Mary Ellen Zator Estes
TEST BANK
Includes All Chapters (1 to 27)
What’s Included?
• Includes Multiple Choice Questions (MCQs) and Next Generation Questions with Answers and
Detailed Explanations
,Estes: Health Assessment & Physical Examination, 6e 1
Test Bank Chapter 1
Chapter 1: Critical Thinking and Clinical Reasoning in Nursing
MULTIPLE CHOICE
1. A client hears the nurse instructing a nursing peer to use critical thinking when planning a
difficult dressing change. The client states, “Are you asking her to be critical of my current
dressing? Is something wrong?” Which statement is best for the nurse to educate and reassure the
client regarding that unfamiliar phrase?
1. “I was not being critical, just teaching a new technique.”
2. “Critical thinking is a skill of using logic and reasoning to identify approaches to clinical or
practice problems.”
3. “Critical thinking is how we apply practice-based nursing principles to your dressing change.”
4. “The dressing is fine; we just feel it could be done differently.”
ANS:
2. During a nursing health history, information regarding recreational drug usage is needed. The
nurse documents this statement: “The client reports the use of one marijuana product every
weekend.” That statement best demonstrates which Universal Intellectual Standard (UIS) of
critical thinking?
1. Clarity
2. Accuracy
3. Precision
4. Depth
ANS:
3. Which statement best defines the American Nurses Association (ANA) Scope and Standards
of Practice?
1. A set of tenets upon which the entire health assessment and physical examination of the client
are conducted.
2. A set of legal boundaries that differentiate specific nursing and physician roles.
3. A process that allows the nurse to combine knowledge and assessment to prioritize and deliver
safe client care.
4. A parameter that defines the number of clients a nurse can safely manage during a working
shift.
ANS:
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,Estes: Health Assessment & Physical Examination, 6e 2
Test Bank Chapter 1
4. The nurse is performing the health history interview for a new client. Which statement is true
in relation to proper collection of that information?
1. The health history is a means of gathering objective data.
2. The nurse may gather information from any available source.
3. Health history data must be obtained from the client to ensure reliability.
4. Because of consistency in health-care documentation, data from previous medical records can
be used without need of additional verification.
ANS:
5. A nurse contacts the physician and relays some pertinent background information on a client’s
reason for hospitalization, recent vital signs, and changes in lab work. What information should
follow next in the nurse’s communication with the physician if using the SBAR technique?
1. Client name, age, admitting diagnosis
2. Full name and credentials of the nurse
3. Action recommended by the nurse
4. Nurse’s assessment of the situation
ANS:
6. The nurse is completing standard three of the Nursing Process. Which statement demonstrates
additional information is needed to properly meet that standard?
1. The client met their goal of 5 pounds of weight loss within a 3-week period.
2. The client will stop using tobacco products within 3 months.
3. The client has been instructed on the need to reduce salt in their diet.
4. The client will use a cane correctly to avoid falling.
ANS:
7. The nurse is using the NCJMM to determine which information is the most important and
immediately concerning. On which step of the Nursing Process is the nurse expanding?
1. Assessment
2. Planning
3. Implementing
4. Evaluating
ANS:
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, Estes: Health Assessment & Physical Examination, 6e 3
Test Bank Chapter 1
8. The nurse is using the gold standard of techniques for passing client-specific information to
another member of the health care team. Which statement best describes that technique?
1. It is a verbal communication technique to review the day’s progress for an individual client.
2. It is a written informational tool that contains only information related to the current need.
3. It is a verbal communication technique to address a situation requiring immediate attention.
4. It is a written tool that meets the patient’s protection and privacy rights when used in an email.
ANS:
9. While completing a health history with a client, the nurse notices that information being
shared by the client is not consistent. During which step of the Nursing Process will the nurse
seek to validate or add data for interpretation?
1. Outcomes Identification
2. Assessment
3. Evaluation
4. Diagnosis
ANS:
10. To accurately interpret information gathered from a client requires the nurse to decode
hidden messages and clarify and categorize information. Which professional clinical skill is
demonstrated when performing those specific activities?
1. Clinical Reasoning
2. Nursing Process
3. Critical Thinking
4. Clinical Judgment
ANS:
11. The ANA Standards of Nursing Practice outlines six actions for the registered nurse to follow
during health assessment and physical examination of a client. Which activity demonstrates
adhering to the standard of Outcomes Identification?
1. The nurse documents that the client has met their goal to walk 50 feet without assistance.
2. The nurse collects information related to the distance that a client can walk without assistance.
3. The nurse coordinates with physical therapy to document 50 feet in the hallway for the client
to measure progress towards walking that distance without assistance.
4. The nurse discusses with the client a safe distance for walking without assistance.
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