Test BanK for Evidence-Based
Physical Examination: Best Practices
for Health and Well-Being Assessment
2nd Edition by Kate Gawlik
ALL CHAPTERS 1-29 WITH RATIONALES| A+ GRADE
Page 4r1 4rof 4r900
, Chapter 4r1. 4rAPPROACH 4rTO 4rEVIDENCE-BASED 4rASSESSMENT 4rOF 4rHEALTH 4rAND
4rWELL- 4rBEING
MULTIPLE 4rCHOICE
1. After 4rcompleting 4ran 4rinitial 4rassessment 4rof 4ra 4rpatient, 4rthe 4rnurse 4rhas 4rcharted 4rthat 4rhis
4rrespirations 4rare 4reupneic 4rand 4rhis 4rpulse 4ris 4r58 4rbeats 4rper 4rminute. 4rThese 4rtypes 4rof 4rdata
4rwould 4rbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: 4rA
Objective 4rdata 4rare 4rwhat 4rthe 4rhealth 4rprofessional 4robserves 4rby 4rinspecting, 4rpercussing, 4rpalpating,
4rand 4rauscultating 4rduring 4rthe 4rphysical 4rexamination. 4rSubjective 4rdata 4ris 4rwhat 4rthe 4rperson 4rsays
4rabout 4rhim 4ror 4rherself 4rduring 4rhistory 4rtaking. 4rThe 4rterms 4rreflective 4rand 4rintrospective 4rare 4rnot
4rused 4rto 4rdescribe 4rdata.
DIF: 4rCognitive 4rLevel: 4rUnderstanding 4r(Comprehension) 4rREF: 4rz. 4r2
MSC: 4rClient 4rNeeds: 4rSafe 4rand 4rEffective 4rCare 4rEnvironment: 4rManagement 4rof 4rCare
2. A 4rpatient 4rtells 4rthe 4rnurse 4rthat 4rhe 4ris 4rvery 4rnervous, 4ris 4rnauseated, 4rand 4rfeels 4rhot. 4rThese 4rtypes
4rof 4rdata 4rwould 4rbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: 4rC
Subjective 4rdata 4rare 4rwhat 4rthe 4rperson 4rsays 4rabout 4rhim 4ror 4rherself 4rduring 4rhistory 4rtaking.
4rObjective 4rdata 4rare 4rwhat 4rthe 4rhealth 4rprofessional 4robserves 4rby 4rinspecting, 4rpercussing,
4rpalpating, 4rand 4rauscultating 4rduring 4rthe 4rphysical 4rexamination. 4rThe 4rterms 4rreflective 4rand
4rintrospective 4rare 4rnot 4rused 4rto 4rdescribe 4rdata.
DIF: 4rCognitive 4rLevel: 4rUnderstanding 4r(Comprehension) 4rREF: 4rz. 4r2
MSC: 4rClient 4rNeeds: 4rSafe 4rand 4rEffective 4rCare 4rEnvironment: 4rManagement 4rof 4rCare
Page 4r2 4rof 4r900
,3. The 4rpatients 4rrecord, 4rlaboratory 4rstudies, 4robjective 4rdata, 4rand 4rsubjective 4rdata 4rcombine 4rto 4rform 4rthe:
a. Data 4rbase.
b. Admitting 4rdata.
c. Financial 4rstatement.
d. Discharge 4rsummary.
ANS: 4rA
Together 4rwith 4rthe 4rpatients 4rrecord 4rand 4rlaboratory 4rstudies, 4rthe 4robjective 4rand 4rsubjective 4rdata 4rform
4rthe 4rdata 4rbase. 4rThe 4rother 4ritems 4rare 4rnot 4rpart 4rof 4rthe 4rpatients 4rrecord, 4rlaboratory 4rstudies, 4ror
4rdata.
DIF: 4rCognitive 4rLevel: 4rRemembering 4r(Knowledge) 4rREF: 4rz. 4r2
MSC: 4rClient 4rNeeds: 4rSafe 4rand 4rEffective 4rCare 4rEnvironment: 4rManagement 4rof 4rCare
4. When 4rlistening 4rto 4ra 4rpatients 4rbreath 4rsounds, 4rthe 4rnurse 4ris 4runsure 4rof 4ra 4rsound 4rthat 4ris 4rheard.
4rThe 4rnurses 4rnext 4raction 4rshould 4rbe 4rto:
a. Immediately 4rnotify 4rthe 4rpatients 4rphysician.
b. Document 4rthe 4rsound 4rexactly 4ras 4rit 4rwas 4rheard.
c. Validate 4rthe 4rdata 4rby 4rasking 4ra 4rcoworker 4rto 4rlisten 4rto 4rthe 4rbreath 4rsounds.
d. Assess 4ragain 4rin 4r20 4rminutes 4rto 4rnote 4rwhether 4rthe 4rsound 4ris 4rstill 4rpresent.
ANS: 4rC
When 4runsure 4rof 4ra 4rsound 4rheard 4rwhile 4rlistening 4rto 4ra 4rpatients 4rbreath 4rsounds, 4rthe 4rnurse 4rvalidates
4rthe 4rdata 4rto 4rensure 4raccuracy. 4rIf 4rthe 4rnurse 4rhas 4rless 4rexperience 4rin 4ran 4rarea, 4rthen 4rhe 4ror 4rshe
4rasks 4ran 4rexpert 4rto 4rlisten.
DIF: 4rCognitive 4rLevel: 4rAnalyzing 4r(Analysis) 4rREF: 4rz. 4r2
MSC: 4rClient 4rNeeds: 4rSafe 4rand 4rEffective 4rCare 4rEnvironment: 4rManagement 4rof 4rCare
5. The 4rnurse 4ris 4rconducting 4ra 4rclass 4rfor 4rnew 4rgraduate 4rnurses. 4rDuring 4rthe 4rteaching 4rsession, 4rthe
4rnurse 4rshould 4rkeep 4rin 4rmind 4rthat 4rnovice 4rnurses, 4rwithout 4ra 4rbackground 4rof 4rskills 4rand
4rexperience 4rfrom 4rwhich 4rto 4rdraw, 4rare 4rmore 4rlikely 4rto 4rmake 4rtheir 4rdecisions 4rusing:
a. Intuition.
b. A 4rset 4rof 4rrules.
Page 4r3 4rof 4r900
, c. Articles 4rin 4rjournals.
d. Advice 4rfrom 4rsupervisors.
ANS: 4rB
Novice 4rnurses 4roperate 4rfrom 4ra 4rset 4rof 4rdefined, 4rstructured 4rrules. 4rThe 4rexpert 4rpractitioner 4ruses
intuitive 4rlinks. 4rDIF: 4rCognitive 4rLevel: 4rUnderstanding 4r(Comprehension) 4rREF: 4rz. 4r3 4rMSC: 4rClient
4r
4r Needs: 4rGeneral
6. Expert 4rnurses 4rlearn 4rto 4rattend 4rto 4ra 4rpattern 4rof 4rassessment 4rdata 4rand 4ract 4rwithout 4rconsciously
4rlabeling 4rit. 4rThese 4rresponses 4rare 4rreferred 4rto 4ras:
a. Intuition.
b. The 4rnursing 4rprocess.
c. Clinical 4rknowledge.
d. Diagnostic 4rreasoning.
ANS: 4rA
Intuition 4ris 4rcharacterized 4rby 4rpattern 4rrecognition 4rexpert 4rnurses 4rlearn 4rto 4rattend 4rto 4ra 4rpattern 4rof
4rassessment 4rdata 4rand 4ract 4rwithout 4rconsciously 4rlabeling 4rit. 4rThe 4rother 4roptions 4rare 4rnot 4rcorrect.
DIF: 4rCognitive 4rLevel: 4rUnderstanding 4r(Comprehension) 4rREF: 4rz. 4r4 4rMSC: 4rClient 4rNeeds: 4rGeneral
7. The 4rnurse 4ris 4rreviewing 4rinformation 4rabout 4revidence-based 4rpractice 4r(EBP). 4rWhich 4rstatement
4rbest 4rreflects 4rEBP?
a. EBP 4rrelies 4ron 4rtradition 4rfor 4rsupport 4rof 4rbest 4rpractices.
b. EBP 4ris 4rsimply 4rthe 4ruse 4rof 4rbest 4rpractice 4rtechniques 4rfor 4rthe 4rtreatment 4rof 4rpatients.
c. EBP 4remphasizes 4rthe 4ruse 4rof 4rbest 4revidence 4rwith 4rthe 4rclinicians 4rexperience.
d. The 4rpatients 4rown 4rpreferences 4rare 4rnot 4rimportant 4rwith
EBP. 4rANS: 4rC
4r
EBP 4ris 4ra 4rsystematic 4rapproach 4rto 4rpractice 4rthat 4remphasizes 4rthe 4ruse 4rof 4rbest 4revidence 4rin 4rcombination
4rwith 4rthe 4rclinicians 4rexperience, 4ras 4rwell 4ras 4rpatient 4rpreferences 4rand 4rvalues, 4rwhen 4rmaking 4rdecisions
4rabout 4rcare 4rand 4rtreatment. 4rEBP 4ris 4rmore 4rthan 4rsimply 4rusing 4rthe 4rbest 4rpractice 4rtechniques 4rto 4rtreat
4rpatients, 4rand 4rquestioning 4rtradition 4ris 4rimportant 4rwhen 4rno 4rcompelling 4rand 4rsupportive 4rresearch
4revidence 4rexists.
Page 4r4 4rof 4r900
Physical Examination: Best Practices
for Health and Well-Being Assessment
2nd Edition by Kate Gawlik
ALL CHAPTERS 1-29 WITH RATIONALES| A+ GRADE
Page 4r1 4rof 4r900
, Chapter 4r1. 4rAPPROACH 4rTO 4rEVIDENCE-BASED 4rASSESSMENT 4rOF 4rHEALTH 4rAND
4rWELL- 4rBEING
MULTIPLE 4rCHOICE
1. After 4rcompleting 4ran 4rinitial 4rassessment 4rof 4ra 4rpatient, 4rthe 4rnurse 4rhas 4rcharted 4rthat 4rhis
4rrespirations 4rare 4reupneic 4rand 4rhis 4rpulse 4ris 4r58 4rbeats 4rper 4rminute. 4rThese 4rtypes 4rof 4rdata
4rwould 4rbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: 4rA
Objective 4rdata 4rare 4rwhat 4rthe 4rhealth 4rprofessional 4robserves 4rby 4rinspecting, 4rpercussing, 4rpalpating,
4rand 4rauscultating 4rduring 4rthe 4rphysical 4rexamination. 4rSubjective 4rdata 4ris 4rwhat 4rthe 4rperson 4rsays
4rabout 4rhim 4ror 4rherself 4rduring 4rhistory 4rtaking. 4rThe 4rterms 4rreflective 4rand 4rintrospective 4rare 4rnot
4rused 4rto 4rdescribe 4rdata.
DIF: 4rCognitive 4rLevel: 4rUnderstanding 4r(Comprehension) 4rREF: 4rz. 4r2
MSC: 4rClient 4rNeeds: 4rSafe 4rand 4rEffective 4rCare 4rEnvironment: 4rManagement 4rof 4rCare
2. A 4rpatient 4rtells 4rthe 4rnurse 4rthat 4rhe 4ris 4rvery 4rnervous, 4ris 4rnauseated, 4rand 4rfeels 4rhot. 4rThese 4rtypes
4rof 4rdata 4rwould 4rbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: 4rC
Subjective 4rdata 4rare 4rwhat 4rthe 4rperson 4rsays 4rabout 4rhim 4ror 4rherself 4rduring 4rhistory 4rtaking.
4rObjective 4rdata 4rare 4rwhat 4rthe 4rhealth 4rprofessional 4robserves 4rby 4rinspecting, 4rpercussing,
4rpalpating, 4rand 4rauscultating 4rduring 4rthe 4rphysical 4rexamination. 4rThe 4rterms 4rreflective 4rand
4rintrospective 4rare 4rnot 4rused 4rto 4rdescribe 4rdata.
DIF: 4rCognitive 4rLevel: 4rUnderstanding 4r(Comprehension) 4rREF: 4rz. 4r2
MSC: 4rClient 4rNeeds: 4rSafe 4rand 4rEffective 4rCare 4rEnvironment: 4rManagement 4rof 4rCare
Page 4r2 4rof 4r900
,3. The 4rpatients 4rrecord, 4rlaboratory 4rstudies, 4robjective 4rdata, 4rand 4rsubjective 4rdata 4rcombine 4rto 4rform 4rthe:
a. Data 4rbase.
b. Admitting 4rdata.
c. Financial 4rstatement.
d. Discharge 4rsummary.
ANS: 4rA
Together 4rwith 4rthe 4rpatients 4rrecord 4rand 4rlaboratory 4rstudies, 4rthe 4robjective 4rand 4rsubjective 4rdata 4rform
4rthe 4rdata 4rbase. 4rThe 4rother 4ritems 4rare 4rnot 4rpart 4rof 4rthe 4rpatients 4rrecord, 4rlaboratory 4rstudies, 4ror
4rdata.
DIF: 4rCognitive 4rLevel: 4rRemembering 4r(Knowledge) 4rREF: 4rz. 4r2
MSC: 4rClient 4rNeeds: 4rSafe 4rand 4rEffective 4rCare 4rEnvironment: 4rManagement 4rof 4rCare
4. When 4rlistening 4rto 4ra 4rpatients 4rbreath 4rsounds, 4rthe 4rnurse 4ris 4runsure 4rof 4ra 4rsound 4rthat 4ris 4rheard.
4rThe 4rnurses 4rnext 4raction 4rshould 4rbe 4rto:
a. Immediately 4rnotify 4rthe 4rpatients 4rphysician.
b. Document 4rthe 4rsound 4rexactly 4ras 4rit 4rwas 4rheard.
c. Validate 4rthe 4rdata 4rby 4rasking 4ra 4rcoworker 4rto 4rlisten 4rto 4rthe 4rbreath 4rsounds.
d. Assess 4ragain 4rin 4r20 4rminutes 4rto 4rnote 4rwhether 4rthe 4rsound 4ris 4rstill 4rpresent.
ANS: 4rC
When 4runsure 4rof 4ra 4rsound 4rheard 4rwhile 4rlistening 4rto 4ra 4rpatients 4rbreath 4rsounds, 4rthe 4rnurse 4rvalidates
4rthe 4rdata 4rto 4rensure 4raccuracy. 4rIf 4rthe 4rnurse 4rhas 4rless 4rexperience 4rin 4ran 4rarea, 4rthen 4rhe 4ror 4rshe
4rasks 4ran 4rexpert 4rto 4rlisten.
DIF: 4rCognitive 4rLevel: 4rAnalyzing 4r(Analysis) 4rREF: 4rz. 4r2
MSC: 4rClient 4rNeeds: 4rSafe 4rand 4rEffective 4rCare 4rEnvironment: 4rManagement 4rof 4rCare
5. The 4rnurse 4ris 4rconducting 4ra 4rclass 4rfor 4rnew 4rgraduate 4rnurses. 4rDuring 4rthe 4rteaching 4rsession, 4rthe
4rnurse 4rshould 4rkeep 4rin 4rmind 4rthat 4rnovice 4rnurses, 4rwithout 4ra 4rbackground 4rof 4rskills 4rand
4rexperience 4rfrom 4rwhich 4rto 4rdraw, 4rare 4rmore 4rlikely 4rto 4rmake 4rtheir 4rdecisions 4rusing:
a. Intuition.
b. A 4rset 4rof 4rrules.
Page 4r3 4rof 4r900
, c. Articles 4rin 4rjournals.
d. Advice 4rfrom 4rsupervisors.
ANS: 4rB
Novice 4rnurses 4roperate 4rfrom 4ra 4rset 4rof 4rdefined, 4rstructured 4rrules. 4rThe 4rexpert 4rpractitioner 4ruses
intuitive 4rlinks. 4rDIF: 4rCognitive 4rLevel: 4rUnderstanding 4r(Comprehension) 4rREF: 4rz. 4r3 4rMSC: 4rClient
4r
4r Needs: 4rGeneral
6. Expert 4rnurses 4rlearn 4rto 4rattend 4rto 4ra 4rpattern 4rof 4rassessment 4rdata 4rand 4ract 4rwithout 4rconsciously
4rlabeling 4rit. 4rThese 4rresponses 4rare 4rreferred 4rto 4ras:
a. Intuition.
b. The 4rnursing 4rprocess.
c. Clinical 4rknowledge.
d. Diagnostic 4rreasoning.
ANS: 4rA
Intuition 4ris 4rcharacterized 4rby 4rpattern 4rrecognition 4rexpert 4rnurses 4rlearn 4rto 4rattend 4rto 4ra 4rpattern 4rof
4rassessment 4rdata 4rand 4ract 4rwithout 4rconsciously 4rlabeling 4rit. 4rThe 4rother 4roptions 4rare 4rnot 4rcorrect.
DIF: 4rCognitive 4rLevel: 4rUnderstanding 4r(Comprehension) 4rREF: 4rz. 4r4 4rMSC: 4rClient 4rNeeds: 4rGeneral
7. The 4rnurse 4ris 4rreviewing 4rinformation 4rabout 4revidence-based 4rpractice 4r(EBP). 4rWhich 4rstatement
4rbest 4rreflects 4rEBP?
a. EBP 4rrelies 4ron 4rtradition 4rfor 4rsupport 4rof 4rbest 4rpractices.
b. EBP 4ris 4rsimply 4rthe 4ruse 4rof 4rbest 4rpractice 4rtechniques 4rfor 4rthe 4rtreatment 4rof 4rpatients.
c. EBP 4remphasizes 4rthe 4ruse 4rof 4rbest 4revidence 4rwith 4rthe 4rclinicians 4rexperience.
d. The 4rpatients 4rown 4rpreferences 4rare 4rnot 4rimportant 4rwith
EBP. 4rANS: 4rC
4r
EBP 4ris 4ra 4rsystematic 4rapproach 4rto 4rpractice 4rthat 4remphasizes 4rthe 4ruse 4rof 4rbest 4revidence 4rin 4rcombination
4rwith 4rthe 4rclinicians 4rexperience, 4ras 4rwell 4ras 4rpatient 4rpreferences 4rand 4rvalues, 4rwhen 4rmaking 4rdecisions
4rabout 4rcare 4rand 4rtreatment. 4rEBP 4ris 4rmore 4rthan 4rsimply 4rusing 4rthe 4rbest 4rpractice 4rtechniques 4rto 4rtreat
4rpatients, 4rand 4rquestioning 4rtradition 4ris 4rimportant 4rwhen 4rno 4rcompelling 4rand 4rsupportive 4rresearch
4revidence 4rexists.
Page 4r4 4rof 4r900
