, Test Bank for
Physical
Examination and
Health
Assessment, 9th
Edition, Carolyn
Jarvis, ISBN:
9780323510806
, PHYSICAL21EXAMINATION21AND21HEALTH21ASSESSMENT218TH21EDITION21JARVIS21TE
ST21BANK
2
Test21Bank21-21Physical21Examination21and21Health21Assessment218e21(by21Jarvis)
Chapter2 1 01:2 1 Evidence-Based2 1 Assessment
MULTIPLE2 1 CHOICE
1. After21 completing21 an21 initial21 assessment21 of21 a21 patient,21 the21 nurse21 has21 charted21 that21 his21 respiratio
ns21 are21eupneic21 and21his21pulse21is215821beats21per21minute.21These21types21of21data21would21be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:21A
Objective21data21are21what21the21health21professional21observes21by21inspecting,21percussing,21palpating,21and
21auscultating21during21the21physical21examination.21Subjective21data21is21what21the21person21 says21about
21him21or21herself21during21history21taking.21The21terms21reflective21and21introspective21are21not21used21to
21describe21data.
DIF:2 1 Cognitive2 1 Level:2 1 Understanding2 1 (Comprehension)
MSC:21 Client21 Needs:21 Safe21 and21 Effective21 Care21 Environment:2 1 Management21 of21 Care
2. A21patient21tells21the21nurse21that21he21is21very21nervN
ouUsR,21SisIN
naGuTsB
ea.C
teOdM
,21and21feels21hot.21These21types21of21
data21would21be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:21C
Subjective21 data21 are21 what21 the21 person21 says21 about21 him21 or21 herself21 during21 history21 taking.21 Objective2
1 data21 are21 what21 the21health21professional21observes21by21inspecting,21percussing,21palpating,21and21auscul
tating21during21the21physical21examination.21The21terms21reflective21and21introspective21are21not21used21to21
describe21data.
DIF:2 1 Cognitive2 1 Level:2 1 Understanding2 1 (Comprehension)
MSC:21 Client21 Needs:21 Safe21 and21 Effective21 Care21 Environment:2 1 Management21 of21 Care
3. The21patients21 record,21 laboratory21 studies,21objective21 data,21 and21 subjective21 data21 combine21 to21 form21 t
he:
a. Data21base.
b. Admitting21data.
NURSINGTB.COM
, PHYSICAL21EXAMINATION21AND21HEALTH21ASSESSMENT218TH21EDITION21JARVIS21TE
ST21BANK
3
Test21Bank21-21Physical21Examination21and21Health21Assessment218e21(by21Jarvis)
c. Financial21 statement.
d. Discharge21 summary.
ANS:21A
Together21 with21 the21 patients21 record21 and21 laboratory21 studies,21 the21 objective21 and21 subjective21 data21 for
m21 the21 data21 base.21The21other21items21are21not21part21of21the21patients21record,21laboratory21studies,21or
21data.
DIF:21 Cognitive2 1 Level:2 1 Remembering2 1 (Knowledge)
MSC:21 Client21 Needs:21 Safe21 and21 Effective21 Care21 Environment:2 1 Management21 of21 Care
4. When21 listening21 to21a21 patients21 breath21 sounds,21 the21 nurse21 is21unsure21 of21 a21sound21 that21 is21 h
eard.21 The21 nurses21 next21action21should21be21to:
a. Immediately21 notify21 the21 patients21 physician.
b. Document21 the21 sound21 exactly21 as21 it21was21 heard.
c. Validate21 the21 data21 by21 asking21 a21 coworker21 to21 listen21 to21 the21 breath21 sounds.
d. Assess21 again21 in21 2021 minutes21 to21note21 whether21 the21 sound21 is21 still21 present.
NURSINGTB.COM
ANS:21
C
When21 unsure21 of21 a21 sound21 heard21 while21 listening21 to21a21 patients21 breath21 sounds,21 the21 nurse21 validat
es21 the21 data21 to21 ensure21accuracy.21If21the21nurse21has21less21experience21in21an21area,21then21he21or21sh
e21asks21an21expert21to21listen.
DIF:21 Cognitive21 Level:21 Analyzing2 1 (Analysis)
MSC:21 Client21 Needs:21 Safe21 and21 Effective21 Care21 Environment:2 1 Management21 of21 Care
5. The21nurse21is21conducting21a21class21for21new21graduate21nurses.21During21the21teaching21session,21the21
nurse21should21keep21in21 mind21 that21 novice21 nurses,2 1 without21 a21 background21 of21 skills21 and21 experience
21 from21 which21 to21 draw,21 are21 more21 likely21to21make21their21decisions21using:
a. Intuition.
b. A21set21of21rules.
c. Articles21 in21 journals.
d. Advice21 from21 supervisors.
ANS:21B
Novice21 nurses21 operate21 from21 a21 set21 of21 defined,21 structured21 rules.21 The21 expert21 practitioner21 uses2
1 intuitive21 links.21DIF:21Cognitive21Level:21Understanding21(Comprehension)
NURSINGTB.COM
Physical
Examination and
Health
Assessment, 9th
Edition, Carolyn
Jarvis, ISBN:
9780323510806
, PHYSICAL21EXAMINATION21AND21HEALTH21ASSESSMENT218TH21EDITION21JARVIS21TE
ST21BANK
2
Test21Bank21-21Physical21Examination21and21Health21Assessment218e21(by21Jarvis)
Chapter2 1 01:2 1 Evidence-Based2 1 Assessment
MULTIPLE2 1 CHOICE
1. After21 completing21 an21 initial21 assessment21 of21 a21 patient,21 the21 nurse21 has21 charted21 that21 his21 respiratio
ns21 are21eupneic21 and21his21pulse21is215821beats21per21minute.21These21types21of21data21would21be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:21A
Objective21data21are21what21the21health21professional21observes21by21inspecting,21percussing,21palpating,21and
21auscultating21during21the21physical21examination.21Subjective21data21is21what21the21person21 says21about
21him21or21herself21during21history21taking.21The21terms21reflective21and21introspective21are21not21used21to
21describe21data.
DIF:2 1 Cognitive2 1 Level:2 1 Understanding2 1 (Comprehension)
MSC:21 Client21 Needs:21 Safe21 and21 Effective21 Care21 Environment:2 1 Management21 of21 Care
2. A21patient21tells21the21nurse21that21he21is21very21nervN
ouUsR,21SisIN
naGuTsB
ea.C
teOdM
,21and21feels21hot.21These21types21of21
data21would21be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:21C
Subjective21 data21 are21 what21 the21 person21 says21 about21 him21 or21 herself21 during21 history21 taking.21 Objective2
1 data21 are21 what21 the21health21professional21observes21by21inspecting,21percussing,21palpating,21and21auscul
tating21during21the21physical21examination.21The21terms21reflective21and21introspective21are21not21used21to21
describe21data.
DIF:2 1 Cognitive2 1 Level:2 1 Understanding2 1 (Comprehension)
MSC:21 Client21 Needs:21 Safe21 and21 Effective21 Care21 Environment:2 1 Management21 of21 Care
3. The21patients21 record,21 laboratory21 studies,21objective21 data,21 and21 subjective21 data21 combine21 to21 form21 t
he:
a. Data21base.
b. Admitting21data.
NURSINGTB.COM
, PHYSICAL21EXAMINATION21AND21HEALTH21ASSESSMENT218TH21EDITION21JARVIS21TE
ST21BANK
3
Test21Bank21-21Physical21Examination21and21Health21Assessment218e21(by21Jarvis)
c. Financial21 statement.
d. Discharge21 summary.
ANS:21A
Together21 with21 the21 patients21 record21 and21 laboratory21 studies,21 the21 objective21 and21 subjective21 data21 for
m21 the21 data21 base.21The21other21items21are21not21part21of21the21patients21record,21laboratory21studies,21or
21data.
DIF:21 Cognitive2 1 Level:2 1 Remembering2 1 (Knowledge)
MSC:21 Client21 Needs:21 Safe21 and21 Effective21 Care21 Environment:2 1 Management21 of21 Care
4. When21 listening21 to21a21 patients21 breath21 sounds,21 the21 nurse21 is21unsure21 of21 a21sound21 that21 is21 h
eard.21 The21 nurses21 next21action21should21be21to:
a. Immediately21 notify21 the21 patients21 physician.
b. Document21 the21 sound21 exactly21 as21 it21was21 heard.
c. Validate21 the21 data21 by21 asking21 a21 coworker21 to21 listen21 to21 the21 breath21 sounds.
d. Assess21 again21 in21 2021 minutes21 to21note21 whether21 the21 sound21 is21 still21 present.
NURSINGTB.COM
ANS:21
C
When21 unsure21 of21 a21 sound21 heard21 while21 listening21 to21a21 patients21 breath21 sounds,21 the21 nurse21 validat
es21 the21 data21 to21 ensure21accuracy.21If21the21nurse21has21less21experience21in21an21area,21then21he21or21sh
e21asks21an21expert21to21listen.
DIF:21 Cognitive21 Level:21 Analyzing2 1 (Analysis)
MSC:21 Client21 Needs:21 Safe21 and21 Effective21 Care21 Environment:2 1 Management21 of21 Care
5. The21nurse21is21conducting21a21class21for21new21graduate21nurses.21During21the21teaching21session,21the21
nurse21should21keep21in21 mind21 that21 novice21 nurses,2 1 without21 a21 background21 of21 skills21 and21 experience
21 from21 which21 to21 draw,21 are21 more21 likely21to21make21their21decisions21using:
a. Intuition.
b. A21set21of21rules.
c. Articles21 in21 journals.
d. Advice21 from21 supervisors.
ANS:21B
Novice21 nurses21 operate21 from21 a21 set21 of21 defined,21 structured21 rules.21 The21 expert21 practitioner21 uses2
1 intuitive21 links.21DIF:21Cognitive21Level:21Understanding21(Comprehension)
NURSINGTB.COM
