Test Bank for Physical Examination and Health Assessment
9th Edition by Carolyn Jarvis, Ann
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BANK
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Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
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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
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is 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 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
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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:
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= 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
= = = = = = = =
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
= = = = = = = =
