,Physical Examination and Health Assessment CANADIAN 4th Edition
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Jarvis Test Bank f f f
Chapter 01: Evidence-Based Assessment
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Jarvis: Physical Examination & Health Assessment, 3rd Canadian edition
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MULTIPLE CHOICE f
1. After completing an initial assessment of a patient, the nurse has charted that his respirations
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f are 18 breaths per minute and his pulse is 58 beats per minute. These types of data would be:
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a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS: A f
Objective data are what the health professional observes by inspecting, percussing, palpating,
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and auscultating during the physical examination. Subjective data are what the person says
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about himself or herself during history taking. The terms reflective and introspective are not
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used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension) f f f
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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2. A patient tells the nurse that he is very nervous, is nauseated, and “feels hot.” These types of
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data would be:
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a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS: C f
Subjective data are what the person says about himself or herself during history taking.
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Objective data are what the health professional observes by inspecting, percussing, palpating,
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and auscultating during the physical examination. The terms reflective and introspective are
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not used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension) f f f
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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3. The patient’s record, laboratory studies, objective data, and subjective data combine to form
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f the:
a. Database
b. Admitting data f
c. Financial statement f
d. Discharge summary f
ANS: A f
Together with the patient’s record and laboratory studies, the objective and subjective data
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form the database. The other items are not part of the patient’s record, laboratory studies, or
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data.
f
,DIF: Cognitive Level: Remembering (Knowledge)
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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, 4. When listening to a patient’s breath sounds, the nurse is unsure of a sound that is heard. The
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nurse’s next action should be to:
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a. Immediately notify the patient’s physician. f f f f
b. Document the sound exactly as it was heard. f f f f f f f
c. Validate the data by asking a coworker to listen to the breath sounds. f f f f f f f f f f f f
d. Assess again in 20 minutes to note whether the sound is still present.
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ANS: C f
When unsure of a sound heard while listening to a patient’s breath sounds, the nurse validates
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the data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an
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expert to listen.
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DIF: Cognitive Level: Analyzing (Analysis) f f f
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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5. The nurse is conducting a class for new graduate nurses. During the teaching session, the
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nurse should keep in mind that novice nurses, with less experience, are more likely to base
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their decisions on:
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a. Intuition
b. Clear-cut rules f
c. Articles in journals f f
d. Advice from supervisors f f
ANS: B f
Novice nurses operate from a set of defined, structured rules. Expert practitioners use critical
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thinking and their substantial background of experiences.
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DIF: Cognitive Level: Understanding (Comprehension) f f f MSC: Client Needs: General f f f
6. Expert nurses assess and make decisions through the use of:
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a. Critical thinking f
b. The nursing process f f
c. Clinical knowledge f
d. Diagnostic reasoning f
ANS: A f
Critical thinking is a multidimensional, dynamic, and interactive thinking process by which expert
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nurses assess and make decisions in the clinical area.
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DIF: f f Cognitive Level: Understanding (Comprehension) f f f MSC: Client Needs: General f f f
7. The nurse is reviewing information about evidence-informed practice (EIP). Which statement
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best reflects EIP?
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a. EIP relies on tradition for support of best practices.
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b. EIP is simply the use of best practice techniques for the treatment of patients.
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c. EIP emphasizes the use of best and most appropriate evidence with clinician
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expertise and patient preference.
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d. The patient’s own preferences are not important in EIP.
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ANS: C f
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