,Test Bank for Physical Examination and Health Assessment, 8th Edition
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by Carolyn Jarvis
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Chapter 01: Evidence-Based Assessment ng ng ng
MULTIPLE CHOICE ng
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic
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and his pulse is 58 beats per minute. These types of data would be:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A ng
Objective data are what the health professional observes by inspecting, percussing, palpating, and
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auscultating during the physical examination. Subjective data is what the person says about him or herself during
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history taking. The terms reflective and introspective are not used to describe data.
ng ng ng ng ng ng ng ng ng ng ng ng ng
DIF: Cognitive Level: Understanding (Comprehension)
ng ng ng ng
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would be:
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C ng
Subjective data are what the person says about him or herself during history taking. Objective data are what
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng
the health professional observes by inspecting, percussing, palpating, and auscultating during the physical
ng ng ng ng ng ng ng ng ng ng ng ng ng
examination. The terms reflective and introspective are not used to describe data.
ng ng ng ng ng ng ng ng ng ng ng ng
DIF: Cognitive Level: Understanding (Comprehension)
ng ng ng ng
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
ng ng ng ng ng ng ng ng ng ng
,3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
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a. Data base. ng
b. Admitting data. ng
c. Financial statement. ng
d. Discharge summary. ng
ANS: A ng
Together with the patients record and laboratory studies, the objective and subjective data form the data base. The
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other items are not part of the patients record, laboratory studies, or data.
ng ng ng ng ng ng ng ng ng ng ng ng ng
DIF: Cognitive Level: Remembering (Knowledge)
ng ng ng ng
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
ng ng ng ng ng ng ng ng ng ng
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next
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action should be to:
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a. Immediately notify the patients physician. ng ng ng ng
b. Document the sound exactly as it was heard. ng ng ng ng ng ng ng
c. Validate the data by asking a coworker to listen to the breath sounds.
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d. Assess again in 20 minutes to note whether the sound is still present.
ng ng ng ng ng ng ng ng ng ng ng ng
ANS: C ng
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng
ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng
DIF: Cognitive Level: Analyzing (Analysis)
ng ng ng ng
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
ng ng ng ng ng ng ng ng ng ng
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng
keep in mind that novice nurses, without a background of skills and experience from which to draw, are
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more likely to make their decisions using:
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a. Intuition.
b. A set of rules.
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c. Articles in journals. ng ng
, d. Advice from supervisors. ng ng
ANS: B ng
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng
DIF: Cognitive Level: Understanding (Comprehension)
ng ng ng ng ng
MSC: Client Needs: General
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6. Expert nurses learn to attend to a pattern of assessment data and act without consciously
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labeling it. These responses are referred to as:
ng ng ng ng ng ng ng ng
a. Intuition.
b. The nursing process. ng ng
c. Clinical knowledge. ng
d. Diagnostic reasoning. ng
ANS: A ng
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data and act
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without consciously labeling it. The other options are not correct.
ng ng ng ng ng ng ng ng ng ng
DIF: Cognitive Level: Understanding (Comprehension)
ng ng ng ng
ng MSC: Client Needs: General
ng ng ng
7. The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects EBP?
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a.
b. EBP relies on tradition for supportNoUf R
ng beSsItNpGrT
acBt.iC
ng ceOsM
. ng ng ng ng
c. EBP is simply the use of best practice techniques for the treatment of patients.
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d. EBP emphasizes the use of best evidence with the clinicians experience.
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n g ANS: The patients own preferences are not important with EBP.
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C
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EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with
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the clinicians experience, as well as patient preferences and values, when making decisions about care
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and treatment. EBP is more than simply using the best practice techniques to treat patients, and
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng
questioning tradition is important when no compelling and supportive research evidence exists.
ng ng ng ng ng ng ng ng ng ng ng ng
DIF: Cognitive Level: Applying (Application)
ng ng ng ng
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
ng ng ng ng ng ng ng ng ng ng
ng ng ng ng ng ng ng ng ng
by Carolyn Jarvis
ng ng ng
Chapter 01: Evidence-Based Assessment ng ng ng
MULTIPLE CHOICE ng
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng
and his pulse is 58 beats per minute. These types of data would be:
ng ng ng ng ng ng ng ng ng ng ng ng ng ng
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A ng
Objective data are what the health professional observes by inspecting, percussing, palpating, and
ng ng ng ng ng ng ng ng ng ng ng ng
auscultating during the physical examination. Subjective data is what the person says about him or herself during
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng
history taking. The terms reflective and introspective are not used to describe data.
ng ng ng ng ng ng ng ng ng ng ng ng ng
DIF: Cognitive Level: Understanding (Comprehension)
ng ng ng ng
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
ng ng ng ng ng ng ng ng ng ng
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would be:
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C ng
Subjective data are what the person says about him or herself during history taking. Objective data are what
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng
the health professional observes by inspecting, percussing, palpating, and auscultating during the physical
ng ng ng ng ng ng ng ng ng ng ng ng ng
examination. The terms reflective and introspective are not used to describe data.
ng ng ng ng ng ng ng ng ng ng ng ng
DIF: Cognitive Level: Understanding (Comprehension)
ng ng ng ng
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
ng ng ng ng ng ng ng ng ng ng
,3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
ng ng ng ng ng ng ng ng ng ng ng ng ng
a. Data base. ng
b. Admitting data. ng
c. Financial statement. ng
d. Discharge summary. ng
ANS: A ng
Together with the patients record and laboratory studies, the objective and subjective data form the data base. The
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng
other items are not part of the patients record, laboratory studies, or data.
ng ng ng ng ng ng ng ng ng ng ng ng ng
DIF: Cognitive Level: Remembering (Knowledge)
ng ng ng ng
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
ng ng ng ng ng ng ng ng ng ng
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng
action should be to:
ng ng ng ng
a. Immediately notify the patients physician. ng ng ng ng
b. Document the sound exactly as it was heard. ng ng ng ng ng ng ng
c. Validate the data by asking a coworker to listen to the breath sounds.
ng ng ng ng ng ng ng ng ng ng ng ng
d. Assess again in 20 minutes to note whether the sound is still present.
ng ng ng ng ng ng ng ng ng ng ng ng
ANS: C ng
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng
ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng
DIF: Cognitive Level: Analyzing (Analysis)
ng ng ng ng
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
ng ng ng ng ng ng ng ng ng ng
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng
keep in mind that novice nurses, without a background of skills and experience from which to draw, are
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng
more likely to make their decisions using:
ng ng ng ng ng ng ng
a. Intuition.
b. A set of rules.
ng ng ng
c. Articles in journals. ng ng
, d. Advice from supervisors. ng ng
ANS: B ng
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng
DIF: Cognitive Level: Understanding (Comprehension)
ng ng ng ng ng
MSC: Client Needs: General
ng ng ng
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously
ng ng ng ng ng ng ng ng ng ng ng ng ng ng
labeling it. These responses are referred to as:
ng ng ng ng ng ng ng ng
a. Intuition.
b. The nursing process. ng ng
c. Clinical knowledge. ng
d. Diagnostic reasoning. ng
ANS: A ng
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data and act
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng
without consciously labeling it. The other options are not correct.
ng ng ng ng ng ng ng ng ng ng
DIF: Cognitive Level: Understanding (Comprehension)
ng ng ng ng
ng MSC: Client Needs: General
ng ng ng
7. The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects EBP?
ng ng ng ng ng ng ng ng ng ng ng ng ng
a.
b. EBP relies on tradition for supportNoUf R
ng beSsItNpGrT
acBt.iC
ng ceOsM
. ng ng ng ng
c. EBP is simply the use of best practice techniques for the treatment of patients.
ng ng ng ng ng ng ng ng ng ng ng ng ng
d. EBP emphasizes the use of best evidence with the clinicians experience.
ng ng ng ng ng ng ng ng ng ng ng
n g ANS: The patients own preferences are not important with EBP.
ng ng ng ng ng ng ng ng
C
ng
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng
the clinicians experience, as well as patient preferences and values, when making decisions about care
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng
and treatment. EBP is more than simply using the best practice techniques to treat patients, and
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng
questioning tradition is important when no compelling and supportive research evidence exists.
ng ng ng ng ng ng ng ng ng ng ng ng
DIF: Cognitive Level: Applying (Application)
ng ng ng ng
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
ng ng ng ng ng ng ng ng ng ng
