segments of the population. This raises concerns about fairness and whether individuals from lower socioeconomic
backgrounds are disadvantaged by the high cost of legal services. Legal aid programs and pro bono work attempt to
address these disparities, but challenges remain in ensuring equal access to justice for all.### 6. **Conclusion**Ethical and
legal issues are deeply intertwined and pervasive across all sectors of society. The need to balance moral considerations
with legal obligations is a constant challenge in fields such as healthcare, business, technology, and law. As society
continues to evolve, new ethical and legal questions will inevitably arise, particularly in the face of technological
advancements and shifting social
Test Bank For
Physical Examination and Health Assessment 8e (by Jarvis) 1
Chapter 1-32
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. Intr
ospective.
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. Intr
ospective.
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. Discharg
e 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:
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
Downloaded by john bali ()
,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. Diagnosti
c 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 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 Test Bank - Physical Examination
and Health Assessment 8e (by Jarvis) 4
c. Individual with a small laceration on the sole of the foot
d. Individual with shortness of breath and
respiratory distress ANS: D
segments of the population. This raises concerns about fairness and whether individuals
from lower socioeconomic backgrounds are disadvantaged by the high cost of legal
services. Legal aid programs and pro bono work attempt to address these disparities, but
challenges remain in ensuring equal access to justice for all.### 6. **Conclusion**Ethical
and legal issues are deeply intertwined and pervasive across all sectors of society. The
need to balance moral considerations with legal obligations is a constant challenge in fields
such as healthcare, business, technology, and law. As society continues to evolve, new
ethical and legal questions will inevitably arise, particularly in the face of technological
advancements and shifting social will inevitably arise, particularly in the face of technological advancements
and shifting social
First-level priority problems are those that are emergent, life threatening, and immediate (e.g., establishing an
airway, supporting breathing, maintaining circulation, monitoring abnormal vital signs). DIF: Cognitive Level:
Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Management of
Downloaded by john bali ()
,Care
9. When considering priority setting of problems, the nurse keeps in mind that
second-level priority problems include which of these aspects?
a. Low self-esteem
b. Lack of knowledge
c. Abnormal laboratory values
d. Severely
abnormal vital signs
ANS: C
Second-level priority problems are those that require prompt intervention to forestall further deterioration (e.g., mental
status change, acute pain, abnormal laboratory values, risks to safety or security). DIF: Cognitive Level:
Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
10. Which critical thinking skill helps the nurse see relationships among the data?
a. Validation
b. Clustering related cues
c. Identifying gaps in data
d. Distinguishing relevant
from irrelevant ANS: B
Clustering related cues helps the nurse see relationships among the data. DIF: Cognitive Level:
Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment:
Management of Care
Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 5
11. The nurse knows that developing appropriate nursing interventions for a
patient relies on the appropriateness of the diagnosis.
a. Nursing
b. Medical
c. Admission
d. Col
laborative
ANS: A
segments of the population. This raises concerns about fairness and whether individuals from
lower socioeconomic backgrounds are disadvantaged by the high cost of legal services. Legal
aid programs and pro bono work attempt to address these disparities, but challenges remain
in ensuring equal access to justice for all.### 6. **Conclusion**Ethical and legal issues are
deeply intertwined and pervasive across all sectors of society. The need to balance moral
considerations with legal obligations is a constant challenge in fields such as healthcare,
business, technology, and law. As society continues to evolve, new ethical and legal
questions will inevitably arise, particularly in the face of technological advancements and
shifting social
An accurate nursing diagnosis provides the basis for the selection of nursing
interventions to achieve outcomes for which the nurse is accountable. The other items
do not contribute to the development of appropriate nursing interventions. DIF:
Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
12. The nursing process is a sequential method of problem solving that nurses use and includes which steps?
a. Assessment, treatment, planning, evaluation, discharge, and follow-up
b. Admission, assessment, diagnosis, treatment, and discharge planning
c. Admission, diagnosis, treatment, evaluation, and discharge planning
d. Assessment, diagnosis, outcome identification, planning,
implementation, and evaluation ANS: D
The nursing process is a method of problem solving that includes assessment,
diagnosis, outcome identification, planning, implementation, and evaluation. DIF:
Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and
Effective Care Environment: Management of Care
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, and sleep
b. Breathing, sleep, and pain
c. Sleep, breathing, and pain
Downloaded by john bali ()
, Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 6
d. Sleep, pain,
and breathing ANS: A
First-level priority problems are immediate priorities, remembering the ABCs (airway, breathing, and
circulation), followed by second-level problems, and then third-level problems. DIF: Cognitive
Level: Analyzing (Analysis) MSC: Client Needs: Safe and Effective Care Environment:
Management of Care
14. Which of these would be formulated by a nurse using diagnostic reasoning?
a. Nursing diagnosis
b. Medical diagnosis
c. Diagnostic hypothesis
d. Diagnostic
assessment ANS:
C
Diagnostic reasoning calls for the nurse to formulate a diagnostic hypothesis; the
nursing process calls for a nursing diagnosis. DIF: Cognitive Level: Understanding
(Comprehension)
MSC: Client Needs: General
15. Barriers to incorporating EBP include:
a. Nurses lack of research skills in evaluating the quality of research studies.
b. Lack of significant research studies.
c. Insufficient clinical skills of nurses.
d. Inadequate physical
assessment skills. ANS: A
As individuals, nurses lack research skills in evaluating the quality of research studies,
are isolated from other colleagues who are knowledgeable in research, and often lack
the time to visit the library to read research. The other responses are not considered
barriers. DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: General
16. What step of the nursing process includes data collection by health history,
physical examination, and interview?
segments of the population. This raises concerns about fairness and whether individuals
from lower socioeconomic backgrounds are disadvantaged by the high cost of legal
services. Legal aid programs and pro bono work attempt to address these disparities,
but challenges remain in ensuring equal access to justice for all.### 6.
**Conclusion**Ethical and legal issues are deeply intertwined and pervasive across all
sectors of society. The need to balance moral considerations with legal obligations is a
constant challenge in fields such as healthcare, business, technology, and law. As
society continues to evolve, new ethical and legal questions will inevitably arise,
particularly in the face of technological advancements and shifting social
Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 7
a. Planning
b. Diagnosis
c. Evaluation
d. As
sessment
ANS: D
Data collection, including performing the health history, physical examination, and
interview, is the assessment step of the nursing process. DIF: Cognitive Level:
Remembering (Knowledge)
MSC: Client Needs: General
17. During a staff meeting, nurses discuss the problems with accessing research
studies to incorporate evidence-based clinical decision making into their practice.
Which suggestion by the nurse manager would best help these problems?
a. Form a committee to conduct research studies.
b. Post published research studies on the units bulletin boards.
c. Encourage the nurses to visit the library to review studies.
d. Teach the nurses how to conduct electronic
searches for research studies. ANS: D
Facilitating support for EBP would include teaching the nurses how to conduct
electronic searches; time to visit the library may not be available for many nurses.
Downloaded by john bali ()
backgrounds are disadvantaged by the high cost of legal services. Legal aid programs and pro bono work attempt to
address these disparities, but challenges remain in ensuring equal access to justice for all.### 6. **Conclusion**Ethical and
legal issues are deeply intertwined and pervasive across all sectors of society. The need to balance moral considerations
with legal obligations is a constant challenge in fields such as healthcare, business, technology, and law. As society
continues to evolve, new ethical and legal questions will inevitably arise, particularly in the face of technological
advancements and shifting social
Test Bank For
Physical Examination and Health Assessment 8e (by Jarvis) 1
Chapter 1-32
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. Intr
ospective.
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. Intr
ospective.
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. Discharg
e 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:
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
Downloaded by john bali ()
,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. Diagnosti
c 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 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 Test Bank - Physical Examination
and Health Assessment 8e (by Jarvis) 4
c. Individual with a small laceration on the sole of the foot
d. Individual with shortness of breath and
respiratory distress ANS: D
segments of the population. This raises concerns about fairness and whether individuals
from lower socioeconomic backgrounds are disadvantaged by the high cost of legal
services. Legal aid programs and pro bono work attempt to address these disparities, but
challenges remain in ensuring equal access to justice for all.### 6. **Conclusion**Ethical
and legal issues are deeply intertwined and pervasive across all sectors of society. The
need to balance moral considerations with legal obligations is a constant challenge in fields
such as healthcare, business, technology, and law. As society continues to evolve, new
ethical and legal questions will inevitably arise, particularly in the face of technological
advancements and shifting social will inevitably arise, particularly in the face of technological advancements
and shifting social
First-level priority problems are those that are emergent, life threatening, and immediate (e.g., establishing an
airway, supporting breathing, maintaining circulation, monitoring abnormal vital signs). DIF: Cognitive Level:
Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Management of
Downloaded by john bali ()
,Care
9. When considering priority setting of problems, the nurse keeps in mind that
second-level priority problems include which of these aspects?
a. Low self-esteem
b. Lack of knowledge
c. Abnormal laboratory values
d. Severely
abnormal vital signs
ANS: C
Second-level priority problems are those that require prompt intervention to forestall further deterioration (e.g., mental
status change, acute pain, abnormal laboratory values, risks to safety or security). DIF: Cognitive Level:
Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
10. Which critical thinking skill helps the nurse see relationships among the data?
a. Validation
b. Clustering related cues
c. Identifying gaps in data
d. Distinguishing relevant
from irrelevant ANS: B
Clustering related cues helps the nurse see relationships among the data. DIF: Cognitive Level:
Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment:
Management of Care
Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 5
11. The nurse knows that developing appropriate nursing interventions for a
patient relies on the appropriateness of the diagnosis.
a. Nursing
b. Medical
c. Admission
d. Col
laborative
ANS: A
segments of the population. This raises concerns about fairness and whether individuals from
lower socioeconomic backgrounds are disadvantaged by the high cost of legal services. Legal
aid programs and pro bono work attempt to address these disparities, but challenges remain
in ensuring equal access to justice for all.### 6. **Conclusion**Ethical and legal issues are
deeply intertwined and pervasive across all sectors of society. The need to balance moral
considerations with legal obligations is a constant challenge in fields such as healthcare,
business, technology, and law. As society continues to evolve, new ethical and legal
questions will inevitably arise, particularly in the face of technological advancements and
shifting social
An accurate nursing diagnosis provides the basis for the selection of nursing
interventions to achieve outcomes for which the nurse is accountable. The other items
do not contribute to the development of appropriate nursing interventions. DIF:
Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
12. The nursing process is a sequential method of problem solving that nurses use and includes which steps?
a. Assessment, treatment, planning, evaluation, discharge, and follow-up
b. Admission, assessment, diagnosis, treatment, and discharge planning
c. Admission, diagnosis, treatment, evaluation, and discharge planning
d. Assessment, diagnosis, outcome identification, planning,
implementation, and evaluation ANS: D
The nursing process is a method of problem solving that includes assessment,
diagnosis, outcome identification, planning, implementation, and evaluation. DIF:
Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and
Effective Care Environment: Management of Care
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, and sleep
b. Breathing, sleep, and pain
c. Sleep, breathing, and pain
Downloaded by john bali ()
, Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 6
d. Sleep, pain,
and breathing ANS: A
First-level priority problems are immediate priorities, remembering the ABCs (airway, breathing, and
circulation), followed by second-level problems, and then third-level problems. DIF: Cognitive
Level: Analyzing (Analysis) MSC: Client Needs: Safe and Effective Care Environment:
Management of Care
14. Which of these would be formulated by a nurse using diagnostic reasoning?
a. Nursing diagnosis
b. Medical diagnosis
c. Diagnostic hypothesis
d. Diagnostic
assessment ANS:
C
Diagnostic reasoning calls for the nurse to formulate a diagnostic hypothesis; the
nursing process calls for a nursing diagnosis. DIF: Cognitive Level: Understanding
(Comprehension)
MSC: Client Needs: General
15. Barriers to incorporating EBP include:
a. Nurses lack of research skills in evaluating the quality of research studies.
b. Lack of significant research studies.
c. Insufficient clinical skills of nurses.
d. Inadequate physical
assessment skills. ANS: A
As individuals, nurses lack research skills in evaluating the quality of research studies,
are isolated from other colleagues who are knowledgeable in research, and often lack
the time to visit the library to read research. The other responses are not considered
barriers. DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: General
16. What step of the nursing process includes data collection by health history,
physical examination, and interview?
segments of the population. This raises concerns about fairness and whether individuals
from lower socioeconomic backgrounds are disadvantaged by the high cost of legal
services. Legal aid programs and pro bono work attempt to address these disparities,
but challenges remain in ensuring equal access to justice for all.### 6.
**Conclusion**Ethical and legal issues are deeply intertwined and pervasive across all
sectors of society. The need to balance moral considerations with legal obligations is a
constant challenge in fields such as healthcare, business, technology, and law. As
society continues to evolve, new ethical and legal questions will inevitably arise,
particularly in the face of technological advancements and shifting social
Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 7
a. Planning
b. Diagnosis
c. Evaluation
d. As
sessment
ANS: D
Data collection, including performing the health history, physical examination, and
interview, is the assessment step of the nursing process. DIF: Cognitive Level:
Remembering (Knowledge)
MSC: Client Needs: General
17. During a staff meeting, nurses discuss the problems with accessing research
studies to incorporate evidence-based clinical decision making into their practice.
Which suggestion by the nurse manager would best help these problems?
a. Form a committee to conduct research studies.
b. Post published research studies on the units bulletin boards.
c. Encourage the nurses to visit the library to review studies.
d. Teach the nurses how to conduct electronic
searches for research studies. ANS: D
Facilitating support for EBP would include teaching the nurses how to conduct
electronic searches; time to visit the library may not be available for many nurses.
Downloaded by john bali ()
