TESTBANKS BY NURSINGNERD
Test Bank for Physical Examination and Health
Assessment 9th Edition (LATEST) by Carolyn Jarvis, Ann
Eckhardt | All Chapters (1-32) |Expert Verified Answers|
Grade A+
1|Page
,TESTBANKS BY NURSINGNERD
Chapter 01: Evidence-Based Assessment
MULTIPLE CHOICE
1. After completing an initial assessment of a patient, the nurse has charted that his
respirations are eupneic and his pulse is 58 beats per minute. These types of data would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
CORRECT ANSWER A
Objective data are what the health professional observes by inspecting, percussing, palpating, and
auscultating during the physical examination. Subjective data is what the person says about him or
herself during history taking. The terms reflective and introspective are not used to describe data.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A patient tells the nurse that he is very nervous, is nausea.CteOdM, and feels hot. These
types of data would be
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
CORRECT ANSWER C
Subjective data are what the person says about him or herself during history taking. Objective data
are what the health professional observes by inspecting, percussing, palpating, and auscultating
during the physical examination. The terms reflective and introspective are not used to describe
data.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. The patients record, laboratory studies, objective data, and subjective data combine to form
the:
a. Data base.
c. Financial statement.
d. Discharge summary.
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,TESTBANKS BY NURSINGNERD
CORRECT ANSWER A
Together with the patients record and laboratory studies, the objective and subjective data form the
data base. The other items are not part of the patients record, laboratory studies, or data.
DIF: Cognitive Level: Remembering (Knowledge)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The
nurses next action should be to:
a. Immediately notify the patients physician.
b. Document the sound exactly as it was heard.
c. Validate the data by asking a coworker to listen to the breath sounds.
d. Assess again in 20 minutes to note whether the sound is still present.
CORRECT ANSWER C
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the
data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert to
listen.
DIF: Cognitive Level: Analyzing (Analysis)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the
nurse should keep in mind that novice nurses, without a background of skills and experience from
which to draw, are more likely to make their decisions using:
a. Intuition.
b. A set of rules.
c. Articles in journals.
d. Advice from supervisors.
CORRECT ANSWER B
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive
links. DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: General
6. The nurse is reviewing information about evidence-based practice (EBP). Which statement
best reflects EBP?
a. EBP relies on tradition for supportNoUf RbeSsItNpGrTacBt.iCceOsM.
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.
d. The patients own preferences are not important with EBP.
CORRECT ANSWER C
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination
with the clinicians experience, as well as patient preferences and values, when making decisions
about care and treatment. EBP is more than simply using the best practice techniques to treat
patients, and questioning tradition is important when no compelling and supportive research
evidence exists.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
7. Expert nurses learn to attend to a pattern of assessment data and act without consciously
labeling it. These responses are referred to as:
a. Intuition.
b. The nursing process.
c. Clinical knowledge.
d. Diagnostic reasoning.
CORRECT ANSWER A
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of
assessment data and act without consciously labeling it. The other options are not correct.
DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: General
8. The nurse is conducting a class on priority setting for a group of new graduate nurses.
Which is an example of a first-level priority problem?
a. Patient with postoperative pain
c. Individual with a small laceration on the sole of the foot
d. Individual with shortness of breath and respiratory distress
CORRECT ANSWER D
First-level priority problems are those that are emergent, life threatening, and immediate (e.g.,
establishing an airway, supporting breathing, maintaining circulation, monitoring abnormal vital
signs).
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4|Page
Test Bank for Physical Examination and Health
Assessment 9th Edition (LATEST) by Carolyn Jarvis, Ann
Eckhardt | All Chapters (1-32) |Expert Verified Answers|
Grade A+
1|Page
,TESTBANKS BY NURSINGNERD
Chapter 01: Evidence-Based Assessment
MULTIPLE CHOICE
1. After completing an initial assessment of a patient, the nurse has charted that his
respirations are eupneic and his pulse is 58 beats per minute. These types of data would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
CORRECT ANSWER A
Objective data are what the health professional observes by inspecting, percussing, palpating, and
auscultating during the physical examination. Subjective data is what the person says about him or
herself during history taking. The terms reflective and introspective are not used to describe data.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A patient tells the nurse that he is very nervous, is nausea.CteOdM, and feels hot. These
types of data would be
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
CORRECT ANSWER C
Subjective data are what the person says about him or herself during history taking. Objective data
are what the health professional observes by inspecting, percussing, palpating, and auscultating
during the physical examination. The terms reflective and introspective are not used to describe
data.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. The patients record, laboratory studies, objective data, and subjective data combine to form
the:
a. Data base.
c. Financial statement.
d. Discharge summary.
2|Page
,TESTBANKS BY NURSINGNERD
CORRECT ANSWER A
Together with the patients record and laboratory studies, the objective and subjective data form the
data base. The other items are not part of the patients record, laboratory studies, or data.
DIF: Cognitive Level: Remembering (Knowledge)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The
nurses next action should be to:
a. Immediately notify the patients physician.
b. Document the sound exactly as it was heard.
c. Validate the data by asking a coworker to listen to the breath sounds.
d. Assess again in 20 minutes to note whether the sound is still present.
CORRECT ANSWER C
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the
data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert to
listen.
DIF: Cognitive Level: Analyzing (Analysis)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the
nurse should keep in mind that novice nurses, without a background of skills and experience from
which to draw, are more likely to make their decisions using:
a. Intuition.
b. A set of rules.
c. Articles in journals.
d. Advice from supervisors.
CORRECT ANSWER B
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive
links. DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: General
6. The nurse is reviewing information about evidence-based practice (EBP). Which statement
best reflects EBP?
a. EBP relies on tradition for supportNoUf RbeSsItNpGrTacBt.iCceOsM.
b. EBP is simply the use of best practice techniques for the treatment of patients.
3|Page
, TESTBANKS BY NURSINGNERD
c. EBP emphasizes the use of best evidence with the clinicians experience.
d. The patients own preferences are not important with EBP.
CORRECT ANSWER C
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination
with the clinicians experience, as well as patient preferences and values, when making decisions
about care and treatment. EBP is more than simply using the best practice techniques to treat
patients, and questioning tradition is important when no compelling and supportive research
evidence exists.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
7. Expert nurses learn to attend to a pattern of assessment data and act without consciously
labeling it. These responses are referred to as:
a. Intuition.
b. The nursing process.
c. Clinical knowledge.
d. Diagnostic reasoning.
CORRECT ANSWER A
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of
assessment data and act without consciously labeling it. The other options are not correct.
DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: General
8. The nurse is conducting a class on priority setting for a group of new graduate nurses.
Which is an example of a first-level priority problem?
a. Patient with postoperative pain
c. Individual with a small laceration on the sole of the foot
d. Individual with shortness of breath and respiratory distress
CORRECT ANSWER D
First-level priority problems are those that are emergent, life threatening, and immediate (e.g.,
establishing an airway, supporting breathing, maintaining circulation, monitoring abnormal vital
signs).
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4|Page
