Chapter 01: Evidence-Based Assessment
Exam Study Guide 2022
Chapter 01: Evidence-Based Assessment
1. After completing an initial assessment on a patient, the nurse has charted that his
respirations are eupneic and his pulse is 58. This type of data would be:
A)
objective.
2. A patient tells the nurse that he is very nervous, that he is nauseated, and that he “feels
hot.” This type of data would be:
C)
subjective.
3. The patient’s record, laboratory studies, objective data, and subjective data combine to
form the:
A)
data base.
4. When listening to a patient’s breath sounds, the nurse is unsure about a sound that is
heard. The nurse’s next action should be to:
C)
validate the data by asking a coworker to listen to the breath sounds.
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
to draw from, are more likely to make their decisions using:
B)
a set of rules.
6. Expert nurses learn to attend to a pattern of assessment data and to act without
consciously labeling it. This is referred to as:
A)
intuition.
7. The nurse is reviewing information about evidence-based practice (EBP). Which statement
best reflects evidence-based practice?
C)
EBP emphasizes the use of best evidence with the clinician’s experience.
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?
D)
An individual with shortness of breath and respiratory distress
,Chapter 01: Evidence-Based Assessment
Exam Study Guide 2022
9. When considering priority setting of problems, the nurse keeps in mind that second-level
priority problems include which of these aspects?
C)
Abnormal laboratory values
10. Which critical thinking skill helps the nurse to see relationships among the data?
B)
Clustering related cues
11. The nurse knows that developing appropriate nursing interventions for a patient relies on
the appropriateness of the diagnosis.
A)
nursing
12. The nursing process is a sequential method of problem solving that nurses use, and
includes which steps?
D)
Assessment, diagnosis, outcome identification, planning, implementation,
evaluation
13. A newly admitted patient is in acute pain, has not been sleeping well lately, and is
having difficulty breathing. How should the nurse prioritize these problems?
A)
Breathing, pain, sleep
14. Which of these would be formulated by a nurse using diagnostic reasoning?
C)
Diagnostic hypothesis
15. Barriers to incorporating evidence-based practice (EBP) include:
A)
nurses’ lack of research skills in evaluating quality of research studies.
16. What is the step of the nursing process that includes data collection by health history,
physical examination, and interview?
D)
Assessment
17. During a staff meeting, nurses discuss the problems with accessing research studies in
order to incorporate evidence-based clinical decision making into their practice. Which
, Chapter 01: Evidence-Based Assessment
Exam Study Guide 2022
suggestion by the nurse manager would best help this problem?
D)
Teach the nurses how to conduct electronic searches for research studies.
18. When reviewing concepts of health, the nurse recalls that components of holistic health
include which of these?
D)
Holistic health views the mind, body, and spirit as interdependent.
19. The nurse recognizes that the concept of prevention in describing health is essential
because:
C)
prevention places emphasis on the link between health and personal behavior.
20. The nurse is reviewing the components of the nursing process. Which statement about
nursing diagnoses is true?
C)
They are clinical judgments about a person’s response to an actual or potential health state.
21. The nurse is performing a physical assessment on a newly admitted patient. An example
of objective information obtained during the physical assessment includes the:
D)
2 ´ 5 cm scar present on the right lower forearm.
22. A visiting nurse is making an initial home visit for a patient who has many chronic
medical problems. Which type of data base is most appropriate to collect in this setting?
C)
A complete health data base because of the nurse’s primary responsibility for monitoring the
patient’s health
23. Which situation is most appropriate for the nurse to perform a focused or problem-
centered history?
D)
A patient in an outpatient clinic has cold and flu-like symptoms
24. A patient is at the clinic to have her blood pressure checked. She has been coming to the
clinic weekly since she changed medications 2 months ago. The nurse should:
A)
collect a follow-up data base and then check her blood pressure.
25. A patient is brought by ambulance to the emergency department with multiple traumas
received in an automobile accident. He is alert and cooperative, but his injuries are quite
Exam Study Guide 2022
Chapter 01: Evidence-Based Assessment
1. After completing an initial assessment on a patient, the nurse has charted that his
respirations are eupneic and his pulse is 58. This type of data would be:
A)
objective.
2. A patient tells the nurse that he is very nervous, that he is nauseated, and that he “feels
hot.” This type of data would be:
C)
subjective.
3. The patient’s record, laboratory studies, objective data, and subjective data combine to
form the:
A)
data base.
4. When listening to a patient’s breath sounds, the nurse is unsure about a sound that is
heard. The nurse’s next action should be to:
C)
validate the data by asking a coworker to listen to the breath sounds.
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
to draw from, are more likely to make their decisions using:
B)
a set of rules.
6. Expert nurses learn to attend to a pattern of assessment data and to act without
consciously labeling it. This is referred to as:
A)
intuition.
7. The nurse is reviewing information about evidence-based practice (EBP). Which statement
best reflects evidence-based practice?
C)
EBP emphasizes the use of best evidence with the clinician’s experience.
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?
D)
An individual with shortness of breath and respiratory distress
,Chapter 01: Evidence-Based Assessment
Exam Study Guide 2022
9. When considering priority setting of problems, the nurse keeps in mind that second-level
priority problems include which of these aspects?
C)
Abnormal laboratory values
10. Which critical thinking skill helps the nurse to see relationships among the data?
B)
Clustering related cues
11. The nurse knows that developing appropriate nursing interventions for a patient relies on
the appropriateness of the diagnosis.
A)
nursing
12. The nursing process is a sequential method of problem solving that nurses use, and
includes which steps?
D)
Assessment, diagnosis, outcome identification, planning, implementation,
evaluation
13. A newly admitted patient is in acute pain, has not been sleeping well lately, and is
having difficulty breathing. How should the nurse prioritize these problems?
A)
Breathing, pain, sleep
14. Which of these would be formulated by a nurse using diagnostic reasoning?
C)
Diagnostic hypothesis
15. Barriers to incorporating evidence-based practice (EBP) include:
A)
nurses’ lack of research skills in evaluating quality of research studies.
16. What is the step of the nursing process that includes data collection by health history,
physical examination, and interview?
D)
Assessment
17. During a staff meeting, nurses discuss the problems with accessing research studies in
order to incorporate evidence-based clinical decision making into their practice. Which
, Chapter 01: Evidence-Based Assessment
Exam Study Guide 2022
suggestion by the nurse manager would best help this problem?
D)
Teach the nurses how to conduct electronic searches for research studies.
18. When reviewing concepts of health, the nurse recalls that components of holistic health
include which of these?
D)
Holistic health views the mind, body, and spirit as interdependent.
19. The nurse recognizes that the concept of prevention in describing health is essential
because:
C)
prevention places emphasis on the link between health and personal behavior.
20. The nurse is reviewing the components of the nursing process. Which statement about
nursing diagnoses is true?
C)
They are clinical judgments about a person’s response to an actual or potential health state.
21. The nurse is performing a physical assessment on a newly admitted patient. An example
of objective information obtained during the physical assessment includes the:
D)
2 ´ 5 cm scar present on the right lower forearm.
22. A visiting nurse is making an initial home visit for a patient who has many chronic
medical problems. Which type of data base is most appropriate to collect in this setting?
C)
A complete health data base because of the nurse’s primary responsibility for monitoring the
patient’s health
23. Which situation is most appropriate for the nurse to perform a focused or problem-
centered history?
D)
A patient in an outpatient clinic has cold and flu-like symptoms
24. A patient is at the clinic to have her blood pressure checked. She has been coming to the
clinic weekly since she changed medications 2 months ago. The nurse should:
A)
collect a follow-up data base and then check her blood pressure.
25. A patient is brought by ambulance to the emergency department with multiple traumas
received in an automobile accident. He is alert and cooperative, but his injuries are quite
