NUR 382: EXAM 1 Physical Examination & Health
Assessment (Jarvis) questions with 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. Correct Answer-Objective
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-Subjective
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-Data base
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-Validate the data by asking a coworker to listen to the
breath sounds.
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. Correct Answer-A set of rules.
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-Intuition.
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-EBP emphasizes the use of best evidence with the clinicians
experience.
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 Correct
Answer-Individual with shortness of breath and respiratory distress
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 Correct Answer-Abnormal laboratory
values
Second-level priority problems are those that require prompt
intervention to forestall further deterioration (e.g., mental status change,
acute pain, abnormal laboratory values, risks to safety or security).
Which critical thinking skill helps the nurse see relationships among the
data?
a. Validation
b. Clustering related cues
c. Identifying gaps in data
d. Distinguishing relevant from irrelevant Correct Answer-Clustering
related cues
Assessment (Jarvis) questions with 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. Correct Answer-Objective
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-Subjective
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-Data base
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-Validate the data by asking a coworker to listen to the
breath sounds.
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. Correct Answer-A set of rules.
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-Intuition.
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-EBP emphasizes the use of best evidence with the clinicians
experience.
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 Correct
Answer-Individual with shortness of breath and respiratory distress
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 Correct Answer-Abnormal laboratory
values
Second-level priority problems are those that require prompt
intervention to forestall further deterioration (e.g., mental status change,
acute pain, abnormal laboratory values, risks to safety or security).
Which critical thinking skill helps the nurse see relationships among the
data?
a. Validation
b. Clustering related cues
c. Identifying gaps in data
d. Distinguishing relevant from irrelevant Correct Answer-Clustering
related cues
