FULL SOLUTION QUESTIONS AND
ANSWERS BUNDLED EXAMS GRADED A+
●● CHAPTER 1 Foundations for Clinical Proficiency
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..
Answer: ANS: A
Objective data are what the health professional observes by inspecting,
percussing, palpating,
and auscultating during the physical examination. Subjective data is
what the person says about
him or herself during history taking. The terms reflective and
introspective are not used to
describe data.
,●● 2. A patient tells the nurse that he is very nervous, is nauseated, and
feels hot. These types of
data would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective..
Answer: ANS: C
Subjective data are what the person says about him or herself during
history taking. Objective
data are what the health professional observes by inspecting, percussing,
palpating, and
auscultating during the physical examination. The terms reflective and
introspective are not used
to describe data.
●● 3. The patients record, laboratory studies, objective data, and
subjective data combine to form
the:
a. Data base.
b. Admitting data.
c. Financial statement.
d. Discharge summary..
,Answer: ANS: A
Together with the patients record and laboratory studies, the objective
and subjective data form
the data base. The other items are not part of the patients record,
laboratory studies, or data.
●● 4. When listening to a patients breath sounds, the nurse is unsure of a
sound that is heard. The
nurses next action should be to:
a. Immediately notify the patients physician.
b. Document the sound exactly as it was heard.
c. Validate the data by asking a coworker to listen to the breath sounds.
d. Assess again in 20 minutes to note whether the sound is still present..
Answer: ANS: C
When unsure of a sound heard while listening to a patients breath
sounds, the nurse validates the
data to ensure accuracy. If the nurse has less experience in an area, then
he or she asks an expert
to listen.
●● 5. The nurse is conducting a class for new graduate nurses. During
the teaching session, the
nurse should keep in mind that novice nurses, without a background of
skills and experience
, from which to draw, are more likely to make their decisions using:
a Intuition.
b A set of rules.
c Articles in journals.
d Advice from supervisors..
Answer: ANS: B
Novice nurses operate from a set of defined, structured rules. The expert
practitioner uses
intuitive links.
●● 6. Expert nurses learn to attend to a pattern of assessment data and
act without consciously labeling it. These responses are referred to as:
a Intuition.
b The nursing process.
c Clinical knowledge.
d Diagnostic reasoning..
Answer: ANS: A
Intuition is characterized by pattern recognition expert nurses learn to
attend to a pattern of assessment data and act without consciously
labeling it. The other options are not correct.
●● 7. The nurse is reviewing information about evidence-based practice
(EBP). Which statement