Test Bank for Physical Examination and Health Assessment9
c* c* c* c* c* c* c* *c
th
Edition by Carolyn Jarvis, Ann
c* c* c* c* c*
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
c* c* c* c* c* c* c* c* c*
K
2
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
c* c* c* c* c* c* c* c* c* c*
Chapter 01: Evidence-Based Assessment c* c* c*
MULTIPLE CHOICE c*
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupnei
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
c andhis pulse is 58 beats per minute. These types of data would be:
c* *c c* c* c* c* c* c* c* c* c* c* c* c*
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A c*
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultatin
c* c* c* c* c* c* c* c* c* c* c* c* c*
g during the physical examination. Subjective data is what the person says about him or herself during histor
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
y taking. The terms reflective and introspective are not used to describe data.
c* c* c* c* c* c* c* c* c* c* c* c*
DIF: Cognitive Level: Understanding (Comprehension)
c* c* c* c*
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
c* c* c* c* c* c* c* c* c* c*
2. A patient tells the nurse that he is very nervous, is nausea.CteOdM
c* c* c* , and feels hot. These types of data would be:
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C c*
Subjective data are what the person says about him or herself during history taking. Objective data are wh
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
at thehealth professional observes by inspecting, percussing, palpating, and auscultating during the physical
c* *c c* c* c* c* c* c* c* c* c* c* c* c*
examination. The terms reflective and introspective are not used to describe data.
c* c* c* c* c* c* c* c* c* c* c*
DIF: Cognitive Level: Understanding (Comprehension)
c* c* c* c*
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
c* c* c* c* c* c* c* c* c* c*
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
c* c* c* c* c* c* c* c* c* c* c* c* c*
a. Data base. c*
b. Admitting data. c*
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
c* c* c* c* c* c* c* c* c*
K
3
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
c* c* c* c* c* c* c* c* c* c*
c. Financial statement. c*
d. Discharge summary. c*
ANS: A c*
Together with the patients record and laboratory studies, the objective and subjective data form the data b
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
ase.The other items are not part of the patients record, laboratory studies, or data.
*c c* c* c* c* c* c* c* c* c* c* c* c* c*
DIF: Cognitive Level: Remembering (Knowledge)
c* c* c* c*
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
c* c* c* c* c* c* c* c* c* c*
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurse
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
s nextaction should be to:
c* *c c* c* c*
a. Immediately notify the patients physician. c* c* c* c*
b. Document the sound exactly as it was heard. c* c* c* c* c* c* c*
c. Validate the data by asking a coworker to listen to the breath sounds.
c* c* c* c* c* c* c* c* c* c* c* c*
d. Assess again in 20 minutes to note whether the sound is still present.
c* c* c* c* c* c* c* c* c* c* c* c*
ANS: C c*
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* *c
accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
DIF: Cognitive Level: Analyzing (Analysis)
c* c* c* c*
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
c* c* c* c* c* c* c* c* c* c*
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should
c* c* c* c* c* c* c* c* c * c* c * c* c* c* c* c* c
*keep in mind that novice nurses, without a background of skills and experience from which to draw, ar
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
e more likelyto make their decisions using:
c* c* *c c* c* c* c*
a. Intuition.
b. A set of rules.
c* c* c*
c. Articles in journals. c* c*
d. Advice from supervisors. c* c*
ANS: B c*
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive link
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
s.DIF: Cognitive Level: Understanding (Comprehension)
*c c* c* c* c*
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
c* c* c* c* c* c* c* c* c*
K
4
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
c* c* c* c* c* c* c* c* c* c*
MSC: Client Needs: General
c* c* c*
6. The nurse is reviewing information about evidence-
c* c* c* c* c* c*
based practice (EBP). Which statement best reflectsEBP?
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a. EBP relies on tradition for supportNoUf RbeSsI N
c* c* t pGrT
acBt.iC
c*c eOsM
. c* c* c* c*
b. EBP is simply the use of best practice techniques for the treatment of patients.
c* c* c* c* c* c* c* c* c* c* c* c* c*
c. EBP emphasizes the use of best evidence with the clinicians experience.
c* c* c* c* c* c* c* c* c* c*
d. The patients own preferences are not important with E
c* c* c* c* c* c* c* c*
BP.ANS: C *c c*
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
the clinicians experience, as well as patient preferences and values, when making decisions about care a
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
nd treatment. EBP is more than simply using the best practice techniques to treat patients, and questioni
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
ng tradition is important when no compelling and supportive research evidence exists.
c* c* c* c* c* c* c* c* c* c* c*
DIF: Cognitive Level: Applying (Application)
c* c* c* c*
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
c* c* c* c* c* c* c* c* c* c*
7. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it.
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
Theseresponses are referred to as:
*c c* c* c* c*
a. Intuition.
b. The nursing process.
c* c*
c. Clinical knowledge. c*
d. Diagnostic reasoning. c*
ANS: A c*
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
andact without consciously labeling it. The other options are not correct.
c* *c c* c* c* c* c* c* c* c* c* c*
DIF: Cognitive Level: Understanding (Comprehensio
c* c* c* c*
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 ex
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
ampleof a first-level priority problem?
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a. Patient with postoperative pain
c* c* c*
b. Newly diagnosed patient with diabetes who needs diabetic teaching
c* c* c* c* c* c* c* c*
c* c* c* c* c* c* c* *c
th
Edition by Carolyn Jarvis, Ann
c* c* c* c* c*
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
c* c* c* c* c* c* c* c* c*
K
2
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
c* c* c* c* c* c* c* c* c* c*
Chapter 01: Evidence-Based Assessment c* c* c*
MULTIPLE CHOICE c*
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupnei
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
c andhis pulse is 58 beats per minute. These types of data would be:
c* *c c* c* c* c* c* c* c* c* c* c* c* c*
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A c*
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultatin
c* c* c* c* c* c* c* c* c* c* c* c* c*
g during the physical examination. Subjective data is what the person says about him or herself during histor
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
y taking. The terms reflective and introspective are not used to describe data.
c* c* c* c* c* c* c* c* c* c* c* c*
DIF: Cognitive Level: Understanding (Comprehension)
c* c* c* c*
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
c* c* c* c* c* c* c* c* c* c*
2. A patient tells the nurse that he is very nervous, is nausea.CteOdM
c* c* c* , and feels hot. These types of data would be:
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C c*
Subjective data are what the person says about him or herself during history taking. Objective data are wh
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
at thehealth professional observes by inspecting, percussing, palpating, and auscultating during the physical
c* *c c* c* c* c* c* c* c* c* c* c* c* c*
examination. The terms reflective and introspective are not used to describe data.
c* c* c* c* c* c* c* c* c* c* c*
DIF: Cognitive Level: Understanding (Comprehension)
c* c* c* c*
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
c* c* c* c* c* c* c* c* c* c*
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
c* c* c* c* c* c* c* c* c* c* c* c* c*
a. Data base. c*
b. Admitting data. c*
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
c* c* c* c* c* c* c* c* c*
K
3
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
c* c* c* c* c* c* c* c* c* c*
c. Financial statement. c*
d. Discharge summary. c*
ANS: A c*
Together with the patients record and laboratory studies, the objective and subjective data form the data b
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
ase.The other items are not part of the patients record, laboratory studies, or data.
*c c* c* c* c* c* c* c* c* c* c* c* c* c*
DIF: Cognitive Level: Remembering (Knowledge)
c* c* c* c*
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
c* c* c* c* c* c* c* c* c* c*
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurse
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
s nextaction should be to:
c* *c c* c* c*
a. Immediately notify the patients physician. c* c* c* c*
b. Document the sound exactly as it was heard. c* c* c* c* c* c* c*
c. Validate the data by asking a coworker to listen to the breath sounds.
c* c* c* c* c* c* c* c* c* c* c* c*
d. Assess again in 20 minutes to note whether the sound is still present.
c* c* c* c* c* c* c* c* c* c* c* c*
ANS: C c*
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* *c
accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
DIF: Cognitive Level: Analyzing (Analysis)
c* c* c* c*
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
c* c* c* c* c* c* c* c* c* c*
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should
c* c* c* c* c* c* c* c* c * c* c * c* c* c* c* c* c
*keep in mind that novice nurses, without a background of skills and experience from which to draw, ar
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
e more likelyto make their decisions using:
c* c* *c c* c* c* c*
a. Intuition.
b. A set of rules.
c* c* c*
c. Articles in journals. c* c*
d. Advice from supervisors. c* c*
ANS: B c*
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive link
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
s.DIF: Cognitive Level: Understanding (Comprehension)
*c c* c* c* c*
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
c* c* c* c* c* c* c* c* c*
K
4
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
c* c* c* c* c* c* c* c* c* c*
MSC: Client Needs: General
c* c* c*
6. The nurse is reviewing information about evidence-
c* c* c* c* c* c*
based practice (EBP). Which statement best reflectsEBP?
c* c* c* c* c* c* *c
a. EBP relies on tradition for supportNoUf RbeSsI N
c* c* t pGrT
acBt.iC
c*c eOsM
. c* c* c* c*
b. EBP is simply the use of best practice techniques for the treatment of patients.
c* c* c* c* c* c* c* c* c* c* c* c* c*
c. EBP emphasizes the use of best evidence with the clinicians experience.
c* c* c* c* c* c* c* c* c* c*
d. The patients own preferences are not important with E
c* c* c* c* c* c* c* c*
BP.ANS: C *c c*
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
the clinicians experience, as well as patient preferences and values, when making decisions about care a
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
nd treatment. EBP is more than simply using the best practice techniques to treat patients, and questioni
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
ng tradition is important when no compelling and supportive research evidence exists.
c* c* c* c* c* c* c* c* c* c* c*
DIF: Cognitive Level: Applying (Application)
c* c* c* c*
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
c* c* c* c* c* c* c* c* c* c*
7. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it.
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
Theseresponses are referred to as:
*c c* c* c* c*
a. Intuition.
b. The nursing process.
c* c*
c. Clinical knowledge. c*
d. Diagnostic reasoning. c*
ANS: A c*
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
andact without consciously labeling it. The other options are not correct.
c* *c c* c* c* c* c* c* c* c* c* c*
DIF: Cognitive Level: Understanding (Comprehensio
c* c* c* c*
n)MSC: Client Needs: General
*c c* c* c*
8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an ex
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
ampleof a first-level priority problem?
*c c* c* c* c*
a. Patient with postoperative pain
c* c* c*
b. Newly diagnosed patient with diabetes who needs diabetic teaching
c* c* c* c* c* c* c* c*