc xc xc
c. Validate the data by asking a coworker to listen to the breath sounds.
xc xc xc xc xc xc xc xc xc xc xc xc
d. Assess again in 20 minutes to note whether the sound is still present.
xc xc xc xc xc xc xc xc xc xc xc xc
NURSINGTB.COM
ANS: C xc
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
xc x c xc x c x c xc xc x c xc xc x c x c xc xc x c x c x c x c xc
DIF: Cognitive Level: Analyzing (Analysis)
xc xc xc xc
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
xc xc xc xc xc xc xc xc xc xc
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
should keep in mind that novice nurses, without a background of skills and experience from which to
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
draw, are more likely to make their decisions using:
xc xc xc xc xc xc xc xc xc
a. Intuition.
b. A set of rules.
xc xc xc
c. Articles in journals. xc xc
d. Advice from supervisors. xc xc
ANS: B xc
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
DIF: Cognitive Level: Understanding (Comprehension)
xc xc x c xc x c
NURSINGTB.COM
