SCHOLARVAULT
,Evidence-Based Physical Examination Best Practices for Health & Well-Being
Assessment 1st Edition Test Bank
Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OF HEALTH AND WELL-
BEING
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.
.
ANS: 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) REF: z. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of
data would be:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: C
Subjective data are what the person says about him or herself during history taking. Objective
SCHOLARVAULT
,data #cxare #cxwhat #cxthe #cxhealth #cxprofessional #cxobserves #cxby #cxinspecting, #cxpercussing, #cxpalpating,
#cxand #cxauscultating #cxduring #cxthe #cxphysical #cxexamination. #cxThe #cxterms #cxreflective #cxand
#cxintrospective #cxare #cxnot #cxused #cxto #cxdescribe #cxdata.
DIF: #cxCognitive #cxLevel: #cxUnderstanding #cx(Comprehension) #cxREF: #cxz. #cx2
MSC: #cxClient #cxNeeds: #cxSafe #cxand #cxEffective #cxCare #cxEnvironment: #cxManagement #cxof #cxCare
3. The #cxpatients #cxrecord, #cxlaboratory #cxstudies, #cxobjective #cxdata, #cxand #cxsubjective #cxdata
#cxcombine #cxto #cxform #cxthe:
a Data #cxbase.
.
b Admitting #cxdata.
.
c Financial #cxstatement.
.
d Discharge #cxsummary.
.
ANS: #cxA
Together #cxwith #cxthe #cxpatients #cxrecord #cxand #cxlaboratory #cxstudies, #cxthe #cxobjective #cxand #cxsubjective
#cxdata #cxform #cxthe #cxdata #cxbase. #cxThe #cxother #cxitems #cxare #cxnot #cxpart #cxof #cxthe #cxpatients #cxrecord,
#cxlaboratory #cxstudies, #cxor #cxdata.
DIF: #cxCognitive #cxLevel: #cxRemembering #cx(Knowledge) #cxREF: #cxz. #cx2
MSC: #cxClient #cxNeeds: #cxSafe #cxand #cxEffective #cxCare #cxEnvironment: #cxManagement #cxof #cxCare
4. When #cxlistening #cxto #cxa #cxpatients #cxbreath #cxsounds, #cxthe #cxnurse #cxis #cxunsure #cxof #cxa #cxsound
#cxthat #cxis #cxheard. #cxThe #cxnurses #cxnext #cxaction #cxshould #cxbe #cxto:
a Immediately #cxnotify #cxthe #cxpatients #cxphysician.
.
b Document #cxthe #cxsound #cxexactly #cxas #cxit #cxwas #cxheard.
.
c Validate #cxthe #cxdata #cxby #cxasking #cxa #cxcoworker #cxto #cxlisten #cxto #cxthe #cxbreath #cxsounds.
.
d Assess #cxagain #cxin #cx20 #cxminutes #cxto #cxnote #cxwhether #cxthe #cxsound #cxis #cxstill #cxpresent.
.
ANS: #cxC
When #cxunsure #cxof #cxa #cxsound #cxheard #cxwhile #cxlistening #cxto #cxa #cxpatients #cxbreath #cxsounds, #cxthe
#cxnurse #cxvalidates #cxthe #cxdata #cxto #cxensure #cxaccuracy. #cxIf #cxthe #cxnurse #cxhas #cxless #cxexperience #cxin
#cxan #cxarea, #cxthen #cxhe #cxor #cxshe #cxasks #cxan #cxexpert # c x to #cxlisten.
SCHOLARVAULT
, DIF: #cxCognitive #cxLevel: #cxAnalyzing #cx(Analysis) #cxREF: #cxz. #cx2
MSC: #cxClient #cxNeeds: #cxSafe #cxand #cxEffective #cxCare #cxEnvironment: #cxManagement #cxof #cxCare
5. The #cxnurse #cxis #cxconducting #cxa #cxclass #cxfor #cxnew #cxgraduate #cxnurses. #cxDuring #cxthe
#cxteaching #cxsession, #cxthe #cxnurse #cxshould #cxkeep #cxin #cxmind #cxthat #cxnovice #cxnurses, #cxwithout #cxa
#cxbackground #cxof #cxskills #cxand #cxexperience #cxfrom #cxwhich #cxto #cxdraw, #cxare #cxmore #cxlikely #cxto
#cxmake #cxtheir #cxdecisions # c x using:
a Intuition.
.
b A #cxset #cxof #cxrules.
.
c Articles #cxin #cxjournals.
.
d Advice #cxfrom #cxsupervisors.
.
ANS: #cxB
Novice #cxnurses #cxoperate #cxfrom #cxa #cxset #cxof #cxdefined, #cxstructured #cxrules. #cxThe #cxexpert #cxpractitioner
#cxuses #cxintuitive #cxlinks.
DIF: #cxCognitive #cxLevel: #cxUnderstanding #cx(Comprehension)
#cxREF: #cxz. #cx3 #cxMSC: #cxClient #cxNeeds: #cxGeneral
6. Expert #cxnurses #cxlearn #cxto #cxattend #cxto #cxa #cxpattern #cxof #cxassessment #cxdata #cxand #cxact
#cxwithout #cxconsciously #cxlabeling #cxit. #cxThese #cxresponses #cxare #cxreferred #cxto #cxas:
a Intuition.
.
b The #cxnursing #cxprocess.
.
c Clinical #cxknowledge.
.
d Diagnostic #cxreasoning.
.
ANS: #cxA
Intuition #cxis #cxcharacterized #cxby #cxpattern #cxrecognitionexpert #cxnurses #cxlearn #cxto #cxattend #cxto #cxa
#cxpattern #cxof #cxassessment #cxdata #cxand #cxact #cxwithout #cxconsciously #cxlabeling #cxit. #cxThe #cxother
#cxoptions #cxare #cxnot #cxcorrect.
DIF: #cxCognitive #cxLevel: #cxUnderstanding #cx(Comprehension)
#cxREF: #cxz. #cx4 #cxMSC: #cxClient #cxNeeds: #cxGeneral
7. The #cxnurse #cxis #cxreviewing #cxinformation #cxabout #cxevidence-based #cxpractice #cx(EBP). #cxWhich
#cxstatement #cxbest #cxreflects #cxEBP?
SCHOLARVAULT
,Evidence-Based Physical Examination Best Practices for Health & Well-Being
Assessment 1st Edition Test Bank
Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OF HEALTH AND WELL-
BEING
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.
.
ANS: 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) REF: z. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of
data would be:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: C
Subjective data are what the person says about him or herself during history taking. Objective
SCHOLARVAULT
,data #cxare #cxwhat #cxthe #cxhealth #cxprofessional #cxobserves #cxby #cxinspecting, #cxpercussing, #cxpalpating,
#cxand #cxauscultating #cxduring #cxthe #cxphysical #cxexamination. #cxThe #cxterms #cxreflective #cxand
#cxintrospective #cxare #cxnot #cxused #cxto #cxdescribe #cxdata.
DIF: #cxCognitive #cxLevel: #cxUnderstanding #cx(Comprehension) #cxREF: #cxz. #cx2
MSC: #cxClient #cxNeeds: #cxSafe #cxand #cxEffective #cxCare #cxEnvironment: #cxManagement #cxof #cxCare
3. The #cxpatients #cxrecord, #cxlaboratory #cxstudies, #cxobjective #cxdata, #cxand #cxsubjective #cxdata
#cxcombine #cxto #cxform #cxthe:
a Data #cxbase.
.
b Admitting #cxdata.
.
c Financial #cxstatement.
.
d Discharge #cxsummary.
.
ANS: #cxA
Together #cxwith #cxthe #cxpatients #cxrecord #cxand #cxlaboratory #cxstudies, #cxthe #cxobjective #cxand #cxsubjective
#cxdata #cxform #cxthe #cxdata #cxbase. #cxThe #cxother #cxitems #cxare #cxnot #cxpart #cxof #cxthe #cxpatients #cxrecord,
#cxlaboratory #cxstudies, #cxor #cxdata.
DIF: #cxCognitive #cxLevel: #cxRemembering #cx(Knowledge) #cxREF: #cxz. #cx2
MSC: #cxClient #cxNeeds: #cxSafe #cxand #cxEffective #cxCare #cxEnvironment: #cxManagement #cxof #cxCare
4. When #cxlistening #cxto #cxa #cxpatients #cxbreath #cxsounds, #cxthe #cxnurse #cxis #cxunsure #cxof #cxa #cxsound
#cxthat #cxis #cxheard. #cxThe #cxnurses #cxnext #cxaction #cxshould #cxbe #cxto:
a Immediately #cxnotify #cxthe #cxpatients #cxphysician.
.
b Document #cxthe #cxsound #cxexactly #cxas #cxit #cxwas #cxheard.
.
c Validate #cxthe #cxdata #cxby #cxasking #cxa #cxcoworker #cxto #cxlisten #cxto #cxthe #cxbreath #cxsounds.
.
d Assess #cxagain #cxin #cx20 #cxminutes #cxto #cxnote #cxwhether #cxthe #cxsound #cxis #cxstill #cxpresent.
.
ANS: #cxC
When #cxunsure #cxof #cxa #cxsound #cxheard #cxwhile #cxlistening #cxto #cxa #cxpatients #cxbreath #cxsounds, #cxthe
#cxnurse #cxvalidates #cxthe #cxdata #cxto #cxensure #cxaccuracy. #cxIf #cxthe #cxnurse #cxhas #cxless #cxexperience #cxin
#cxan #cxarea, #cxthen #cxhe #cxor #cxshe #cxasks #cxan #cxexpert # c x to #cxlisten.
SCHOLARVAULT
, DIF: #cxCognitive #cxLevel: #cxAnalyzing #cx(Analysis) #cxREF: #cxz. #cx2
MSC: #cxClient #cxNeeds: #cxSafe #cxand #cxEffective #cxCare #cxEnvironment: #cxManagement #cxof #cxCare
5. The #cxnurse #cxis #cxconducting #cxa #cxclass #cxfor #cxnew #cxgraduate #cxnurses. #cxDuring #cxthe
#cxteaching #cxsession, #cxthe #cxnurse #cxshould #cxkeep #cxin #cxmind #cxthat #cxnovice #cxnurses, #cxwithout #cxa
#cxbackground #cxof #cxskills #cxand #cxexperience #cxfrom #cxwhich #cxto #cxdraw, #cxare #cxmore #cxlikely #cxto
#cxmake #cxtheir #cxdecisions # c x using:
a Intuition.
.
b A #cxset #cxof #cxrules.
.
c Articles #cxin #cxjournals.
.
d Advice #cxfrom #cxsupervisors.
.
ANS: #cxB
Novice #cxnurses #cxoperate #cxfrom #cxa #cxset #cxof #cxdefined, #cxstructured #cxrules. #cxThe #cxexpert #cxpractitioner
#cxuses #cxintuitive #cxlinks.
DIF: #cxCognitive #cxLevel: #cxUnderstanding #cx(Comprehension)
#cxREF: #cxz. #cx3 #cxMSC: #cxClient #cxNeeds: #cxGeneral
6. Expert #cxnurses #cxlearn #cxto #cxattend #cxto #cxa #cxpattern #cxof #cxassessment #cxdata #cxand #cxact
#cxwithout #cxconsciously #cxlabeling #cxit. #cxThese #cxresponses #cxare #cxreferred #cxto #cxas:
a Intuition.
.
b The #cxnursing #cxprocess.
.
c Clinical #cxknowledge.
.
d Diagnostic #cxreasoning.
.
ANS: #cxA
Intuition #cxis #cxcharacterized #cxby #cxpattern #cxrecognitionexpert #cxnurses #cxlearn #cxto #cxattend #cxto #cxa
#cxpattern #cxof #cxassessment #cxdata #cxand #cxact #cxwithout #cxconsciously #cxlabeling #cxit. #cxThe #cxother
#cxoptions #cxare #cxnot #cxcorrect.
DIF: #cxCognitive #cxLevel: #cxUnderstanding #cx(Comprehension)
#cxREF: #cxz. #cx4 #cxMSC: #cxClient #cxNeeds: #cxGeneral
7. The #cxnurse #cxis #cxreviewing #cxinformation #cxabout #cxevidence-based #cxpractice #cx(EBP). #cxWhich
#cxstatement #cxbest #cxreflects #cxEBP?
SCHOLARVAULT
