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