Test Bank for Physical Examination and Health Assessment
n9 n9 n9 n9 n9 n9 n9 n
9
9th Edition by Carolyn Jarvis, Ann
n9 n9 n9 n9 n9
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BA
n9 n9 n9 n9 n9 n9 n9 n9 n9
NK
2
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BA
n9 n9 n9 n9 n9 n9 n9 n9 n9
NK
3
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
Chapter 01: Evidence-Based Assessment n9 n9 n9
MULTIPLE CHOICE n9
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupne
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ic andhis pulse is 58 beats per minute. These types of data would be:
n9 9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A n9
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultatin
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
g during the physical examination. Subjective data is what the person says about him or herself during histo
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ry taking. The terms reflective and introspective are not used to describe data.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
DIF: Cognitive Level: Understanding (Comprehension)
n9 n9 n9 n9
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
2. A patient tells the nurse that he is very nervous, is nausea.CteOdM
n9 n9 n9 , and feels hot. These types of data would be:
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C n9
Subjective data are what the person says about him or herself during history taking. Objective data are w
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
hat thehealth professional observes by inspecting, percussing, palpating, and auscultating during the physical
n9 9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
examination. The terms reflective and introspective are not used to describe data.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
DIF: Cognitive Level: Understanding (Comprehension)
n9 n9 n9 n9
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. Data base. n9
b. Admitting data. n9
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BA
n9 n9 n9 n9 n9 n9 n9 n9 n9
NK
4
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
c. Financial statement. n9
d. Discharge summary. n9
ANS: A n9
Together with the patients record and laboratory studies, the objective and subjective data form the data
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
base.The other items are not part of the patients record, laboratory studies, or data.
9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
DIF: Cognitive Level: Remembering (Knowledge)
n9 n9 n9 n9
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurs
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
es nextaction should be to:
n9 9
n n9 n9 n9
a. Immediately notify the patients physician. n9 n9 n9 n9
b. Document the sound exactly as it was heard.
n9 n9 n9 n9 n9 n9 n9
c. Validate the data by asking a coworker to listen to the breath sounds.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
d. Assess again in 20 minutes to note whether the sound is still present.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ANS: C n9
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensur
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
eaccuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
DIF: Cognitive Level: Analyzing (Analysis)
n9 n9 n9 n9
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should
n9 n9 n9 n9 n9 n9 n9 n9 n 9 n9 n 9 n9 n9 n9 n9 n9 n
9keep in mind that novice nurses, without a background of skills and experience from which to draw, a
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
re more likelyto make their decisions using:
n9 n9 9
n n9 n9 n9 n9
a. Intuition.
b. A set of rules.
n9 n9 n9
c. Articles in journals. n9 n9
d. Advice from supervisors.
n9 n9
ANS: B n9
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive lin
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ks.DIF: Cognitive Level: Understanding (Comprehension)
9
n n9 n9 n9 n9
n9 n9 n9 n9 n9 n9 n9 n
9
9th Edition by Carolyn Jarvis, Ann
n9 n9 n9 n9 n9
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BA
n9 n9 n9 n9 n9 n9 n9 n9 n9
NK
2
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BA
n9 n9 n9 n9 n9 n9 n9 n9 n9
NK
3
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
Chapter 01: Evidence-Based Assessment n9 n9 n9
MULTIPLE CHOICE n9
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupne
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ic andhis pulse is 58 beats per minute. These types of data would be:
n9 9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A n9
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultatin
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
g during the physical examination. Subjective data is what the person says about him or herself during histo
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ry taking. The terms reflective and introspective are not used to describe data.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
DIF: Cognitive Level: Understanding (Comprehension)
n9 n9 n9 n9
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
2. A patient tells the nurse that he is very nervous, is nausea.CteOdM
n9 n9 n9 , and feels hot. These types of data would be:
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C n9
Subjective data are what the person says about him or herself during history taking. Objective data are w
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
hat thehealth professional observes by inspecting, percussing, palpating, and auscultating during the physical
n9 9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
examination. The terms reflective and introspective are not used to describe data.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
DIF: Cognitive Level: Understanding (Comprehension)
n9 n9 n9 n9
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. Data base. n9
b. Admitting data. n9
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BA
n9 n9 n9 n9 n9 n9 n9 n9 n9
NK
4
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
c. Financial statement. n9
d. Discharge summary. n9
ANS: A n9
Together with the patients record and laboratory studies, the objective and subjective data form the data
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
base.The other items are not part of the patients record, laboratory studies, or data.
9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
DIF: Cognitive Level: Remembering (Knowledge)
n9 n9 n9 n9
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurs
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
es nextaction should be to:
n9 9
n n9 n9 n9
a. Immediately notify the patients physician. n9 n9 n9 n9
b. Document the sound exactly as it was heard.
n9 n9 n9 n9 n9 n9 n9
c. Validate the data by asking a coworker to listen to the breath sounds.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
d. Assess again in 20 minutes to note whether the sound is still present.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ANS: C n9
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensur
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
eaccuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
DIF: Cognitive Level: Analyzing (Analysis)
n9 n9 n9 n9
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should
n9 n9 n9 n9 n9 n9 n9 n9 n 9 n9 n 9 n9 n9 n9 n9 n9 n
9keep in mind that novice nurses, without a background of skills and experience from which to draw, a
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
re more likelyto make their decisions using:
n9 n9 9
n n9 n9 n9 n9
a. Intuition.
b. A set of rules.
n9 n9 n9
c. Articles in journals. n9 n9
d. Advice from supervisors.
n9 n9
ANS: B n9
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive lin
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ks.DIF: Cognitive Level: Understanding (Comprehension)
9
n n9 n9 n9 n9
