TEST BANK
Physical Examination and Health Assessment
9th Edition by Carolyn Jarvis,
All Chapters 1 - 32 / Full Complete
, Physical Examination and Health Assessment
TABLE OF CONTENTS
, Physical Examination and Health Assessment
Chapter 01: Evidence-Based Assessment
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.
ANSWER: 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)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A patient tells the nurse that he is very nervous, is nausea.CteOdM
, and feels hot. These types of data would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANSWER: C
Subjective data are what the person says about him or herself during history taking. Objective data are what the
health professional observes by inspecting, percussing, palpating, and auscultating during the physical
examination. The terms reflective and introspective are not used to describe data.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
a. Data base.
, Physical Examination and Health Assessment
b. Admitting Fa data.
c. Financial Fa statement.
d. Discharge Fa summary.
ANSWER: FaA
Together Fawith Fa the Fapatients Fa record Faand Falaboratory Fa studies, F a the Fa objective Fa and Fa subjective F a data Fa form
F a the Fa data Fa base.FT
a he Fa other Fa items Fa are Fa not Fa part Fa of Fa the Fa patients Fa record, Fa laboratory Fa studies, Fa or Fa data.
DIF: F a Cognitive F a Level: F a Remembering F a (Knowledge)
MSC: FaClient Fa Needs: FaSafe Fa and Fa Effective FaCare Fa Environment: F a Management F a of FaCare
4. When Fa listening F a to Faa Fa patients Fa breath Fa sounds, Fa the F a nurse Fa is Faunsure Fa of Fa a Fa sound Fathat Fa is Fa heard.
FaThe Fa nurses Fa nextF
aa ction Fa should Fa be Fa to:
a. Immediately Fa notify Fa the Fa patients Fa physician.
b. Document Fathe Fa sound Fa exactly Fa as Fait Fawas Fa heard.
c. Validate Fathe Fa data Fa by Faasking Fa a Fa coworker Fa to Falisten Fato Fathe Fa breath Fa sounds.
d. Assess Fa again Fa in Fa 20 Fa minutes Fa to Fa note Fa whether Fa the Fasound Fais Fa still Fa present.
ANSWER: FaC
When Faunsure Fa of Faa Fa sound Fa heard Fawhile Fa listening Fa to Faa Fa patients Fa breath Fa sounds, Fa the Fa nurse Fa validates Fathe
F a data Fa to Fa ensureF
aa ccuracy. FaIf Fathe Fa nurse Fahas Fa less Faexperience Fa in Fa an Fa area, Fathen Fa he Faor Fa she Fa asks Faan Fa expert
Fa to Fa listen.
DIF: FaCognitive F a Level: FaAnalyzing F a (Analysis)
MSC: FaClient Fa Needs: FaSafe Fa and Fa Effective FaCare Fa Environment: F a Management F a of FaCare
5. The Fanurse Fais Faconducting Faa Faclass Fafor Fanew Fagraduate F a nurses. FaDuring F a the Fateaching Fasession, Fathe
Fanurse Fashould F a keep F ia n F a mind F a that F a novice F a nurses, F a without F a a Fa background F a of Fa skills F a and Fa experience
F a from F a which F a to F a draw, F a are F a more F a likelyF ta o Fa make Fa their Fa decisions Fa using:
a. Intuition.
b. A Faset Faof Farules.
c. Articles Fain Fajournals.
d. Advice Fa from Fa supervisors.
ANSWER: FaB
Novice Fanurses Fa operate Fa from Fa a Fa set Fa of Fa defined, Fa structured Fa rules. Fa The Fa expert Fa practitioner F a uses
Fa intuitive Fa links.FD
a IF: Fa Cognitive Fa Level: Fa Understanding Fa (Comprehension)