TEST BANK for Evidence-Based
g g g
Physical Examination: Best Practices
g g g
gfor Health and Well-Being Assessment
g g g g
2nd Edition by Kate Gawlik
g g g g g
ALL CHAPTERS 1-29 WITH RATIONALES| A+ GRADE
g g g g g g
Page g1 gof g795
, Chapter g1. gAPPROACH gTO gEVIDENCE-BASED gASSESSMENT gOF gHEALTH gAND gWELL-
gBEING
MULTIPLE gCHOICE
1. After gcompleting gan ginitial gassessment gof ga gpatient, gthe gnurse ghas gcharted gthat ghis
grespirations gare geupneic gand ghis gpulse gis g58 gbeats gper gminute. gThese gtypes gof gdata gwould gbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: gA
Objective gdata gare gwhat gthe ghealth gprofessional gobserves gby ginspecting, gpercussing, gpalpating, gand
gauscultating gduring gthe gphysical gexamination. gSubjective gdata gis gwhat gthe gperson gsays gabout ghim gor
gherself gduring ghistory gtaking. gThe gterms greflective gand gintrospective gare gnot gused gto gdescribe gdata.
DIF: gCognitive gLevel: gUnderstanding g(Comprehension) gREF: gz. g2
MSC: gClient gNeeds: gSafe gand gEffective gCare gEnvironment: gManagement gof gCare
2. A gpatient gtells gthe gnurse gthat ghe gis gvery gnervous, gis gnauseated, gand gfeels ghot. gThese gtypes gof gdata
gwould gbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: gC
Subjective gdata gare gwhat gthe gperson gsays gabout ghim gor gherself gduring ghistory gtaking. gObjective
gdata gare gwhat gthe ghealth gprofessional gobserves gby ginspecting, gpercussing, gpalpating, gand
gauscultating gduring gthe gphysical gexamination. gThe gterms greflective gand gintrospective gare gnot gused
gto gdescribe gdata.
DIF: gCognitive gLevel: gUnderstanding g(Comprehension) gREF: gz. g2
MSC: gClient gNeeds: gSafe gand gEffective gCare gEnvironment: gManagement gof gCare
Page g2 gof g795
,3. The gpatients grecord, glaboratory gstudies, gobjective gdata, gand gsubjective gdata gcombine gto gform gthe:
a. Data gbase.
b. Admitting gdata.
c. Financial gstatement.
d. Discharge gsummary.
ANS: gA
Together gwith gthe gpatients grecord gand glaboratory gstudies, gthe gobjective gand gsubjective gdata gform gthe
gdata gbase. gThe gother gitems gare gnot gpart gof gthe gpatients grecord, glaboratory gstudies, gor gdata.
DIF: gCognitive gLevel: gRemembering g(Knowledge) gREF: gz. g2
MSC: gClient gNeeds: gSafe gand gEffective gCare gEnvironment: gManagement gof gCare
4. When glistening gto ga gpatients gbreath gsounds, gthe gnurse gis gunsure gof ga gsound gthat gis gheard. gThe
gnurses gnext gaction gshould gbe gto:
a. Immediately gnotify gthe gpatients gphysician.
b. Document gthe gsound gexactly gas git gwas gheard.
c. Validate gthe gdata gby gasking ga gcoworker gto glisten gto gthe gbreath gsounds.
d. Assess gagain gin g20 gminutes gto gnote gwhether gthe gsound gis gstill gpresent.
ANS: gC
When gunsure gof ga gsound gheard gwhile glistening gto ga gpatients gbreath gsounds, gthe gnurse gvalidates gthe
gdata gto gensure gaccuracy. gIf gthe gnurse ghas gless gexperience gin gan garea, gthen ghe gor gshe gasks gan gexpert
gto glisten.
DIF: gCognitive gLevel: gAnalyzing g(Analysis) gREF: gz. g2
MSC: gClient gNeeds: gSafe gand gEffective gCare gEnvironment: gManagement gof gCare
5. The gnurse gis gconducting ga gclass gfor gnew ggraduate gnurses. gDuring gthe gteaching gsession, gthe gnurse
gshould gkeep gin gmind gthat gnovice gnurses, gwithout ga gbackground gof gskills gand gexperience gfrom
gwhich gto gdraw, gare gmore glikely gto gmake gtheir gdecisions gusing:
a. Intuition.
b. A gset gof grules.
Page g3 gof g795
, c. Articles gin gjournals.
d. Advice gfrom gsupervisors.
ANS: gB
Novice gnurses goperate gfrom ga gset gof gdefined, gstructured grules. gThe gexpert gpractitioner guses gintuitive
links. gDIF: gCognitive gLevel: gUnderstanding g(Comprehension) gREF: gz. g3 gMSC: gClient gNeeds:
g
gGeneral
6. Expert gnurses glearn gto gattend gto ga gpattern gof gassessment gdata gand gact gwithout gconsciously
glabeling git. gThese gresponses gare greferred gto gas:
a. Intuition.
b. The gnursing gprocess.
c. Clinical gknowledge.
d. Diagnostic greasoning.
ANS: gA
Intuition gis gcharacterized gby gpattern grecognition gexpert gnurses glearn gto gattend gto ga gpattern gof
gassessment gdata gand gact gwithout gconsciously glabeling git. gThe gother goptions gare gnot gcorrect.
DIF: gCognitive gLevel: gUnderstanding g(Comprehension) gREF: gz. g4 gMSC: gClient gNeeds: gGeneral
7. The gnurse gis greviewing ginformation gabout gevidence-based gpractice g(EBP). gWhich gstatement gbest
greflects gEBP?
a. EBP grelies gon gtradition gfor gsupport gof gbest gpractices.
b. EBP gis gsimply gthe guse gof gbest gpractice gtechniques gfor gthe gtreatment gof gpatients.
c. EBP gemphasizes gthe guse gof gbest gevidence gwith gthe gclinicians gexperience.
d. The gpatients gown gpreferences gare gnot gimportant gwith
EBP. gANS: gC
g
EBP gis ga gsystematic gapproach gto gpractice gthat gemphasizes gthe guse gof gbest gevidence gin gcombination gwith
gthe gclinicians gexperience, gas gwell gas gpatient gpreferences gand gvalues, gwhen gmaking gdecisions gabout gcare
gand gtreatment. gEBP gis gmore gthan gsimply gusing gthe gbest gpractice gtechniques gto gtreat gpatients, gand
gquestioning gtradition gis gimportant gwhen gno gcompelling gand gsupportive gresearch gevidence gexists.
Page g4 gof g795
g g g
Physical Examination: Best Practices
g g g
gfor Health and Well-Being Assessment
g g g g
2nd Edition by Kate Gawlik
g g g g g
ALL CHAPTERS 1-29 WITH RATIONALES| A+ GRADE
g g g g g g
Page g1 gof g795
, Chapter g1. gAPPROACH gTO gEVIDENCE-BASED gASSESSMENT gOF gHEALTH gAND gWELL-
gBEING
MULTIPLE gCHOICE
1. After gcompleting gan ginitial gassessment gof ga gpatient, gthe gnurse ghas gcharted gthat ghis
grespirations gare geupneic gand ghis gpulse gis g58 gbeats gper gminute. gThese gtypes gof gdata gwould gbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: gA
Objective gdata gare gwhat gthe ghealth gprofessional gobserves gby ginspecting, gpercussing, gpalpating, gand
gauscultating gduring gthe gphysical gexamination. gSubjective gdata gis gwhat gthe gperson gsays gabout ghim gor
gherself gduring ghistory gtaking. gThe gterms greflective gand gintrospective gare gnot gused gto gdescribe gdata.
DIF: gCognitive gLevel: gUnderstanding g(Comprehension) gREF: gz. g2
MSC: gClient gNeeds: gSafe gand gEffective gCare gEnvironment: gManagement gof gCare
2. A gpatient gtells gthe gnurse gthat ghe gis gvery gnervous, gis gnauseated, gand gfeels ghot. gThese gtypes gof gdata
gwould gbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: gC
Subjective gdata gare gwhat gthe gperson gsays gabout ghim gor gherself gduring ghistory gtaking. gObjective
gdata gare gwhat gthe ghealth gprofessional gobserves gby ginspecting, gpercussing, gpalpating, gand
gauscultating gduring gthe gphysical gexamination. gThe gterms greflective gand gintrospective gare gnot gused
gto gdescribe gdata.
DIF: gCognitive gLevel: gUnderstanding g(Comprehension) gREF: gz. g2
MSC: gClient gNeeds: gSafe gand gEffective gCare gEnvironment: gManagement gof gCare
Page g2 gof g795
,3. The gpatients grecord, glaboratory gstudies, gobjective gdata, gand gsubjective gdata gcombine gto gform gthe:
a. Data gbase.
b. Admitting gdata.
c. Financial gstatement.
d. Discharge gsummary.
ANS: gA
Together gwith gthe gpatients grecord gand glaboratory gstudies, gthe gobjective gand gsubjective gdata gform gthe
gdata gbase. gThe gother gitems gare gnot gpart gof gthe gpatients grecord, glaboratory gstudies, gor gdata.
DIF: gCognitive gLevel: gRemembering g(Knowledge) gREF: gz. g2
MSC: gClient gNeeds: gSafe gand gEffective gCare gEnvironment: gManagement gof gCare
4. When glistening gto ga gpatients gbreath gsounds, gthe gnurse gis gunsure gof ga gsound gthat gis gheard. gThe
gnurses gnext gaction gshould gbe gto:
a. Immediately gnotify gthe gpatients gphysician.
b. Document gthe gsound gexactly gas git gwas gheard.
c. Validate gthe gdata gby gasking ga gcoworker gto glisten gto gthe gbreath gsounds.
d. Assess gagain gin g20 gminutes gto gnote gwhether gthe gsound gis gstill gpresent.
ANS: gC
When gunsure gof ga gsound gheard gwhile glistening gto ga gpatients gbreath gsounds, gthe gnurse gvalidates gthe
gdata gto gensure gaccuracy. gIf gthe gnurse ghas gless gexperience gin gan garea, gthen ghe gor gshe gasks gan gexpert
gto glisten.
DIF: gCognitive gLevel: gAnalyzing g(Analysis) gREF: gz. g2
MSC: gClient gNeeds: gSafe gand gEffective gCare gEnvironment: gManagement gof gCare
5. The gnurse gis gconducting ga gclass gfor gnew ggraduate gnurses. gDuring gthe gteaching gsession, gthe gnurse
gshould gkeep gin gmind gthat gnovice gnurses, gwithout ga gbackground gof gskills gand gexperience gfrom
gwhich gto gdraw, gare gmore glikely gto gmake gtheir gdecisions gusing:
a. Intuition.
b. A gset gof grules.
Page g3 gof g795
, c. Articles gin gjournals.
d. Advice gfrom gsupervisors.
ANS: gB
Novice gnurses goperate gfrom ga gset gof gdefined, gstructured grules. gThe gexpert gpractitioner guses gintuitive
links. gDIF: gCognitive gLevel: gUnderstanding g(Comprehension) gREF: gz. g3 gMSC: gClient gNeeds:
g
gGeneral
6. Expert gnurses glearn gto gattend gto ga gpattern gof gassessment gdata gand gact gwithout gconsciously
glabeling git. gThese gresponses gare greferred gto gas:
a. Intuition.
b. The gnursing gprocess.
c. Clinical gknowledge.
d. Diagnostic greasoning.
ANS: gA
Intuition gis gcharacterized gby gpattern grecognition gexpert gnurses glearn gto gattend gto ga gpattern gof
gassessment gdata gand gact gwithout gconsciously glabeling git. gThe gother goptions gare gnot gcorrect.
DIF: gCognitive gLevel: gUnderstanding g(Comprehension) gREF: gz. g4 gMSC: gClient gNeeds: gGeneral
7. The gnurse gis greviewing ginformation gabout gevidence-based gpractice g(EBP). gWhich gstatement gbest
greflects gEBP?
a. EBP grelies gon gtradition gfor gsupport gof gbest gpractices.
b. EBP gis gsimply gthe guse gof gbest gpractice gtechniques gfor gthe gtreatment gof gpatients.
c. EBP gemphasizes gthe guse gof gbest gevidence gwith gthe gclinicians gexperience.
d. The gpatients gown gpreferences gare gnot gimportant gwith
EBP. gANS: gC
g
EBP gis ga gsystematic gapproach gto gpractice gthat gemphasizes gthe guse gof gbest gevidence gin gcombination gwith
gthe gclinicians gexperience, gas gwell gas gpatient gpreferences gand gvalues, gwhen gmaking gdecisions gabout gcare
gand gtreatment. gEBP gis gmore gthan gsimply gusing gthe gbest gpractice gtechniques gto gtreat gpatients, gand
gquestioning gtradition gis gimportant gwhen gno gcompelling gand gsupportive gresearch gevidence gexists.
Page g4 gof g795
