Test Bank for Physical Examination and Health Assessment 9th Edition by
Carolyn Jarvis, Ann Eckhardt / All Chapters 1-32 / Full Complete
, PHYSICALf6EXAMINATIONf6ANDf6HEALTHf6ASSESSMENTf69THf6EDITIONf6JARVISf6TESTf6BA
NK
2
Testf6Bankf6-f6Physicalf6Examinationf6andf6Healthf6Assessmentf69ef6(byf6Jarvis)
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:f6 A
Objectivef6dataf6aref6whatf6thef6healthf6professionalf6observesf6byf6inspecting,f6percussing,f6palpating,f6andf6auscult
atingf6duringf6thef6physicalf6examination.f6Subjectivef6dataf6isf6whatf6thef6personf6saysf6aboutf6himf6orf6herselff6duri
ngf6historyf6taking.f6Thef 6 termsf 6 reflectivef 6 andf 6 introspectivef 6 aref 6 notf 6 usedf 6 tof 6 describef 6 data.
DIF:f6 Cognitivef6 Level:f6 Understandingf6 (Comprehension)
MSC:f6Clientf6Needs:f6Safef6 andf6Effectivef6Caref6Environment:f6 Managementf6 off6Care
2. Af6patientf6tellsf6thef6nursef6thatf6hef6isf6veryf6nervous,f6isf6n a u s e a. Ct eOd M
, f6andf6feelsf6hot.f6Thesef6typesf6off6dataf6wouldf6be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:f6 C
Subjectivef6dataf6aref6whatf6thef6personf6saysf6aboutf6himf6orf6herselff6duringf6historyf6taking.f6Objectivef6dataf6aref
6whatf6thef6healthf 6 professionalf 6 observesf 6 byf 6 inspecting,f 6 percussing,f 6 palpating,f 6 andf 6 auscultatingf 6 duri
ngf 6 thef 6 physicalf6examination.f 6 Thef 6 termsf 6 reflectivef 6 andf 6 introspectivef 6 aref 6 notf 6 usedf 6 tof 6 describef 6
data.
DIF:f6 Cognitivef6 Level:f6 Understandingf6 (Comprehension)
MSC:f6Clientf6Needs:f6Safef6 andf6Effectivef6Caref6Environment:f6 Managementf6 off6Care
3. Thef6patientsf6record,f6laboratoryf6 studies,f6objectivef6 data,f6 andf6subjectivef6 dataf6combinef6 tof6formf6the:
a. Dataf6base.
b. Admittingf6 data
.
, PHYSICALf6EXAMINATIONf6ANDf6HEALTHf6ASSESSMENTf69THf6EDITIONf6JARVISf6TESTf6BA
NK
3
Testf6Bankf6-f6Physicalf6Examinationf6andf6Healthf6Assessmentf69ef6(byf6Jarvis)
c. Financialf6statement.
d. Dischargef6summary.
ANS:f6 A
Togetherf6withf6thef6patientsf6recordf6andf6laboratoryf6studies,f6thef6objectivef6andf6subjectivef6dataf6formf6thef6dat
af6base.f6Thef 6 otherf 6 itemsf 6 aref 6 notf 6 partf 6 off 6 thef 6 patientsf 6 record,f 6 laboratoryf 6 studies,f 6 orf 6 data.
DIF:f6 Cognitivef6 Level:f6 Rememberingf6 (Knowledge)
MSC:f6Clientf6Needs:f6Safef6 andf6Effectivef6Caref6Environment:f6 Managementf6 off6Care
4. Whenf6listeningf6tof6af6patientsf6breathf6sounds,f6thef6nursef6isf6unsuref6off6af6soundf6thatf6isf6heard.f6Thef6nu
rsesf6nextf6actionf6shouldf6bef6to:
a. Immediatelyf6notifyf6 thef6patientsf6 physician.
b. Documentf6thef6soundf6exactlyf6 asf6itf6wasf6 heard.
c. Validatef6thef6dataf6 byf6askingf6 af6coworkerf6tof6listenf6tof6thef6 breathf6sounds.
d. Assessf6againf6 inf6 20f6 minutesf6 tof6notef6whetherf6 thef6 soundf6isf6 stillf6present.
ANS:f6 C
Whenf6unsuref6off6af6soundf6heardf6whilef6listeningf6tof6af6patientsf6breathf6sounds,f6thef6nursef6validatesf6thef6dataf6tof6ens
uref6accuracy.f6Iff6thef 6 nursef 6 hasf 6 lessf 6 experiencef 6 inf 6 anf 6 area,f6thenf 6 hef6orf 6 shef 6 asksf 6 anf 6 expertf 6 tof 6 listen.
DIF:f6Cognitivef6 Level:f6Analyzingf6 (Analysis)
MSC:f6Clientf6Needs:f6Safef6 andf6Effectivef6Caref6Environment:f6 Managementf6 off6Care
5. Thef6 nursef6isf6 conductingf 6 af6 classf 6 forf6 newf 6 graduatef 6 nurses.f6 Duringf 6 thef6 teachingf6 session,f6thef6 nursef6 s
houldf 6 keepf6inf6 mindf6 thatf6novicef6 nurses,f 6 withoutf6 af6backgroundf6 off6skillsf6 andf6experiencef6 fromf6 whichf6 tof
6draw,f6 aref 6 moref6 likelyf6tof6makef6theirf6decisionsf6using:
a. Intuition.
b. Af6setf6off6rules.
c. Articlesf6inf6journals.
d. Advicef6 fromf6 supervisors.
ANS:f6 B
Novicef6nursesf6operatef6fromf6af6setf6off6defined,f6structuredf6rules.f6Thef6expertf6practitionerf6usesf6intuitivef6li
nks.f6DIF:f6Cognitivef6Level:f6Understandingf 6 (Comprehension)
, PHYSICALf6EXAMINATIONf6ANDf6HEALTHf6ASSESSMENTf69THf6EDITIONf6JARVISf6TESTf6BA
NK
4
Testf6Bankf6-f6Physicalf6Examinationf6andf6Healthf6Assessmentf69ef6(byf6Jarvis)
MSC:f6 Clientf 6 Needs:f6 General
6. Thef6nursef6isf6reviewingf6informationf6aboutf6evidence-
basedf6practicef6(EBP).f6Whichf6statementf6bestf6reflectsf6EBP?
a. EBPf6reliesf6onf6traditionf6forf6supportNoUff6RbeSsI tNpGrTa cBt.iC
ceOsM
.
b. EBPf6isf6 simplyf6 thef6usef6off6bestf6practicef6techniquesf6 forf6thef6treatmentf6off6patients.
c. EBPf6emphasizesf6 thef6usef6off6bestf6 evidencef6withf6 thef6cliniciansf6experience.
d. Thef6patientsf6 ownf6 preferencesf6aref6 notf6importantf6 withf6 EBP.
ANS:f 6 C
EBPf6isf6af6systematicf6approachf6tof6practicef6thatf6emphasizesf6thef6usef6off6bestf6evidencef6inf6combinationf6
withf6thef6cliniciansf6experience,f6asf6wellf6asf6patientf6preferencesf6andf6values,f6whenf6makingf6decisionsf6ab
outf6caref6andf6treatment.f6EBPf6isf6moref6thanf6simplyf6usingf6thef6bestf6practicef6techniquesf6tof6treatf6patients
,f6andf6questioningf6traditionf 6 isf 6 importantf 6 whenf 6 nof 6 compellingf 6 andf 6 supportivef 6 researchf 6 evidenc
ef 6 exists.
DIF:f6 Cognitivef6 Level:f6Applyingf6 (Application)
MSC:f6Clientf6Needs:f6Safef6andf6Effectivef6 Caref6Environment:f6 Managementf6 off6 Care
7. Expertf6nursesf6learnf6tof6attendf6tof6af6patternf6off6assessmentf6dataf6andf6actf6withoutf6consciouslyf6labelingf6it
.f6Thesef6responsesf6aref6referredf6tof6as:
a. Intuition.
b. Thef6nursingf6process.
c. Clinicalf6knowledge.
d. Diagnosticf6reasoning.
ANS:f6 A
Intuitionf6isf6characterizedf6byf6patternf6recognitionexpertf6nursesf6learnf6tof6attendf6tof6af6patternf6off6assessmentf6
dataf6andf6actf 6 withoutf 6 consciouslyf 6 labelingf 6 it.f 6 Thef 6 otherf 6 optionsf 6 aref 6 notf 6 correct.
DIF:f6Cognitivef6Level:f6Understandingf6(Comprehensio
n)f6MSC:f6Clientf6Needs:f6General
8. Thef6nursef6isf6conductingf6af6classf6onf6priorityf6settingf6forf6af6groupf6off6newf6graduatef6nurses.f6Whichf6isf6anf
6examplef6off6af6first-levelf6priorityf6problem?
a. Patientf6withf6 postoperativef6 pain
b. Newlyf6diagnosedf6 patientf6withf6 diabetesf6whof6needsf6diabeticf6 teac
hing
Carolyn Jarvis, Ann Eckhardt / All Chapters 1-32 / Full Complete
, PHYSICALf6EXAMINATIONf6ANDf6HEALTHf6ASSESSMENTf69THf6EDITIONf6JARVISf6TESTf6BA
NK
2
Testf6Bankf6-f6Physicalf6Examinationf6andf6Healthf6Assessmentf69ef6(byf6Jarvis)
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:f6 A
Objectivef6dataf6aref6whatf6thef6healthf6professionalf6observesf6byf6inspecting,f6percussing,f6palpating,f6andf6auscult
atingf6duringf6thef6physicalf6examination.f6Subjectivef6dataf6isf6whatf6thef6personf6saysf6aboutf6himf6orf6herselff6duri
ngf6historyf6taking.f6Thef 6 termsf 6 reflectivef 6 andf 6 introspectivef 6 aref 6 notf 6 usedf 6 tof 6 describef 6 data.
DIF:f6 Cognitivef6 Level:f6 Understandingf6 (Comprehension)
MSC:f6Clientf6Needs:f6Safef6 andf6Effectivef6Caref6Environment:f6 Managementf6 off6Care
2. Af6patientf6tellsf6thef6nursef6thatf6hef6isf6veryf6nervous,f6isf6n a u s e a. Ct eOd M
, f6andf6feelsf6hot.f6Thesef6typesf6off6dataf6wouldf6be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:f6 C
Subjectivef6dataf6aref6whatf6thef6personf6saysf6aboutf6himf6orf6herselff6duringf6historyf6taking.f6Objectivef6dataf6aref
6whatf6thef6healthf 6 professionalf 6 observesf 6 byf 6 inspecting,f 6 percussing,f 6 palpating,f 6 andf 6 auscultatingf 6 duri
ngf 6 thef 6 physicalf6examination.f 6 Thef 6 termsf 6 reflectivef 6 andf 6 introspectivef 6 aref 6 notf 6 usedf 6 tof 6 describef 6
data.
DIF:f6 Cognitivef6 Level:f6 Understandingf6 (Comprehension)
MSC:f6Clientf6Needs:f6Safef6 andf6Effectivef6Caref6Environment:f6 Managementf6 off6Care
3. Thef6patientsf6record,f6laboratoryf6 studies,f6objectivef6 data,f6 andf6subjectivef6 dataf6combinef6 tof6formf6the:
a. Dataf6base.
b. Admittingf6 data
.
, PHYSICALf6EXAMINATIONf6ANDf6HEALTHf6ASSESSMENTf69THf6EDITIONf6JARVISf6TESTf6BA
NK
3
Testf6Bankf6-f6Physicalf6Examinationf6andf6Healthf6Assessmentf69ef6(byf6Jarvis)
c. Financialf6statement.
d. Dischargef6summary.
ANS:f6 A
Togetherf6withf6thef6patientsf6recordf6andf6laboratoryf6studies,f6thef6objectivef6andf6subjectivef6dataf6formf6thef6dat
af6base.f6Thef 6 otherf 6 itemsf 6 aref 6 notf 6 partf 6 off 6 thef 6 patientsf 6 record,f 6 laboratoryf 6 studies,f 6 orf 6 data.
DIF:f6 Cognitivef6 Level:f6 Rememberingf6 (Knowledge)
MSC:f6Clientf6Needs:f6Safef6 andf6Effectivef6Caref6Environment:f6 Managementf6 off6Care
4. Whenf6listeningf6tof6af6patientsf6breathf6sounds,f6thef6nursef6isf6unsuref6off6af6soundf6thatf6isf6heard.f6Thef6nu
rsesf6nextf6actionf6shouldf6bef6to:
a. Immediatelyf6notifyf6 thef6patientsf6 physician.
b. Documentf6thef6soundf6exactlyf6 asf6itf6wasf6 heard.
c. Validatef6thef6dataf6 byf6askingf6 af6coworkerf6tof6listenf6tof6thef6 breathf6sounds.
d. Assessf6againf6 inf6 20f6 minutesf6 tof6notef6whetherf6 thef6 soundf6isf6 stillf6present.
ANS:f6 C
Whenf6unsuref6off6af6soundf6heardf6whilef6listeningf6tof6af6patientsf6breathf6sounds,f6thef6nursef6validatesf6thef6dataf6tof6ens
uref6accuracy.f6Iff6thef 6 nursef 6 hasf 6 lessf 6 experiencef 6 inf 6 anf 6 area,f6thenf 6 hef6orf 6 shef 6 asksf 6 anf 6 expertf 6 tof 6 listen.
DIF:f6Cognitivef6 Level:f6Analyzingf6 (Analysis)
MSC:f6Clientf6Needs:f6Safef6 andf6Effectivef6Caref6Environment:f6 Managementf6 off6Care
5. Thef6 nursef6isf6 conductingf 6 af6 classf 6 forf6 newf 6 graduatef 6 nurses.f6 Duringf 6 thef6 teachingf6 session,f6thef6 nursef6 s
houldf 6 keepf6inf6 mindf6 thatf6novicef6 nurses,f 6 withoutf6 af6backgroundf6 off6skillsf6 andf6experiencef6 fromf6 whichf6 tof
6draw,f6 aref 6 moref6 likelyf6tof6makef6theirf6decisionsf6using:
a. Intuition.
b. Af6setf6off6rules.
c. Articlesf6inf6journals.
d. Advicef6 fromf6 supervisors.
ANS:f6 B
Novicef6nursesf6operatef6fromf6af6setf6off6defined,f6structuredf6rules.f6Thef6expertf6practitionerf6usesf6intuitivef6li
nks.f6DIF:f6Cognitivef6Level:f6Understandingf 6 (Comprehension)
, PHYSICALf6EXAMINATIONf6ANDf6HEALTHf6ASSESSMENTf69THf6EDITIONf6JARVISf6TESTf6BA
NK
4
Testf6Bankf6-f6Physicalf6Examinationf6andf6Healthf6Assessmentf69ef6(byf6Jarvis)
MSC:f6 Clientf 6 Needs:f6 General
6. Thef6nursef6isf6reviewingf6informationf6aboutf6evidence-
basedf6practicef6(EBP).f6Whichf6statementf6bestf6reflectsf6EBP?
a. EBPf6reliesf6onf6traditionf6forf6supportNoUff6RbeSsI tNpGrTa cBt.iC
ceOsM
.
b. EBPf6isf6 simplyf6 thef6usef6off6bestf6practicef6techniquesf6 forf6thef6treatmentf6off6patients.
c. EBPf6emphasizesf6 thef6usef6off6bestf6 evidencef6withf6 thef6cliniciansf6experience.
d. Thef6patientsf6 ownf6 preferencesf6aref6 notf6importantf6 withf6 EBP.
ANS:f 6 C
EBPf6isf6af6systematicf6approachf6tof6practicef6thatf6emphasizesf6thef6usef6off6bestf6evidencef6inf6combinationf6
withf6thef6cliniciansf6experience,f6asf6wellf6asf6patientf6preferencesf6andf6values,f6whenf6makingf6decisionsf6ab
outf6caref6andf6treatment.f6EBPf6isf6moref6thanf6simplyf6usingf6thef6bestf6practicef6techniquesf6tof6treatf6patients
,f6andf6questioningf6traditionf 6 isf 6 importantf 6 whenf 6 nof 6 compellingf 6 andf 6 supportivef 6 researchf 6 evidenc
ef 6 exists.
DIF:f6 Cognitivef6 Level:f6Applyingf6 (Application)
MSC:f6Clientf6Needs:f6Safef6andf6Effectivef6 Caref6Environment:f6 Managementf6 off6 Care
7. Expertf6nursesf6learnf6tof6attendf6tof6af6patternf6off6assessmentf6dataf6andf6actf6withoutf6consciouslyf6labelingf6it
.f6Thesef6responsesf6aref6referredf6tof6as:
a. Intuition.
b. Thef6nursingf6process.
c. Clinicalf6knowledge.
d. Diagnosticf6reasoning.
ANS:f6 A
Intuitionf6isf6characterizedf6byf6patternf6recognitionexpertf6nursesf6learnf6tof6attendf6tof6af6patternf6off6assessmentf6
dataf6andf6actf 6 withoutf 6 consciouslyf 6 labelingf 6 it.f 6 Thef 6 otherf 6 optionsf 6 aref 6 notf 6 correct.
DIF:f6Cognitivef6Level:f6Understandingf6(Comprehensio
n)f6MSC:f6Clientf6Needs:f6General
8. Thef6nursef6isf6conductingf6af6classf6onf6priorityf6settingf6forf6af6groupf6off6newf6graduatef6nurses.f6Whichf6isf6anf
6examplef6off6af6first-levelf6priorityf6problem?
a. Patientf6withf6 postoperativef6 pain
b. Newlyf6diagnosedf6 patientf6withf6 diabetesf6whof6needsf6diabeticf6 teac
hing