Test Bank for Physical Examination and Health Assessment9
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th
Edition by Carolyn Jarvis, Ann
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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
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K
2
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
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Chapter 01: Evidence-Based Assessment rx rx rx
MULTIPLE CHOICE rx
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic
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andhis pulse is 58 beats per minute. These types of data would be:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A rx
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating
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during the physical examination. Subjective data is what the person says about him or herself during history ta
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king. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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2. A patient tells the nurse that he is very nervous, is nausea.CteOdM
rx rx rx , and feels hot. These types of data would be:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C rx
Subjective data are what the person says about him or herself during history taking. Objective data are what
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thehealth professional observes by inspecting, percussing, palpating, and auscultating during the physical exa
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mination. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
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a. Data base. rx
b. Admitting data. rx
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
rx rx rx rx rx rx rx rx rx
K
3
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
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c. Financial statement. rx
d. Discharge summary. rx
ANS: A rx
Together with the patients record and laboratory studies, the objective and subjective data form the data bas
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e.The other items are not part of the patients record, laboratory studies, or data.
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DIF: Cognitive Level: Remembering (Knowledge)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses
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nextaction should be to:
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a. Immediately notify the patients physician. rx rx rx rx
b. Document the sound exactly as it was heard. rx rx rx rx rx rx rx
c. Validate the data by asking a coworker to listen to the breath sounds.
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d. Assess again in 20 minutes to note whether the sound is still present.
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ANS: C rx
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensureac
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curacy. If the nurse has less experience in an area, then he or she asks an expert to listen.
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DIF: Cognitive Level: Analyzing (Analysis)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should k
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eep in mind that novice nurses, without a background of skills and experience from which to draw, are m
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ore likelyto make their decisions using:
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a. Intuition.
b. A set of rules.
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c. Articles in journals. rx rx
d. Advice from supervisors. rx rx
ANS: B rx
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
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DIF: Cognitive Level: Understanding (Comprehension)
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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
rx rx rx rx rx rx rx rx rx
K
4
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
rx rx rx rx rx rx rx rx rx rx
MSC: Client Needs: Generalrx rx rx
6. The nurse is reviewing information about evidence-
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based practice (EBP). Which statement best reflectsEBP?
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a. EBP relies on tradition for supportNoUf RbeSsI N
rx t pGrT
rxacBt.iC
ceOsM
. rx rx rx rx rx
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.
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d. The patients own preferences are not important with EB
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P.ANS: C
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EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with th
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e clinicians experience, as well as patient preferences and values, when making decisions about care and
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treatment. EBP is more than simply using the best practice techniques to treat patients, and questioning tr
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adition is important when no compelling and supportive research evidence exists.
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DIF: Cognitive Level: Applying (Application)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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7. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. T
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heseresponses are referred to as:
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a. Intuition.
b. The nursing process.rx rx
c. Clinical knowledge. rx
d. Diagnostic reasoning. rx
ANS: A rx
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data
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andact without consciously labeling it. The other options are not correct.
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DIF: Cognitive Level: Understanding (Comprehensio
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n)MSC: Client Needs: General
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8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an exa
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mpleof a first-level priority problem?
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a. Patient with postoperative pain rx rx rx
b. Newly diagnosed patient with diabetes who needs diabetic teaching
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rx rx rx rx rx rx rx xr
th
Edition by Carolyn Jarvis, Ann
rx rx rx rx rx
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
rx rx rx rx rx rx rx rx rx
K
2
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
rx rx rx rx rx rx rx rx rx rx
Chapter 01: Evidence-Based Assessment rx rx rx
MULTIPLE CHOICE rx
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
andhis pulse is 58 beats per minute. These types of data would be:
xr rx rx rx rx rx rx rx rx rx rx rx rx
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A rx
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating
rx rx rx rx rx rx rx rx rx rx rx rx rx rx
during the physical examination. Subjective data is what the person says about him or herself during history ta
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
king. The terms reflective and introspective are not used to describe data.
rx rx rx rx rx rx rx rx rx rx rx
DIF: Cognitive Level: Understanding (Comprehension)
rx rx rx rx
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
rx rx rx rx rx rx rx rx rx rx
2. A patient tells the nurse that he is very nervous, is nausea.CteOdM
rx rx rx , and feels hot. These types of data would be:
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C rx
Subjective data are what the person says about him or herself during history taking. Objective data are what
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
thehealth professional observes by inspecting, percussing, palpating, and auscultating during the physical exa
rx xr rx rx rx rx rx rx rx rx rx rx rx rx
mination. The terms reflective and introspective are not used to describe data.
rx rx rx rx rx rx rx rx rx rx rx
DIF: Cognitive Level: Understanding (Comprehension)
rx rx rx rx
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
rx rx rx rx rx rx rx rx rx rx
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
rx rx rx rx rx rx rx rx rx rx rx rx rx
a. Data base. rx
b. Admitting data. rx
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
rx rx rx rx rx rx rx rx rx
K
3
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
rx rx rx rx rx rx rx rx rx rx
c. Financial statement. rx
d. Discharge summary. rx
ANS: A rx
Together with the patients record and laboratory studies, the objective and subjective data form the data bas
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e.The other items are not part of the patients record, laboratory studies, or data.
xr rx rx rx rx rx rx rx rx rx rx rx rx rx
DIF: Cognitive Level: Remembering (Knowledge)
rx rx rx rx
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
rx rx rx rx rx rx rx rx rx rx
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
nextaction should be to:
xr rx rx rx
a. Immediately notify the patients physician. rx rx rx rx
b. Document the sound exactly as it was heard. rx rx rx rx rx rx rx
c. Validate the data by asking a coworker to listen to the breath sounds.
rx rx rx rx rx rx rx rx rx rx rx rx
d. Assess again in 20 minutes to note whether the sound is still present.
rx rx rx rx rx rx rx rx rx rx rx rx
ANS: C rx
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensureac
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx xr
curacy. If the nurse has less experience in an area, then he or she asks an expert to listen.
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
DIF: Cognitive Level: Analyzing (Analysis)
rx rx rx rx
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
rx rx rx rx rx rx rx rx rx rx
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should k
rx rx rx rx rx rx rx rx r x rx r x rx rx rx rx rx r x
eep in mind that novice nurses, without a background of skills and experience from which to draw, are m
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
ore likelyto make their decisions using:
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a. Intuition.
b. A set of rules.
rx rx rx
c. Articles in journals. rx rx
d. Advice from supervisors. rx rx
ANS: B rx
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx xr
DIF: Cognitive Level: Understanding (Comprehension)
rx rx rx rx
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
rx rx rx rx rx rx rx rx rx
K
4
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
rx rx rx rx rx rx rx rx rx rx
MSC: Client Needs: Generalrx rx rx
6. The nurse is reviewing information about evidence-
rx rx rx rx rx rx
based practice (EBP). Which statement best reflectsEBP?
rx rx rx rx rx rx xr
a. EBP relies on tradition for supportNoUf RbeSsI N
rx t pGrT
rxacBt.iC
ceOsM
. rx rx rx rx rx
b. EBP is simply the use of best practice techniques for the treatment of patients.
rx rx rx rx rx rx rx rx rx rx rx rx rx
c. EBP emphasizes the use of best evidence with the clinicians experience.
rx rx rx rx rx rx rx rx rx rx
d. The patients own preferences are not important with EB
rx rx rx rx rx rx rx rx
P.ANS: C
xr rx
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with th
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
e clinicians experience, as well as patient preferences and values, when making decisions about care and
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
treatment. EBP is more than simply using the best practice techniques to treat patients, and questioning tr
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
adition is important when no compelling and supportive research evidence exists.
rx rx rx rx rx rx rx rx rx rx
DIF: Cognitive Level: Applying (Application)
rx rx rx rx
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
rx rx rx rx rx rx rx rx rx rx
7. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. T
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
heseresponses are referred to as:
xr rx rx rx rx
a. Intuition.
b. The nursing process.rx rx
c. Clinical knowledge. rx
d. Diagnostic reasoning. rx
ANS: A rx
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
andact without consciously labeling it. The other options are not correct.
xr rx rx rx rx rx rx rx rx rx rx
DIF: Cognitive Level: Understanding (Comprehensio
rx rx rx rx
n)MSC: Client Needs: General
xr rx rx rx
8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an exa
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mpleof a first-level priority problem?
xr rx rx rx rx
a. Patient with postoperative pain rx rx rx
b. Newly diagnosed patient with diabetes who needs diabetic teaching
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