TEST-BANK (Chapter 1 –
o o o
o 32) Physical Examination & Health Assessment {Already Graded
o o o o o o o
A Plus}
o o
TEST-BANK (Chapter 1 –
o o o
o 32) Physical Examination & Health Assessment {Already Graded
o o o o o o o
A Plus}
o o
, Chapter o01:oEvidence-Basedo Assessment
Jarvis:oPhysicaloExaminationoandoHealthoAssessment,o8thoEdition
MULTIPLEo CHOICE
1. Aftero completingo ano initialo assessment o of o aopatient,otheonurseo hasocharted othat o hiso respirationsoa
reo eupneico and o hiso pulseo iso 58o beatso pero minute.o What o typeo of o assessment o datao iso this?
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS:o A
Objectiveo datao iso what o theo healtho professionalo observeso byo inspecting,o percussing,o palpating,o a
nd o auscultatingo duringo theophysicalo examination.o Subjectiveo dataoiso whato theopersono sayso about
o himo oro herself o duringo historyo taking.o Theo termso reflectiveo and o introspectiveo areo not o used ot oodesc
ribeo data.
DIF: Cognitiveo Level:o Understandingo (Comprehension)
MSC:o Cliento Needs:o Safeo and o Effective o Careo Environment:o Managemento of o Care
2. A o patient o tellso theonurseo thato heoiso veryo nervous,o nauseous,o ando“feelso hot.”o Whatotypeo of oa
ssessment o datao iso this?
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS:o C
Subjectiveo datao iso what otheo persono sayso aboutohimo oro herself o duringo historyo taking.o Objectiveod
atao iso what o theohealtho professionalo observeso byo inspecting,o percussing,o palpating,o and o ausculta
tingo duringo theo physicalo examination.o Theo termso reflectiveo and o introspectiveo areo not o used o too d
escribeo data.
DIF: Cognitiveo Level:o Understandingo (Comprehension)
MSC:o Cliento Needs:o Safeo and o Effective o Careo Environment:o Managemento of o Care
3. What o doo theopatient’so record,olaboratoryo studies,o objectiveo data,oando subjectiveo datao combineot
oo form?
a. Database
b. Admittingo data
c. Financialo statement
d. Dischargeo summary
ANS:o A
Togethero witho theo patient’so record oand olaboratoryo studies,o theo objectiveo andosubjectiveo dataofo
rmo theo database.o Theo othero itemso areo noto parto ofotheopatient’so record,olaboratoryo studies,o orod at
a.
DIF: Cognitiveo Level:o Rememberingo (Knowledge)
TEST-BANK (Chapter 1 – o o o
o 32) Physical Examination & Health Assessment {Already Graded
o o o o o o o
A Plus} o o
3
, MSC:o Cliento Needs:o Safeo and o Effective o Careo Environment:o Managemento of o Care
TEST-BANK (Chapter 1 – o o o
o 32) Physical Examination & Health Assessment {Already Graded
o o o o o o o
A Plus} o o
4
, 4. Wheno listeningo too ao patient’so breatho sounds,o theo nurseo iso unsureo of o ao sound o that o iso heard.o
Whicho actiono should o theo nurseo takeo next?
a. Notifyo theo patient’so physician.
b. Document o theo sound o exactlyo aso it o waso heard.
c. Validateo theo datao byo askingo anothero nurseo too listeno too theo breatho sounds.
d. Assesso againo ino 20o minuteso too noteo whethero theo sound o iso stillo present.
ANS:o C
Wheno unsureo of o ao soundo heardo whileo listeningo tooao patient’so breatho sounds,o theo nurseo validatesot
heo datao tooensureo accuracyo byo eithero repeatingo theoassessment o themselveso oro askingo anothero nur
seo too assesso theo breatho sounds.o If otheo nurseo haso lesso experienceo analyzingo breatho sounds,othenohe
o oro sheo should o asko ano expert otoolisten.o Wheno unsureo ofoao soundoheard owhileo listeningo tooaopatient’
so breatho sounds,o theo nurseo shouldo validateo theo datao beforeo documentingo tooensureo accuracyo and o
beforeo notifyingo theo patient’so physician.o Too validateothato data,o theo nurseo eitherorepeatso theoasses
sment o himself o oro herself o oro askso anothero nurseo too assesso theo breatho sounds.
DIF: Cognitiveo Level:o Analyzingo (Analysis)
MSC:o Cliento Needs:o Safeo and o Effective o Careo Environment:o Managemento of o Care
5. Theo nurseo iso conductingo ao classo foro new o graduateonurses.o Whileo teachingo theoclass,o what o shou
ld o theo nurseo keepo ino mind oregardingo what onoviceo nurses,o without o ao background o of o skillsoand o e
xperienceo fromo whicho too draw o upon,o areo moreo likelyo too baseo theiro decisionso on?
a. Intuition
b. Ao set o of o rules
c. Articleso ino journals
d. Adviceo fromo supervisors
ANS:o B
Noviceo nurseso operateo fromo ao set o ofodefined,ostructuredo ruleso toomakeo decisions.o It o takeso time,op
erhapso ao few o years,o ino similaro clinicalo situationso too achieveo competencyo and o it o iso functioningoat ot
heo levelo of o ano expert o practitionero whenointuitiono iso includedo ino makingo clinicalo decisions.o Intuit
iono iso included o ino decisiono makingo wheno functioningo at otheolevelo of o ano expert o practitioner.o Whi
leo informationo ino journalo articleso and o adviceo fromo supervisorso mayo assist o ino makingo decisions,o
noviceo nurseso doo not o typicallyo baseo theiro decisionso ono them.o It owould oalsoo beo important o that o if o i
nformationo fromo journalo articleso and o adviceo fromo supervisorso wereo used,ot hat o theyo wereo eviden
ceo based.
DIF: Cognitiveo Level:o Understandingo (Comprehension) MSC:o Cliento Needs:o General
6. Theo nurseo iso reviewingo informationo about o evidence-
based o practiceo (EBP).o Whicho statement obest o reflectso EBP?
a. EBPo relieso ono traditiono foro support o of o best o practices.
b. EBPo iso simplyo theo useo of o best o practiceo techniqueso foro theo treatment o of o patients.
c. EBPo emphasizeso theo useo of o best o evidenceo witho theo clinician’so experience.
d. EBPo doeso not o considero theo patient’so owno preferenceso aso important.
ANS:o C
TEST-BANK (Chapter 1 – o o o
o 32) Physical Examination & Health Assessment {Already Graded
o o o o o o o
A Plus} o o
5
o o o
o 32) Physical Examination & Health Assessment {Already Graded
o o o o o o o
A Plus}
o o
TEST-BANK (Chapter 1 –
o o o
o 32) Physical Examination & Health Assessment {Already Graded
o o o o o o o
A Plus}
o o
, Chapter o01:oEvidence-Basedo Assessment
Jarvis:oPhysicaloExaminationoandoHealthoAssessment,o8thoEdition
MULTIPLEo CHOICE
1. Aftero completingo ano initialo assessment o of o aopatient,otheonurseo hasocharted othat o hiso respirationsoa
reo eupneico and o hiso pulseo iso 58o beatso pero minute.o What o typeo of o assessment o datao iso this?
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS:o A
Objectiveo datao iso what o theo healtho professionalo observeso byo inspecting,o percussing,o palpating,o a
nd o auscultatingo duringo theophysicalo examination.o Subjectiveo dataoiso whato theopersono sayso about
o himo oro herself o duringo historyo taking.o Theo termso reflectiveo and o introspectiveo areo not o used ot oodesc
ribeo data.
DIF: Cognitiveo Level:o Understandingo (Comprehension)
MSC:o Cliento Needs:o Safeo and o Effective o Careo Environment:o Managemento of o Care
2. A o patient o tellso theonurseo thato heoiso veryo nervous,o nauseous,o ando“feelso hot.”o Whatotypeo of oa
ssessment o datao iso this?
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS:o C
Subjectiveo datao iso what otheo persono sayso aboutohimo oro herself o duringo historyo taking.o Objectiveod
atao iso what o theohealtho professionalo observeso byo inspecting,o percussing,o palpating,o and o ausculta
tingo duringo theo physicalo examination.o Theo termso reflectiveo and o introspectiveo areo not o used o too d
escribeo data.
DIF: Cognitiveo Level:o Understandingo (Comprehension)
MSC:o Cliento Needs:o Safeo and o Effective o Careo Environment:o Managemento of o Care
3. What o doo theopatient’so record,olaboratoryo studies,o objectiveo data,oando subjectiveo datao combineot
oo form?
a. Database
b. Admittingo data
c. Financialo statement
d. Dischargeo summary
ANS:o A
Togethero witho theo patient’so record oand olaboratoryo studies,o theo objectiveo andosubjectiveo dataofo
rmo theo database.o Theo othero itemso areo noto parto ofotheopatient’so record,olaboratoryo studies,o orod at
a.
DIF: Cognitiveo Level:o Rememberingo (Knowledge)
TEST-BANK (Chapter 1 – o o o
o 32) Physical Examination & Health Assessment {Already Graded
o o o o o o o
A Plus} o o
3
, MSC:o Cliento Needs:o Safeo and o Effective o Careo Environment:o Managemento of o Care
TEST-BANK (Chapter 1 – o o o
o 32) Physical Examination & Health Assessment {Already Graded
o o o o o o o
A Plus} o o
4
, 4. Wheno listeningo too ao patient’so breatho sounds,o theo nurseo iso unsureo of o ao sound o that o iso heard.o
Whicho actiono should o theo nurseo takeo next?
a. Notifyo theo patient’so physician.
b. Document o theo sound o exactlyo aso it o waso heard.
c. Validateo theo datao byo askingo anothero nurseo too listeno too theo breatho sounds.
d. Assesso againo ino 20o minuteso too noteo whethero theo sound o iso stillo present.
ANS:o C
Wheno unsureo of o ao soundo heardo whileo listeningo tooao patient’so breatho sounds,o theo nurseo validatesot
heo datao tooensureo accuracyo byo eithero repeatingo theoassessment o themselveso oro askingo anothero nur
seo too assesso theo breatho sounds.o If otheo nurseo haso lesso experienceo analyzingo breatho sounds,othenohe
o oro sheo should o asko ano expert otoolisten.o Wheno unsureo ofoao soundoheard owhileo listeningo tooaopatient’
so breatho sounds,o theo nurseo shouldo validateo theo datao beforeo documentingo tooensureo accuracyo and o
beforeo notifyingo theo patient’so physician.o Too validateothato data,o theo nurseo eitherorepeatso theoasses
sment o himself o oro herself o oro askso anothero nurseo too assesso theo breatho sounds.
DIF: Cognitiveo Level:o Analyzingo (Analysis)
MSC:o Cliento Needs:o Safeo and o Effective o Careo Environment:o Managemento of o Care
5. Theo nurseo iso conductingo ao classo foro new o graduateonurses.o Whileo teachingo theoclass,o what o shou
ld o theo nurseo keepo ino mind oregardingo what onoviceo nurses,o without o ao background o of o skillsoand o e
xperienceo fromo whicho too draw o upon,o areo moreo likelyo too baseo theiro decisionso on?
a. Intuition
b. Ao set o of o rules
c. Articleso ino journals
d. Adviceo fromo supervisors
ANS:o B
Noviceo nurseso operateo fromo ao set o ofodefined,ostructuredo ruleso toomakeo decisions.o It o takeso time,op
erhapso ao few o years,o ino similaro clinicalo situationso too achieveo competencyo and o it o iso functioningoat ot
heo levelo of o ano expert o practitionero whenointuitiono iso includedo ino makingo clinicalo decisions.o Intuit
iono iso included o ino decisiono makingo wheno functioningo at otheolevelo of o ano expert o practitioner.o Whi
leo informationo ino journalo articleso and o adviceo fromo supervisorso mayo assist o ino makingo decisions,o
noviceo nurseso doo not o typicallyo baseo theiro decisionso ono them.o It owould oalsoo beo important o that o if o i
nformationo fromo journalo articleso and o adviceo fromo supervisorso wereo used,ot hat o theyo wereo eviden
ceo based.
DIF: Cognitiveo Level:o Understandingo (Comprehension) MSC:o Cliento Needs:o General
6. Theo nurseo iso reviewingo informationo about o evidence-
based o practiceo (EBP).o Whicho statement obest o reflectso EBP?
a. EBPo relieso ono traditiono foro support o of o best o practices.
b. EBPo iso simplyo theo useo of o best o practiceo techniqueso foro theo treatment o of o patients.
c. EBPo emphasizeso theo useo of o best o evidenceo witho theo clinician’so experience.
d. EBPo doeso not o considero theo patient’so owno preferenceso aso important.
ANS:o C
TEST-BANK (Chapter 1 – o o o
o 32) Physical Examination & Health Assessment {Already Graded
o o o o o o o
A Plus} o o
5
