TestBankforPhysicalExaminationandHealthAssessment9t
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EditionbyCarolynJarvis,Ann
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, PHYSICALEXAMINATION AND HEALTH ASSESSMENT 9THEDITION JARVISTEST BAN K t t t t t t t t t t
2
Chapter 01: Evidence-Based Assessment t t t
MULTIPLE CHOICE t
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and his
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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 t
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating during
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the physical examination. Subjective data is what the person says about him or herself during history ta king. The terms
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treflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension)
t t t t
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
t t t t t t t t t t
2. A patient tells the nurse that he is very nervous, isn a u s e a. Ct eOd,M a n d feels hot. These types of data would be:
t t t t t t t t t t t $i t t t t t t t t
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C t
Subjective data are what the person says about him or herself during history taking. Objective data are what the health p
t t t t t t t t t t t t t t t t t t $i t
rofessional observes byinspecting, percussing, palpating, and auscultating during the physical exam ination. The term
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s reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension)
t t t t
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
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a. Data base. t
b. Admitting data. t
, PHYSICALEXAMINATION AND HEALTH ASSESSMENT 9THEDITION JARVISTEST BAN K t t t t t t t t t t
3
c. Financial statement. t
d. Discharge summary. t
ANS: A t
Together with the patients record and laboratory studies, the objective and subjective data form the data base
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. The other items are not part of the patients record, laboratory studies, or data. DIF: Cog
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nitive Level: Remembering (Knowledge)
t t t
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next act
t t t t t t t t t t t t t $i t t t t t $i
ion should be to:
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a. Immediately notify the patients physician. t t t t
b. Document the sound exactly as it was heard. t t t t t t t
c. Validate the data byasking a coworker to listen to the breath sounds. t t t t t t t t t t t t
d. Assess again in 20 minutes to note whether the sound is still present.
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ANS: C t
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure acc uracy. If
t t t t t t t t t t t t t t t t t t t $i t t
the nurse has less experience in an area, then he or she asks an expert to listen.
t t t t t t t t t t t t t t t t t
DIF: Cognitive Level: Analyzing (Analysis)
t t t t
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should ke ep in min
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d that novice nurses, without a background of skills and experience from which to draw, are mor e likely to make t
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heir decisions using:
t t
a. Intuition.
b. A set of rules. t t t
c. Articles in journals. t t
d. Advice from supervisors. t t
ANS: B t
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links. DIF: Cogn
t t t t t t t t t t t t t t t t t
itive Level: Understanding (Comprehension)
t t t
, PHYSICALEXAMINATION AND HEALTH ASSESSMENT 9THEDITION JARVISTEST BAN K t t t t t t t t t t
4
MSC: Client Needs: General t t t
6. The nurse is reviewing information about evidence-
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based practice (EBP). Which statement best reflects EBP?
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a. EBP relies on tradition for supportNoUfRbeSsItNpGrT
t acBt.iC
ceOsM
. t t t t $i $i
b. EBP is simply the use of best practice techniques for the treatment of patients.
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c. EBP emphasizes the use of best evidence with the clinicians experience.
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d. The patients own preferences are not important with EB
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P. ANS: C
i$ t
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the clinicia
t t t t t t t $i t t t t t t t t t t
ns experience, as well as patient preferences and values, when making decisions about care and tr eatment. EBP is
t t t t t t t t t t t t t t t t t t t
more than simply using the best practice techniques to treat patients, and questioning trad ition is important when
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no compelling and supportive research evidence exists.
t t t t t t
DIF: Cognitive Level: Applying (Application)
t t t t
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
t t t t t t t t t t
7. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. Th ese resp
t t t t t t t t t t t t t t t t t t $i
onses are referred to as:t t t t
a. Intuition.
b. The nursing process. t t
c. Clinical knowledge. t
d. Diagnostic reasoning. t
ANS: A t
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data a nd act wi
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thout consciously labeling it. The other options are not correct.
t t t t t t t t $i
DIF: Cognitive Level: Understanding (Comprehensio n)
t t t t t $i
MSC: Client Needs: General t $i t
8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an exam ple of a fi
t t t t t t t t t t t t t t t t t t t t $i t t
rst-level priority problem? t t
a. Patient with postoperative pain t t t
b. Newly diagnosed patient with diabetes who needs diabetic teaching
t t t t t t t t
t t t t t t t
$i
h
EditionbyCarolynJarvis,Ann
t t t t t
, PHYSICALEXAMINATION AND HEALTH ASSESSMENT 9THEDITION JARVISTEST BAN K t t t t t t t t t t
2
Chapter 01: Evidence-Based Assessment t t t
MULTIPLE CHOICE t
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and his
t t t t t t t t t t t t t t t t t $i t
pulse is 58 beats per minute. These types of data would be:
t t t t t t t t t t t
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A t
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating during
t t t t t t t t t t t t t t t
the physical examination. Subjective data is what the person says about him or herself during history ta king. The terms
t t t t t t t t t t t t t t t t t t t
treflective and introspective are not used to describe data.
t t t t t t t t
DIF: Cognitive Level: Understanding (Comprehension)
t t t t
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
t t t t t t t t t t
2. A patient tells the nurse that he is very nervous, isn a u s e a. Ct eOd,M a n d feels hot. These types of data would be:
t t t t t t t t t t t $i t t t t t t t t
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C t
Subjective data are what the person says about him or herself during history taking. Objective data are what the health p
t t t t t t t t t t t t t t t t t t $i t
rofessional observes byinspecting, percussing, palpating, and auscultating during the physical exam ination. The term
t t t t t t t t t t t t t t
s reflective and introspective are not used to describe data.
t t t t t t t t t
DIF: Cognitive Level: Understanding (Comprehension)
t t t t
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
t t t t t t t t t t
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
t t t t t t t t t t t t $i
a. Data base. t
b. Admitting data. t
, PHYSICALEXAMINATION AND HEALTH ASSESSMENT 9THEDITION JARVISTEST BAN K t t t t t t t t t t
3
c. Financial statement. t
d. Discharge summary. t
ANS: A t
Together with the patients record and laboratory studies, the objective and subjective data form the data base
t t t t t t t t t t t t t t t t
. The other items are not part of the patients record, laboratory studies, or data. DIF: Cog
$i t t t t t t t t t t t t t t t
nitive Level: Remembering (Knowledge)
t t t
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
t t t t t t t t t t
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next act
t t t t t t t t t t t t t $i t t t t t $i
ion should be to:
$t t t
a. Immediately notify the patients physician. t t t t
b. Document the sound exactly as it was heard. t t t t t t t
c. Validate the data byasking a coworker to listen to the breath sounds. t t t t t t t t t t t t
d. Assess again in 20 minutes to note whether the sound is still present.
t t t t t t t t t t t t
ANS: C t
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure acc uracy. If
t t t t t t t t t t t t t t t t t t t $i t t
the nurse has less experience in an area, then he or she asks an expert to listen.
t t t t t t t t t t t t t t t t t
DIF: Cognitive Level: Analyzing (Analysis)
t t t t
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
t t t t t t t t t t
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should ke ep in min
t t t t t t t t t t t t t t t t t t t t
d that novice nurses, without a background of skills and experience from which to draw, are mor e likely to make t
t t t t t t t t t t t t t t t t t t $i t t
heir decisions using:
t t
a. Intuition.
b. A set of rules. t t t
c. Articles in journals. t t
d. Advice from supervisors. t t
ANS: B t
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links. DIF: Cogn
t t t t t t t t t t t t t t t t t
itive Level: Understanding (Comprehension)
t t t
, PHYSICALEXAMINATION AND HEALTH ASSESSMENT 9THEDITION JARVISTEST BAN K t t t t t t t t t t
4
MSC: Client Needs: General t t t
6. The nurse is reviewing information about evidence-
t t t t t t
based practice (EBP). Which statement best reflects EBP?
t t t t t t t $i
a. EBP relies on tradition for supportNoUfRbeSsItNpGrT
t acBt.iC
ceOsM
. t t t t $i $i
b. EBP is simply the use of best practice techniques for the treatment of patients.
t t t t t t t t t t t t t
c. EBP emphasizes the use of best evidence with the clinicians experience.
t t $i t t t t t t t
d. The patients own preferences are not important with EB
t t t t t t t t
P. ANS: C
i$ t
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the clinicia
t t t t t t t $i t t t t t t t t t t
ns experience, as well as patient preferences and values, when making decisions about care and tr eatment. EBP is
t t t t t t t t t t t t t t t t t t t
more than simply using the best practice techniques to treat patients, and questioning trad ition is important when
t t t $i t t t t t t t t t t t t t t
no compelling and supportive research evidence exists.
t t t t t t
DIF: Cognitive Level: Applying (Application)
t t t t
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
t t t t t t t t t t
7. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. Th ese resp
t t t t t t t t t t t t t t t t t t $i
onses are referred to as:t t t t
a. Intuition.
b. The nursing process. t t
c. Clinical knowledge. t
d. Diagnostic reasoning. t
ANS: A t
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data a nd act wi
t t t t t t t t t t t t t t t t t $i t
thout consciously labeling it. The other options are not correct.
t t t t t t t t $i
DIF: Cognitive Level: Understanding (Comprehensio n)
t t t t t $i
MSC: Client Needs: General t $i t
8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an exam ple of a fi
t t t t t t t t t t t t t t t t t t t t $i t t
rst-level priority problem? t t
a. Patient with postoperative pain t t t
b. Newly diagnosed patient with diabetes who needs diabetic teaching
t t t t t t t t
