Full Test Bank for Bates’ Guide to Physical Examination and
History Taking 13th Edition by Bickley
,CHAPTER 1 Foundations for Clinical Proficiency
MULTIPLE CHOICE
1. After completing an initial assessment of a hospital patient, the practicing 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.
.
THE RIGHT RESPOND>>✔ 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.
COMPLEXITY- Cognitive Level: Understanding (Comprehension) SOURCE- p. 2
MSC: Patient Needs: Safe and Effective Care Environment: Management of Care
2. A hospital patient tells the practicing nurse that he is very nervous, is nauseated, and feels
hot. These types ofdata would be:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
THE RIGHT RESPOND>>✔ 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.
COMPLEXITY- Cognitive Level: Understanding (Comprehension) SOURCE- p. 2
MSC: Patient Needs: Safe and Effective Care Environment: Management of Care
3. The hospital patient record, laboratory studies, objective data, and subjective data combine
to formthe:
a Data base.
.
b Admitting data.
.
c Financial statement.
.
d Discharge summary.
.
THE RIGHT RESPOND>>✔ A
Together with the hospital patient record and laboratory studies, the objective and subjective data
form the data base. The other items are not part of the hospital patient record, laboratory studies,
or data.
COMPLEXITY- Cognitive Level: Remembering (Knowledge) SOURCE- p. 2
MSC: Patient Needs: Safe and Effective Care Environment: Management of Care
4. When listening to a hospital patient breath sounds, the practicing nurse is unsure of a
sound that is heard. The nurses next action should be to:
a Immediately notify the hospital patient 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.
.
THE RIGHT RESPOND>>✔ C
When unsure of a sound heard while listening to a hospital patient breath sounds, the practicing
nurse validates the data to ensure accuracy. If the practicing nurse has less experience in an area,
then he or she asks an expertto listen.
COMPLEXITY- Cognitive Level: Analyzing (Analysis) SOURCE- p. 2
MSC: Patient Needs: Safe and Effective Care Environment: Management of Care
, 5. The practicing nurse is conducting a class for new graduate nurses. During the teaching
session, the practicing nurse should keep in mind that novice nurses, without a background
of skills and experiencefrom 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.
.
THE RIGHT RESPOND>>✔ B
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses
intuitive links.
COMPLEXITY- Cognitive Level: Understanding
(Comprehension) SOURCE- p. 3MSC: Patient Needs: General
6. Expert nurses 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.
.
THE RIGHT RESPOND>>✔ A
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of
assessment data and act without consciously labeling it. The other options are not correct.
COMPLEXITY- Cognitive Level: Understanding
(Comprehension) SOURCE- p. 4MSC: Patient Needs: General
7. The practicing nurse is reviewing information about evidence-based practice (EBP).
Which statementbest reflects EBP?
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