Test Bank for Physical Examination and Health Assessment9
]+ ]+ ]+ ]+ ]+ ]+ ]+ +
]
th
Edition by Carolyn Jarvis, Ann
]+ ]+ ]+ ]+ ]+
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
K
2
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
K
3
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
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
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
andhis pulse is 58 beats per minute. These types of data would be:
]+ +
] ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: 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.
ANS: C ]+
Subjective data are what the person says about him or herself during history taking. Objective data are wh
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
at thehealth professional observes by inspecting, percussing, palpating, and auscultating during the physical e
]+ +
] ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
xamination. 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. ]+
b. Admitting data. ]+
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
K
4
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
c. Financial statement. ]+
d. Discharge summary. ]+
ANS: A ]+
Together with the patients record and laboratory studies, the objective and subjective data form the data ba
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
se.The other items are not part of the patients record, laboratory studies, or data.
+
] ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
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 nurse
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
s nextaction should be to:
]+ +
] ]+ ]+ ]+
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 ensurea
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ +
]
ccuracy. 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
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ] + ]+ ] + ]+ ]+ ]+ ]+ ]+ ] +
keep in mind that novice nurses, without a background of skills and experience from which to draw, are
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]
+more likelyto make their decisions using:
]+ +
] ]+ ]+ ]+ ]+
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 link
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
s.DIF: Cognitive Level: Understanding (Comprehension)
+
] ]+ ]+ ]+ ]+
]+ ]+ ]+ ]+ ]+ ]+ ]+ +
]
th
Edition by Carolyn Jarvis, Ann
]+ ]+ ]+ ]+ ]+
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
K
2
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
K
3
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
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
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
andhis pulse is 58 beats per minute. These types of data would be:
]+ +
] ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: 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.
ANS: C ]+
Subjective data are what the person says about him or herself during history taking. Objective data are wh
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
at thehealth professional observes by inspecting, percussing, palpating, and auscultating during the physical e
]+ +
] ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
xamination. 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. ]+
b. Admitting data. ]+
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
K
4
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
c. Financial statement. ]+
d. Discharge summary. ]+
ANS: A ]+
Together with the patients record and laboratory studies, the objective and subjective data form the data ba
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
se.The other items are not part of the patients record, laboratory studies, or data.
+
] ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
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 nurse
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
s nextaction should be to:
]+ +
] ]+ ]+ ]+
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 ensurea
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ +
]
ccuracy. 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
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ] + ]+ ] + ]+ ]+ ]+ ]+ ]+ ] +
keep in mind that novice nurses, without a background of skills and experience from which to draw, are
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]
+more likelyto make their decisions using:
]+ +
] ]+ ]+ ]+ ]+
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 link
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
s.DIF: Cognitive Level: Understanding (Comprehension)
+
] ]+ ]+ ]+ ]+
