Unit 1
Chapter 01: Evidence-Based Assessment
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. What type of assessment data is this?
a. Objective
b. Reflective
c. Subjective
d. Introspective
2. A patient tells the nurse that he is very nervous, nauseous, and “feels hot.” What type of
assessment data is this?
a. Objective
b. Reflective
c. Subjective
d. Introspective
3. What do the patient’s record, laboratory studies, objective data, and subjective data combine to
form?
a. Database
b. Admitting data
c. Financial statement
d. Discharge summary
4. When listening to a patient’s breath sounds, the nurse is unsure of a sound that is heard. Which
action would the nurse take next?
a. Notify the patient’s physician.
b. Document the sound exactly as it was heard.
c. Validate the data by asking another nurse to listen to the breath sounds.
d. Assess again in 20 minutes to note whether the sound is still present.
,5. The nurse is conducting a class for new graduate nurses. While teaching the class, what would
the nurse keep in mind regarding what novice nurses, without a background of skills and
experience from which to draw upon, are more likely to base their decisions on?
a. Intuition
b. A set of rules
c. Articles in journals
d. Advice from supervisors
6. 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 clinician’s experience.
d. EBP does not consider the patient’s own preferences as important.
7. 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?
a. Patient with postoperative pain
b. Newly diagnosed patient with diabetes who needs diabetic teaching
c. Individual with a small laceration on the sole of the foot
d. Individual with shortness of breath and respiratory distress
8. 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
9. 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
10. 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
c. Admission, diagnosis, treatment, evaluation, and discharge planning
d. Assessment, diagnosis, outcome planning, implementation, and evaluation
11. A newly admitted patient is in acute pain, has not been sleeping well lately, and is having
difficulty breathing. How should the nurse prioritize these problems?
a. Breathing, pain, and sleep
b. Breathing, sleep, and pain
c. Sleep, breathing, and pain
d. Sleep, pain, and breathing
12. Which is a barrier to incorporating EBP?
a. Nurses’ lack of research skills in evaluating the quality of research studies
b. Lack of significant research studies
c. Insufficient clinical skills of nurses
d. Inadequate physical assessment skills
13. During a staff meeting, nurses discuss the problems with identifying evidence-based
practices to incorporate into their practice. Which suggestion by the nurse manager would best
help these problems?
a. Form a committee to conduct research studies.
b. Post published research studies on the unit’s bulletin boards.
c. Teach the nurses how to conduct research.
d. Ensuring time for staff to review current literature.
14. When reviewing the concepts of health, the nurse recalls that the components of holistic
health include which of these?
a. Disease originates from the external environment.
b. The individual human is a closed system.
, c. Nurses are responsible for a patient’s health state.
d. Holistic health views the mind, body, and spirit as interdependent.
15. The nurse is performing a physical assessment on a newly admitted patient. Which is an
example of objective information obtained during the physical assessment?
a. Patient’s history of allergies
b. Patient’s use of medications at home
c. Last menstrual period 1 month ago
d. 2.5 cm scar on the right lower forearm
16. A visiting nurse is making an initial home visit for a patient who has several chronic medical
problems. Which type of database is most appropriate to collect in this setting?
a. A follow-up database
b. A focused database
c. A complete database
d. An emergency database
17. In which situation is it most appropriate for the nurse to perform a focused or problem-
centered history?
a. Patient is admitted to a long-term care facility.
b. Patient has a sudden and severe shortness of breath.
c. Patient is admitted to the hospital for a scheduled surgery.
d. Patient in an outpatient clinic has cold and influenza-like symptoms.
18. The clinic nurse is caring for a patient who has been coming to the clinic weekly for blood
pressure checks since changing medications 2 months ago. Which is the most appropriate action
for the nurse to take?
a. Collect a follow-up database and then check the patient’s blood pressure.
b. Ask the patient to read her health record and indicate any changes since her last visit.
c. Check the patient’s blood pressure.
d. Obtain a complete health history on the patient before checking her blood pressure.
Chapter 01: Evidence-Based Assessment
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. What type of assessment data is this?
a. Objective
b. Reflective
c. Subjective
d. Introspective
2. A patient tells the nurse that he is very nervous, nauseous, and “feels hot.” What type of
assessment data is this?
a. Objective
b. Reflective
c. Subjective
d. Introspective
3. What do the patient’s record, laboratory studies, objective data, and subjective data combine to
form?
a. Database
b. Admitting data
c. Financial statement
d. Discharge summary
4. When listening to a patient’s breath sounds, the nurse is unsure of a sound that is heard. Which
action would the nurse take next?
a. Notify the patient’s physician.
b. Document the sound exactly as it was heard.
c. Validate the data by asking another nurse to listen to the breath sounds.
d. Assess again in 20 minutes to note whether the sound is still present.
,5. The nurse is conducting a class for new graduate nurses. While teaching the class, what would
the nurse keep in mind regarding what novice nurses, without a background of skills and
experience from which to draw upon, are more likely to base their decisions on?
a. Intuition
b. A set of rules
c. Articles in journals
d. Advice from supervisors
6. 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 clinician’s experience.
d. EBP does not consider the patient’s own preferences as important.
7. 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?
a. Patient with postoperative pain
b. Newly diagnosed patient with diabetes who needs diabetic teaching
c. Individual with a small laceration on the sole of the foot
d. Individual with shortness of breath and respiratory distress
8. 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
9. 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
10. 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
c. Admission, diagnosis, treatment, evaluation, and discharge planning
d. Assessment, diagnosis, outcome planning, implementation, and evaluation
11. A newly admitted patient is in acute pain, has not been sleeping well lately, and is having
difficulty breathing. How should the nurse prioritize these problems?
a. Breathing, pain, and sleep
b. Breathing, sleep, and pain
c. Sleep, breathing, and pain
d. Sleep, pain, and breathing
12. Which is a barrier to incorporating EBP?
a. Nurses’ lack of research skills in evaluating the quality of research studies
b. Lack of significant research studies
c. Insufficient clinical skills of nurses
d. Inadequate physical assessment skills
13. During a staff meeting, nurses discuss the problems with identifying evidence-based
practices to incorporate into their practice. Which suggestion by the nurse manager would best
help these problems?
a. Form a committee to conduct research studies.
b. Post published research studies on the unit’s bulletin boards.
c. Teach the nurses how to conduct research.
d. Ensuring time for staff to review current literature.
14. When reviewing the concepts of health, the nurse recalls that the components of holistic
health include which of these?
a. Disease originates from the external environment.
b. The individual human is a closed system.
, c. Nurses are responsible for a patient’s health state.
d. Holistic health views the mind, body, and spirit as interdependent.
15. The nurse is performing a physical assessment on a newly admitted patient. Which is an
example of objective information obtained during the physical assessment?
a. Patient’s history of allergies
b. Patient’s use of medications at home
c. Last menstrual period 1 month ago
d. 2.5 cm scar on the right lower forearm
16. A visiting nurse is making an initial home visit for a patient who has several chronic medical
problems. Which type of database is most appropriate to collect in this setting?
a. A follow-up database
b. A focused database
c. A complete database
d. An emergency database
17. In which situation is it most appropriate for the nurse to perform a focused or problem-
centered history?
a. Patient is admitted to a long-term care facility.
b. Patient has a sudden and severe shortness of breath.
c. Patient is admitted to the hospital for a scheduled surgery.
d. Patient in an outpatient clinic has cold and influenza-like symptoms.
18. The clinic nurse is caring for a patient who has been coming to the clinic weekly for blood
pressure checks since changing medications 2 months ago. Which is the most appropriate action
for the nurse to take?
a. Collect a follow-up database and then check the patient’s blood pressure.
b. Ask the patient to read her health record and indicate any changes since her last visit.
c. Check the patient’s blood pressure.
d. Obtain a complete health history on the patient before checking her blood pressure.
