Test Bank for Nursing Health Assessment a
Best Practice Approach 4th Edition (Jensen,
2022) | All Chapters Covered
After completing an initial assessment of a patient, the nurse has charted that his respirations
are eupneic and his pulse is 58 beats per minute. What type of assessment data is this?
a. Objective
b. Reflective
c. Subjective
d. Introspective - ANSWER>>Ans A
Objective
A patient tells the nurse that he is very nervous, nauseous, and "feels hot." What type of
assessment data is this?
a. Objective
b. Reflective
c. Subjective
d. Introspective - ANSWER>>ANS C
Subjective
What do the patient's record, laboratory studies, objective data, and subjective data combine
to form?
a. Database
b. Admitting data
c. Financial statement
d. Discharge summary - ANSWER>>Ans A
Database
When listening to a patient's breath sounds, the nurse is unsure of a sound that is heard. Which
action should the nurse take next?
a. Notify the patient's physician.
b. Document the sound exactly as it was heard.
c. Validate the data by asking another nurse to listen to the breath sounds.
d. Assess again in 20 minutes to note whether the sound is still present. - ANSWER>>Ans C
Validate the data by asking another nurse to listen to the breath sounds
The nurse is conducting a class for new graduate nurses. While teaching the class, what should
the nurse keep in mind regarding what novice nurses, without a background of skills and
experience from which to draw upon, are more likely to base their decisions on?
a. Intuition
b. A set of rules
c. Articles in journals
, d. Advice from supervisors - ANSWER>>ANS B
A Set of rules
The nurse is reviewing information about evidence-based practice (EBP). Which statement best
reflects EBP?
a. EBP relies on tradition for support of best practices.
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 clinician's experience.
d. EBP does not consider the patient's own preferences as important. - ANSWER>>Ans C
EBP emphasizes the use of best evidence with the clinicians experience
The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is
an example of a first-level priority problem?
a. Patient with postoperative pain
b. Newly diagnosed patient with diabetes who needs diabetic teaching
c. Individual with a small laceration on the sole of the foot
d. Individual with shortness of breath and respiratory distress - ANSWER>>ANS D
Individual with shortness of breath and respiratory distress
When considering priority setting of problems, the nurse keeps in mind that second-level
priority problems include which of these aspects?
a. Low self-esteem
b. Lack of knowledge
c. Abnormal laboratory values
d. Severely abnormal vital signs - ANSWER>>ASN C
Abnormal Lab values
Which critical-thinking skill helps the nurse see relationships among the data?
a. Validation
b. Clustering related cues
c. Identifying gaps in data
d. Distinguishing relevant from irrelevant ANS: B - ANSWER>>Ans B
Clustering related cues
The nursing process is a sequential method of problem solving that nurses use and includes
which steps?
a. Assessment, treatment, planning, evaluation, discharge, and follow-up
b. Admission, assessment, diagnosis, treatment, and discharge planning
c. Admission, diagnosis, treatment, evaluation, and discharge planning
d. Assessment, diagnosis, outcome identification, planning, implementation, and evaluation -
ANSWER>>Ans D
Assessment, diagnosis, outcome identification, planning, implementation and evaluation
Best Practice Approach 4th Edition (Jensen,
2022) | All Chapters Covered
After completing an initial assessment of a patient, the nurse has charted that his respirations
are eupneic and his pulse is 58 beats per minute. What type of assessment data is this?
a. Objective
b. Reflective
c. Subjective
d. Introspective - ANSWER>>Ans A
Objective
A patient tells the nurse that he is very nervous, nauseous, and "feels hot." What type of
assessment data is this?
a. Objective
b. Reflective
c. Subjective
d. Introspective - ANSWER>>ANS C
Subjective
What do the patient's record, laboratory studies, objective data, and subjective data combine
to form?
a. Database
b. Admitting data
c. Financial statement
d. Discharge summary - ANSWER>>Ans A
Database
When listening to a patient's breath sounds, the nurse is unsure of a sound that is heard. Which
action should the nurse take next?
a. Notify the patient's physician.
b. Document the sound exactly as it was heard.
c. Validate the data by asking another nurse to listen to the breath sounds.
d. Assess again in 20 minutes to note whether the sound is still present. - ANSWER>>Ans C
Validate the data by asking another nurse to listen to the breath sounds
The nurse is conducting a class for new graduate nurses. While teaching the class, what should
the nurse keep in mind regarding what novice nurses, without a background of skills and
experience from which to draw upon, are more likely to base their decisions on?
a. Intuition
b. A set of rules
c. Articles in journals
, d. Advice from supervisors - ANSWER>>ANS B
A Set of rules
The nurse is reviewing information about evidence-based practice (EBP). Which statement best
reflects EBP?
a. EBP relies on tradition for support of best practices.
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 clinician's experience.
d. EBP does not consider the patient's own preferences as important. - ANSWER>>Ans C
EBP emphasizes the use of best evidence with the clinicians experience
The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is
an example of a first-level priority problem?
a. Patient with postoperative pain
b. Newly diagnosed patient with diabetes who needs diabetic teaching
c. Individual with a small laceration on the sole of the foot
d. Individual with shortness of breath and respiratory distress - ANSWER>>ANS D
Individual with shortness of breath and respiratory distress
When considering priority setting of problems, the nurse keeps in mind that second-level
priority problems include which of these aspects?
a. Low self-esteem
b. Lack of knowledge
c. Abnormal laboratory values
d. Severely abnormal vital signs - ANSWER>>ASN C
Abnormal Lab values
Which critical-thinking skill helps the nurse see relationships among the data?
a. Validation
b. Clustering related cues
c. Identifying gaps in data
d. Distinguishing relevant from irrelevant ANS: B - ANSWER>>Ans B
Clustering related cues
The nursing process is a sequential method of problem solving that nurses use and includes
which steps?
a. Assessment, treatment, planning, evaluation, discharge, and follow-up
b. Admission, assessment, diagnosis, treatment, and discharge planning
c. Admission, diagnosis, treatment, evaluation, and discharge planning
d. Assessment, diagnosis, outcome identification, planning, implementation, and evaluation -
ANSWER>>Ans D
Assessment, diagnosis, outcome identification, planning, implementation and evaluation
