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Exam (elaborations)

test bank for evidence based physicalexamination best practices for health and well being assessment 2nd edition

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test bank for evidence based physicalexamination best practices for health and well being assessment 2nd editiontest bank for evidence based physicalexamination best practices for health and well being assessment 2nd edition

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Kate Sustersic Gawlik, DNP, APRN-CNP, FAANP, Bernadette Mazurek Melnyk, PhD, APRN-CNP, FAANP, FNAP, FAAN, Alice M. Teall, DNP, APRN-CNP, FAANP Evidence-Based Physical Examination
  • 2024
  • 9780826155320
  • Unknown

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Uploaded on
October 4, 2025
Number of pages
759
Written in
2025/2026
Type
Exam (elaborations)
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Subjects

  • 9780826155320 edition
  • evidence based physica
  • physicalexamination
  • 2nd edition
  • test bank f
  • practices for health and well being assessment 2nd
  • test bank for evidence based physicalexamination b
  • test bank

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TESTBANKforEvidence-Based s s s




PhysicalExamination:BestPractices
s s s




forHealthandWell-BeingAssessment
s s s s s




2ndEditionbyKateGawlik
s s s s s




ALLCHAPTERS1-29WITHRATIONALES|A+GRADE
s s s s s s




Page1of759
s s s

, Chapter 1.APPROACHTO EVIDENCE-BASEDASSESSMENTOFHEALTH ANDWELL- BEING
s s s s s s s s s s




MULTIPLECHOICE s




1. After completinganinitial assessment ofa patient,the nurse has chartedthat his respirations are eupneic
s s s s s s s s s s s s s s s s




and his pulse is 58 beats per minute. These types of data would be:
s s s s s s s s s s s s s s




a. Objective.

b. Reflective.

c. Subjective.

d. Introspective.

ANS:A s




Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating
s s s s s s s s s s s s s




duringthe physical examination. Subjective data is what the person says about himor herself during history
s s s s s s s s s s s s s s s s s




taking. The terms reflective and introspective are not used to describe data.
s s s s s s s s s s s s




DIF:CognitiveLevel:Understanding(Comprehension)REF:z.2
s s s s s s s




MSC:Client Needs:SafeandEffectiveCareEnvironment:Management ofCare
s s s s s s s s s s




2. Apatient tellsthe nurse that he isverynervous, is nauseated,and feels hot.These types of data would be:
s s s s s s s s s s s s s s s s s s s s




a. Objective.

b. Reflective.

c. Subjective.

d. Introspective.

ANS:C s




Subjective data are what the person says about himor herself during historytaking. Objective data are what the
s s s s s s s s s s s s s s s s s s




health professional observes by inspecting, percussing, palpating, and auscultating during the physical
s s s s s s s s s s s s




examination. The terms reflective and introspective are not used to describe data.
s s s s s s s s s s s s




DIF:CognitiveLevel: Understanding(Comprehension)REF:z.2
s s s s s s s




MSC:Client Needs:SafeandEffectiveCareEnvironment:Management ofCare
s s s s s s s s s s




Page2of759 s s s

,3. Thepatientsrecord,laboratorystudies,objectivedata,andsubjectivedatacombinetoformthe:
s s s s s s s s s s s s s




a. Data base. s




b. Admittingdata. s




c. Financial statement. s




d. Dischargesummary. s




ANS:A s




Together withthepatientsrecordandlaboratorystudies, theobjective andsubjective data formthe data base. The
s s s s s s s s s s s s s s s s s




other items are not part of the patients record, laboratory studies, or data.
s s s s s s s s s s s s s




DIF:Cognitive Level:Remembering(Knowledge) REF:z.2
s s s s s s s




MSC:Client Needs:SafeandEffectiveCareEnvironment:Management ofCare
s s s s s s s s s s




4. Whenlisteningto a patients breath sounds, the nurseis unsure ofa sound thatisheard.The nurses next action
s s s s s s s s s s s s s s s s s s s s




should be to:
s s s




a. Immediatelynotifythepatientsphysician. s s s s




b. Document thesoundexactlyas it was heard. s s s s s s s




c. Validatethe data byaskinga coworkertolistentothebreath sounds. s s s s s s s s s s s s




d. Assessagainin 20 minutesto note whether the soundis still present. s s s s s s s s s s s s




ANS:C s




When unsure of a sound heardwhilelisteningto a patientsbreathsounds, the nurse validates the datato ensure
s s s s s s s s s s s s s s s s s s s




accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
s s s s s s s s s s s s s s s s s s s




DIF:CognitiveLevel:Analyzing(Analysis)REF:z.2
s s s s s s s




MSC:Client Needs:SafeandEffectiveCareEnvironment:Management ofCare
s s s s s s s s s s




5. The nurseisconductinga classfornewgraduate nurses. Duringtheteachingsession, the nurseshould keep in
s s s s s s s s s s s s s s s s s s




mind that novice nurses, without a background of skills and experience from which to draw, are more likely to
s s s s s s s s s s s s s s s s s s s




make their decisions using:
s s s s




a. Intuition.

b. Aset of rules. s s s




Page3of759 s s s

, c. Articlesinjournals. s s




d. Advicefromsupervisors. s s




ANS:B s




Novice nurses operatefroma set ofdefined, structuredrules.Theexpertpractitioner usesintuitive links. DIF:
s s s s s s s s s s s s s s s s




Cognitive Level: Understanding (Comprehension) REF: z. 3 MSC: Client Needs: General
s s s s s s s s s s s




6. Expert nurses learn toattend toa patternof assessment dataandact withoutconsciouslylabelingit. These
s s s s s s s s s s s s s s s s s




responses are referred to as:
s s s s s




a. Intuition.

b. The nursing process. s s




c. Clinicalknowledge. s




d. Diagnosticreasoning. s




ANS:A s




Intuitionischaracterized bypattern recognition expertnurses learn toattend toapatternofassessment data and act
s s s s s s s s s s s s s s s s s s




without consciously labeling it. The other options are not correct.
s s s s s s s s s s




DIF:CognitiveLevel: Understanding(Comprehension)REF: z.4MSC: Client Needs: General
s s s s s s s s s s s




7. The nurseisreviewinginformationabout evidence-based practice(EBP).Whichstatement bestreflects EBP?
s s s s s s s s s s s s s




a. EBP relieson traditionforsupport ofbest practices.
s s s s s s s s




b. EBPis simplythe useof best practice techniquesforthetreatment of patients.
s s s s s s s s s s s s s




c. EBPemphasizes theuseofbestevidence withthe clinicians experience.
s s s s s s s s s s




d. ThepatientsownpreferencesarenotimportantwithEBP.
s s s s s s s s




ANS: C
s s




EBP is asystematicapproach to practicethat emphasizes the use ofbest evidencein combination withthe clinicians
s s s s s s s s s s s s s s s s s s




experience, as well as patient preferences and values, when making decisions about care and treatment. EBP is more
s s s s s s s s s s s s s s s s s s




than simply using the best practice techniques to treat patients, and questioning tradition is important when no
s s s s s s s s s s s s s s s s s




compelling and supportive research evidence exists.
s s s s s s




DIF:CognitiveLevel:Applying(Application)REF:z.5
s s s s s s s




Page4of759 s s s
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