Test Bank for Bates’ Guide To Physical Examination and History Taking 13th Edition

Bates’ Guide To
Physical
Examination and
History
Taking
13th Edition Bickley
Test Bank

CHAPTER 1 Foundations for Clinical Proficiency
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 during 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) REF: p. 2
   MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A patient tells the nurse that he is very nervous, is nauseated, and 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 examination. The terms reflective and introspective are not used

to describe data.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
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 Data base.
   .
   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. The other items are not part of the patients record, laboratory studies, or data.
   DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2
   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 nurses next 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 listening to a patients breath sounds, the nurse validates the
   data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert
   to listen.
   DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
   MSC: Client Needs: Safe and Effective Care Environment: Management of Care