PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 3rd EDITION JARVIS TEST BANK
n n n n n n n n n
Test Bank - Physical Examination and Health Assessment 3e (by Jarvis)
n n n n n n n n n n 2
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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 3rd EDITION JARVIS TEST BANK
n n n n n n n n n
Test Bank - Physical Examination and Health Assessment 3e (by Jarvis)
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Chapter 01: Evidence-Based Assessment n n n
MULTIPLE CHOICE n
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic
n n n n n n n n n n n n n n n n
and his pulse is 58 beats per minute. These types of data would be:
n n n n n n n n n n n n n n
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A n
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating
n n n n n n n n n n n n n
during the physical examination. Subjective data is what the person says about him or herself during history
n n n n n n n n n n n n n n n n n
taking. The terms reflective and introspective are not used to describe data.
n n n n n n n n n n n n
DIF: Cognitive Level: Understanding (Comprehension)
n n n n
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
n n n n n n n n n n
2. A patient tells the nurse that he is very n er vNo uUsR, SisIN
n n n naGuTsB
n ea.CteOdM
, and feels hot. These types of data would be:
n n n n n n n n n n n n n n n n n n
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C n
Subjective data are what the person says about him or herself during history taking. Objective data are what the
n n n n n n n n n n n n n n n n n n
health professional observes by inspecting, percussing, palpating, and auscultating during the physical
n n n n n n n n n n n n
examination. The terms reflective and introspective are not used to describe data.
n n n n n n n n n n n n
DIF: Cognitive Level: Understanding (Comprehension)
n n n n
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
n n n n n n n n n n
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
n n n n n n n n n n n n n
a. Data base. n
b. Admitting data. n
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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 3rd EDITION JARVIS TEST BANK
n n n n n n n n n
Test Bank - Physical Examination and Health Assessment 3e (by Jarvis)
n n n n n n n n n n 4
c. Financial statement. n
d. Discharge summary. n
ANS: A n
Together with the patients record and laboratory studies, the objective and subjective data form the data base.
n n n n n n n n n n n n n n n n
The other items are not part of the patients record, laboratory studies, or data.
n n n n n n n n n n n n n n
DIF: Cognitive Level: Remembering (Knowledge)
n n n n
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
n n n n n n n n n n
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses
n n n n n n n n n n n n n n n n n n
next action should be to:
n n n n n
a. Immediately notify the patients physician. n n n n
b. Document the sound exactly as it was heard. n n n n n n n
c. Validate the data by asking a coworker to listen to the breath sounds.
n n n n n n n n n n n n
d. Assess again in 20 minutes to note whether the sound is still present.
n n n n n n n n n n n n
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ANS: C n
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure
n n n n n n n n n n n n n n n n n n n
accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
n n n n n n n n n n n n n n n n n n n
DIF: Cognitive Level: Analyzing (Analysis)
n n n n
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
n n n n n n n n n n
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should
n n n n n n n n n n n n n n n n
nkeep in mind that novice nurses, without a background of skills and experience from which to draw, are
n n n n n n n n n n n n n n n n n
nmore likely to make their decisions using:
n n n n n n
a. Intuition.
b. A set of rules.
n n n
c. Articles in journals. n n
d. Advice from supervisors. n n
ANS: B n
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
n n n n n n n n n n n n n n n
DIF: Cognitive Level: Understanding (Comprehension)
n n n n n
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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 3rd EDITION JARVIS TEST BANK
n n n n n n n n n
Test Bank - Physical Examination and Health Assessment 3e (by Jarvis)
n n n n n n n n n n 5
MSC: Client Needs: General
n n n
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it.
n n n n n n n n n n n n n n n n
These responses are referred to as:
n n n n n n
a. Intuition.
b. The nursing process.n n
c. Clinical knowledge. n
d. Diagnostic reasoning. n
ANS: A n
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data
n n n n n n n n n n n n n n n
nand act without consciously labeling it. The other options are not correct.
n n n n n n n n n n n
DIF: Cognitive Level: Understanding (Comprehension)
n n n n
MSC: Client Needs: General
n n n n
7. The nurse is reviewing information about evidence-based practice (EBP). Which statement best
n n n n n n n n n n n
reflects EBP?
n n
a. EBP relies on tradition for supportNoUfR
n beSsItNpGrT
acBt.iC
ceOsM
n . n n n n
b. EBP is simply the use of best practice techniques for the treatment of patients.
n n n n n n n n n n n n n
c. EBP emphasizes the use of best evidence with the clinicians experience.
n n n n n n n n n n
d. The patients own preferences are not important with EBP.
n n n n n n n n
ANS: C n
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the
n n n n n n n n n n n n n n n n n
clinicians experience, as well as patient preferences and values, when making decisions about care and
n n n n n n n n n n n n n n n
treatment. EBP is more than simply using the best practice techniques to treat patients, and questioning
n n n n n n n n n n n n n n n n
tradition is important when no compelling and supportive research evidence exists.
n n n n n n n n n n n
DIF: Cognitive Level: Applying (Application)
n n n n
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
n n n n n n n n n n
8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an
n n n n n n n n n n n n n n n n n n
example of a first-level priority problem?
n n n n n n
a. Patient with postoperative pain n n n
b. Newly diagnosed patient with diabetes who needs diabetic teaching
n n n n n n n n
NURSINGTB.COM
n n n n n n n n n
Test Bank - Physical Examination and Health Assessment 3e (by Jarvis)
n n n n n n n n n n 2
NURSINGTB.COM
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 3rd EDITION JARVIS TEST BANK
n n n n n n n n n
Test Bank - Physical Examination and Health Assessment 3e (by Jarvis)
n n n n n n n n n n 3
Chapter 01: Evidence-Based Assessment n n n
MULTIPLE CHOICE n
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic
n n n n n n n n n n n n n n n n
and his pulse is 58 beats per minute. These types of data would be:
n n n n n n n n n n n n n n
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A n
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating
n n n n n n n n n n n n n
during the physical examination. Subjective data is what the person says about him or herself during history
n n n n n n n n n n n n n n n n n
taking. The terms reflective and introspective are not used to describe data.
n n n n n n n n n n n n
DIF: Cognitive Level: Understanding (Comprehension)
n n n n
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
n n n n n n n n n n
2. A patient tells the nurse that he is very n er vNo uUsR, SisIN
n n n naGuTsB
n ea.CteOdM
, and feels hot. These types of data would be:
n n n n n n n n n n n n n n n n n n
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C n
Subjective data are what the person says about him or herself during history taking. Objective data are what the
n n n n n n n n n n n n n n n n n n
health professional observes by inspecting, percussing, palpating, and auscultating during the physical
n n n n n n n n n n n n
examination. The terms reflective and introspective are not used to describe data.
n n n n n n n n n n n n
DIF: Cognitive Level: Understanding (Comprehension)
n n n n
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
n n n n n n n n n n
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
n n n n n n n n n n n n n
a. Data base. n
b. Admitting data. n
NURSINGTB.COM
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 3rd EDITION JARVIS TEST BANK
n n n n n n n n n
Test Bank - Physical Examination and Health Assessment 3e (by Jarvis)
n n n n n n n n n n 4
c. Financial statement. n
d. Discharge summary. n
ANS: A n
Together with the patients record and laboratory studies, the objective and subjective data form the data base.
n n n n n n n n n n n n n n n n
The other items are not part of the patients record, laboratory studies, or data.
n n n n n n n n n n n n n n
DIF: Cognitive Level: Remembering (Knowledge)
n n n n
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
n n n n n n n n n n
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses
n n n n n n n n n n n n n n n n n n
next action should be to:
n n n n n
a. Immediately notify the patients physician. n n n n
b. Document the sound exactly as it was heard. n n n n n n n
c. Validate the data by asking a coworker to listen to the breath sounds.
n n n n n n n n n n n n
d. Assess again in 20 minutes to note whether the sound is still present.
n n n n n n n n n n n n
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ANS: C n
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure
n n n n n n n n n n n n n n n n n n n
accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.
n n n n n n n n n n n n n n n n n n n
DIF: Cognitive Level: Analyzing (Analysis)
n n n n
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
n n n n n n n n n n
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should
n n n n n n n n n n n n n n n n
nkeep in mind that novice nurses, without a background of skills and experience from which to draw, are
n n n n n n n n n n n n n n n n n
nmore likely to make their decisions using:
n n n n n n
a. Intuition.
b. A set of rules.
n n n
c. Articles in journals. n n
d. Advice from supervisors. n n
ANS: B n
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.
n n n n n n n n n n n n n n n
DIF: Cognitive Level: Understanding (Comprehension)
n n n n n
NURSINGTB.COM
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 3rd EDITION JARVIS TEST BANK
n n n n n n n n n
Test Bank - Physical Examination and Health Assessment 3e (by Jarvis)
n n n n n n n n n n 5
MSC: Client Needs: General
n n n
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it.
n n n n n n n n n n n n n n n n
These responses are referred to as:
n n n n n n
a. Intuition.
b. The nursing process.n n
c. Clinical knowledge. n
d. Diagnostic reasoning. n
ANS: A n
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data
n n n n n n n n n n n n n n n
nand act without consciously labeling it. The other options are not correct.
n n n n n n n n n n n
DIF: Cognitive Level: Understanding (Comprehension)
n n n n
MSC: Client Needs: General
n n n n
7. The nurse is reviewing information about evidence-based practice (EBP). Which statement best
n n n n n n n n n n n
reflects EBP?
n n
a. EBP relies on tradition for supportNoUfR
n beSsItNpGrT
acBt.iC
ceOsM
n . n n n n
b. EBP is simply the use of best practice techniques for the treatment of patients.
n n n n n n n n n n n n n
c. EBP emphasizes the use of best evidence with the clinicians experience.
n n n n n n n n n n
d. The patients own preferences are not important with EBP.
n n n n n n n n
ANS: C n
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination with the
n n n n n n n n n n n n n n n n n
clinicians experience, as well as patient preferences and values, when making decisions about care and
n n n n n n n n n n n n n n n
treatment. EBP is more than simply using the best practice techniques to treat patients, and questioning
n n n n n n n n n n n n n n n n
tradition is important when no compelling and supportive research evidence exists.
n n n n n n n n n n n
DIF: Cognitive Level: Applying (Application)
n n n n
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
n n n n n n n n n n
8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an
n n n n n n n n n n n n n n n n n n
example of a first-level priority problem?
n n n n n n
a. Patient with postoperative pain n n n
b. Newly diagnosed patient with diabetes who needs diabetic teaching
n n n n n n n n
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