TestBankforPhysicalExaminationandHealthAssessment
9thEditionbyCarolynJarvis,Ann
,Ace your test with ease
nursing nursing nursing
Chapter 01: Evidence-Based Assessment
MULTIPLE CHOICE
AfterJcompleting an initial assessment of a patient, the nurse has charted thatJhis respirations areJeupneic andh is
pulse is 58 beats perJminute. TheseJtypes of data would be:
Objective.
Reflective.
Subjective.
Introspective.
ANS>> A
Objective data are whatJthe health professional observes by inspecting, percussing, palpating, andJauscultating dur
ingJthe physical examination. Subjective dataJis what theJpersonJsaysJabout him or herself during history taking. T h
e terms reflective and introspectiveJare notJused to describe data.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: SafeJand Effective Care Environment: ManagementJof Care
A patientJtells the nurse that he is very nervous, is nauseated, and feels hot. These types of data wouldJbe:
.COM
Objective.
Reflective.
Subjective.
Introspective.
ANS>> C
Subjective data areJwhat the person saysJabout him or herself during history taking. ObjectiveJdata are what theh ea
lth professional observes by inspecting, percussing, palpating, and auscultatingJduring the physical examination . T
he terms reflective and introspective areJnot used to describe data.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: SafeJand Effective Care Environment: ManagementJof Care
TheJpatients record, laboratory studies, objectiveJdata, and subjective data combine to form the:
Data base.
Admitting data.
,Ace your test with ease
nursing nursing nursing
Financial statement.
Discharge summary.
ANS>> A
Together with theJpatients record and laboratory studies, theJobjective and subjective data form the dataJbase.ThJe
other items are notJpart of the patients record, laboratory studies, or data.
DIF: Cognitive Level: RememberingJ(Knowledge)
MSC: Client Needs: SafeJand Effective Care Environment: Management of Care
When listening to a patients breathJsounds, the nurse is unsure of a sound that is heard. The nurses nextaJct
ionJshouldJbeJto:
Immediately notify the patientsJphysician.
Document theJsound exactly as itJwas heard.
Validate theJdata by askingJa coworker to listenJto theJbreath sounds.
Assess againJinJ20 minutes to note whether the sound is still present.
ANS>> C
When unsure of aJsoundJheard while listening to a patients breath sounds, the nurse validates the dataJtoJensureaccurac y.
If the nurseJhas less experienceJin anJarea, then heJor she asks an expert to listen.
DIF: Cognitive Level: Analyzing (Analysis)
MSC: Client Needs: SafeJand Effective Care Environment: Management of Care
The nurse is conductingJa classJfor new graduate nurses. DuringJthe teaching session, theJnurse should keep in mi
nd that novice nurses,JwithoutJa background of skillsJand experience fromJwhich to draw, areJmore likelyto m ake th
eir decisions using:
Intuition.
A set of rules.
Articles in journals.
Advice fromJsupervisors.
ANS>> B
NoviceJnurses operate fromJa set of defined, structured rules. The expert practitioner uses intuitive links.DIF:
CognitiveJLevel: Understanding (Comprehension)
, Ace your test with ease
nursing nursing nursing
MSC: Client Needs: General
The nurse is reviewing information about evidence-
based practice (EBP). Which statement best reflectsEBP?
EBP relies onJtradition for supportNoUfRbeSsINtpGrTacBt.iCceOsM.
EBP is simply theJuseJof best practice techniques forJthe treatmentJof patients.
EBP emphasizes theJuseJof best evidence with theJclinicians experience.
TheJpatients own preferencesJare not important with EBP.
ANS>> C
EBP is a systematic approach to practice that emphasizes the use of best evidenceJin combination with theJcli
nicians experience, as wellJas patient preferences and values, whenJmaking decisions about care and treatme
nt. EBP is moreJthanJsimply using the bestJpractice techniques to treatJpatients, andJquestioning tradition is i
mportant whenJno compelling andJsupportive research evidence exists.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
Expert nurses learn to attendJtoJa pattern of assessmentJdata and actJwithoutJconsciously labelingJit. Theser e
sponses areJreferred to as:
Intuition.
TheJnursing process.
Clinical knowledge.
DiagnosticJreasoning.
ANS>> A
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data andac t
without consciouslyJlabelingJit. The other optionsJare not correct.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: General
The nurse is conductingJa classJon priority setting for a group of new graduate nurses. Which is an exampleo f
a first-level priority problem?
PatientJwith postoperative pain
Newly diagnosed patient with diabetes who needs diabetic teaching
9thEditionbyCarolynJarvis,Ann
,Ace your test with ease
nursing nursing nursing
Chapter 01: Evidence-Based Assessment
MULTIPLE CHOICE
AfterJcompleting an initial assessment of a patient, the nurse has charted thatJhis respirations areJeupneic andh is
pulse is 58 beats perJminute. TheseJtypes of data would be:
Objective.
Reflective.
Subjective.
Introspective.
ANS>> A
Objective data are whatJthe health professional observes by inspecting, percussing, palpating, andJauscultating dur
ingJthe physical examination. Subjective dataJis what theJpersonJsaysJabout him or herself during history taking. T h
e terms reflective and introspectiveJare notJused to describe data.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: SafeJand Effective Care Environment: ManagementJof Care
A patientJtells the nurse that he is very nervous, is nauseated, and feels hot. These types of data wouldJbe:
.COM
Objective.
Reflective.
Subjective.
Introspective.
ANS>> C
Subjective data areJwhat the person saysJabout him or herself during history taking. ObjectiveJdata are what theh ea
lth professional observes by inspecting, percussing, palpating, and auscultatingJduring the physical examination . T
he terms reflective and introspective areJnot used to describe data.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: SafeJand Effective Care Environment: ManagementJof Care
TheJpatients record, laboratory studies, objectiveJdata, and subjective data combine to form the:
Data base.
Admitting data.
,Ace your test with ease
nursing nursing nursing
Financial statement.
Discharge summary.
ANS>> A
Together with theJpatients record and laboratory studies, theJobjective and subjective data form the dataJbase.ThJe
other items are notJpart of the patients record, laboratory studies, or data.
DIF: Cognitive Level: RememberingJ(Knowledge)
MSC: Client Needs: SafeJand Effective Care Environment: Management of Care
When listening to a patients breathJsounds, the nurse is unsure of a sound that is heard. The nurses nextaJct
ionJshouldJbeJto:
Immediately notify the patientsJphysician.
Document theJsound exactly as itJwas heard.
Validate theJdata by askingJa coworker to listenJto theJbreath sounds.
Assess againJinJ20 minutes to note whether the sound is still present.
ANS>> C
When unsure of aJsoundJheard while listening to a patients breath sounds, the nurse validates the dataJtoJensureaccurac y.
If the nurseJhas less experienceJin anJarea, then heJor she asks an expert to listen.
DIF: Cognitive Level: Analyzing (Analysis)
MSC: Client Needs: SafeJand Effective Care Environment: Management of Care
The nurse is conductingJa classJfor new graduate nurses. DuringJthe teaching session, theJnurse should keep in mi
nd that novice nurses,JwithoutJa background of skillsJand experience fromJwhich to draw, areJmore likelyto m ake th
eir decisions using:
Intuition.
A set of rules.
Articles in journals.
Advice fromJsupervisors.
ANS>> B
NoviceJnurses operate fromJa set of defined, structured rules. The expert practitioner uses intuitive links.DIF:
CognitiveJLevel: Understanding (Comprehension)
, Ace your test with ease
nursing nursing nursing
MSC: Client Needs: General
The nurse is reviewing information about evidence-
based practice (EBP). Which statement best reflectsEBP?
EBP relies onJtradition for supportNoUfRbeSsINtpGrTacBt.iCceOsM.
EBP is simply theJuseJof best practice techniques forJthe treatmentJof patients.
EBP emphasizes theJuseJof best evidence with theJclinicians experience.
TheJpatients own preferencesJare not important with EBP.
ANS>> C
EBP is a systematic approach to practice that emphasizes the use of best evidenceJin combination with theJcli
nicians experience, as wellJas patient preferences and values, whenJmaking decisions about care and treatme
nt. EBP is moreJthanJsimply using the bestJpractice techniques to treatJpatients, andJquestioning tradition is i
mportant whenJno compelling andJsupportive research evidence exists.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
Expert nurses learn to attendJtoJa pattern of assessmentJdata and actJwithoutJconsciously labelingJit. Theser e
sponses areJreferred to as:
Intuition.
TheJnursing process.
Clinical knowledge.
DiagnosticJreasoning.
ANS>> A
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data andac t
without consciouslyJlabelingJit. The other optionsJare not correct.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: General
The nurse is conductingJa classJon priority setting for a group of new graduate nurses. Which is an exampleo f
a first-level priority problem?
PatientJwith postoperative pain
Newly diagnosed patient with diabetes who needs diabetic teaching
