Test Bank for Physical Examination and Health Assessment9t
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Edition by Carolyn Jarvis, Ann
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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
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2
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
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Chapter 01: Evidence-Based Assessment $i $i $i
MULTIPLE CHOICE $i
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic
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andhis 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 $i
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating
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during the physical examination. Subjective data is what the person says about him or herself during history ta
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king. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension)
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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 nausea.CteOdM
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C $i
Subjective data are what the person says about him or herself during history taking. Objective data are what
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thehealth professional observes by inspecting, percussing, palpating, and auscultating during the physical exam
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ination. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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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. $i
b. Admitting data. $i
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
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K
3
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
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c. Financial statement. $i
d. Discharge summary. $i
ANS: A $i
Together with the patients record and laboratory studies, the objective and subjective data form the data base
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.The other items are not part of the patients record, laboratory studies, or data.
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DIF: Cognitive Level: Remembering (Knowledge)
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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 nurses
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nextaction should be to:
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a. Immediately notify the patients physician. $i $i $i $i
b. Document the sound exactly as it was heard. $i $i $i $i $i $i $i
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.
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ANS: C $i
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensureacc
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uracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
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DIF: Cognitive Level: Analyzing (Analysis)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should ke
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ep in mind that novice nurses, without a background of skills and experience from which to draw, are mor
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e likelyto make their decisions using:
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a. Intuition.
b. A set of rules.
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c. Articles in journals. $i $i
d. Advice from supervisors. $i $i
ANS: B $i
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
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DIF: Cognitive Level: Understanding (Comprehension)
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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
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K
4
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
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MSC: Client Needs: General $i $i $i
6. The nurse is reviewing information about evidence-
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based practice (EBP). Which statement best reflectsEBP?
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a. EBP relies on tradition for supportNoUf RbeSsI N
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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 EB
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P.ANS: C
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EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the
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clinicians experience, as well as patient preferences and values, when making decisions about care and tr
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eatment. EBP is more than simply using the best practice techniques to treat patients, and questioning trad
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ition is important when no compelling and supportive research evidence exists.
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DIF: Cognitive Level: Applying (Application)
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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. Th
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eseresponses are referred to as:
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a. Intuition.
b. The nursing process.
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c. Clinical knowledge. $i
d. Diagnostic reasoning. $i
ANS: A $i
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data a
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ndact without consciously labeling it. The other options are not correct.
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DIF: Cognitive Level: Understanding (Comprehensio
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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 exam
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pleof a first-level priority problem?
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a. Patient with postoperative pain $i $i $i
b. Newly diagnosed patient with diabetes who needs diabetic teaching
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$
h
Edition by Carolyn Jarvis, Ann
$i $i $i $i $i
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
$i $i $i $i $i $i $i $i $i
K
2
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
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Chapter 01: Evidence-Based Assessment $i $i $i
MULTIPLE CHOICE $i
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic
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andhis pulse is 58 beats per minute. These types of data would be:
i
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A $i
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating
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during the physical examination. Subjective data is what the person says about him or herself during history ta
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king. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension)
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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 nausea.CteOdM
$i $i $i , and feels hot. These types of data would be:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C $i
Subjective data are what the person says about him or herself during history taking. Objective data are what
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thehealth professional observes by inspecting, percussing, palpating, and auscultating during the physical exam
i
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ination. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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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. $i
b. Admitting data. $i
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
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K
3
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
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c. Financial statement. $i
d. Discharge summary. $i
ANS: A $i
Together with the patients record and laboratory studies, the objective and subjective data form the data base
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.The other items are not part of the patients record, laboratory studies, or data.
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DIF: Cognitive Level: Remembering (Knowledge)
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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 nurses
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nextaction should be to:
i
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a. Immediately notify the patients physician. $i $i $i $i
b. Document the sound exactly as it was heard. $i $i $i $i $i $i $i
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.
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ANS: C $i
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensureacc
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uracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
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DIF: Cognitive Level: Analyzing (Analysis)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should ke
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ep in mind that novice nurses, without a background of skills and experience from which to draw, are mor
$i $i $i $i $i $i $i $i $i $i $i $i $i $i $i $i $i $i
e likelyto make their decisions using:
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a. Intuition.
b. A set of rules.
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c. Articles in journals. $i $i
d. Advice from supervisors. $i $i
ANS: B $i
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
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DIF: Cognitive Level: Understanding (Comprehension)
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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS TEST BAN
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K
4
Test Bank - Physical Examination and Health Assessment 9e (by Jarvis)
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MSC: Client Needs: General $i $i $i
6. The nurse is reviewing information about evidence-
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based practice (EBP). Which statement best reflectsEBP?
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a. EBP relies on tradition for supportNoUf RbeSsI N
$i t pGrT
acBt.iC
$i ceOsM
. $i $i $i $i $i
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 EB
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P.ANS: C
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EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the
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clinicians experience, as well as patient preferences and values, when making decisions about care and tr
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eatment. EBP is more than simply using the best practice techniques to treat patients, and questioning trad
$i $i $i $i $i $i $i $i $i $i $i $i $i $i $i $i
ition is important when no compelling and supportive research evidence exists.
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DIF: Cognitive Level: Applying (Application)
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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. Th
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eseresponses are referred to as:
i
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a. Intuition.
b. The nursing process.
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c. Clinical knowledge. $i
d. Diagnostic reasoning. $i
ANS: A $i
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data a
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ndact without consciously labeling it. The other options are not correct.
i
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DIF: Cognitive Level: Understanding (Comprehensio
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n)MSC: Client Needs: General
i
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8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an exam
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pleof a first-level priority problem?
i
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a. Patient with postoperative pain $i $i $i
b. Newly diagnosed patient with diabetes who needs diabetic teaching
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