PHYSI CA L m E X A M I N A TI O N m A N D m H E A L TH m A SSESSM EN T m 3 rd m E DI TI O N m JA R VI S m T E ST m BA
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Test mBank m-mPhysicalmExaminationmand mHealthmAssessment m3em(by mJarvis)
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Test mBank m-mPhysicalmExaminationmand mHealthmAssessment m3em(by mJarvis)
Chapter 01: Evidence-Based Assessment
m m m
MULTIPLEmCHOICE
1. After mcompletingmanminitialmassessmentmofmampatient, mthemnursemhasmchartedmthatmhis mrespirationsmarem eupnei
cmandmhism pulsem ism 58m beatsm perm minute. m Thesemtypesmofm data m wouldm be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:mA
Objectivemdatamarem whatmthemhealthmprofessionalmobservesmby minspecting, mpercussing, mpalpating, mandmauscultatin
gmduringmthemphysicalmexamination. mSubjectivemdatamism whatmthempersonmsaysmaboutmhimmormherself mduringmhisto
rymtaking. m Them termsm reflectivem andm introspectivem arem notm usedm tom describem data.
DIF:mCognitivemLevel:mUnderstandingm(Comprehension)
MSC:mClientmNeeds:mSafemandm EffectivemCaremEnvironment:m Managementm ofmCare
2. Ampatientmtellsmthemnursemthatmhemismverymnme rmv NomuUs R, m is
SINnaGuTsBea.CteOd,Mmandmfeelsmhot. mThese mtypesmofmdatamwouldmbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:mC
Subjectivemdatamaremwhatmthempersonmsaysmaboutmhimmormherselfmduringmhistorymtaking. mObjectivemdatamaremwh
atmthemhealthmprofessionalmobservesmbyminspecting, mpercussing, mpalpating, mandmauscultatingmduringmthemphysica
lmexamination. m Them termsm reflectivem andm introspectivem arem notm usedm tom describem data.
DIF:mCognitivemLevel:mUnderstandingm(Comprehension)
MSC:mClientmNeeds:mSafemandm EffectivemCaremEnvironment:m Managementm ofmCare
3. Thempatientsmrecord, mlaboratorymstudies, mobjectivemdata, mandmsubjectivemdata mcombine mtomformmthe:
a. Datambase.
b. Admittingmdata.
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Test mBank m-mPhysicalmExaminationmand mHealthmAssessment m3em(by mJarvis)
c. Financialmstatement.
d. Dischargemsummary.
ANS:mA
Togethermwithmthempatientsmrecordmandmlaboratorymstudies, mthemobjectivemandmsubjectivemdatamformmthemdata m
base. mThem otherm itemsm arem notm partm ofm them patientsm record, m laboratorym studies, m orm data.
DIF:mCognitivemLevel:mRememberingm(Knowledge)
MSC:mClientmNeeds:mSafemandm EffectivemCaremEnvironment:m Managementm ofmCare
4. Whenmlisteningmtomampatientsmbreathmsounds, mthemnursemismunsuremofmam soundmthatmis mheard. mThemnurse
smnextmactionmshouldmbemto:
a. Immediatelymnotifymthempatientsmphysician.
b. Documentmthemsoundmexactlymasmitmwasmheard.
c. Validatemthemdatam bymaskingmamcoworkermtomlistenmtomthembreathm sounds.
d. Assessmagainminm20mminutesmtomnotemwhether mthem soundmis mstillmpresent.
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ANS:mC
Whenmunsuremofmamsoundmheardmwhilemlisteningmtomampatientsmbreathmsounds, mthemnursemvalidatesmthemdatamtom
ensuremaccuracy. m Ifm them nursem hasm lessmexperiencem inm anm area, m thenm hem orm she m asks m anm expertm tom listen.
DIF:mCognitivemLevel:mAnalyzingm(Analysis)
MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:m Managementm ofmCare
5. Them nursem ism conductingm am classm form newm graduatem nurses. m Duringm them teachingm session, m them nurse m should
m keepminm mindm thatm novicem nurses, m withoutm am backgroundm of m skillsm andm experiencem frommwhich m tom draw, m arem
morem likelymtommakemtheirmdecisionsmusing:
a. Intuition.
b. Amsetmofmrules.
c. Articlesminmjournals.
d. Advicemfrommsupervisors.
ANS:mB
Novicemnursesmoperatemfrommamsetmofmdefined, mstructuredmrules. mThemexpertmpractitioner musesmintuitiveml
inks. mDIF:mCognitivem Level:mUnderstandingm (Comprehension)
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Test mBank m-mPhysicalmExaminationmand mHealthmAssessment m3em(by mJarvis)
MSC:m Clientm Needs:m General
6. Expertmnursesmlearnmtomattendmtomampatternmofmassessmentmdatamandmactm withoutmconsciouslymlabelingmit. m
Thesemresponsesmaremreferredmtomas:
a. Intuition.
b. Themnursingmprocess.
c. Clinicalmknowledge.
d. Diagnosticmreasoning.
ANS:mA
Intuitionmismcharacterizedmbympatternmrecognitionexpertmnursesmlearnmtomattendmtomampatternmofmassessment mdat
amandmactm withoutm consciouslym labelingm it. m Them otherm optionsm arem notm correct.
DIF:mCognitivemLevel:mUnderstandingm(Comprehensio
n)mMSC:mClientmNeeds:mGeneral
7. Themnursemismreviewingminformationmaboutmevidence-
basedmpracticem(EBP). mWhichmstatementmbestmreflectsmEBP?
a. EBPmreliesmonmtraditionmformsupportN oU fmbReSsI tNmpGraTcBti.CceOs.M
b. EBPmismsimplymthemusemofmbestmpracticemtechniquesmformthemtreatmentmof mpatients.
c. EBPmemphasizesmthemusemofmbestmevidencemwithmthem cliniciansm experience.
d. ThempatientsmownmpreferencesmaremnotmimportantmwithmE
BP. mANS:mC
EBPmismamsystematicmapproach mtompracticemthatm emphasizesmthemusemofmbestmevidenceminmcombinationmwith
mthemcliniciansm experience, mas mwellmasmpatientmpreferencesmandmvalues, mwhenmmakingmdecisionsmaboutmcare
mandmtreatment. mEBP mismmoremthanmsimplymusingmthembestmpracticemtechniquesmto mtreatmpatients, mandmquesti
oningmtraditionm ism importantm whenm nom compellingm andm supportivem researchm evidencem exists.
DIF:mCognitivemLevel:mApplyingm(Application)
MSC:mClientmNeeds:mSafemandm EffectivemCaremEnvironment:m Managementm ofmCare
8. Themnursemismconductingmamclassmonmprioritymsettingmformamgroupmofmnewmgraduatemnurses. mWhichmism anmex
amplemofmamfirst-levelmprioritymproblem?
a. Patientmwithmpostoperativempain
b. Newlymdiagnosedmpatientmwithmdiabetesmwhomneeds mdiabeticmteaching
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Test mBank m-mPhysicalmExaminationmand mHealthmAssessment m3em(by mJarvis)
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NK
3
Test mBank m-mPhysicalmExaminationmand mHealthmAssessment m3em(by mJarvis)
Chapter 01: Evidence-Based Assessment
m m m
MULTIPLEmCHOICE
1. After mcompletingmanminitialmassessmentmofmampatient, mthemnursemhasmchartedmthatmhis mrespirationsmarem eupnei
cmandmhism pulsem ism 58m beatsm perm minute. m Thesemtypesmofm data m wouldm be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:mA
Objectivemdatamarem whatmthemhealthmprofessionalmobservesmby minspecting, mpercussing, mpalpating, mandmauscultatin
gmduringmthemphysicalmexamination. mSubjectivemdatamism whatmthempersonmsaysmaboutmhimmormherself mduringmhisto
rymtaking. m Them termsm reflectivem andm introspectivem arem notm usedm tom describem data.
DIF:mCognitivemLevel:mUnderstandingm(Comprehension)
MSC:mClientmNeeds:mSafemandm EffectivemCaremEnvironment:m Managementm ofmCare
2. Ampatientmtellsmthemnursemthatmhemismverymnme rmv NomuUs R, m is
SINnaGuTsBea.CteOd,Mmandmfeelsmhot. mThese mtypesmofmdatamwouldmbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:mC
Subjectivemdatamaremwhatmthempersonmsaysmaboutmhimmormherselfmduringmhistorymtaking. mObjectivemdatamaremwh
atmthemhealthmprofessionalmobservesmbyminspecting, mpercussing, mpalpating, mandmauscultatingmduringmthemphysica
lmexamination. m Them termsm reflectivem andm introspectivem arem notm usedm tom describem data.
DIF:mCognitivemLevel:mUnderstandingm(Comprehension)
MSC:mClientmNeeds:mSafemandm EffectivemCaremEnvironment:m Managementm ofmCare
3. Thempatientsmrecord, mlaboratorymstudies, mobjectivemdata, mandmsubjectivemdata mcombine mtomformmthe:
a. Datambase.
b. Admittingmdata.
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, PHYSI CA L m E X A M I N A TI O N m A N D m H E A L TH m A SSESSM EN T m 3 rd m E DI TI O N m JA R VI S m T E ST m BA
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Test mBank m-mPhysicalmExaminationmand mHealthmAssessment m3em(by mJarvis)
c. Financialmstatement.
d. Dischargemsummary.
ANS:mA
Togethermwithmthempatientsmrecordmandmlaboratorymstudies, mthemobjectivemandmsubjectivemdatamformmthemdata m
base. mThem otherm itemsm arem notm partm ofm them patientsm record, m laboratorym studies, m orm data.
DIF:mCognitivemLevel:mRememberingm(Knowledge)
MSC:mClientmNeeds:mSafemandm EffectivemCaremEnvironment:m Managementm ofmCare
4. Whenmlisteningmtomampatientsmbreathmsounds, mthemnursemismunsuremofmam soundmthatmis mheard. mThemnurse
smnextmactionmshouldmbemto:
a. Immediatelymnotifymthempatientsmphysician.
b. Documentmthemsoundmexactlymasmitmwasmheard.
c. Validatemthemdatam bymaskingmamcoworkermtomlistenmtomthembreathm sounds.
d. Assessmagainminm20mminutesmtomnotemwhether mthem soundmis mstillmpresent.
NURSINGTB.COM
ANS:mC
Whenmunsuremofmamsoundmheardmwhilemlisteningmtomampatientsmbreathmsounds, mthemnursemvalidatesmthemdatamtom
ensuremaccuracy. m Ifm them nursem hasm lessmexperiencem inm anm area, m thenm hem orm she m asks m anm expertm tom listen.
DIF:mCognitivemLevel:mAnalyzingm(Analysis)
MSC:mClientmNeeds:mSafemandmEffectivemCaremEnvironment:m Managementm ofmCare
5. Them nursem ism conductingm am classm form newm graduatem nurses. m Duringm them teachingm session, m them nurse m should
m keepminm mindm thatm novicem nurses, m withoutm am backgroundm of m skillsm andm experiencem frommwhich m tom draw, m arem
morem likelymtommakemtheirmdecisionsmusing:
a. Intuition.
b. Amsetmofmrules.
c. Articlesminmjournals.
d. Advicemfrommsupervisors.
ANS:mB
Novicemnursesmoperatemfrommamsetmofmdefined, mstructuredmrules. mThemexpertmpractitioner musesmintuitiveml
inks. mDIF:mCognitivem Level:mUnderstandingm (Comprehension)
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Test mBank m-mPhysicalmExaminationmand mHealthmAssessment m3em(by mJarvis)
MSC:m Clientm Needs:m General
6. Expertmnursesmlearnmtomattendmtomampatternmofmassessmentmdatamandmactm withoutmconsciouslymlabelingmit. m
Thesemresponsesmaremreferredmtomas:
a. Intuition.
b. Themnursingmprocess.
c. Clinicalmknowledge.
d. Diagnosticmreasoning.
ANS:mA
Intuitionmismcharacterizedmbympatternmrecognitionexpertmnursesmlearnmtomattendmtomampatternmofmassessment mdat
amandmactm withoutm consciouslym labelingm it. m Them otherm optionsm arem notm correct.
DIF:mCognitivemLevel:mUnderstandingm(Comprehensio
n)mMSC:mClientmNeeds:mGeneral
7. Themnursemismreviewingminformationmaboutmevidence-
basedmpracticem(EBP). mWhichmstatementmbestmreflectsmEBP?
a. EBPmreliesmonmtraditionmformsupportN oU fmbReSsI tNmpGraTcBti.CceOs.M
b. EBPmismsimplymthemusemofmbestmpracticemtechniquesmformthemtreatmentmof mpatients.
c. EBPmemphasizesmthemusemofmbestmevidencemwithmthem cliniciansm experience.
d. ThempatientsmownmpreferencesmaremnotmimportantmwithmE
BP. mANS:mC
EBPmismamsystematicmapproach mtompracticemthatm emphasizesmthemusemofmbestmevidenceminmcombinationmwith
mthemcliniciansm experience, mas mwellmasmpatientmpreferencesmandmvalues, mwhenmmakingmdecisionsmaboutmcare
mandmtreatment. mEBP mismmoremthanmsimplymusingmthembestmpracticemtechniquesmto mtreatmpatients, mandmquesti
oningmtraditionm ism importantm whenm nom compellingm andm supportivem researchm evidencem exists.
DIF:mCognitivemLevel:mApplyingm(Application)
MSC:mClientmNeeds:mSafemandm EffectivemCaremEnvironment:m Managementm ofmCare
8. Themnursemismconductingmamclassmonmprioritymsettingmformamgroupmofmnewmgraduatemnurses. mWhichmism anmex
amplemofmamfirst-levelmprioritymproblem?
a. Patientmwithmpostoperativempain
b. Newlymdiagnosedmpatientmwithmdiabetesmwhomneeds mdiabeticmteaching
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