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HAP FINAL TEST
BANK QUESTIONS
TH
JARVIS 7 EDITION
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HAP FINAL TEST BANK QUESTIONS: Jarvis 7th Edition
Chapter 01: Evidence-Based Assessment
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.
ANS: 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 saysabout him or herself during history taking. The terms reflective and introspective are not used to describe data.
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.
ANS: 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.
3. The patient’s record, laboratory studies, objective data, and subjective data combine to form the:
a. Data base.
b. Admitting data.
c. Financial statement.
d. Discharge summary.
ANS: A
Together with the patient’s record and laboratory studies, the objective and subjective data form the data base. The other items are not part of the patient’s
record, laboratory studies, or data.
4. When vlistening vto va vpatient’s vbreath vsounds, vthe vnurse vis vunsure vof va vsound vthat vis vheard. vThe vnurse’s vnext vaction vshould vbe vto:
a. Immediately vnotify vthe vpatient’s vphysician.
b. Document vthe vsound vexactly vas vit vwas vheard.
c. Validate vthe vdata vby vasking va vcoworker vto vlisten vto vthe vbreath vsounds.
d. Assess vagain vin v20 vminutes vto vnote vwhether vthe vsound vis vstill vpresent.
ANS: vC
When vunsure vof va vsound vheard vwhile vlistening vto va vpatient’s vbreath vsounds, vthe vnurse vvalidates vthe vdata vto vensure vaccuracy. vIf
vthe vnurse vhas vless vexperience vin van varea, vthen vhe vor vshe vasks van vexpert vto vlisten.
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5. The vnurse vis vconducting va vclass vfor vnew vgraduate vnurses. vDuring vthe vteaching vsession, vthe vnurse vshould vkeep vin vmind
vthat vnovice vnurses, vwithout va vbackground vof vskills vand vexperience vfrom vwhich vto vdraw, vare vmore vlikely vto vmake vtheir
vdecisions vusing:
a. Intuition.
b. A vset vof vrules.
c. Articles vin vjournals.
d. Advice vfrom vsupervisors.
ANS: vB
Novice vnurses voperate vfrom va vset vof vdefined, vstructured vrules. vThe vexpert vpractitioner vuses vintuitive vlinks.
6. Expert vnurses vlearn vto vattend vto va vpattern vof vassessment vdata vand vact vwithout vconsciously vlabeling vit. vThese vresponses vare vreferred
vto vas:
a. Intuition.
b. The vnursing vprocess.
c. Clinical vknowledge.
d. Diagnostic vreasoning.
ANS: vA
Intuition vis vcharacterized vby vpattern vrecognition—expert vnurses vlearn vto vattend vto va vpattern vof vassessment vdata vand vact vwithout
vconsciously vlabeling vit. vThe vother voptions vare vnot vcorrect.
7. The vnurse vis vreviewing vinformation vabout vevidence-based vpractice v(EBP). vWhich vstatement vbest vreflects vEBP?
a. EBP vrelies von vtradition vfor vsupport vof vbest vpractices.
b. EBP vis vsimply vthe vuse vof vbest vpractice vtechniques vfor vthe vtreatment vof vpatients.
c. EBP vemphasizes vthe vuse vof vbest vevidence vwith vthe vclinician’s vexperience.
d. The vpatient’s vown vpreferences vare vnot vimportant
vwith vEBP. vANS: vC
EBP vis va vsystematic vapproach vto vpractice vthat vemphasizes vthe vuse vof vbest vevidence vin vcombination vwith vthe vclinician’s vexperience,
vas vwell vas vpatient vpreferences vand vvalues, vwhen vmaking vdecisions vabout vcare vand vtreatment. vEBP vis vmore vthan vsimply vusing vthe
vbest vpractice vtechniques vto vtreat vpatients, vand vquestioning vtradition vis vimportant vwhen vno vcompelling vand vsupportive vresearch vevidence
vexists.
8. The vnurse vis vconducting va vclass von vpriority vsetting vfor va vgroup vof vnew vgraduate vnurses. vWhich vis van vexample vof va vfirst-level
vpriority vproblem?
a. Patient vwith vpostoperative vpain
b. Newly vdiagnosed vpatient vwith vdiabetes vwho vneeds vdiabetic vteaching
c. Individual vwith va vsmall vlaceration von vthe vsole vof vthe vfoot
d. Individual vwith vshortness vof vbreath vand vrespiratory
vdistress vANS: vD
First-level vpriority vproblems vare vthose vthat vare vemergent, vlife vthreatening, vand vimmediate v(e.g., vestablishing van vairway, vsupporting
vbreathing, vmaintaining vcirculation, vmonitoring vabnormal vvital vsigns) v(see vTable v1-1).
9. When vconsidering vpriority vsetting vof vproblems, vthe vnurse vkeeps vin vmind vthat vsecond-level vpriority vproblems vinclude vwhich vof vthese
vaspects?
a. Low vself-esteem
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b. Lack vof vknowledge
c. Abnormal vlaboratory vvalues
d. Severely vabnormal vvital
vsigns vANS: vC
Second-level vpriority vproblems vare vthose vthat vrequire vprompt vintervention vto vforestall vfurther vdeterioration v(e.g., vmental vstatus vchange,
vacute vpain, vabnormal vlaboratory vvalues, vrisks vto vsafety vor vsecurity) v(see vTable v1-1).
10. Which vcritical vthinking vskill vhelps vthe vnurse vsee vrelationships vamong vthe vdata?
a. Validation
b. Clustering vrelated vcues
c. Identifying vgaps vin vdata
d. Distinguishing vrelevant vfrom
virrelevantvANS: vB
Clustering vrelated vcues vhelps vthe vnurse vsee vrelationships vamong vthe vdata.
11. The vnurse vknows vthat vdeveloping vappropriate vnursing vinterventions vfor va vpatient vrelies von vthe vappropriateness vof vthe diagnosis.
a. Nursing
b. Medical
c. Admission
d. Collaborative
vANS: vA
An vaccurate vnursing vdiagnosis vprovides vthe vbasis vfor vthe vselection vof vnursing vinterventions vto vachieve voutcomes vfor vwhich vthe
vnurse vis vaccountable. vThe vother vitems vdo vnot vcontribute vto vthe vdevelopment vof vappropriate vnursing vinterventions.
12. The vnursing vprocess vis va vsequential vmethod vof vproblem vsolving vthat vnurses vuse vand vincludes vwhich vsteps?
a. Assessment, vtreatment, vplanning, vevaluation, vdischarge, vand vfollow-up
b. Admission, vassessment, vdiagnosis, vtreatment, vand vdischarge vplanning
c. Admission, vdiagnosis, vtreatment, vevaluation, vand vdischarge vplanning
d. Assessment, vdiagnosis, voutcome videntification, vplanning, vimplementation, vand
vevaluation vANS: vD
The vnursing vprocess vis va vmethod vof vproblem vsolving vthat vincludes vassessment, vdiagnosis, voutcome videntification, vplanning,
vimplementation, vand vevaluation.
13. A vnewly vadmitted vpatient vis vin vacute vpain, vhas vnot vbeen vsleeping vwell vlately, vand vis vhaving vdifficulty vbreathing. vHow
vshould vthe vnurse vprioritize vthese vproblems?
a. Breathing, vpain, vand vsleep
b. Breathing, vsleep, vand vpain
c. Sleep, vbreathing, vand vpain
d. Sleep, vpain, vand vbreathing
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HAP FINAL TEST
BANK QUESTIONS
TH
JARVIS 7 EDITION
Downloaded by: Ariah |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
HAP FINAL TEST BANK QUESTIONS: Jarvis 7th Edition
Chapter 01: Evidence-Based Assessment
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.
ANS: 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 saysabout him or herself during history taking. The terms reflective and introspective are not used to describe data.
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.
ANS: 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.
3. The patient’s record, laboratory studies, objective data, and subjective data combine to form the:
a. Data base.
b. Admitting data.
c. Financial statement.
d. Discharge summary.
ANS: A
Together with the patient’s record and laboratory studies, the objective and subjective data form the data base. The other items are not part of the patient’s
record, laboratory studies, or data.
4. When vlistening vto va vpatient’s vbreath vsounds, vthe vnurse vis vunsure vof va vsound vthat vis vheard. vThe vnurse’s vnext vaction vshould vbe vto:
a. Immediately vnotify vthe vpatient’s vphysician.
b. Document vthe vsound vexactly vas vit vwas vheard.
c. Validate vthe vdata vby vasking va vcoworker vto vlisten vto vthe vbreath vsounds.
d. Assess vagain vin v20 vminutes vto vnote vwhether vthe vsound vis vstill vpresent.
ANS: vC
When vunsure vof va vsound vheard vwhile vlistening vto va vpatient’s vbreath vsounds, vthe vnurse vvalidates vthe vdata vto vensure vaccuracy. vIf
vthe vnurse vhas vless vexperience vin van varea, vthen vhe vor vshe vasks van vexpert vto vlisten.
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5. The vnurse vis vconducting va vclass vfor vnew vgraduate vnurses. vDuring vthe vteaching vsession, vthe vnurse vshould vkeep vin vmind
vthat vnovice vnurses, vwithout va vbackground vof vskills vand vexperience vfrom vwhich vto vdraw, vare vmore vlikely vto vmake vtheir
vdecisions vusing:
a. Intuition.
b. A vset vof vrules.
c. Articles vin vjournals.
d. Advice vfrom vsupervisors.
ANS: vB
Novice vnurses voperate vfrom va vset vof vdefined, vstructured vrules. vThe vexpert vpractitioner vuses vintuitive vlinks.
6. Expert vnurses vlearn vto vattend vto va vpattern vof vassessment vdata vand vact vwithout vconsciously vlabeling vit. vThese vresponses vare vreferred
vto vas:
a. Intuition.
b. The vnursing vprocess.
c. Clinical vknowledge.
d. Diagnostic vreasoning.
ANS: vA
Intuition vis vcharacterized vby vpattern vrecognition—expert vnurses vlearn vto vattend vto va vpattern vof vassessment vdata vand vact vwithout
vconsciously vlabeling vit. vThe vother voptions vare vnot vcorrect.
7. The vnurse vis vreviewing vinformation vabout vevidence-based vpractice v(EBP). vWhich vstatement vbest vreflects vEBP?
a. EBP vrelies von vtradition vfor vsupport vof vbest vpractices.
b. EBP vis vsimply vthe vuse vof vbest vpractice vtechniques vfor vthe vtreatment vof vpatients.
c. EBP vemphasizes vthe vuse vof vbest vevidence vwith vthe vclinician’s vexperience.
d. The vpatient’s vown vpreferences vare vnot vimportant
vwith vEBP. vANS: vC
EBP vis va vsystematic vapproach vto vpractice vthat vemphasizes vthe vuse vof vbest vevidence vin vcombination vwith vthe vclinician’s vexperience,
vas vwell vas vpatient vpreferences vand vvalues, vwhen vmaking vdecisions vabout vcare vand vtreatment. vEBP vis vmore vthan vsimply vusing vthe
vbest vpractice vtechniques vto vtreat vpatients, vand vquestioning vtradition vis vimportant vwhen vno vcompelling vand vsupportive vresearch vevidence
vexists.
8. The vnurse vis vconducting va vclass von vpriority vsetting vfor va vgroup vof vnew vgraduate vnurses. vWhich vis van vexample vof va vfirst-level
vpriority vproblem?
a. Patient vwith vpostoperative vpain
b. Newly vdiagnosed vpatient vwith vdiabetes vwho vneeds vdiabetic vteaching
c. Individual vwith va vsmall vlaceration von vthe vsole vof vthe vfoot
d. Individual vwith vshortness vof vbreath vand vrespiratory
vdistress vANS: vD
First-level vpriority vproblems vare vthose vthat vare vemergent, vlife vthreatening, vand vimmediate v(e.g., vestablishing van vairway, vsupporting
vbreathing, vmaintaining vcirculation, vmonitoring vabnormal vvital vsigns) v(see vTable v1-1).
9. When vconsidering vpriority vsetting vof vproblems, vthe vnurse vkeeps vin vmind vthat vsecond-level vpriority vproblems vinclude vwhich vof vthese
vaspects?
a. Low vself-esteem
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b. Lack vof vknowledge
c. Abnormal vlaboratory vvalues
d. Severely vabnormal vvital
vsigns vANS: vC
Second-level vpriority vproblems vare vthose vthat vrequire vprompt vintervention vto vforestall vfurther vdeterioration v(e.g., vmental vstatus vchange,
vacute vpain, vabnormal vlaboratory vvalues, vrisks vto vsafety vor vsecurity) v(see vTable v1-1).
10. Which vcritical vthinking vskill vhelps vthe vnurse vsee vrelationships vamong vthe vdata?
a. Validation
b. Clustering vrelated vcues
c. Identifying vgaps vin vdata
d. Distinguishing vrelevant vfrom
virrelevantvANS: vB
Clustering vrelated vcues vhelps vthe vnurse vsee vrelationships vamong vthe vdata.
11. The vnurse vknows vthat vdeveloping vappropriate vnursing vinterventions vfor va vpatient vrelies von vthe vappropriateness vof vthe diagnosis.
a. Nursing
b. Medical
c. Admission
d. Collaborative
vANS: vA
An vaccurate vnursing vdiagnosis vprovides vthe vbasis vfor vthe vselection vof vnursing vinterventions vto vachieve voutcomes vfor vwhich vthe
vnurse vis vaccountable. vThe vother vitems vdo vnot vcontribute vto vthe vdevelopment vof vappropriate vnursing vinterventions.
12. The vnursing vprocess vis va vsequential vmethod vof vproblem vsolving vthat vnurses vuse vand vincludes vwhich vsteps?
a. Assessment, vtreatment, vplanning, vevaluation, vdischarge, vand vfollow-up
b. Admission, vassessment, vdiagnosis, vtreatment, vand vdischarge vplanning
c. Admission, vdiagnosis, vtreatment, vevaluation, vand vdischarge vplanning
d. Assessment, vdiagnosis, voutcome videntification, vplanning, vimplementation, vand
vevaluation vANS: vD
The vnursing vprocess vis va vmethod vof vproblem vsolving vthat vincludes vassessment, vdiagnosis, voutcome videntification, vplanning,
vimplementation, vand vevaluation.
13. A vnewly vadmitted vpatient vis vin vacute vpain, vhas vnot vbeen vsleeping vwell vlately, vand vis vhaving vdifficulty vbreathing. vHow
vshould vthe vnurse vprioritize vthese vproblems?
a. Breathing, vpain, vand vsleep
b. Breathing, vsleep, vand vpain
c. Sleep, vbreathing, vand vpain
d. Sleep, vpain, vand vbreathing
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