Test Bank for Physical Examination and Health Assessment
9th Edition by Carolyn Jarvis, Ann
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
+ + + + + + + + +
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
+ + + + + + + + + + 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 andh
+ + + + + + + + + + + + + + + + + +
is 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 dur
+ + + + + + + + + + + + + +
ing the physical examination. Subjective data is what the person says about him or herself during history taking. T
+ + + + + + + + + + + + + + + + + +
he terms reflective and introspective are not used to describe data.
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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 what theh
+ + + + + + + + + + + + + + + + + + +
ealth professional observes by inspecting, percussing, palpating, and auscultating during the physical examination
+ + + + + + + + + + + +
. 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:
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a. Data base. +
b. Admitting data. +
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
+ + + + + + + + +
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
+ + + + + + + + + + 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.Th
+ + + + + + + + + + + + + + + + +
e 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
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4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses nexta
+ + + + + + + + + + + + + + + + + + + +
ction 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.
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ANS: C +
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensureaccurac
+ + + + + + + + + + + + + + + + + + + +
y. 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 m
+ + + + + + + + + + + + + + + + + + +
ake 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 links.DIF:
+ + + + + + + + + + + + + + + +
+ Cognitive Level: Understanding (Comprehension)
+ + +
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
+ + + + + + + + +
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
+ + + + + + + + + + 4
MSC: Client Needs: General
+ + +
6. The nurse is reviewing information about evidence-
+ + + + + +
based practice (EBP). Which statement best reflectsEBP?
+ + + + + + +
a. EBP relies on tradition for supportNoUf RbeSsIN
+ + t pGrT
a cBt.iC
c eOsM
+ . + + + +
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.
+ + + + + + + + + +
d. The patients own preferences are not important with EBP.
+ + + + + + + + +
ANS: C +
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the cli
+ + + + + + + + + + + + + + + + + +
nicians experience, as well as patient preferences and values, when making decisions about care and treatme
+ + + + + + + + + + + + + + +
nt. EBP is more than simply using the best practice techniques to treat patients, and questioning tradition is i
+ + + + + + + + + + + + + + + + + +
mportant when no compelling and supportive research evidence exists.
+ + + + + + + +
DIF: Cognitive Level: Applying (Application)
+ + + +
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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7. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. Theser
+ + + + + + + + + + + + + + + + + +
esponses are referred to as: + + + +
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 andac
+ + + + + + + + + + + + + + + + +
t without consciously labeling it. The other options are not correct.
+ + + + + + + + + +
DIF: Cognitive Level: Understanding (Comprehension)
+ + + + +
MSC: Client Needs: General
+ + +
8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an exampleo
+ + + + + + + + + + + + + + + + + + + +
f a first-level priority problem?
+ + + +
a. Patient with postoperative pain
+ + +
b. Newly diagnosed patient with diabetes who needs diabetic teaching
+ + + + + + + +
9th Edition by Carolyn Jarvis, Ann
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
+ + + + + + + + +
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
+ + + + + + + + + + 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 andh
+ + + + + + + + + + + + + + + + + +
is 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 dur
+ + + + + + + + + + + + + +
ing the physical examination. Subjective data is what the person says about him or herself during history taking. T
+ + + + + + + + + + + + + + + + + +
he 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 what theh
+ + + + + + + + + + + + + + + + + + +
ealth professional observes by inspecting, percussing, palpating, and auscultating during the physical examination
+ + + + + + + + + + + +
. 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 BANK
+ + + + + + + + +
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
+ + + + + + + + + + 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.Th
+ + + + + + + + + + + + + + + + +
e 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 nurses nexta
+ + + + + + + + + + + + + + + + + + + +
ction 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 ensureaccurac
+ + + + + + + + + + + + + + + + + + + +
y. 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 m
+ + + + + + + + + + + + + + + + + + +
ake 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 links.DIF:
+ + + + + + + + + + + + + + + +
+ Cognitive Level: Understanding (Comprehension)
+ + +
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
+ + + + + + + + +
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
+ + + + + + + + + + 4
MSC: Client Needs: General
+ + +
6. The nurse is reviewing information about evidence-
+ + + + + +
based practice (EBP). Which statement best reflectsEBP?
+ + + + + + +
a. EBP relies on tradition for supportNoUf RbeSsIN
+ + t pGrT
a cBt.iC
c eOsM
+ . + + + +
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.
+ + + + + + + + + +
d. The patients own preferences are not important with EBP.
+ + + + + + + + +
ANS: C +
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the cli
+ + + + + + + + + + + + + + + + + +
nicians experience, as well as patient preferences and values, when making decisions about care and treatme
+ + + + + + + + + + + + + + +
nt. EBP is more than simply using the best practice techniques to treat patients, and questioning tradition is i
+ + + + + + + + + + + + + + + + + +
mportant 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. Theser
+ + + + + + + + + + + + + + + + + +
esponses are referred to as: + + + +
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 andac
+ + + + + + + + + + + + + + + + +
t without consciously labeling it. The other options are not correct.
+ + + + + + + + + +
DIF: Cognitive Level: Understanding (Comprehension)
+ + + + +
MSC: Client Needs: General
+ + +
8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an exampleo
+ + + + + + + + + + + + + + + + + + + +
f a first-level priority problem?
+ + + +
a. Patient with postoperative pain
+ + +
b. Newly diagnosed patient with diabetes who needs diabetic teaching
+ + + + + + + +
