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