TEST BANK for Evidence-Based
b b b
Physical Examination: Best Practices
b b b
bfor Health and Well-Being Assessment
b b b b
2nd Edition by Kate Gawlik
b b b b b
ALL CHAPTERS 1-29 WITH RATIONALES| A+ GRADE
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Page 1 of 761
b b b
, Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OF HEALTH AND WELL-
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BEING b
MULTIPLE CHOICE b
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are
b b b b b b b b b b b b b b b
eupneic and his pulse is 58 beats per minute. These types of data would be:
b b b b b b b b b b b b b b b
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A b
Objective data are what the health professional observes by inspecting, percussing, palpating, and
b b b b b b b b b b b b
auscultating during the physical examination. Subjective data is what the person says about him or
b b b b b b b b b b b b b b b
herself during history taking. The terms reflective and introspective are not used to describe data.
b b b b b b b b b b b b b b b
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
b b b b b b b
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
b b b b b b b b b b
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would
b b b b b b b b b b b b b b b b b b b
be:
b
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C b
Subjective data are what the person says about him or herself during history taking. Objective data
b b b b b b b b b b b b b b b
are what the health professional observes by inspecting, percussing, palpating, and auscultating
b b b b b b b b b b b b
during the physical examination. The terms reflective and introspective are not used to describe data.
b b b b b b b b b b b b b b b
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
b b b b b b b
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
b b b b b b b b b b
Page 2 of 761
b b b
,3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
b b b b b b b b b b b b b
a. Data base. b
b. Admitting data. b
c. Financial statement. b
d. Discharge summary. b
ANS: A b
Together with the patients record and laboratory studies, the objective and subjective data form the data
b b b b b b b b b b b b b b b
base. The other items are not part of the patients record, laboratory studies, or data.
b b b b b b b b b b b b b b b
DIF: Cognitive Level: Remembering (Knowledge) REF: z. 2
b b b b b b b
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
b b b b b b b b b b
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next
b b b b b b b b b b b b b b b b b b b
action should be to:
b b b b
a. Immediately notify the patients physician. b b b b
b. Document the sound exactly as it was heard. b b b b b b b
c. Validate the data by asking a coworker to listen to the breath sounds.
b b b b b b b b b b b b
d. Assess again in 20 minutes to note whether the sound is still present.
b b b b b b b b b b b b
ANS: C b
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to
b b b b b b b b b b b b b b b b b b
ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
b b b b b b b b b b b b b b b b b b b b
DIF: Cognitive Level: Analyzing (Analysis) REF: z. 2
b b b b b b b
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
b b b b b b b b b b
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should
b b b b b b b b b b b b b b b b
keep in mind that novice nurses, without a background of skills and experience from which to draw,
b b b b b b b b b b b b b b b b b
are more likely to make their decisions using:
b b b b b b b b
a. Intuition.
b. A set of rules.
b b b
Page 3 of 761
b b b
, c. Articles in journals. b b
d. Advice from supervisors. b b
ANS: B b
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
b b b b b b b b b b b b b b b
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 3 MSC: Client Needs: General
b b b b b b b b b b b b
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it.
b b b b b b b b b b b b b b b b
These responses are referred to as:
b b b b b b
a. Intuition.
b. The nursing process.b b
c. Clinical knowledge. b
d. Diagnostic reasoning. b
ANS: A b
Intuition is characterized by pattern recognition expert nurses learn to attend to a pattern of assessment
b b b b b b b b b b b b b b b
bdata and act without consciously labeling it. The other options are not correct.
b b b b b b b b b b b b
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 4 MSC: Client Needs: General
b b b b b b b b b b b
7. The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects
b b b b b b b b b b b b
EBP?
b
a. EBP relies on tradition for support of best practices.
b b b b b b b b
b. EBP is simply the use of best practice techniques for the treatment of patients.
b b b b b b b b b b b b b
c. EBP emphasizes the use of best evidence with the clinicians experience.
b b b b b b b b b b
d. The patients own preferences are not important with EBP.
b b b b b b b b
ANS: C
b b
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the
b b b b b b b b b b b b b b b b b
clinicians experience, as well as patient preferences and values, when making decisions about care and
b b b b b b b b b b b b b b b
treatment. EBP is more than simply using the best practice techniques to treat patients, and questioning
b b b b b b b b b b b b b b b b
tradition is important when no compelling and supportive research evidence exists.
b b b b b b b b b b b
DIF: Cognitive Level: Applying (Application) REF: z. 5
b b b b b b b
Page 4 of 761
b b b
b b b
Physical Examination: Best Practices
b b b
bfor Health and Well-Being Assessment
b b b b
2nd Edition by Kate Gawlik
b b b b b
ALL CHAPTERS 1-29 WITH RATIONALES| A+ GRADE
b b b b b b
Page 1 of 761
b b b
, Chapter 1. APPROACH TO EVIDENCE-BASED ASSESSMENT OF HEALTH AND WELL-
b b b b b b b b b
BEING b
MULTIPLE CHOICE b
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are
b b b b b b b b b b b b b b b
eupneic and his pulse is 58 beats per minute. These types of data would be:
b b b b b b b b b b b b b b b
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A b
Objective data are what the health professional observes by inspecting, percussing, palpating, and
b b b b b b b b b b b b
auscultating during the physical examination. Subjective data is what the person says about him or
b b b b b b b b b b b b b b b
herself during history taking. The terms reflective and introspective are not used to describe data.
b b b b b b b b b b b b b b b
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
b b b b b b b
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
b b b b b b b b b b
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would
b b b b b b b b b b b b b b b b b b b
be:
b
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C b
Subjective data are what the person says about him or herself during history taking. Objective data
b b b b b b b b b b b b b b b
are what the health professional observes by inspecting, percussing, palpating, and auscultating
b b b b b b b b b b b b
during the physical examination. The terms reflective and introspective are not used to describe data.
b b b b b b b b b b b b b b b
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
b b b b b b b
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
b b b b b b b b b b
Page 2 of 761
b b b
,3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
b b b b b b b b b b b b b
a. Data base. b
b. Admitting data. b
c. Financial statement. b
d. Discharge summary. b
ANS: A b
Together with the patients record and laboratory studies, the objective and subjective data form the data
b b b b b b b b b b b b b b b
base. The other items are not part of the patients record, laboratory studies, or data.
b b b b b b b b b b b b b b b
DIF: Cognitive Level: Remembering (Knowledge) REF: z. 2
b b b b b b b
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
b b b b b b b b b b
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next
b b b b b b b b b b b b b b b b b b b
action should be to:
b b b b
a. Immediately notify the patients physician. b b b b
b. Document the sound exactly as it was heard. b b b b b b b
c. Validate the data by asking a coworker to listen to the breath sounds.
b b b b b b b b b b b b
d. Assess again in 20 minutes to note whether the sound is still present.
b b b b b b b b b b b b
ANS: C b
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to
b b b b b b b b b b b b b b b b b b
ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
b b b b b b b b b b b b b b b b b b b b
DIF: Cognitive Level: Analyzing (Analysis) REF: z. 2
b b b b b b b
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
b b b b b b b b b b
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should
b b b b b b b b b b b b b b b b
keep in mind that novice nurses, without a background of skills and experience from which to draw,
b b b b b b b b b b b b b b b b b
are more likely to make their decisions using:
b b b b b b b b
a. Intuition.
b. A set of rules.
b b b
Page 3 of 761
b b b
, c. Articles in journals. b b
d. Advice from supervisors. b b
ANS: B b
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
b b b b b b b b b b b b b b b
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 3 MSC: Client Needs: General
b b b b b b b b b b b b
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it.
b b b b b b b b b b b b b b b b
These responses are referred to as:
b b b b b b
a. Intuition.
b. The nursing process.b b
c. Clinical knowledge. b
d. Diagnostic reasoning. b
ANS: A b
Intuition is characterized by pattern recognition expert nurses learn to attend to a pattern of assessment
b b b b b b b b b b b b b b b
bdata and act without consciously labeling it. The other options are not correct.
b b b b b b b b b b b b
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 4 MSC: Client Needs: General
b b b b b b b b b b b
7. The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects
b b b b b b b b b b b b
EBP?
b
a. EBP relies on tradition for support of best practices.
b b b b b b b b
b. EBP is simply the use of best practice techniques for the treatment of patients.
b b b b b b b b b b b b b
c. EBP emphasizes the use of best evidence with the clinicians experience.
b b b b b b b b b b
d. The patients own preferences are not important with EBP.
b b b b b b b b
ANS: C
b b
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the
b b b b b b b b b b b b b b b b b
clinicians experience, as well as patient preferences and values, when making decisions about care and
b b b b b b b b b b b b b b b
treatment. EBP is more than simply using the best practice techniques to treat patients, and questioning
b b b b b b b b b b b b b b b b
tradition is important when no compelling and supportive research evidence exists.
b b b b b b b b b b b
DIF: Cognitive Level: Applying (Application) REF: z. 5
b b b b b b b
Page 4 of 761
b b b
