BATES’ GUIDE TO PHYSICAL EXAMINATION AND
HISTORY TAKING 13TH
EDITION BICKLEY TEST BANK/2023.Qualified,VSU
Bates’ Guide To Physical Examination and History Taking 13th
Edition Bickley Test Bank
CHAPTER 1 Foundations for Clinical
Proficiency
1. After completing an initial assessment of a patient, the nurse has charted that his
respirationsare 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 abouthim 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 ofdata would be:
, BATES’ GUIDE TO PHYSICAL EXAMINATION AND
HISTORY TAKING 13TH
EDITION BICKLEY TEST BANK/2023.Qualified,VSU
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: C
Subjective data are what the person says about him or herself during history taking.
Objectivedata are what the health professional observes by inspecting, percussing,
palpating, and
auscultating during the physical examination. The terms reflective and introspective are not
used
, BATES’ GUIDE TO PHYSICAL EXAMINATION AND
HISTORY TAKING 13TH
EDITION BICKLEY TEST BANK/2023.Qualified,VSU
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
formthe:
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.
Thenurses next action should be to:
a Immediately notify the patients physician.
.
b Document the sound exactly as it was heard.
.
, BATES’ GUIDE TO PHYSICAL EXAMINATION AND
HISTORY TAKING 13TH
EDITION BICKLEY TEST BANK/2023.Qualified,VSU
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 expertto listen.
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
, BATES’ GUIDE TO PHYSICAL EXAMINATION AND
HISTORY TAKING 13TH
EDITION BICKLEY TEST BANK/2023.Qualified,VSU
5. The nurse is conducting a class for new graduate nurses. During the teaching session,
the 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.
.
ANS: B
Novice nurses operate from a set of defined, structured rules. The expert practitioner
usesintuitive links.
DIF: Cognitive Level: Understanding (Comprehension) REF:
p. 3MSC: Client Needs: General
6. Expert nurses learn to attend to a pattern of assessment data and act without
consciouslylabeling it. These responses are referred to as:
a Intuition.
.
b The nursing process.
.
c Clinical knowledge.
.
d Diagnostic reasoning.
.
, BATES’ GUIDE TO PHYSICAL EXAMINATION AND
HISTORY TAKING 13TH
EDITION BICKLEY TEST BANK/2023.Qualified,VSU
ANS: A
Intuition is characterized by pattern recognitionexpert nurses 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. 4MSC: Client Needs: General
7. The nurse is reviewing information about evidence-based practice (EBP). Which
statementbest reflects EBP?
, BATES’ GUIDE TO PHYSICAL EXAMINATION AND
HISTORY TAKING 13TH
EDITION BICKLEY TEST BANK/2023.Qualified,VSU
a EBP relies on tradition for support of best practices.
.
b EBP is simply the use of best practice techniques for the treatment of patients.
.
c EBP emphasizes the use of best evidence with the clinicians experience.
.
d The patients own preferences are not important with EBP.
.
ANS: C
EBP is a systematic approach to practice that emphasizes the use of best evidence in
combinationwith the clinicians experience, as well as patient preferences and values, when
making decisions about care and treatment. EBP is more than simply using the best practice
techniques to treat patients, and questioning tradition is important when no compelling and
supportive research evidence exists.
DIF: Cognitive Level: Applying (Application) REF: p. 5
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
8. The nurse is conducting a class on priority setting for a group of new graduate nurses.
Whichis an example of a first-level priority problem?
a Patient with postoperative pain
.
b Newly diagnosed patient with diabetes who needs diabetic teaching
.
c Individual with a small laceration on the sole of the foot
.
d Individual with shortness of breath and respiratory distress
.
, BATES’ GUIDE TO PHYSICAL EXAMINATION AND
HISTORY TAKING 13TH
EDITION BICKLEY TEST BANK/2023.Qualified,VSU
ANS: D
First-level priority problems are those that are emergent, life threatening, and immediate
(e.g., establishing an airway, supporting breathing, maintaining circulation, monitoring
abnormal vitalsigns) (see Table 1-1).
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 4
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
9. When considering priority setting of problems, the nurse keeps in mind that second-
levelpriority problems include which of these aspects?
, BATES’ GUIDE TO PHYSICAL EXAMINATION AND
HISTORY TAKING 13TH
EDITION BICKLEY TEST BANK/2023.Qualified,VSU
a Low self-esteem
.
b Lack of knowledge
.
c Abnormal laboratory values
.
d Severely abnormal vital signs
.
ANS: C
Second-level priority problems are those that require prompt intervention to forestall
further deterioration (e.g., mental status change, acute pain, abnormal laboratory values,
risks to safetyor security) (see Table 1-1).
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 4
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
10. Which critical thinking skill helps the nurse see relationships among the data?
a Validation
.
b Clustering related cues
.
c Identifying gaps in data
.
d Distinguishing relevant from irrelevant
.
ANS: B
Clustering related cues helps the nurse see relationships among the data.
, BATES’ GUIDE TO PHYSICAL EXAMINATION AND
HISTORY TAKING 13TH
EDITION BICKLEY TEST BANK/2023.Qualified,VSU
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
11. The nurse knows that developing appropriate nursing interventions for a patient relies
on theappropriateness of the diagnosis.
a Nursing
.
b Medical
.
