ASSESSMENT TEST BANK 2021
Chapter 01: Evidence-Based Assessment
Jarvis: Physical Examination & Health Assessment, 7th Edition
MULTIPLE CHOICE
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.
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.
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.
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.
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, 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.
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.
7. 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 clinicians experience.
d
. The patients own preferences are not important with EBP.
8. 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
When considering priototy setting of problems, the nurse keeps in mind that second-level
priority problems include which of these aspects?
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