TEST BANK
EVIDENCE-BASED PHYSICAL EXAMINATION BEST PRACTICES FOR
HEALTH & WELL-BEING ASSESSMENT 2 ND EDITION
,Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OF HEALTH AND
WELL- BEING
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 says about him or herself during history taking. The terms reflective and
introspective are not used to describe data.
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A patient tells the nurse that he is very nervous, is nauseated, 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 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.
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
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.
.
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. The other items are not part of the patients record, laboratory
studies, or data.
DIF: Cognitive Level: Remembering (Knowledge) REF: z. 2
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 next action 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 ensure accuracy. If the nurse has less experience in an area, then he
or she asks an expert to listen.
EVIDENCE-BASED PHYSICAL EXAMINATION BEST PRACTICES FOR
HEALTH & WELL-BEING ASSESSMENT 2 ND EDITION
,Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OF HEALTH AND
WELL- BEING
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 says about him or herself during history taking. The terms reflective and
introspective are not used to describe data.
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A patient tells the nurse that he is very nervous, is nauseated, 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 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.
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
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.
.
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. The other items are not part of the patients record, laboratory
studies, or data.
DIF: Cognitive Level: Remembering (Knowledge) REF: z. 2
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 next action 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 ensure accuracy. If the nurse has less experience in an area, then he
or she asks an expert to listen.
