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Test Bank Physical Examination and
Health Assessment, 8th Edition by
Carolyn Jarvis | VERIFIED
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Chapter 01: Evidence-Based Assessment
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. Introsp
ective.
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.
DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs:
Safe and Effective Care Environment: Management of Care
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. Introsp
ective.
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.
DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe
and Effective Care Environment: Management of Care
3. The patients record, laboratory studies, objective data, and subjective data combine to
form the:
a. Data base.
b. Admitting data.
Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 2
c. Financial statement.
d. Discharge
summary.
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. DIF: Cognitive Level: Remembering (Knowledge)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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:
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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. 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. DIF: Cognitive Level: Analyzing (Analysis) MSC: Client Needs:
Safe and Effective Care Environment: Management of Care
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.
ANS: B
Novice nurses operate from a set of defined, structured rules. The expert practitioner
uses intuitive links. DIF: Cognitive Level: Understanding (Comprehension)
Test Bank - Physical Examination and
Health Assessment 8e (by Jarvis) 3 MSC:
Client Needs: General
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.
ANS: A
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern
of assessment data and
act without consciously labeling it. The other options are not correct. DIF:
Cognitive Level: Understanding (Comprehension) MSC: Client Needs:
General
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. ANS: C
EBP is a systematic approach to practice that emphasizes the use
of best evidence in combination with the clinicians experience, as
well as patient preferences and values, when making decisions
about care and treatment. EBP is more than simply using the best
practice techniques to treat patients, and questioning
tradition is important when no compelling and supportive research evidence
exists. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Safe
and Effective Care Environment: Management of Care
8. The nurse is conducting a class on priority setting for a group
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of new graduate nurses. Which is an example of a first-level
priority problem?
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