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Test Bank for Bates’ Guide To Physical Examination and History Taking 13th Edition
Test Bank for Bates’ Guide To Physical Examination and History Taking 13th Edition
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Bates’ Guide To Physical Examination and History Takinge e e e e e e
13th Edition Bickley Test Bank latestupdated e e e e e e
Bates’ Guide To Physical Examination and History Taking
e e e e e e e
13th Edition Bickley Test Bank e e e e
CHAPTER 1 Foundations for Clinical Proficiency e e e e
MULTIPLE CHOICE
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1. After completing an initial assessment of a patient, the nurse has charted that his
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respirations are eupneic 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 e
Objective data are what the health professional observes by inspecting, percussing, palpating,
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and auscultating during the physical examination. Subjective data is what the person says about
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him or herself during history taking. The terms reflective and introspective are not used to
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describe data.
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DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
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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
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of data would be:
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a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: C e
Subjective data are what the person says about him or herself during history taking. Objective
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data are what the health 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
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, Bates’ Guide To Physical Examination and History Taking 13th
Edition Bickley Test Bank latest updated
to describe data.
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DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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3. The patients record, laboratory studies, objective data, and subjective data combine to
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form the:
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a Data base. e
.
b Admitting data. e
.
c Financial statement. e
.
d Discharge summary. e
.
ANS: A e
Together with the patients record and laboratory studies, the objective and subjective data form
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the data base. The other items are not part of the patients record, laboratory studies, or data.
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DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard.
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The nurses next action should be to:
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a Immediately notify the patients physician. e e e e
.
b Document the sound exactly as it was heard. e e e e e e e
.
c Validate the data by asking a coworker to listen to the breath sounds.
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d Assess again in 20 minutes to note whether the sound is still present.
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.
ANS: C e
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the
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data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an
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expertto listen.
e e e
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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WWW.THENURSINGMASTERY.C
, Bates’ Guide To Physical Examination and History Taking 13th
Edition Bickley Test Bank latest updated
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, without a background of skills and
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experience from which to draw, are more likely to make their decisions using:
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a Intuition.
.
b A set of rules.
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.
c Articles in journals. e e
.
d Advice from supervisors. e e
.
ANS: B e
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses
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intuitive links.
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DIF: Cognitive Level: Understanding (Comprehension) REF: p. 3
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MSC: Client Needs: General
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6. Expert nurses learn to attend to a pattern of assessment data and act without
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consciously labeling it. These responses are referred to as:
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a Intuition.
.
b The nursing process.e e
.
c Clinical knowledge. e
.
d Diagnostic reasoning. e
.
ANS: A e
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of
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assessment data and act without consciously labeling it. The other options are not correct.
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DIF: Cognitive Level: Understanding (Comprehension) REF: p. 4
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MSC: Client Needs: General
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7. The nurse is reviewing information about evidence-based practice (EBP). Which statement
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best reflects EBP?
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WWW.THENURSINGMASTERY.C
, Bates’ Guide To Physical Examination and History Taking 13th
Edition Bickley Test Bank latest updated
a EBP relies on tradition for support of best practices.
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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 with EBP.
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.
ANS: C e
EBP is a systematic approach to practice that emphasizes the use of best evidence in
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ecombination with the clinicians experience, as well as patient preferences and values, when
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making decisions about care and treatment. EBP is more than simply using the best practice
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techniques to treat patients, and questioning tradition is important when no compelling and
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esupportive research evidence exists.
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DIF: Cognitive Level: Applying (Application) REF: p. 5
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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8. The nurse is conducting a class on priority setting for a group of new graduate nurses.
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Which is an example of a first-level priority problem?
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a Patient with postoperative pain e e e
.
b Newly diagnosed patient with diabetes who needs diabetic teaching
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.
c Individual with a small laceration on the sole of the foot
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.
d Individual with shortness of breath and respiratory distress
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.
ANS: D e
First-level priority problems are those that are emergent, life threatening, and immediate (e.g.,
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establishing an airway, supporting breathing, maintaining circulation, monitoring abnormal vital
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signs) (see Table 1-1).
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DIF: Cognitive Level: Understanding (Comprehension) REF: p. 4
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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9. When considering priority setting of problems, the nurse keeps in mind that second-level
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priority problems include which of these aspects?
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