Test Bank for Physical Examination and Health Assessment 9th Edition by
bj bj bj bj bj bj bj bj bj bj b
Carolyn Jarvis, Ann Eckhardt / All Chapters 1-32 / Full Complete
j bj bj bj bj bj bj bj bj bj bj
, PHYSICALbjEXAMINATIONbjANDbjHEALTHbjASSESSMENTbj9THbjEDITIONbjJARVISbjTESTbjBA
NK
2
TestbjBankbj-bjPhysicalbjExaminationbjandbjHealthbjAssessmentbj9ebj(bybjJarvis)
Chapter 01: Evidence-Based Assessment
bj bj bj
MULTIPLEbjCHOICE
1. Afterbjcompletingbjanbjinitialbjassessmentbjofbjabjpatient,bjthebjnursebjhasbjchartedbjthatbjhisbjrespirationsbjarebjeupne
icbjandbjhisbjpulsebjisb j 58b j beatsb j perb j minute.bjThesebjtypesb j ofb j databjwouldb j be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:bjA
Objectivebjdatabjarebjwhatbjthebjhealthbjprofessionalbjobservesbjbybjinspecting,bjpercussing,bjpalpating,bjandbjausculta
tingbjduringbjthebjphysicalbjexamination.bjSubjectivebjdatabjisbjwhatbjthebjpersonbjsaysbjaboutbjhimbjorbjherselfbjduring
bjhistorybjtaking.bjTheb j termsb j reflectiveb j andb j introspectiveb j areb j notb j usedb j tob j describeb j data.
DIF:bj Cognitivebj Level:bj Understandingbj (Comprehension)
MSC:bjClientbjNeeds:bjSafebjandbjEffectivebjCarebjEnvironment:b j Managementb j ofbjCare
2. Abjpatientbjtellsbjthebjnursebjthatbjhebjisbjverybjnervous,bjisbjn a u s e a. Ct eOd M
, bjandbjfeelsbjhot.bjThesebjtypesbjofbjdatabjwouldbjbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:bjC
Subjectivebjdatabjarebjwhatbjthebjpersonbjsaysbjaboutbjhimbjorbjherselfbjduringbjhistorybjtaking.bjObjectivebjdatabjarebj
whatbjthebjhealthb j professionalb j observesb j byb j inspecting,b j percussing,b j palpating,b j andb j auscultatingb j durin
gb j theb j physicalbjexamination.b j Theb j termsb j reflectiveb j andb j introspectiveb j areb j notb j usedb j tob j describeb j da
ta.
DIF:bj Cognitivebj Level:bj Understandingbj (Comprehension)
MSC:bjClientbjNeeds:bjSafebjandbjEffectivebjCarebjEnvironment:b j Managementb j ofbjCare
3. Thebjpatientsbjrecord,bjlaboratorybjstudies,bjobjectivebjdata,bjandbjsubjectivebjdatabjcombinebjtobjformbjthe:
a. Databjbase.
b. Admittingbj data.
, PHYSICALbjEXAMINATIONbjANDbjHEALTHbjASSESSMENTbj9THbjEDITIONbjJARVISbjTESTbjBA
NK
3
TestbjBankbj-bjPhysicalbjExaminationbjandbjHealthbjAssessmentbj9ebj(bybjJarvis)
c. Financialbjstatement.
d. Dischargebjsummary.
ANS:bjA
Togetherbjwithbjthebjpatientsbjrecordbjandbjlaboratorybjstudies,bjthebjobjectivebjandbjsubjectivebjdatabjformbjthebjdatab
jbase.bjTheb j otherb j itemsb j areb j notb j partb j ofb j theb j patientsb j record,b j laboratoryb j studies,b j orb j data.
DIF:bjCognitivebjLevel:bjRememberingbj (Knowledge)
MSC:bjClientbjNeeds:bjSafebjandbjEffectivebjCarebjEnvironment:b j Managementb j ofbjCare
4. Whenbjlisteningbjtobjabjpatientsbjbreathbjsounds,bjthebjnursebjisbjunsurebjofbjabjsoundbjthatbjisbjheard.bjThebjnurs
esbjnextbjactionbjshouldbjbebjto:
a. Immediatelybjnotifybjthebjpatientsbjphysician.
b. Documentbjthebjsoundbjexactlybjasbjitbjwasbjheard.
c. Validatebjthebjdatabjbybjaskingbjabjcoworkerbjtobjlistenbjtobjthebjbreathbjsounds.
d. Assessbjagainbjinbj20bjminutesbjtobjnotebjwhetherbjthebjsoundbjisbjstillbjpresent.
ANS:bjC
Whenbjunsurebjofbjabjsoundbjheardbjwhilebjlisteningbjtobjabjpatientsbjbreathbjsounds,bjthebjnursebjvalidatesbjthebjdatabjtobjensu
rebjaccuracy.bjIfbjtheb j nurseb j hasb j lessb j experienceb j inb j anb j area,bjthenb j hebjorb j sheb j asksb j anb j expertb j tob j listen.
DIF:bjCognitivebj Level:bjAnalyzingbj (Analysis)
MSC:bjClientbjNeeds:bjSafebjandbjEffectivebjCarebjEnvironment:b j Managementb j ofbjCare
5. Thebj nursebjisb j conductingb j ab j classb j forb j newb j graduateb j nurses.b j Duringb j theb j teachingb j session,bjtheb j nurseb j sh
ouldb j keepbjinbj mindbj thatbjnovicebj nurses,b j withoutb j abjbackgroundb j ofbjskillsb j andbjexperienceb j fromb j whichb j tobjdr
aw,bj areb j morebj likelybjtobjmakebjtheirbjdecisionsbjusing:
a. Intuition.
b. Abjsetbjofbjrules.
c. Articlesbjinbjjournals.
d. Advicebjfrombjsupervisors.
ANS:bjB
Novicebjnursesbjoperatebjfrombjabjsetbjofbjdefined,bjstructuredbjrules.bjThebjexpertbjpractitionerbjusesbjintuitivebjlin
ks.bjDIF:bjCognitivebjLevel:bjUnderstandingb j (Comprehension)
, PHYSICALbjEXAMINATIONbjANDbjHEALTHbjASSESSMENTbj9THbjEDITIONbjJARVISbjTESTbjBA
NK
4
TestbjBankbj-bjPhysicalbjExaminationbjandbjHealthbjAssessmentbj9ebj(bybjJarvis)
MSC:b j Clientb j Needs:b j General
6. Thebjnursebjisbjreviewingbjinformationbjaboutbjevidence-
basedbjpracticebj(EBP).bjWhichbjstatementbjbestbjreflectsbjEBP?
a. EBPbjreliesbjonbjtraditionbjforbjsupportNoUfbjRbeSsI tNpGrTa cBt.iC
ceOsM
.
b. EBPbjisbjsimplybj thebjusebjofbjbestbjpracticebjtechniquesbjforbjthebjtreatmentbjofbjpatients.
c. EBPbjemphasizesbjthebjusebjofbjbestbjevidencebjwithbjthebjcliniciansbjexperience.
d. Thebjpatientsbjownbjpreferencesbjarebjnotbjimportantbjwithbj EBP.
ANS:b j C
EBPbjisbjabjsystematicbjapproachbjtobjpracticebjthatbjemphasizesbjthebjusebjofbjbestbjevidencebjinbjcombinationbjw
ithbjthebjcliniciansbjexperience,bjasbjwellbjasbjpatientbjpreferencesbjandbjvalues,bjwhenbjmakingbjdecisionsbjaboutb
jcarebjandbjtreatment.bjEBPbjisbjmorebjthanbjsimplybjusingbjthebjbestbjpracticebjtechniquesbjtobjtreatbjpatients,bjand
bjquestioningbjtraditionb j isb j importantb j whenb j nob j compellingb j andb j supportiveb j researchb j evidenceb j exi
sts.
DIF:bjCognitivebj Level:bjApplyingbj(Application)
MSC:bjClientbjNeeds:bjSafebjandbjEffectivebjCarebjEnvironment:b j Managementb j ofbjCare
7. Expertbjnursesbjlearnbjtobjattendbjtobjabjpatternbjofbjassessmentbjdatabjandbjactbjwithoutbjconsciouslybjlabelingbjit.
bjThesebjresponsesbjarebjreferredbjtobjas:
a. Intuition.
b. Thebjnursingbjprocess.
c. Clinicalbjknowledge.
d. Diagnosticbjreasoning.
ANS:bjA
Intuitionbjisbjcharacterizedbjbybjpatternbjrecognitionexpertbjnursesbjlearnbjtobjattendbjtobjabjpatternbjofbjassessmentbjd
atabjandbjactb j withoutb j consciouslyb j labelingb j it.b j Theb j otherb j optionsb j areb j notb j correct.
DIF:bjCognitivebjLevel:bjUnderstandingbj(Comprehensio
n)bjMSC:bjClientbjNeeds:bjGeneral
8. Thebjnursebjisbjconductingbjabjclassbjonbjprioritybjsettingbjforbjabjgroupbjofbjnewbjgraduatebjnurses.bjWhichbjisbjanbje
xamplebjofbjabjfirst-levelbjprioritybjproblem?
a. Patientbjwithbjpostoperativebjpain
b. Newlybjdiagnosedbjpatientbjwithbjdiabetesbjwhobjneedsbjdiabeticbjteac
hing
bj bj bj bj bj bj bj bj bj bj b
Carolyn Jarvis, Ann Eckhardt / All Chapters 1-32 / Full Complete
j bj bj bj bj bj bj bj bj bj bj
, PHYSICALbjEXAMINATIONbjANDbjHEALTHbjASSESSMENTbj9THbjEDITIONbjJARVISbjTESTbjBA
NK
2
TestbjBankbj-bjPhysicalbjExaminationbjandbjHealthbjAssessmentbj9ebj(bybjJarvis)
Chapter 01: Evidence-Based Assessment
bj bj bj
MULTIPLEbjCHOICE
1. Afterbjcompletingbjanbjinitialbjassessmentbjofbjabjpatient,bjthebjnursebjhasbjchartedbjthatbjhisbjrespirationsbjarebjeupne
icbjandbjhisbjpulsebjisb j 58b j beatsb j perb j minute.bjThesebjtypesb j ofb j databjwouldb j be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:bjA
Objectivebjdatabjarebjwhatbjthebjhealthbjprofessionalbjobservesbjbybjinspecting,bjpercussing,bjpalpating,bjandbjausculta
tingbjduringbjthebjphysicalbjexamination.bjSubjectivebjdatabjisbjwhatbjthebjpersonbjsaysbjaboutbjhimbjorbjherselfbjduring
bjhistorybjtaking.bjTheb j termsb j reflectiveb j andb j introspectiveb j areb j notb j usedb j tob j describeb j data.
DIF:bj Cognitivebj Level:bj Understandingbj (Comprehension)
MSC:bjClientbjNeeds:bjSafebjandbjEffectivebjCarebjEnvironment:b j Managementb j ofbjCare
2. Abjpatientbjtellsbjthebjnursebjthatbjhebjisbjverybjnervous,bjisbjn a u s e a. Ct eOd M
, bjandbjfeelsbjhot.bjThesebjtypesbjofbjdatabjwouldbjbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:bjC
Subjectivebjdatabjarebjwhatbjthebjpersonbjsaysbjaboutbjhimbjorbjherselfbjduringbjhistorybjtaking.bjObjectivebjdatabjarebj
whatbjthebjhealthb j professionalb j observesb j byb j inspecting,b j percussing,b j palpating,b j andb j auscultatingb j durin
gb j theb j physicalbjexamination.b j Theb j termsb j reflectiveb j andb j introspectiveb j areb j notb j usedb j tob j describeb j da
ta.
DIF:bj Cognitivebj Level:bj Understandingbj (Comprehension)
MSC:bjClientbjNeeds:bjSafebjandbjEffectivebjCarebjEnvironment:b j Managementb j ofbjCare
3. Thebjpatientsbjrecord,bjlaboratorybjstudies,bjobjectivebjdata,bjandbjsubjectivebjdatabjcombinebjtobjformbjthe:
a. Databjbase.
b. Admittingbj data.
, PHYSICALbjEXAMINATIONbjANDbjHEALTHbjASSESSMENTbj9THbjEDITIONbjJARVISbjTESTbjBA
NK
3
TestbjBankbj-bjPhysicalbjExaminationbjandbjHealthbjAssessmentbj9ebj(bybjJarvis)
c. Financialbjstatement.
d. Dischargebjsummary.
ANS:bjA
Togetherbjwithbjthebjpatientsbjrecordbjandbjlaboratorybjstudies,bjthebjobjectivebjandbjsubjectivebjdatabjformbjthebjdatab
jbase.bjTheb j otherb j itemsb j areb j notb j partb j ofb j theb j patientsb j record,b j laboratoryb j studies,b j orb j data.
DIF:bjCognitivebjLevel:bjRememberingbj (Knowledge)
MSC:bjClientbjNeeds:bjSafebjandbjEffectivebjCarebjEnvironment:b j Managementb j ofbjCare
4. Whenbjlisteningbjtobjabjpatientsbjbreathbjsounds,bjthebjnursebjisbjunsurebjofbjabjsoundbjthatbjisbjheard.bjThebjnurs
esbjnextbjactionbjshouldbjbebjto:
a. Immediatelybjnotifybjthebjpatientsbjphysician.
b. Documentbjthebjsoundbjexactlybjasbjitbjwasbjheard.
c. Validatebjthebjdatabjbybjaskingbjabjcoworkerbjtobjlistenbjtobjthebjbreathbjsounds.
d. Assessbjagainbjinbj20bjminutesbjtobjnotebjwhetherbjthebjsoundbjisbjstillbjpresent.
ANS:bjC
Whenbjunsurebjofbjabjsoundbjheardbjwhilebjlisteningbjtobjabjpatientsbjbreathbjsounds,bjthebjnursebjvalidatesbjthebjdatabjtobjensu
rebjaccuracy.bjIfbjtheb j nurseb j hasb j lessb j experienceb j inb j anb j area,bjthenb j hebjorb j sheb j asksb j anb j expertb j tob j listen.
DIF:bjCognitivebj Level:bjAnalyzingbj (Analysis)
MSC:bjClientbjNeeds:bjSafebjandbjEffectivebjCarebjEnvironment:b j Managementb j ofbjCare
5. Thebj nursebjisb j conductingb j ab j classb j forb j newb j graduateb j nurses.b j Duringb j theb j teachingb j session,bjtheb j nurseb j sh
ouldb j keepbjinbj mindbj thatbjnovicebj nurses,b j withoutb j abjbackgroundb j ofbjskillsb j andbjexperienceb j fromb j whichb j tobjdr
aw,bj areb j morebj likelybjtobjmakebjtheirbjdecisionsbjusing:
a. Intuition.
b. Abjsetbjofbjrules.
c. Articlesbjinbjjournals.
d. Advicebjfrombjsupervisors.
ANS:bjB
Novicebjnursesbjoperatebjfrombjabjsetbjofbjdefined,bjstructuredbjrules.bjThebjexpertbjpractitionerbjusesbjintuitivebjlin
ks.bjDIF:bjCognitivebjLevel:bjUnderstandingb j (Comprehension)
, PHYSICALbjEXAMINATIONbjANDbjHEALTHbjASSESSMENTbj9THbjEDITIONbjJARVISbjTESTbjBA
NK
4
TestbjBankbj-bjPhysicalbjExaminationbjandbjHealthbjAssessmentbj9ebj(bybjJarvis)
MSC:b j Clientb j Needs:b j General
6. Thebjnursebjisbjreviewingbjinformationbjaboutbjevidence-
basedbjpracticebj(EBP).bjWhichbjstatementbjbestbjreflectsbjEBP?
a. EBPbjreliesbjonbjtraditionbjforbjsupportNoUfbjRbeSsI tNpGrTa cBt.iC
ceOsM
.
b. EBPbjisbjsimplybj thebjusebjofbjbestbjpracticebjtechniquesbjforbjthebjtreatmentbjofbjpatients.
c. EBPbjemphasizesbjthebjusebjofbjbestbjevidencebjwithbjthebjcliniciansbjexperience.
d. Thebjpatientsbjownbjpreferencesbjarebjnotbjimportantbjwithbj EBP.
ANS:b j C
EBPbjisbjabjsystematicbjapproachbjtobjpracticebjthatbjemphasizesbjthebjusebjofbjbestbjevidencebjinbjcombinationbjw
ithbjthebjcliniciansbjexperience,bjasbjwellbjasbjpatientbjpreferencesbjandbjvalues,bjwhenbjmakingbjdecisionsbjaboutb
jcarebjandbjtreatment.bjEBPbjisbjmorebjthanbjsimplybjusingbjthebjbestbjpracticebjtechniquesbjtobjtreatbjpatients,bjand
bjquestioningbjtraditionb j isb j importantb j whenb j nob j compellingb j andb j supportiveb j researchb j evidenceb j exi
sts.
DIF:bjCognitivebj Level:bjApplyingbj(Application)
MSC:bjClientbjNeeds:bjSafebjandbjEffectivebjCarebjEnvironment:b j Managementb j ofbjCare
7. Expertbjnursesbjlearnbjtobjattendbjtobjabjpatternbjofbjassessmentbjdatabjandbjactbjwithoutbjconsciouslybjlabelingbjit.
bjThesebjresponsesbjarebjreferredbjtobjas:
a. Intuition.
b. Thebjnursingbjprocess.
c. Clinicalbjknowledge.
d. Diagnosticbjreasoning.
ANS:bjA
Intuitionbjisbjcharacterizedbjbybjpatternbjrecognitionexpertbjnursesbjlearnbjtobjattendbjtobjabjpatternbjofbjassessmentbjd
atabjandbjactb j withoutb j consciouslyb j labelingb j it.b j Theb j otherb j optionsb j areb j notb j correct.
DIF:bjCognitivebjLevel:bjUnderstandingbj(Comprehensio
n)bjMSC:bjClientbjNeeds:bjGeneral
8. Thebjnursebjisbjconductingbjabjclassbjonbjprioritybjsettingbjforbjabjgroupbjofbjnewbjgraduatebjnurses.bjWhichbjisbjanbje
xamplebjofbjabjfirst-levelbjprioritybjproblem?
a. Patientbjwithbjpostoperativebjpain
b. Newlybjdiagnosedbjpatientbjwithbjdiabetesbjwhobjneedsbjdiabeticbjteac
hing
