THIS DOCUMENT BELONGS TO TESTBANKSPROF
Test Bank for Evidence-Based Physical Examination: Best Practices for Health
and Well-Being Assessment 2nd Edition
by Kate Gawlik
All Chapters 1-29 |Q&As Verified with Rationales| Grade A+ Assured
ISBN 9780826155320
Page 1 of 1002
,THIS DOCUMENT BELONGS TO TESTBANKSPROF
Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OF HEALTH AND WELL- BEING
MULTIPLE CHOICE
1. After completing an initial assessment of a patient, the nurse has charted that his
respirations are eupneic and his pulse is 58 beats per minute. These types of data would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
CORRECT ANSWER: A
Objective data are what the health professional observes by inspecting, percussing, palpating, and
auscultating during the physical examination. Subjective data is what the person says about him or
herself during history taking. The terms reflective and introspective are not used to describe data.
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data
would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
CORRECT ANSWER: C
Subjective data are what the person says about him or herself during history taking. Objective
data are what the health professional observes by inspecting, percussing, palpating, and
auscultating during the physical examination. The terms reflective and introspective are not
used to describe data.
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
Page 2 of 1002
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3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
a. Data base.
b. Admitting data.
c. Financial statement.
d. Discharge summary.
CORRECT ANSWER: A
Together with the patients record and laboratory studies, the objective and subjective data form the
data base. The other items are not part of the patients record, laboratory studies, or data.
DIF: Cognitive Level: Remembering (Knowledge) REF: z. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The
nurses next action should be to:
a. Immediately notify the patients physician.
b. Document the sound exactly as it was heard.
c. Validate the data by asking a coworker to listen to the breath sounds.
d. Assess again in 20 minutes to note whether the sound is still present.
CORRECT ANSWER: C
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the
data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert to
listen.
DIF: Cognitive Level: Analyzing (Analysis) REF: z. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse
should keep in mind that novice nurses, without a background of skills and experience from which
to draw, are more likely to make their decisions using:
a. Intuition.
b. A set of rules.
Page 3 of 1002
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c. Articles in journals.
d. Advice from supervisors.
CORRECT ANSWER: B
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive
links. DIF: Cognitive Level: Understanding (Comprehension) REF: z. 3 MSC: Client Needs: General
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously
labeling it. These responses are referred to as:
a. Intuition.
b. The nursing process.
c. Clinical knowledge.
d. Diagnostic reasoning.
CORRECT ANSWER: A
Intuition is characterized by pattern recognition expert nurses learn to attend to a pattern of
assessment data and act without consciously labeling it. The other options are not correct.
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 4 MSC: Client Needs: General
7. The nurse is reviewing information about evidence-based practice (EBP). Which statement best
reflects EBP?
a. EBP relies on tradition for support of best practices.
b. EBP is simply the use of best practice techniques for the treatment of patients.
c. EBP emphasizes the use of best evidence with the clinicians experience.
d. The patients own preferences are not important with
EBP. CORRECT ANSWER: C
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with
the clinicians experience, as well as patient preferences and values, when making decisions about care
and treatment. EBP is more than simply using the best practice techniques to treat patients, and
questioning tradition is important when no compelling and supportive research evidence exists.
DIF: Cognitive Level: Applying (Application) REF: z. 5
Page 4 of 1002
Test Bank for Evidence-Based Physical Examination: Best Practices for Health
and Well-Being Assessment 2nd Edition
by Kate Gawlik
All Chapters 1-29 |Q&As Verified with Rationales| Grade A+ Assured
ISBN 9780826155320
Page 1 of 1002
,THIS DOCUMENT BELONGS TO TESTBANKSPROF
Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OF HEALTH AND WELL- BEING
MULTIPLE CHOICE
1. After completing an initial assessment of a patient, the nurse has charted that his
respirations are eupneic and his pulse is 58 beats per minute. These types of data would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
CORRECT ANSWER: A
Objective data are what the health professional observes by inspecting, percussing, palpating, and
auscultating during the physical examination. Subjective data is what the person says about him or
herself during history taking. The terms reflective and introspective are not used to describe data.
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data
would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
CORRECT ANSWER: C
Subjective data are what the person says about him or herself during history taking. Objective
data are what the health professional observes by inspecting, percussing, palpating, and
auscultating during the physical examination. The terms reflective and introspective are not
used to describe data.
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
Page 2 of 1002
,THIS DOCUMENT BELONGS TO TESTBANKSPROF
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
a. Data base.
b. Admitting data.
c. Financial statement.
d. Discharge summary.
CORRECT ANSWER: A
Together with the patients record and laboratory studies, the objective and subjective data form the
data base. The other items are not part of the patients record, laboratory studies, or data.
DIF: Cognitive Level: Remembering (Knowledge) REF: z. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The
nurses next action should be to:
a. Immediately notify the patients physician.
b. Document the sound exactly as it was heard.
c. Validate the data by asking a coworker to listen to the breath sounds.
d. Assess again in 20 minutes to note whether the sound is still present.
CORRECT ANSWER: C
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the
data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert to
listen.
DIF: Cognitive Level: Analyzing (Analysis) REF: z. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse
should keep in mind that novice nurses, without a background of skills and experience from which
to draw, are more likely to make their decisions using:
a. Intuition.
b. A set of rules.
Page 3 of 1002
, THIS DOCUMENT BELONGS TO TESTBANKSPROF
c. Articles in journals.
d. Advice from supervisors.
CORRECT ANSWER: B
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive
links. DIF: Cognitive Level: Understanding (Comprehension) REF: z. 3 MSC: Client Needs: General
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously
labeling it. These responses are referred to as:
a. Intuition.
b. The nursing process.
c. Clinical knowledge.
d. Diagnostic reasoning.
CORRECT ANSWER: A
Intuition is characterized by pattern recognition expert nurses learn to attend to a pattern of
assessment data and act without consciously labeling it. The other options are not correct.
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 4 MSC: Client Needs: General
7. The nurse is reviewing information about evidence-based practice (EBP). Which statement best
reflects EBP?
a. EBP relies on tradition for support of best practices.
b. EBP is simply the use of best practice techniques for the treatment of patients.
c. EBP emphasizes the use of best evidence with the clinicians experience.
d. The patients own preferences are not important with
EBP. CORRECT ANSWER: C
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with
the clinicians experience, as well as patient preferences and values, when making decisions about care
and treatment. EBP is more than simply using the best practice techniques to treat patients, and
questioning tradition is important when no compelling and supportive research evidence exists.
DIF: Cognitive Level: Applying (Application) REF: z. 5
Page 4 of 1002
