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BATES’ GUIDE TO PHYSICAL EXAMINATION AND HISTORY TAKING 13TH EDITION BICKLEY’S TEST BANK/COMPLETE GUIDE
BATES’ GUIDE TO PHYSICAL EXAMINATION AND HISTORY TAKING 13TH EDITION BICKLEY’S TEST BANK/COMPLETE GUIDE
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BATES’ GUIDE TO PHYSICAL EXAMINATION ANDHISTORY TAKING 13TH EDITION BICKLEY’S TEST
BANK/COMPLETE GUIDE 2024-2025
, CHAPTER 1: Foundations for Clinical
Proficiency
MULTIPLE CHOICE
1. After completing an initial assessment of a client, the RN 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.
.
CORRECT CHOICE:- A
Feedback :->>> 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 client tells the RN that he is very nervous, is nauseated, and feels hot. These types of
data would be:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
CORRECT CHOICE:- C
Feedback :->>> 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 clients record, laboratory studies, objective data, and subjective data combine to
form the:
a Data base.
.
b Admitting data.
.
c Financial statement.
.
d Discharge summary.
.
CORRECT CHOICE:- A
Feedback :->>> Together with the clients record and laboratory studies, the objective and
subjective data formthe data base. The other items are not part of the clients 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 clients breath sounds, the RN is unsure of a sound that is heard.
The RNs next action should be to:
a Immediately notify the clients 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.
.
CORRECT CHOICE:- C
Feedback :->>> When unsure of a sound heard while listening to a clients breath sounds, the RN
validates the data to ensure accuracy. If the RN has less experience in an area, then he or she
asks an expertto listen.
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
, 5. The RN is conducting a class for new graduate RNs. During the teaching session, theRN
should keep in mind that novice RNs, without a background of skills and experience from
which to draw, are more likely to make their decisions using:
a Intuition.
.
b A set of rules.
.
c Articles in journals.
.
d Advice from supervisors.
.
CORRECT CHOICE:- B
Feedback :->>> Novice RNs operate from a set of defined, structured rules. The expert
practitioner uses intuitive links.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 3
MSC: Client Needs: General
6. Expert RNs learn to attend to a pattern of assessment data and act without
consciously labeling it. These responses are referred to as:
a Intuition.
.
b The nursing process.
.
c Clinical knowledge.
.
d Diagnostic reasoning.
.
CORRECT CHOICE:- A
Feedback :->>> Intuition is characterized by pattern recognitionexpert RNs learn to
attend to a pattern ofassessment data and act without consciously labeling it. The other
options are not correct.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 4
MSC: Client Needs: General
7. The RN is reviewing information about evidence-based practice (EBP). Which statement
best reflects EBP?
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