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HAP FINAL TEST BANK
QUESTIONS: Jarvis 7th
Edition 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 and his 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 during the physical examination. Subjective data is what the person saysabout him or
herself during history taking. The terms reflective and introspective are not used to describe data.
patient tells the nurse that he is very nervous, is nauseated, and “feels hot.” These types of data
2. A
would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C
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Subjective data are what the person says about him or herself during history taking. Objective data
are what the health professional observes by inspecting, percussing, palpating, and auscultating
during the physical examination. The terms reflective and introspective are not used to describe
data.
3. The patient’s record, laboratory studies, objective data, and subjective data combine to form the:
a. Data base.
b. Admitting data.
c. Financial statement.
d. Discharge summary.
ANS: A
Together with the patient’s record and laboratory studies, the objective and subjective data form
the data base. The other items are not part of the patient’s record, laboratory studies, or data.
4. Whenlistening to a patient’s breath sounds, the nurse is unsure of a sound that is heard. The
nurse’s next action should be to:
a. Immediately notify the patient’s 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 patient’s breath sounds, the nurse validates
the data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an
expert to listen.
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5. Thenurse 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 likely to make 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.
6. Expertnurses learn to attend to a pattern of assessment data and act without consciously labeling
it. These responses are referred to as:
a. Intuition.
b. The nursing process.
c. Clinical knowledge.
d. Diagnostic reasoning.
ANS: A
Intuition is characterized by pattern recognition—expert nurses learn to attend to a pattern of
assessment data and act without consciously labeling it. The other options are not correct.
7. Thenurse 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.
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d. The patient’s 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 clinician’s experience, as well as patient preferences and values, when making decisions
about care and treatment. EBP is more than simply using the best practice techniques to treat
patients, and questioning tradition is important when no compelling and supportive research
evidence exists.
8. 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 ANS: D
First-level priority problems are those that are emergent, life threatening, and immediate (e.g.,
establishing an airway, supporting breathing, maintaining circulation, monitoring abnormal vital
signs) (see Table 1-1).
9. Whenconsidering priority setting of problems, the nurse keeps in mind that second-level priority
problems include which of these aspects?
a. Low self-esteem
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HAP FINAL TEST BANK
QUESTIONS: Jarvis 7th
Edition 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 and his 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 during the physical examination. Subjective data is what the person saysabout him or
herself during history taking. The terms reflective and introspective are not used to describe data.
patient tells the nurse that he is very nervous, is nauseated, and “feels hot.” These types of data
2. A
would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C
Downloaded by: Ariah |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Subjective data are what the person says about him or herself during history taking. Objective data
are what the health professional observes by inspecting, percussing, palpating, and auscultating
during the physical examination. The terms reflective and introspective are not used to describe
data.
3. The patient’s record, laboratory studies, objective data, and subjective data combine to form the:
a. Data base.
b. Admitting data.
c. Financial statement.
d. Discharge summary.
ANS: A
Together with the patient’s record and laboratory studies, the objective and subjective data form
the data base. The other items are not part of the patient’s record, laboratory studies, or data.
4. Whenlistening to a patient’s breath sounds, the nurse is unsure of a sound that is heard. The
nurse’s next action should be to:
a. Immediately notify the patient’s 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 patient’s breath sounds, the nurse validates
the data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an
expert to listen.
Downloaded by: Ariah |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
5. Thenurse 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 likely to make 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.
6. Expertnurses learn to attend to a pattern of assessment data and act without consciously labeling
it. These responses are referred to as:
a. Intuition.
b. The nursing process.
c. Clinical knowledge.
d. Diagnostic reasoning.
ANS: A
Intuition is characterized by pattern recognition—expert nurses learn to attend to a pattern of
assessment data and act without consciously labeling it. The other options are not correct.
7. Thenurse 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.
Downloaded by: Ariah |
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d. The patient’s 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 clinician’s experience, as well as patient preferences and values, when making decisions
about care and treatment. EBP is more than simply using the best practice techniques to treat
patients, and questioning tradition is important when no compelling and supportive research
evidence exists.
8. 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 ANS: D
First-level priority problems are those that are emergent, life threatening, and immediate (e.g.,
establishing an airway, supporting breathing, maintaining circulation, monitoring abnormal vital
signs) (see Table 1-1).
9. Whenconsidering priority setting of problems, the nurse keeps in mind that second-level priority
problems include which of these aspects?
a. Low self-esteem
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