Test Bank for Physical Examination and Health Assessment 9th Edition by C
n n n n n n n n n n n
arolyn Jarvis, Ann Eckhardt / All Chapters 1-32 / Full Complete
n n n n n n n n n n
, PHYSICALnEXAMINATIONnANDnHEALTH nASSESSMENTn9TH nEDITIONnJAR VISnTESTnBANK
Test nBank n-nPhysicalnExaminationnand nHealthnAssessment n9en(by nJarvis) 2
Chapter 01: Evidence-Based Assessment
n n n
MULTIPLEnCHOICE
1. After n completingn ann initialn assessmentn ofn an patient, nthennursen hasn chartedn thatn hisn respirationsn aren eupneicn andn h
isn pulsen isn 58n beatsn pern minute. n Thesen typesn ofn datan wouldn be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:n A
Objectiven datan aren whatn then healthn professionaln observesn byn inspecting,n percussing, n palpating,n andn auscultatingn du
ringn then physicaln examination.n Subjectiven datanisn whatn then personn saysn aboutn himn orn herselfn duringn historyntaking.n
Then termsn reflectiven andn introspectiven aren notn usedn ton describen data.
DIF:n Cognitiven Level:n Understandingn (Comprehension)
MSC:n Clientn Needs:n Safen andn Effectiven Caren Environment:n Managementn ofn Care
2. An patientn tellsn then nursen thatn hen isn veryn nervous, n isn n a u s e a. Ct eOd M
, n andn feelsn hot. n Thesen typesn ofn datan wouldn be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:n C
Subjectiven datan aren whatn then personn saysn aboutn himnornherself n duringn historyntaking.n Objectiven datanaren whatnthen
healthn professionaln observesn byn inspecting, n percussing, n palpating, n andn auscultatingn duringn then physicaln exa
mination. n Then termsn reflectiven andn introspectiven aren notn usedn ton describen data.
DIF:n Cognitiven Level:n Understandingn (Comprehension)
MSC:n Clientn Needs:n Safen andn Effectiven Caren Environment:n Managementn ofn Care
3. Then patientsn record, n laboratoryn studies, n objectiven data, n andn subjectiven datan combinen ton formn the:
a. Datan base.
b. Admittingn data.
, PHYSICALnEXAMINATIONnANDnHEALTH nASSESSMENTn9TH nEDITIONnJAR VISnTESTnBANK
Test nBank n-nPhysicalnExaminationnand nHealthnAssessment n9en(by nJarvis) 3
c. Financialn statement.
d. Dischargen summary.
ANS:n A
Togethern withn then patientsn recordn andn laboratorynstudies, n thenobjectiven andnsubjectiven datan formn then datan base. n T
hen othern itemsn aren notn partn ofn then patientsn record, n laboratoryn studies, n orn data.
DIF:n Cognitiven Level:n Rememberingn (Knowledge)
MSC:n Clientn Needs:n Safen andn Effectiven Caren Environment:n Managementn ofn Care
4. Whenn listeningn ton an patientsn breathn sounds, n then nursen isn unsuren ofn ansoundn thatn isn heard. n Then nursesn nextn a
ctionn shouldn ben to:
a. Immediatelyn notifyn then patientsn physician.
b. Documentn then soundn exactlyn asn itn wasn heard.
c. Validaten then datan byn askingn an coworkern ton listenn ton then breathn sounds.
d. Assessn againn inn 20n minutesn ton noten whether n then soundn isn stilln present.
ANS:n C
Whenn unsuren ofn an soundn heardn whilen listeningn ton anpatientsn breathnsounds, n thennursen validatesn then datanton ensuren accurac
y. n Ifn then nursen hasn lessn experiencen inn ann area, n thenn hen orn shen asksn ann expertn ton listen.
DIF:n Cognitiven Level:n Analyzingn (Analysis)
MSC:n Clientn Needs:n Safen andn Effectiven Caren Environment:n Managementn ofn Care
5. Then nursen isn conductingn an classn forn newn graduaten nurses. n Duringn then teachingn session, n then nursen shouldn keepn i
nn mindn thatn novicen nurses, n withoutn an backgroundn ofn skillsn andn experiencen fromn whichn ton draw,n aren moren likelyn t
on maken theirn decisionsn using:
a. Intuition.
b. An setn ofn rules.
c. Articlesn inn journals.
d. Advicen fromn supervisors.
ANS:n B
Novicen nursesn operaten fromn an setn ofndefined, nstructuredn rules. n Then expertnpractitioner nusesn intuitiven links. n DIF
:n Cognitiven Level:n Understandingn (Comprehension)
, PHYSICALnEXAMINATIONnANDnHEALTH nASSESSMENTn9TH nEDITIONnJAR VISnTESTnBANK
Test nBank n-nPhysicalnExaminationnand nHealthnAssessment n9en(by nJarvis) 4
MSC:n Clientn Needs:n General
6. Then nursen isn reviewingn informationn aboutn evidence-
basedn practicen (EBP). n Whichn statementn bestn reflectsn EBP?
a. EBPn reliesn onn traditionn forn supportNoUfnRbeSsI tNpGrTa cBt.iCc eOsM
.
b. EBPn isn simplyn then usen ofn bestn practicen techniquesn forn then treatmentn ofn patients.
c. EBPn emphasizesn then usen ofn bestn evidencen withn then cliniciansn experience.
d. Then patientsn ownn preferencesn aren notn importantn withn EBP.
ANS:n C
EBPn isn an systematicn approachn ton practicen thatn emphasizesn then usen ofn bestn evidencen inn combinationn withn then cl
iniciansn experience, n asn welln asn patientn preferencesn andn values,n whenn makingn decisionsn aboutn caren andn treatm
ent. n EBPn isn moren thann simplyn usingn then bestn practicen techniquesn ton treatn patients,n andn questioningn traditionn is
n importantn whenn non compellingn andn supportiven researchn evidencen exists.
DIF:n Cognitiven Level:n Applyingn (Application)
MSC:n Clientn Needs:n Safen and n Effective n Caren Environment:n Managementn of n Care
7. Expertn nursesn learnn ton attendn tonan patternnofn assessmentn datan andn actn withoutn consciouslyn labelingn it. n Thesen r
esponsesn aren referredn ton as:
a. Intuition.
b. Then nursingn process.
c. Clinicaln knowledge.
d. Diagnosticn reasoning.
ANS:n A
Intuitionn isn characterizedn byn patternn recognitionexpertn nursesn learnnton attendntonan patternn ofn assessmentn datan andn
actn withoutn consciouslyn labelingn it. n Then othern optionsn aren notn correct.
DIF:n Cognitiven Level:n Understandingn (Comprehension) n
MSC:n Clientn Needs:n General
8. Then nursen isn conductingn an classn onn priorityn settingn fornan groupn ofn newngraduaten nurses. n Whichnisn ann examplen o
fn an first-leveln priorityn problem?
a. Patientn withn postoperativen pain
b. Newlyn diagnosedn patientn withn diabetesn whon needsn diabeticn teaching
n n n n n n n n n n n
arolyn Jarvis, Ann Eckhardt / All Chapters 1-32 / Full Complete
n n n n n n n n n n
, PHYSICALnEXAMINATIONnANDnHEALTH nASSESSMENTn9TH nEDITIONnJAR VISnTESTnBANK
Test nBank n-nPhysicalnExaminationnand nHealthnAssessment n9en(by nJarvis) 2
Chapter 01: Evidence-Based Assessment
n n n
MULTIPLEnCHOICE
1. After n completingn ann initialn assessmentn ofn an patient, nthennursen hasn chartedn thatn hisn respirationsn aren eupneicn andn h
isn pulsen isn 58n beatsn pern minute. n Thesen typesn ofn datan wouldn be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:n A
Objectiven datan aren whatn then healthn professionaln observesn byn inspecting,n percussing, n palpating,n andn auscultatingn du
ringn then physicaln examination.n Subjectiven datanisn whatn then personn saysn aboutn himn orn herselfn duringn historyntaking.n
Then termsn reflectiven andn introspectiven aren notn usedn ton describen data.
DIF:n Cognitiven Level:n Understandingn (Comprehension)
MSC:n Clientn Needs:n Safen andn Effectiven Caren Environment:n Managementn ofn Care
2. An patientn tellsn then nursen thatn hen isn veryn nervous, n isn n a u s e a. Ct eOd M
, n andn feelsn hot. n Thesen typesn ofn datan wouldn be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:n C
Subjectiven datan aren whatn then personn saysn aboutn himnornherself n duringn historyntaking.n Objectiven datanaren whatnthen
healthn professionaln observesn byn inspecting, n percussing, n palpating, n andn auscultatingn duringn then physicaln exa
mination. n Then termsn reflectiven andn introspectiven aren notn usedn ton describen data.
DIF:n Cognitiven Level:n Understandingn (Comprehension)
MSC:n Clientn Needs:n Safen andn Effectiven Caren Environment:n Managementn ofn Care
3. Then patientsn record, n laboratoryn studies, n objectiven data, n andn subjectiven datan combinen ton formn the:
a. Datan base.
b. Admittingn data.
, PHYSICALnEXAMINATIONnANDnHEALTH nASSESSMENTn9TH nEDITIONnJAR VISnTESTnBANK
Test nBank n-nPhysicalnExaminationnand nHealthnAssessment n9en(by nJarvis) 3
c. Financialn statement.
d. Dischargen summary.
ANS:n A
Togethern withn then patientsn recordn andn laboratorynstudies, n thenobjectiven andnsubjectiven datan formn then datan base. n T
hen othern itemsn aren notn partn ofn then patientsn record, n laboratoryn studies, n orn data.
DIF:n Cognitiven Level:n Rememberingn (Knowledge)
MSC:n Clientn Needs:n Safen andn Effectiven Caren Environment:n Managementn ofn Care
4. Whenn listeningn ton an patientsn breathn sounds, n then nursen isn unsuren ofn ansoundn thatn isn heard. n Then nursesn nextn a
ctionn shouldn ben to:
a. Immediatelyn notifyn then patientsn physician.
b. Documentn then soundn exactlyn asn itn wasn heard.
c. Validaten then datan byn askingn an coworkern ton listenn ton then breathn sounds.
d. Assessn againn inn 20n minutesn ton noten whether n then soundn isn stilln present.
ANS:n C
Whenn unsuren ofn an soundn heardn whilen listeningn ton anpatientsn breathnsounds, n thennursen validatesn then datanton ensuren accurac
y. n Ifn then nursen hasn lessn experiencen inn ann area, n thenn hen orn shen asksn ann expertn ton listen.
DIF:n Cognitiven Level:n Analyzingn (Analysis)
MSC:n Clientn Needs:n Safen andn Effectiven Caren Environment:n Managementn ofn Care
5. Then nursen isn conductingn an classn forn newn graduaten nurses. n Duringn then teachingn session, n then nursen shouldn keepn i
nn mindn thatn novicen nurses, n withoutn an backgroundn ofn skillsn andn experiencen fromn whichn ton draw,n aren moren likelyn t
on maken theirn decisionsn using:
a. Intuition.
b. An setn ofn rules.
c. Articlesn inn journals.
d. Advicen fromn supervisors.
ANS:n B
Novicen nursesn operaten fromn an setn ofndefined, nstructuredn rules. n Then expertnpractitioner nusesn intuitiven links. n DIF
:n Cognitiven Level:n Understandingn (Comprehension)
, PHYSICALnEXAMINATIONnANDnHEALTH nASSESSMENTn9TH nEDITIONnJAR VISnTESTnBANK
Test nBank n-nPhysicalnExaminationnand nHealthnAssessment n9en(by nJarvis) 4
MSC:n Clientn Needs:n General
6. Then nursen isn reviewingn informationn aboutn evidence-
basedn practicen (EBP). n Whichn statementn bestn reflectsn EBP?
a. EBPn reliesn onn traditionn forn supportNoUfnRbeSsI tNpGrTa cBt.iCc eOsM
.
b. EBPn isn simplyn then usen ofn bestn practicen techniquesn forn then treatmentn ofn patients.
c. EBPn emphasizesn then usen ofn bestn evidencen withn then cliniciansn experience.
d. Then patientsn ownn preferencesn aren notn importantn withn EBP.
ANS:n C
EBPn isn an systematicn approachn ton practicen thatn emphasizesn then usen ofn bestn evidencen inn combinationn withn then cl
iniciansn experience, n asn welln asn patientn preferencesn andn values,n whenn makingn decisionsn aboutn caren andn treatm
ent. n EBPn isn moren thann simplyn usingn then bestn practicen techniquesn ton treatn patients,n andn questioningn traditionn is
n importantn whenn non compellingn andn supportiven researchn evidencen exists.
DIF:n Cognitiven Level:n Applyingn (Application)
MSC:n Clientn Needs:n Safen and n Effective n Caren Environment:n Managementn of n Care
7. Expertn nursesn learnn ton attendn tonan patternnofn assessmentn datan andn actn withoutn consciouslyn labelingn it. n Thesen r
esponsesn aren referredn ton as:
a. Intuition.
b. Then nursingn process.
c. Clinicaln knowledge.
d. Diagnosticn reasoning.
ANS:n A
Intuitionn isn characterizedn byn patternn recognitionexpertn nursesn learnnton attendntonan patternn ofn assessmentn datan andn
actn withoutn consciouslyn labelingn it. n Then othern optionsn aren notn correct.
DIF:n Cognitiven Level:n Understandingn (Comprehension) n
MSC:n Clientn Needs:n General
8. Then nursen isn conductingn an classn onn priorityn settingn fornan groupn ofn newngraduaten nurses. n Whichnisn ann examplen o
fn an first-leveln priorityn problem?
a. Patientn withn postoperativen pain
b. Newlyn diagnosedn patientn withn diabetesn whon needsn diabeticn teaching
