, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BA
QW QW QW QW QW QW QW QW QW
NK
2
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
QW QW < QW QW QW QW QW QW <
Chapter 01: Evidence-Based Assessment QW QW QW
MULTIPLE CHOICE QW
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupn
QW QW QW QW QW QW QW QW QW QW QW QW QW QW QW QW
eic andh is pulse is 58 beats per minute. These types of data would be:
QW QW < QW QW QW QW QW QW QW QW QW QW QW
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A QW
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating
< QW QW QW QW QW < < QW QW QW QW QW
dur ing the physical examination. Subjective data is what the person says about him or herself during hist
QW QW QW QW QW QW QW QW QW QW QW QW QW QW QW QW QW QW
ory taking. T he terms reflective and introspective are not used to describe data.
QW QW QW < QW QW QW QW QW QW < QW QW
DIF: Cognitive Level: Understanding (Comprehension)
QW QW QW QW
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
QW QW QW QW <QW QW QW QW <QW QW
2. A patient tells the nurse that he is very nervous, is n a use a. Ct eOd M
QW QW QW , a nd feels hot. These types of data would be:
QW QW QW < QW QW QW QW < QW QW QW QW QW QW QW <
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C QW
Subjective data are what the person says about him or herself during history taking. Objective data are w
QW QW < QW QW QW QW QW QW QW QW QW QW QW QW QW QW
hat the h ealth professional observes by inspecting, percussing, palpating, and auscultating during the physic
QW < QW QW QW QW QW QW QW QW QW QW < QW
al examination
QW
. The terms reflective and introspective are not used to describe dat
QW QW QW QW < QW QW < < QW <
a. DIF: Cognitive Level: Understanding (Comprehension)
QW QW QW QW <QW
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
QW QW QW QW <QW < QW QW <QW QW
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
QW QW QW QW QW QW QW QW QW < QW QW QW
a. Data base. <
b. Admitting data. QW
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BA
QW QW QW QW QW QW QW QW QW
NK
3
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
QW QW < QW QW QW QW QW QW <
c. Financial statement. QW
d. Discharge summary. QW
ANS: A QW
Together with the patients record and laboratory studies, the objective and subjective data form the data
QW <QW QW QW QW QW QW QW < <QW <QW <QW QW QW QW Q
base.Th e other items are not part of the patients record, laboratory studies, or data.
W QW QW QW < QW QW QW QW QW QW QW QW QW QW
DIF: Cognitive Level: Remembering (Knowledge)
QW <QW QW QW
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
QW QW QW QW <QW < QW QW <QW QW
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nur
QW QW QW < QW QW QW <QW QW QW QW QW < QW <QW QW QW QW
ses nexta ction should be to:
< QW QW QW QW
a. Immediately notify the patients physician. QW QW QW <
b. Document the sound exactly as it was heard.
QW QW QW QW < QW QW
c. Validate the data by asking a coworker to listen to the breath sounds.
QW < QW QW QW QW QW QW QW < QW QW
d. Assess again in 20 minutes to note whether the sound is still present.
QW QW QW QW QW QW QW QW QW QW QW QW
ANS: C QW
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensureaccu
QW QW QW QW QW QW QW QW QW QW QW QW QW < QW QW QW QW QW
rac
y. If the nurse has less experience in an area, then he or she asks an expert to listen.
QW QW QW < QW QW QW QW QW QW QW QW QW QW QW QW QW QW
DIF: Cognitive Level: Analyzing (Analysis)
QW QW QW QW
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
QW QW QW QW <QW QW QW QW <QW QW
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should
QW QW QW QW QW QW QW QW <Q W QW Q W < < QW < QW Q
Wkeep in mind that novice nurses, without a background of skills and experience from which to draw, a
QW QW QW QW QW QW <QW QW QW QW QW <QW QW QW QW QW QW
re more likelyto m ake their decisions using:
QW QW QW QW QW QW QW
a. Intuition.
b. A set of rules.
QW QW QW
c. Articles in journals. QW QW
d. Advice from supervisors.
QW QW
ANS: B QW
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.DIF: Cognit
QW QW QW < QW QW QW QW QW QW QW QW QW QW < QW
ive Level: Understanding (Comprehension)
< QW QW
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BA
QW QW QW QW QW QW QW QW QW
NK
4
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
QW QW < QW QW QW QW QW QW <
MSC: Client Needs: General
QW <QW QW
6. The nurse is reviewing information about evidence
QW QW QW QW QW QW
-
QWbased practice (EBP). Which statement best reflectsE
QW QW QW QW QW <
BP?
a. EBP relies on tradition for supportNoUf RbeSsItN pGrTa cBt .iCc eOsM
QW QW QW . QW QW QW <QW
b. EBP is simply the use of best practice techniques for the treatment of patients.
QW <QW QW QW QW QW QW QW QW QW < < QW
c. EBP emphasizes the use of best evidence with the clinicians experience.
QW QW QW QW QW QW QW QW < QW
d. The patients own preferences are not important with EBP.
QW QW QW QW QW < QW QW
ANS: C QW
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with th
QW QW QW QW < QW < < QW QW < QW QW QW QW QW QW
e cli nicians experience, as well as patient preferences and values, when making decisions about care a
QW QW QW QW QW QW QW QW QW QW QW QW < QW < QW
nd treatme nt. EBP is more than simply using the best practice techniques to treat patients, and questio
QW QW QW QW QW QW < QW QW QW < QW QW QW QW QW QW
ning tradition is i mportant when no compelling and supportive research evidence exists.
QW <QW QW QW < QW QW QW QW QW QW QW
DIF: Cognitive Level: Applying (Application)
QW QW QW QW
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
QW < QW QW QW QW QW QW QW QW
7. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it
QW QW QW QW QW QW QW QW QW QW QW QW QW QW QW QW
. Theser esponses are referred to as:
QW QW QW QW QW QW
a. Intuition.
b. The nursing process.
QW QW
c. Clinical knowledge. QW
d. Diagnostic reasoning. QW
ANS: A QW
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data
QW QW QW QW < <QW QW QW QW QW QW QW QW QW <
andac t without consciously labeling it. The other options are not correct.
<QW QW < QW QW QW QW QW QW QW QW <
DIF: Cognitive Level: Understanding (Comprehensio
QW QW QW QW
n) MSC: Client Needs: General
QW QW QW QW
8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an
QW QW < QW QW QW QW QW QW QW QW QW QW QW QW QW QW QW QW
exampleo f a first-level priority problem?
QW QW QW QW QW
a. Patient with postoperative pain
QW <QW QW
b. Newly diagnosed patient with diabetes who needs diabetic teaching
QW QW QW QW QW < QW QW