health assessment test bank 1
A - correct answers . 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
C - correct answers 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
A - correct answers 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.
C - correct answers 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.
B - correct answers 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.
c.Articles in journals.
d. Advice from supervisors
A - correct answers 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.
C - correct answers 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.
D - correct answers The nurse is conducting a class on priority setting for a group of new graduate
nurses. Which is an example of a first-level priority problem?
a. Patient with postoperative pain
b. Newly diagnosed patient with diabetes who needs diabetic teaching
c. Individual with a small laceration on the sole of the foot
d. Individual with shortness of breath and respiratory distress
C - correct answers When considering priority setting of problems, the nurse keeps in mind that second-
level priority problems include which of these aspects?
a. Low self-esteem
b. Lack of knowledge
c. Abnormal laboratory values
d. Severely abnormal vital signs
B - correct answers . Which critical thinking skill helps the nurse see relationships among the data?
a. Validation
b. Clustering related cues
A - correct answers . 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
C - correct answers 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
A - correct answers 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.
C - correct answers 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.
B - correct answers 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.
c.Articles in journals.
d. Advice from supervisors
A - correct answers 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.
C - correct answers 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.
D - correct answers The nurse is conducting a class on priority setting for a group of new graduate
nurses. Which is an example of a first-level priority problem?
a. Patient with postoperative pain
b. Newly diagnosed patient with diabetes who needs diabetic teaching
c. Individual with a small laceration on the sole of the foot
d. Individual with shortness of breath and respiratory distress
C - correct answers When considering priority setting of problems, the nurse keeps in mind that second-
level priority problems include which of these aspects?
a. Low self-esteem
b. Lack of knowledge
c. Abnormal laboratory values
d. Severely abnormal vital signs
B - correct answers . Which critical thinking skill helps the nurse see relationships among the data?
a. Validation
b. Clustering related cues
