Test Bank for Physical Examination and Health Assessment 8th Edition Carolyn Jarvis
,Test Bank for Physical Examination and Health Assessment 8th Edition Carolyn Jarvis
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 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 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)
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.
Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 2
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) 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
,Test Bank for Physical Examination and Health Assessment 8th Edition Carolyn Jarvis
accuracy. If the nurse has less experience in an area, then he or she asks an expert to
listen. DIF: Cognitive Level: Analyzing (Analysis)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. The nurse 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. DIF: Cognitive Level: Understanding (Comprehension)
Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 3
MSC: Client Needs: General
6. Expert nurses 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 recognitionexpert nurses learn to attend to a pattern
of assessment data and
act without consciously labeling it. The other options are not correct. DIF: Cognitive
Level: Understanding (Comprehension)
MSC: Client Needs: General
7. The nurse 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 clinicians experience.
d. The patients 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 clinicians
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. DIF:
Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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?
, Test Bank for Physical Examination and Health Assessment 8th Edition Carolyn Jarvis
a. Patient with postoperative pain
b. Newly diagnosed patient with diabetes who needs diabetic teaching
Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 4
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).
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
9. When considering priority setting of problems, the nurse keeps in mind that second-
level priority problems
include which of these aspects?
a. Low self-esteem
b. Lack of knowledge
c. Abnormal laboratory values
d. Severely abnormal vital signs
ANS: C
Second-level priority problems are those that require prompt intervention to forestall
further deterioration (e.g., mental status change, acute pain,
abnormal laboratory values, risks to safety or security). DIF: Cognitive Level:
Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
10. Which critical thinking skill helps the nurse see relationships among the data?
a. Validation
b. Clustering related cues
c. Identifying gaps in data
d. Distinguishing relevant from irrelevant
ANS: B
Clustering related cues helps the nurse see relationships among the data. DIF: Cognitive
Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care
Environment: Management of Care Test Bank -
Physical Examination and Health Assessment
8e (by Jarvis) 5
11. The nurse knows that developing appropriate nursing interventions for a patient
relies on the
appropriateness of the __________ diagnosis.
a. Nursing
b. Medical
c. Admission
d. Collaborative
ANS: A
An accurate nursing diagnosis provides the basis for the selection
of nursing interventions to achieve outcomes for which the nurse
is accountable. The other items do not contribute to the
development of appropriate nursing interventions. DIF: Cognitive
Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
12. The nursing process is a sequential method of problem solving that nurses use and
includes which steps?
a. Assessment, treatment, planning, evaluation, discharge, and follow-up
b. Admission, assessment, diagnosis, treatment, and discharge planning
,Test Bank for Physical Examination and Health Assessment 8th Edition Carolyn Jarvis
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 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 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)
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.
Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 2
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) 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
,Test Bank for Physical Examination and Health Assessment 8th Edition Carolyn Jarvis
accuracy. If the nurse has less experience in an area, then he or she asks an expert to
listen. DIF: Cognitive Level: Analyzing (Analysis)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. The nurse 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. DIF: Cognitive Level: Understanding (Comprehension)
Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 3
MSC: Client Needs: General
6. Expert nurses 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 recognitionexpert nurses learn to attend to a pattern
of assessment data and
act without consciously labeling it. The other options are not correct. DIF: Cognitive
Level: Understanding (Comprehension)
MSC: Client Needs: General
7. The nurse 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 clinicians experience.
d. The patients 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 clinicians
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. DIF:
Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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?
, Test Bank for Physical Examination and Health Assessment 8th Edition Carolyn Jarvis
a. Patient with postoperative pain
b. Newly diagnosed patient with diabetes who needs diabetic teaching
Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 4
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).
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
9. When considering priority setting of problems, the nurse keeps in mind that second-
level priority problems
include which of these aspects?
a. Low self-esteem
b. Lack of knowledge
c. Abnormal laboratory values
d. Severely abnormal vital signs
ANS: C
Second-level priority problems are those that require prompt intervention to forestall
further deterioration (e.g., mental status change, acute pain,
abnormal laboratory values, risks to safety or security). DIF: Cognitive Level:
Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
10. Which critical thinking skill helps the nurse see relationships among the data?
a. Validation
b. Clustering related cues
c. Identifying gaps in data
d. Distinguishing relevant from irrelevant
ANS: B
Clustering related cues helps the nurse see relationships among the data. DIF: Cognitive
Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care
Environment: Management of Care Test Bank -
Physical Examination and Health Assessment
8e (by Jarvis) 5
11. The nurse knows that developing appropriate nursing interventions for a patient
relies on the
appropriateness of the __________ diagnosis.
a. Nursing
b. Medical
c. Admission
d. Collaborative
ANS: A
An accurate nursing diagnosis provides the basis for the selection
of nursing interventions to achieve outcomes for which the nurse
is accountable. The other items do not contribute to the
development of appropriate nursing interventions. DIF: Cognitive
Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
12. The nursing process is a sequential method of problem solving that nurses use and
includes which steps?
a. Assessment, treatment, planning, evaluation, discharge, and follow-up
b. Admission, assessment, diagnosis, treatment, and discharge planning
