Test Bank for Physical Examination and Health Assessment9t
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Edition by Carolyn Jarvis, Ann
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
K
2
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:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A
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
king. 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 n a use a. Ct eOd,M a n d feels hot. These types of data would be:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: 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 exam
gi
ination. 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: gi
a. Data base.
b. Admitting data.
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
K
3
c. Financial statement.
d. Discharge summary.
ANS: A
Together with the patients record and laboratory studies, the objective and subjective data form the data base
. The other items are not part of the patients record, laboratory studies, or data.
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DIF: Cognitive Level: Remembering (Knowledge)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses
next action should be to:
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a. Immediately notify the patients physician.
b. Document the sound exactly as it was heard.
c. Validate the data by asking a coworker to listen to the breath sounds.
d. Assess again in 20 minutes to note whether the sound is still present.
ANS: C
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure acc
gi
uracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
DIF: Cognitive Level: Analyzing (Analysis)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should ke
ep in mind that novice nurses, without a background of skills and experience from which to draw, are mor
e likely to make their decisions using:
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a. Intuition.
b. A set of rules.
c. Articles in journals.
d. Advice from supervisors.
ANS: B
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
DIF: Cognitive Level: Understanding (Comprehension)
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
K
4
MSC: Client Needs: General
6. The nurse is reviewing information about evidence-
based practice (EBP). Which statement best reflects EBP? gi
a. EBP relies on tradition for supportNoUf RbeSsItNpGrT
gi acBt.iC
ceOsM
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b. EBP is simply the use of best practice techniques for the treatment of patients.
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
P. ANS: C
ig
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the
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clinicians experience, as well as patient preferences and values, when making decisions about care and tr
eatment. EBP is more than simply using the best practice techniques to treat patients, and questioning trad
gi
ition is important when no compelling and supportive research evidence exists.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
7. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. Th
ese responses are referred to as:
gi
a. Intuition.
b. The nursing process.
c. Clinical knowledge.
d. Diagnostic reasoning.
ANS: A
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data a
nd act without consciously labeling it. The other options are not correct.
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DIF: Cognitive Level: Understanding (Comprehensio
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 exam
ple of a first-level priority problem?
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a. Patient with postoperative pain
b. Newly diagnosed patient with diabetes who needs diabetic teaching
gi
h
Edition by Carolyn Jarvis, Ann
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
K
2
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:
gi
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating
gi
during the physical examination. Subjective data is what the person says about him or herself during history ta
king. 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 n a use a. Ct eOd,M a n d feels hot. These types of data would be:
gi
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: 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 exam
gi
ination. 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: gi
a. Data base.
b. Admitting data.
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
K
3
c. Financial statement.
d. Discharge summary.
ANS: A
Together with the patients record and laboratory studies, the objective and subjective data form the data base
. The other items are not part of the patients record, laboratory studies, or data.
gi
DIF: Cognitive Level: Remembering (Knowledge)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses
next action should be to:
gi g
a. Immediately notify the patients physician.
b. Document the sound exactly as it was heard.
c. Validate the data by asking a coworker to listen to the breath sounds.
d. Assess again in 20 minutes to note whether the sound is still present.
ANS: C
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure acc
gi
uracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
DIF: Cognitive Level: Analyzing (Analysis)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should ke
ep in mind that novice nurses, without a background of skills and experience from which to draw, are mor
e likely to make their decisions using:
gi
a. Intuition.
b. A set of rules.
c. Articles in journals.
d. Advice from supervisors.
ANS: B
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
DIF: Cognitive Level: Understanding (Comprehension)
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
K
4
MSC: Client Needs: General
6. The nurse is reviewing information about evidence-
based practice (EBP). Which statement best reflects EBP? gi
a. EBP relies on tradition for supportNoUf RbeSsItNpGrT
gi acBt.iC
ceOsM
gi .
b. EBP is simply the use of best practice techniques for the treatment of patients.
c. EBP emphasizes the use of best evidence with the clinicians experience.
gi
d. The patients own preferences are not important with EB
P. ANS: C
ig
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the
gi gi
clinicians experience, as well as patient preferences and values, when making decisions about care and tr
eatment. EBP is more than simply using the best practice techniques to treat patients, and questioning trad
gi
ition is important when no compelling and supportive research evidence exists.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
7. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. Th
ese responses are referred to as:
gi
a. Intuition.
b. The nursing process.
c. Clinical knowledge.
d. Diagnostic reasoning.
ANS: A
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data a
nd act without consciously labeling it. The other options are not correct.
gi gi
DIF: Cognitive Level: Understanding (Comprehensio
n) MSC: Client Needs: General
gi gi
8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an exam
ple of a first-level priority problem?
gi
a. Patient with postoperative pain
b. Newly diagnosed patient with diabetes who needs diabetic teaching
