Test Bank for Evidence-Based Physical Examination Best Practices for Health &
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xWell-Being Assessment 2nd Edition by Kate Gawlik , Latest Edition 2026
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Page 1 of 810
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, Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OF HEALTH AND WELL-
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BEING xx
MULTIPLE CHOICE xx
1. After completing an initial assessment of a patient, the nurse has charted that his
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respirations are eupneic and his pulse is 58 beats per minute. These types of data would
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be:
xx
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A xx
Objective data are what the health professional observes by inspecting, percussing, palpating, and
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auscultating during the physical examination. Subjective data is what the person says about him or
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
herself during history taking. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
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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 nauseated, and feels hot. These types of
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
data would be:
xx xx xx
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C xx
Subjective data are what the person says about him or herself during history taking. Objective
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
data are what the health professional observes by inspecting, percussing, palpating, and
xx xx xx xx xx xx xx xx xx xx xx xx
auscultating during the physical examination. The terms reflective and introspective are not
xx xx xx xx xx xx xx xx xx xx xx xx
used to describe data.
xx xx xx xx
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
xx xx xx xx xx xx xx xx xx xx
Page 2 of 810
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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. xx
b. Admitting data. xx
c. Financial statement. xx
d. Discharge summary. xx
ANS: A xx
Together with the patients record and laboratory studies, the objective and subjective data form the
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
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) REF: z. 2
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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
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nurses next action should be to:
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a. Immediately notify the patients physician. xx xx xx xx
b. Document the sound exactly as it was heard. xx xx xx xx xx xx xx
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.
xx xx xx xx xx xx xx xx xx xx xx xx
ANS: C xx
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
expert to listen.
xx xx xx
DIF: Cognitive Level: Analyzing (Analysis) REF: z. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
xx xx xx xx xx xx xx xx xx xx
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse
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should keep in mind that novice nurses, without a background of skills and experience from
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which to draw, are more likely to make their decisions using:
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a. Intuition.
b. A set of rules.
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Page 3 of 810
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, c. Articles in journals. xx xx
d. Advice from supervisors.
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ANS: B xx
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive
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xxlinks. DIF: Cognitive Level: Understanding (Comprehension) REF: z. 3 MSC: Client Needs:
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xx General
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
labeling it. These responses are referred to as:
xx xx xx xx xx xx xx xx
a. Intuition.
b. The nursing process.
xx xx
c. Clinical knowledge. xx
d. Diagnostic reasoning. xx
ANS: A xx
Intuition is characterized by pattern recognition expert nurses learn to attend to a pattern of
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
assessment data and act without consciously labeling it. The other options are not correct.
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DIF: Cognitive Level: Understanding (Comprehension) REF: z. 4 MSC: Client Needs: General
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7. The nurse is reviewing information about evidence-based practice (EBP). Which statement best
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reflects EBP?
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a. EBP relies on tradition for support of best practices.
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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
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EBP. ANS: C
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EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
the clinicians experience, as well as patient preferences and values, when making decisions about care
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
and treatment. EBP is more than simply using the best practice techniques to treat patients, and
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
questioning tradition is important when no compelling and supportive research evidence exists.
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Page 4 of 810
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x x x x x x x x x x
xWell-Being Assessment 2nd Edition by Kate Gawlik , Latest Edition 2026
x x x x x x x x x x
Page 1 of 810
xx xx xx
, Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OF HEALTH AND WELL-
xx xx xx xx xx xx xx xx xx
BEING xx
MULTIPLE CHOICE xx
1. After completing an initial assessment of a patient, the nurse has charted that his
xx xx xx xx xx xx xx xx xx xx xx xx xx
respirations are eupneic and his pulse is 58 beats per minute. These types of data would
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
be:
xx
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A xx
Objective data are what the health professional observes by inspecting, percussing, palpating, and
xx xx xx xx xx xx xx xx xx xx xx xx
auscultating during the physical examination. Subjective data is what the person says about him or
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
herself during history taking. The terms reflective and introspective are not used to describe data.
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
xx xx xx xx xx xx xx
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
xx xx xx xx xx xx xx xx xx xx
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
data would be:
xx xx xx
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C xx
Subjective data are what the person says about him or herself during history taking. Objective
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
data are what the health professional observes by inspecting, percussing, palpating, and
xx xx xx xx xx xx xx xx xx xx xx xx
auscultating during the physical examination. The terms reflective and introspective are not
xx xx xx xx xx xx xx xx xx xx xx xx
used to describe data.
xx xx xx xx
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
xx xx xx xx xx xx xx
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
xx xx xx xx xx xx xx xx xx xx
Page 2 of 810
xx xx xx
,3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
xx xx xx xx xx xx xx xx xx xx xx xx xx
a. Data base. xx
b. Admitting data. xx
c. Financial statement. xx
d. Discharge summary. xx
ANS: A xx
Together with the patients record and laboratory studies, the objective and subjective data form the
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
data base. The other items are not part of the patients record, laboratory studies, or data.
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
DIF: Cognitive Level: Remembering (Knowledge) REF: z. 2
xx xx xx xx xx xx xx
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
xx xx xx xx xx xx xx xx xx xx
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
nurses next action should be to:
xx xx xx xx xx xx
a. Immediately notify the patients physician. xx xx xx xx
b. Document the sound exactly as it was heard. xx xx xx xx xx xx xx
c. Validate the data by asking a coworker to listen to the breath sounds.
xx xx xx xx xx xx xx xx xx xx xx xx
d. Assess again in 20 minutes to note whether the sound is still present.
xx xx xx xx xx xx xx xx xx xx xx xx
ANS: C xx
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
expert to listen.
xx xx xx
DIF: Cognitive Level: Analyzing (Analysis) REF: z. 2
xx xx xx xx xx xx xx
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
xx xx xx xx xx xx xx xx xx xx
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
should keep in mind that novice nurses, without a background of skills and experience from
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
which to draw, are more likely to make their decisions using:
xx xx xx xx xx xx xx xx xx xx xx
a. Intuition.
b. A set of rules.
xx xx xx
Page 3 of 810
xx xx xx
, c. Articles in journals. xx xx
d. Advice from supervisors.
xx xx
ANS: B xx
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
xxlinks. DIF: Cognitive Level: Understanding (Comprehension) REF: z. 3 MSC: Client Needs:
xx xx xx xx xx xx xx xx xx xx xx
xx General
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
labeling it. These responses are referred to as:
xx xx xx xx xx xx xx xx
a. Intuition.
b. The nursing process.
xx xx
c. Clinical knowledge. xx
d. Diagnostic reasoning. xx
ANS: A xx
Intuition is characterized by pattern recognition expert nurses learn to attend to a pattern of
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
assessment data and act without consciously labeling it. The other options are not correct.
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 4 MSC: Client Needs: General
xx xx xx xx xx xx xx xx xx xx xx
7. The nurse is reviewing information about evidence-based practice (EBP). Which statement best
xx xx xx xx xx xx xx xx xx xx xx
reflects EBP?
xx xx
a. EBP relies on tradition for support of best practices.
xx xx xx xx xx xx xx xx
b. EBP is simply the use of best practice techniques for the treatment of patients.
xx xx xx xx xx xx xx xx xx xx xx xx xx
c. EBP emphasizes the use of best evidence with the clinicians experience.
xx xx xx xx xx xx xx xx xx xx
d. The patients own preferences are not important with
xx xx xx xx xx xx xx
EBP. ANS: C
xx xx xx
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
the clinicians experience, as well as patient preferences and values, when making decisions about care
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
and treatment. EBP is more than simply using the best practice techniques to treat patients, and
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
questioning tradition is important when no compelling and supportive research evidence exists.
xx xx xx xx xx xx xx xx xx xx xx xx
Page 4 of 810
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