,
,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.
[9E] ANSWER: A
Objective data are what the health professional observes by inspecting, percussing, palpating, and
auscultating du ring 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)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A patient tells the nurse that he is very n e r vNo uUsR, x Si sI Nn G
a uTsBe a. CteOd,Mx a n d feels hot. These types of data would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
[9E] ANSWER: 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 examinati on. The terms reflective and introspective are not used to describe data.
DIF: Cognitive Level: Understanding (Comprehension)
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. Dataxbase.
b. Admitting data.
c. Financial statement.
d. Discharge summary.
[9E] ANSWER: A
Together with the patients record and laboratory studies, the objective and subjective data form the
data base.Th e other items are not part of the patients record, laboratory studies, or data.
DIF: Cognitive Level: Remembering (Knowledge)
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
nursesxnext 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.
[9E]
ANSWE
R: C
,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.
[9E] ANSWER: A
Objective data are what the health professional observes by inspecting, percussing, palpating, and
auscultating du ring 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)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A patient tells the nurse that he is very n e r vNo uUsR, x Si sI Nn G
a uTsBe a. CteOd,Mx a n d feels hot. These types of data would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
[9E] ANSWER: 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 examinati on. The terms reflective and introspective are not used to describe data.
DIF: Cognitive Level: Understanding (Comprehension)
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. Dataxbase.
b. Admitting data.
c. Financial statement.
d. Discharge summary.
[9E] ANSWER: A
Together with the patients record and laboratory studies, the objective and subjective data form the
data base.Th e other items are not part of the patients record, laboratory studies, or data.
DIF: Cognitive Level: Remembering (Knowledge)
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
nursesxnext 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.
[9E]
ANSWE
R: C
