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Exam (elaborations)

TEST BANK for Fundamentals of Nursing 11TH Edition by Potter Perry PDF

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  • Course
  • Nursing Physical
  • Institution
  • Nursing Physical

TEST BANK for Fundamentals of Nursing 11TH Edition by Potter Perry PDF

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  • January 27, 2025
  • 218
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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  • Nursing Physical
  • Nursing Physical
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GeniusExpert
Bates’ Guide To Physical Examination and History
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Taking 13th Edition Bickley Test Bank latest updated
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,CHAPTER 1 ll




FoundationsforClinicalProficiency l l l




MULTIPLE CHOICE ll




1. After completing an initial assessment of a patient, the nurse has charted that his
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respirations are eupneic and his pulse is 58 beats per minute. These types of data
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would be: ll ll




a. Objective.


b. Reflective.


c. Subjective.


d. Introspective.


ANSWER: A ll




Objective data are what the health professional observes by inspecting, percussing, palpating,
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and auscultating during the physical examination.Subjective data is what the person says about him
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or herself during history taking. The terms reflective and introspective are not used to describe
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data.
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2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These
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types of data would be:
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a Objective.
.
b Reflective.
.

c Subjective.
.

d Introspective.
.
ANSWER: C ll




Subjective dataare what the personsays abouthim or herself duringhistorytaking.Objective data are
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what the health professional observes by inspecting, percussing, palpating, and auscultating
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,during the physical examination. The terms reflective and introspective are not used to describe
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data.
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3. The patients record, laboratory studies, objective data, and subjective data combine to
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form the: ll ll




a Data base. ll




.
b Admitting data. l




.

c Financial statement. ll




.

d Discharge summary. ll




.
ANSWER: A ll




Together with the patients record and laboratory studies, the objective and subjective data form
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the data base. The other items are not part of the patients record, laboratory studies, or data.
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4. When listening to a patients breath sounds, the nurse is unsure of a sound that is
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heard. The nurses next action should be to:
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a Immediately notify the patients physician. ll ll ll ll




.
b Document the sound exactly as it was heard. ll ll ll ll ll ll ll




.

c Validate the data by asking a coworker to listen to the breath sounds.
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.

d Assess again in 20 minutes to note whether the sound is still present.
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.
ANSWER: C ll




When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the
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data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert to
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listen.
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5. The nurse is conducting a class for new graduate nurses. During the teaching
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session, the nurse should keep in mind that novice nurses, without a background of
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skills and experience from which to draw, are more likely to make their decisions
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using: ll




a Intuition.
.

, b A set of rules.
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.

c Articles in journals. ll ll




.

d Advice from supervisors. ll ll




.
ANSWER: B ll




Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive
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links.
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6. Expert nurses learn to attend to a pattern of assessment data and act without
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consciously labeling it. These responses are referred to as:
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a Intuition.
.

b The nursing process. ll ll




.

c Clinical knowledge. ll




.

d Diagnostic reasoning. ll




.
ANSWER: A ll




Intuition is characterized by pattern recognition expert nurses learn to attend to a pattern of
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assessment data and act without consciously labeling it. The other options are not correct.
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7. The nurse is reviewing information about evidence-based practice (EBP). Which
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statement best reflects EBP?
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a EBP relies on tradition for support of best practices.
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.

b EBP is simply the use of best practice techniques for the treatment of patients.
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.

c EBP emphasizes the use of best evidence with the clinicians experience.
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.
d The patients own preferences are not important with EBP.
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.
ANSWER: C ll




EBP is a systematic approach to practice that emphasizes the use of best evidence in
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combination with the clinicians experience, as well as patient preferences and values, when
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