, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 3rd EDITION JARVIS TEST BANK
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Test Bank - Physical Examination and Health Assessment 3rd e (by Jarvis)
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Chapter 01: Evidence-Based Assessment ai ai ai
MULTIPLE CHOICE ai
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and
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his 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 ai
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating d
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uring the physical examination. Subjective data is what the person says about him or herself during history taki
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ng. 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 n e r vNo uUsR, SisIN
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ea.CteOdM
, and feels hot. These types of data would be:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C ai
Subjective data are what the person says about him or herself during history taking. Objective data are what the he
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
alth professional observes by inspecting, percussing, palpating, and auscultating during the physical exa
a i a i a i a i a i a i a i a i a i a i a i ai
mination. The terms reflective and introspective are not used to describe data.
a i a i a i a i a i a i a i a i ai a i a i
DIF: Cognitive Level: Understanding (Comprehension)
ai ai ai ai
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. ai
b. Admitting data. ai
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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 3rd EDITION JARVIS TEST BANK
ai ai ai ai ai ai ai ai ai
Test Bank - Physical Examination and Health Assessment 3rd e (by Jarvis)
ai ai ai ai ai ai ai ai ai ai 3
c. Financial statement. ai
d. Discharge summary. ai
ANS: A ai
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.
ai a i a i ai a i a i ai a i a i a i a i a i ai
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 next
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action should be to: ai ai ai
a. Immediately notify the patients physician. ai ai ai ai
b. Document the sound exactly as it was heard. ai ai ai ai ai ai ai
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 ai
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure ac
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curacy. If the nurse has less experience in an area, then he or she asks an expert to listen.
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
DIF: Cognitive Level: Analyzing (Analysis)
ai ai ai ai
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
ai ai ai ai ai ai ai ai ai ai
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should k
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eep in mind that novice nurses, without a background of skills and experience from which to draw, are more
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likely to make their decisions using:
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a. Intuition.
b. A set of rules.
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c. Articles in journals. ai ai
d. Advice from supervisors. ai ai
ANS: B ai
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links. DI
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F: Cognitive Level: Understanding (Comprehension)
ai a i ai a i
NURSINGTB.COM
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 3rd EDITION JARVIS TEST BANK
ai ai ai ai ai ai ai ai ai
Test Bank - Physical Examination and Health Assessment 3rd e (by Jarvis)
ai ai ai ai ai ai ai ai ai ai 4
MSC: Client Needs: General ai ai ai
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. These
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
responses are referred to as: ai ai ai ai
a. Intuition.
b. The nursing process.
ai ai
c. Clinical knowledge. ai
d. Diagnostic reasoning. ai
ANS: A ai
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data an
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
d act without consciously labeling it. The other options are not correct.
ai a i a i a i a i a i a i a i a i a i a i
DIF: Cognitive Level: Understanding (Comprehension)
ai ai ai ai a
MSC: Client Needs: General
i ai ai ai
7. The nurse is reviewing information about evidence-
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based practice (EBP). Which statement best reflects EBP?
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a. EBP relies on tradition for supportNoUfR
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acBt.iC
ai ceOsM
. ai ai ai ai
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 EBP.
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ANS: C
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EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
clinicians experience, as well as patient preferences and values, when making decisions about care and trea
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tment. EBP is more than simply using the best practice techniques to treat patients, and questioning traditi
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on is important when no compelling and supportive research evidence exists.
a i a i a i a i a i a i a i a i a i a i
DIF: Cognitive Level: Applying (Application)
ai ai ai ai
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example
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of a first-level priority problem?
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a. Patient with postoperative pain ai ai ai
b. Newly diagnosed patient with diabetes who needs diabetic teaching
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NURSINGTB.COM
ai ai ai ai ai ai ai ai ai
Test Bank - Physical Examination and Health Assessment 3rd e (by Jarvis)
ai ai ai ai ai ai ai ai ai ai 2
Chapter 01: Evidence-Based Assessment ai ai ai
MULTIPLE CHOICE ai
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
his pulse is 58 beats per minute. These types of data would be:
a i a i a i a i a i ai a i ai ai a i a i a i
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A ai
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating d
ai ai ai ai ai ai ai ai ai ai ai ai ai ai
uring the physical examination. Subjective data is what the person says about him or herself during history taki
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
ng. The terms reflective and introspective are not used to describe data.
ai a i a i a i a i a i a i a i a i a i a i
DIF: Cognitive Level: Understanding (Comprehension)
ai ai ai ai
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
ai ai ai ai ai ai ai ai ai ai
2. A patient tells the nurse that he is very n e r vNo uUsR, SisIN
ai ai ai naGuTsB
ea.CteOdM
, and feels hot. These types of data would be:
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C ai
Subjective data are what the person says about him or herself during history taking. Objective data are what the he
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
alth professional observes by inspecting, percussing, palpating, and auscultating during the physical exa
a i a i a i a i a i a i a i a i a i a i a i ai
mination. The terms reflective and introspective are not used to describe data.
a i a i a i a i a i a i a i a i ai a i a i
DIF: Cognitive Level: Understanding (Comprehension)
ai ai ai ai
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
ai ai ai ai ai ai ai ai ai ai
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
ai ai ai ai ai ai ai ai ai ai ai ai ai
a. Data base. ai
b. Admitting data. ai
NURSINGTB.COM
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 3rd EDITION JARVIS TEST BANK
ai ai ai ai ai ai ai ai ai
Test Bank - Physical Examination and Health Assessment 3rd e (by Jarvis)
ai ai ai ai ai ai ai ai ai ai 3
c. Financial statement. ai
d. Discharge summary. ai
ANS: A ai
Together with the patients record and laboratory studies, the objective and subjective data form the data base.
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
The other items are not part of the patients record, laboratory studies, or data.
ai a i a i ai a i a i ai a i a i a i a i a i ai
DIF: Cognitive Level: Remembering (Knowledge)
ai ai ai ai
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
ai ai ai ai ai ai ai ai ai ai
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
action should be to: ai ai ai
a. Immediately notify the patients physician. ai ai ai ai
b. Document the sound exactly as it was heard. ai ai ai ai ai ai ai
c. Validate the data by asking a coworker to listen to the breath sounds.
ai ai ai ai ai ai ai ai ai ai ai ai
d. Assess again in 20 minutes to note whether the sound is still present.
ai ai ai ai ai ai ai ai ai ai ai ai
NURSINGTB.COM
ANS: C ai
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure ac
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
curacy. If the nurse has less experience in an area, then he or she asks an expert to listen.
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
DIF: Cognitive Level: Analyzing (Analysis)
ai ai ai ai
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
ai ai ai ai ai ai ai ai ai ai
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should k
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
eep in mind that novice nurses, without a background of skills and experience from which to draw, are more
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
likely to make their decisions using:
ai ai ai ai ai ai
a. Intuition.
b. A set of rules.
ai ai ai
c. Articles in journals. ai ai
d. Advice from supervisors. ai ai
ANS: B ai
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links. DI
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
F: Cognitive Level: Understanding (Comprehension)
ai a i ai a i
NURSINGTB.COM
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 3rd EDITION JARVIS TEST BANK
ai ai ai ai ai ai ai ai ai
Test Bank - Physical Examination and Health Assessment 3rd e (by Jarvis)
ai ai ai ai ai ai ai ai ai ai 4
MSC: Client Needs: General ai ai ai
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. These
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
responses are referred to as: ai ai ai ai
a. Intuition.
b. The nursing process.
ai ai
c. Clinical knowledge. ai
d. Diagnostic reasoning. ai
ANS: A ai
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data an
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
d act without consciously labeling it. The other options are not correct.
ai a i a i a i a i a i a i a i a i a i a i
DIF: Cognitive Level: Understanding (Comprehension)
ai ai ai ai a
MSC: Client Needs: General
i ai ai ai
7. The nurse is reviewing information about evidence-
ai ai ai ai ai ai
based practice (EBP). Which statement best reflects EBP?
ai ai ai ai ai ai ai
a. EBP relies on tradition for supportNoUfR
ai beSsItNpGrT
acBt.iC
ai ceOsM
. ai ai ai ai
b. EBP is simply the use of best practice techniques for the treatment of patients.
ai ai ai ai ai ai ai ai ai ai ai ai ai
c. EBP emphasizes the use of best evidence with the clinicians experience.
ai ai ai ai ai ai ai ai ai ai
d. The patients own preferences are not important with EBP.
ai ai ai ai ai ai ai ai a
ANS: C
i ai
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
clinicians experience, as well as patient preferences and values, when making decisions about care and trea
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
tment. EBP is more than simply using the best practice techniques to treat patients, and questioning traditi
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
on is important when no compelling and supportive research evidence exists.
a i a i a i a i a i a i a i a i a i a i
DIF: Cognitive Level: Applying (Application)
ai ai ai ai
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
ai ai ai ai ai ai ai ai ai ai
8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
of a first-level priority problem?
ai ai ai ai
a. Patient with postoperative pain ai ai ai
b. Newly diagnosed patient with diabetes who needs diabetic teaching
ai ai ai ai ai ai ai ai
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