,
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 3RD EDITION JARVIS TEST BA
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NK
2
Test Bank - Physical Examination and Health Assessment 3e (by Jarvis)
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Chapter 01: Evidence-Based Assessment h2 h2 h2
MULTIPLE CHOICE h2
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupn
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eic 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 h2
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultati
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ng during the physical examination. Subjective data is what the person says about him or herself during
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historytaking. The terms reflective and introspective are not used to describe data.
h2 2
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DIF: Cognitive Level: Understanding (Comprehension)
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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 nervN
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naGuTsB
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teOdM
, and feels hot. These types of data would be:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C h2
Subjective data are what the person says about him or herself during history taking. Objective data are wh
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at the health professional observes by inspecting, percussing, palpating, and auscultating during the physi
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cal examination. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension)
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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. h2
b. Admitting data. h2
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 3RD EDITION JARVIS TEST BA
h2 h2 h2 h2 h2 h2 h2 h2 h2
NK
3
Test Bank - Physical Examination and Health Assessment 3e (by Jarvis)
h2 h2 h2 h2 h2 h2 h2 h2 h2 h2
c. Financial statement. h2
d. Discharge summary. h2
ANS: A h2
Together with the patients record and laboratory studies, the objective and subjective data form the data
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base. The other items are not part of the patients record, laboratory studies, or data.
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DIF: Cognitive Level: Remembering (Knowledge)
h2 h2 h2 h2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
h2 h2 h2 h2 h2 h2 h2 h2 h2 h2
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nur
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ses next action should be to:
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a. Immediately notify the patients physician. h2 h2 h2 h2
b. Document the sound exactly as it was heard. h2 h2 h2 h2 h2 h2 h2
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.
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ANS: C h2
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to
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ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
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DIF: Cognitive Level: Analyzing (Analysis)
h2 h2 h2 h2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
h2 h2 h2 h2 h2 h2 h2 h2 h2 h2
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should k
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eepin mind that novice nurses, without a background of skills and experience from which to draw, are
2
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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. h2 h2
d. Advice from supervisors. h2 h2
ANS: B h2
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive lin
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ks. DIF: Cognitive Level: Understanding (Comprehension)
h2 h2 h2 h2 h2
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 3RD EDITION JARVIS TEST BA
h2 h2 h2 h2 h2 h2 h2 h2 h2
NK
2
Test Bank - Physical Examination and Health Assessment 3e (by Jarvis)
h2 h2 h2 h2 h2 h2 h2 h2 h2 h2
Chapter 01: Evidence-Based Assessment h2 h2 h2
MULTIPLE CHOICE h2
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupn
h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2
eic and his pulse is 58 beats per minute. These types of data would be:
h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A h2
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultati
h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2
ng during the physical examination. Subjective data is what the person says about him or herself during
h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2
historytaking. The terms reflective and introspective are not used to describe data.
h2 2
h h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2
DIF: Cognitive Level: Understanding (Comprehension)
h2 h2 h2 h2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
h2 h2 h2 h2 h2 h2 h2 h2 h2 h2
2. A patient tells the nurse that he is very nervN
h2 h2 ouUsR, SisIN
naGuTsB
h2 ea.C
teOdM
, and feels hot. These types of data would be:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C h2
Subjective data are what the person says about him or herself during history taking. Objective data are wh
h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2
at the health professional observes by inspecting, percussing, palpating, and auscultating during the physi
h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2
cal examination. The terms reflective and introspective are not used to describe data.
h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2
DIF: Cognitive Level: Understanding (Comprehension)
h2 h2 h2 h2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
h2 h2 h2 h2 h2 h2 h2 h2 h2 h2
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
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a. Data base. h2
b. Admitting data. h2
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 3RD EDITION JARVIS TEST BA
h2 h2 h2 h2 h2 h2 h2 h2 h2
NK
3
Test Bank - Physical Examination and Health Assessment 3e (by Jarvis)
h2 h2 h2 h2 h2 h2 h2 h2 h2 h2
c. Financial statement. h2
d. Discharge summary. h2
ANS: A h2
Together with the patients record and laboratory studies, the objective and subjective data form the data
h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2
base. The other items are not part of the patients record, laboratory studies, or data.
h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2
DIF: Cognitive Level: Remembering (Knowledge)
h2 h2 h2 h2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
h2 h2 h2 h2 h2 h2 h2 h2 h2 h2
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nur
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ses next action should be to:
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a. Immediately notify the patients physician. h2 h2 h2 h2
b. Document the sound exactly as it was heard. h2 h2 h2 h2 h2 h2 h2
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.
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ANS: C h2
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to
h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2 h2
ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
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DIF: Cognitive Level: Analyzing (Analysis)
h2 h2 h2 h2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
h2 h2 h2 h2 h2 h2 h2 h2 h2 h2
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should k
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eepin mind that novice nurses, without a background of skills and experience from which to draw, are
2
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more likely to make their decisions using:
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a. Intuition.
b. A set of rules.
h2 h2 h2
c. Articles in journals. h2 h2
d. Advice from supervisors. h2 h2
ANS: B h2
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive lin
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ks. DIF: Cognitive Level: Understanding (Comprehension)
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