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