Test Bank -
m m
Physical Examination and HealthAs
m m m m m
e (by Jarvis)
m m
, PHYSICALmEXAMINATIONmANDmHEALTHmASSESSMENTm8THmEDITIONmJARVISmTESTmBA
NK
Test Bank - Physical Examination and Healthm Assessment 8e (by Ja2rvis)
Chapter 01: Evidence-Based Assessment
m
MULTIPLE CHOICE
1. After completing an initial assessment of a patient,m the nurse has chartedm that his respirations are eupneicmand
his pulse is 58 beats per minute.mThese types of data would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A
Objective data are what the healthmmprofessional observes by inspecti ng, percussing, palpating, and auscultating
during the physical examination. Subjective data is what the personm says about him or herself during history
taking. The terms reflective and introspective are not used to describe data.
DIF: Cognitive Level:mm Understandingmm (Comprehension)
MSC: Clientmmm Needs:m Safe and Effective Care Environment: Management of Care
2. A patientmmmtells the is very nervous, is nauseated, and feels hot. These types of data
nursN
emURtShIaNtmGTBh.C
emOM
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
, PHYSICALmEXAMINATIONmANDmHEALTHmASSESSMENTm8THmEDITIONmJARVISmTESTmBA
NK
Test Bank - Physical Examination and Healthm Assessment 8e (by Ja3rvis)
c. Financial statement.
d. Discharge summary.
ANS: A
Together with the patientsmrecordmm and laboratory studies,mthe objective and subjective data form the data
base.mThe other items are not part of the patientsm record,m laboratory studies,mor data.
DIF: Cognitive Level:mm Remembering (Knowledge)
MSC: Clientmmm Needs:m Safe and Effective Care Environment: Management of Care
4. When listening to a patientsm breath sounds,mthe nurse is unsure of a sound that is heard. The nurses next
action shouldmm be to:
a. Immediately notify the patientsm physician.
b. Document the sound exactlym as it was heard.
c. Validate the data by askingmm a coworker to listen to the breathm sounds.
d. Assessmm again in 20 minutesmto note whethermthe sound is still present.
NURSINGTB.COM
ANS: C
When unsuremm of a sound heard while listening to a patientsmbreathmm sounds,mthe nurse validates the data to
ensuremaccuracy. If the nurse has less experience in an area, then he or she asks an expertmmmto
listen.
DIF: Cognitive Level:mm Analyzing (Analysis)
MSC: Clientmmm Needs:m Safe and Effective Care Environment: Management of Care
5. The nurse is conducting a class for new graduate nurses.m Duringm the teaching session,mthe nurse shouldm keep
in mind that novicem nurses,m withoutma background of skills and experience from whichmm to draw, are more likely
to make their decisions using:
, PHYSICALmEXAMINATIONmANDmHEALTHmASSESSMENTm8THmEDITIONmJARVISmTESTmBA
NK
Test Bank - Physical Examination and Healthm Assessment 8e (by Ja4rvis)
MSC: Clientmm Needs:m General
6. Expertmm nursesmm learn to attendmmm to a patternmmof assessment data and act withoutmconsciously labelingmit.
Thesemresponses are referredmto as:
a. Intuition.
b. The nursingmprocess.
c. Clinicalmknowledge.
d. Diagnostic reasoning.
ANS: A
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a patternm of assessment data and
act withoutmconsciously labelingmit. The other optionsm are not
correct.mDIF: Cognitive Level:m Understandingm (Comprehension)
MSC: ClientmmNeeds:m General
7. The nurse is reviewing information about evidence-basedm practicem(EBP).m Whichmmm statement best
reflectsmEBP?
a. EBP relies on traditionm NURSINfoGrTB.COsuMpportm of best practices.
b. EBP is simplymm the use of best practicemtechniques for the treatment of patients.
c. EBP emphasizes the use of best evidence with the clinicians experience.
d. The patientsmown preferences are not important with EBP.
ANS: C
EBP is a systematic approach to practicemthat emphasizes the use of best evidence in combination with
clinicians experience, as well as patientmm preferences and values,m when makingm decisions about care
m m
Physical Examination and HealthAs
m m m m m
e (by Jarvis)
m m
, PHYSICALmEXAMINATIONmANDmHEALTHmASSESSMENTm8THmEDITIONmJARVISmTESTmBA
NK
Test Bank - Physical Examination and Healthm Assessment 8e (by Ja2rvis)
Chapter 01: Evidence-Based Assessment
m
MULTIPLE CHOICE
1. After completing an initial assessment of a patient,m the nurse has chartedm that his respirations are eupneicmand
his pulse is 58 beats per minute.mThese types of data would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A
Objective data are what the healthmmprofessional observes by inspecti ng, percussing, palpating, and auscultating
during the physical examination. Subjective data is what the personm says about him or herself during history
taking. The terms reflective and introspective are not used to describe data.
DIF: Cognitive Level:mm Understandingmm (Comprehension)
MSC: Clientmmm Needs:m Safe and Effective Care Environment: Management of Care
2. A patientmmmtells the is very nervous, is nauseated, and feels hot. These types of data
nursN
emURtShIaNtmGTBh.C
emOM
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
, PHYSICALmEXAMINATIONmANDmHEALTHmASSESSMENTm8THmEDITIONmJARVISmTESTmBA
NK
Test Bank - Physical Examination and Healthm Assessment 8e (by Ja3rvis)
c. Financial statement.
d. Discharge summary.
ANS: A
Together with the patientsmrecordmm and laboratory studies,mthe objective and subjective data form the data
base.mThe other items are not part of the patientsm record,m laboratory studies,mor data.
DIF: Cognitive Level:mm Remembering (Knowledge)
MSC: Clientmmm Needs:m Safe and Effective Care Environment: Management of Care
4. When listening to a patientsm breath sounds,mthe nurse is unsure of a sound that is heard. The nurses next
action shouldmm be to:
a. Immediately notify the patientsm physician.
b. Document the sound exactlym as it was heard.
c. Validate the data by askingmm a coworker to listen to the breathm sounds.
d. Assessmm again in 20 minutesmto note whethermthe sound is still present.
NURSINGTB.COM
ANS: C
When unsuremm of a sound heard while listening to a patientsmbreathmm sounds,mthe nurse validates the data to
ensuremaccuracy. If the nurse has less experience in an area, then he or she asks an expertmmmto
listen.
DIF: Cognitive Level:mm Analyzing (Analysis)
MSC: Clientmmm Needs:m Safe and Effective Care Environment: Management of Care
5. The nurse is conducting a class for new graduate nurses.m Duringm the teaching session,mthe nurse shouldm keep
in mind that novicem nurses,m withoutma background of skills and experience from whichmm to draw, are more likely
to make their decisions using:
, PHYSICALmEXAMINATIONmANDmHEALTHmASSESSMENTm8THmEDITIONmJARVISmTESTmBA
NK
Test Bank - Physical Examination and Healthm Assessment 8e (by Ja4rvis)
MSC: Clientmm Needs:m General
6. Expertmm nursesmm learn to attendmmm to a patternmmof assessment data and act withoutmconsciously labelingmit.
Thesemresponses are referredmto as:
a. Intuition.
b. The nursingmprocess.
c. Clinicalmknowledge.
d. Diagnostic reasoning.
ANS: A
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a patternm of assessment data and
act withoutmconsciously labelingmit. The other optionsm are not
correct.mDIF: Cognitive Level:m Understandingm (Comprehension)
MSC: ClientmmNeeds:m General
7. The nurse is reviewing information about evidence-basedm practicem(EBP).m Whichmmm statement best
reflectsmEBP?
a. EBP relies on traditionm NURSINfoGrTB.COsuMpportm of best practices.
b. EBP is simplymm the use of best practicemtechniques for the treatment of patients.
c. EBP emphasizes the use of best evidence with the clinicians experience.
d. The patientsmown preferences are not important with EBP.
ANS: C
EBP is a systematic approach to practicemthat emphasizes the use of best evidence in combination with
clinicians experience, as well as patientmm preferences and values,m when makingm decisions about care
