Test Bank for Physical Examination and Health Assessment 9th Edition by
Carolyn Jarvis, Ann Eckhardt / All Chapters 1-32 / Full Complete
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS
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TESTBANK
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Chapter 01: Evidence-Based Assessment , a , a , a
MULTIPLE CHOICE , a
1. After completing an initial assessment of a patient, the nurse has charted that his
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, arespirations areeupneic andhis pulse is 58 beats per minute. These types of data
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would be:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A , a
Objective data are what the health professional observes by inspecting, percussing, palpating, and
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auscultating during the physical examination. Subjective data is what the person says about him or herself
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during history taking. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive
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MSC: Client Needs: Safe and Effective Care Environment: Management
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2. A patient tells the nurse that he is very nervous, is nausea.CteOdM
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C , a
Subjective data are what the person says about him or herself during history taking.
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Objective data arewhat thehealth professional observes by inspecting, percussing, palpating, and
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auscultating during the physical examination. The terms reflective and introspective are not
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used to describe data.
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DIF: Cognitive
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MSC: Client Needs: Safe and Effective Care Environment: Management
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3. The patients record, laboratory studies, objective data, and subjective data combine
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a. Data base. , a
b. Admitting data. , a
, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS ,a ,a ,a ,a ,a ,a ,a
TESTBANK
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c. Financial statement. , a
d. Discharge summary. , a
ANS: A , a
Together with the patients record and laboratory studies, the objective and subjective data
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form the database.The other items are not part of the patients record, laboratory studies,
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or data.
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DIF: Cognitive Level: Remembering
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MSC: Client Needs: Safe and Effective Care Environment: Management
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4. When listening to a patients breath sounds, the nurse is unsure of a sound that
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, ais heard. Thenurses nextaction should be to:
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a. Immediately notify the patients physician. , a , a , a , a
b. Document the sound exactly as it was heard. , a , a , a , a , a , a ,a ,a
c. Validate the data , a , a , a by asking , a , a a coworker to listen to the breath sounds.
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d. Assess again in 20 minutes to note whether the sound is
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ANS: C , a
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the
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data toensureai ccuracy. 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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DIF: Cognitive Level: Analyzing (Analysis)
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MSC: Client Needs: Safe and Effective Care Environment: Management
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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
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, experience from which to draw, are more likelyto make their decisions using:
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a. Intuition.
b. A set of rules.
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c. Articles in journals. , a , a
d. Advice from supervisors. , a , a
ANS: B , a
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses
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, a intuitivelinks.DIF: Cognitive Level: Understanding (Comprehension)
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, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION JARVIS ,a ,a ,a ,a ,a ,a ,a
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MSC: Client ,a , a Needs: , a General
6. The nurse is reviewing information about evidence-based practice (EBP). Which statement
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bestreflectsEBP?
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a. EBP relies on tradition for supportNoUfRbeSsI N
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ceOsM
.
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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
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, a withEBP.ANS: C
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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,
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when making decisions about care and treatment. EBP is more than simply using the
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best practice techniques to treat patients, and questioning tradition is important when no
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compelling and supportive research evidence exists.
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DIF: Cognitive Level: Applying (Application)
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MSC: Client Needs: Safe and Effective Care Environment: Management
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7. Expert nurses learn to attend to a pattern of assessment data and act without
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, aconsciously labelingit. Theseresponses are referred to as:
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a. Intuition.
b. The nursing process. , a , a
c. Clinical knowledge. , a
d. Diagnostic reasoning. , a
ANS: A , a
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of
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assessmentdata andact without consciously labeling it. The other options are not correct.
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DIF: Cognitive Level: Understanding
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8. The nurse is conducting a class on priority setting for a group of new graduate
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, anurses. Which is anexampleof a first-level priority problem?
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a. Patient with postoperative pain , a ,a ,a , a
b. Newly diagnosed patient with diabetes who needs diabetic
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