Physical Examin x
ation and Health
x x x
Assessment, 9th x
Edition, Carolyn x x
Jarvis, ISBN: 978
x x
0323510806
Latest Update
x
,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. Introspective.
ANS: A
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating du
ring 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 n e r vNo uUsR, x Si sI Nn G
a uTs Be a. Ct eOd,Mx a n d feels hot. These types of data would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
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 examinati
on. 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. Dataxbase.
b. Admitting data.
,c. Financial statement.
d. Discharge summary.
ANS: A
Together with the patients record and laboratory studies, the objective and subjective data form the data base.Th
e 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 nursesxnext
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 listeningx to a patients breath sounds, the nursexvalidates the data toxensureaccur
acy. If the nurse has less experience inxan area, then he or she asks an expert to listen.
DIF: Cognitive Level: Analyzing (Analysis)
MSC: Client Needs: Safe andxEffective Care Environment: Management of Care
5. The nurse is conducting a class for new graduate nurses. Duringothe teaching session, the nurse should keepin
mind that novice nurses, without a background of skills and experience from which to draw, are more likelyto
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. Thexexpert practitioner uses intuitive links.DIF:
Cognitive Level: Understanding (Comprehension)
, MSC: Client Needs: General
6. The nursexis reviewing information about evidence-
based practice (EBP). Which statement best reflectsEBP?
a. EBP relies on tradition for supportNoUfxRbeSsI tNx pGrTa cBt.iC
c eOsM
.
b. EBP is simply the use of best practice techniques for thextreatment 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 cl
inicians experience, as well as patient preferences and values, when making decisions about care and treatm
ent. EBP is more than simply usingxthe 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
7. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. Theser
esponses are referred to as:
a. Intuition.
b. The nursing process.
c. Clinical knowledge.
d. Diagnostic reasoning.
ANS: A
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data anda
ct without consciously labeling it. The other options arexnot correct.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: General
8. The nurse is conducting a class onxpriority setting for a groupxof new graduate nurses. Which is an example
of a first-level priority problem?
a. Patient with postoperative pain
b. Newly diagnosed patient withx diabetes who needs diabetic teaching
ation and Health
x x x
Assessment, 9th x
Edition, Carolyn x x
Jarvis, ISBN: 978
x x
0323510806
Latest Update
x
,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. Introspective.
ANS: A
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating du
ring 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 n e r vNo uUsR, x Si sI Nn G
a uTs Be a. Ct eOd,Mx a n d feels hot. These types of data would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
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 examinati
on. 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. Dataxbase.
b. Admitting data.
,c. Financial statement.
d. Discharge summary.
ANS: A
Together with the patients record and laboratory studies, the objective and subjective data form the data base.Th
e 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 nursesxnext
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 listeningx to a patients breath sounds, the nursexvalidates the data toxensureaccur
acy. If the nurse has less experience inxan area, then he or she asks an expert to listen.
DIF: Cognitive Level: Analyzing (Analysis)
MSC: Client Needs: Safe andxEffective Care Environment: Management of Care
5. The nurse is conducting a class for new graduate nurses. Duringothe teaching session, the nurse should keepin
mind that novice nurses, without a background of skills and experience from which to draw, are more likelyto
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. Thexexpert practitioner uses intuitive links.DIF:
Cognitive Level: Understanding (Comprehension)
, MSC: Client Needs: General
6. The nursexis reviewing information about evidence-
based practice (EBP). Which statement best reflectsEBP?
a. EBP relies on tradition for supportNoUfxRbeSsI tNx pGrTa cBt.iC
c eOsM
.
b. EBP is simply the use of best practice techniques for thextreatment 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 cl
inicians experience, as well as patient preferences and values, when making decisions about care and treatm
ent. EBP is more than simply usingxthe 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
7. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. Theser
esponses are referred to as:
a. Intuition.
b. The nursing process.
c. Clinical knowledge.
d. Diagnostic reasoning.
ANS: A
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of assessment data anda
ct without consciously labeling it. The other options arexnot correct.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: General
8. The nurse is conducting a class onxpriority setting for a groupxof new graduate nurses. Which is an example
of a first-level priority problem?
a. Patient with postoperative pain
b. Newly diagnosed patient withx diabetes who needs diabetic teaching
