BATES 13TH EDITION QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
REF:Bp.B741
MSC:BClientBNeeds:BHealthBPromotionBandBMaintenance
13.BAB50-year-
oldBwomanBcallsBtheBclinicBbecauseBsheBhasBnoticedBsomeBchangesBinBherBbodyBandBbreastsBandBwondersBi
fBtheseBchangesBcouldBbeBattributableBtoBtheBhormoneBreplacementBtherapyB(HRT)BsheBstartedB3BmonthsB
earlier.BTheBnurseBshouldBtellBher:B
aBHRTBisBatBsuchBaBlowBdoseBthatBsideBeffectsBareBveryBunusual.B
bBHRTBhasBseveralBsideBeffects,BincludingBfluidBretention,BbreastBtenderness,BandBvaginalBbleeding.
cBVaginalBbleedingB-BANSWERBANS:BB
SideBeffectsBofBHRTBincludeBfluidBretention,BbreastBpain,BandBvaginalBbleeding.BTheBotherBresponsesBareBno
tBcorrect.
CHAPTERB1BFoundationsBforBClinicalBProficiency
1.BAfterBcompletingBanBinitialBassessmentBofBaBpatient,BtheBnurseBhasBchartedBthatBhisBrespirationsBareBeup
neicBandBhisBpulseBisB58BbeatsBperBminute.BTheseBtypesBofBdataBwouldBbe:
a.BObjective.
b.BReflective.
c.BSubjective.
d.BIntrospective.B-BANSWERBANS:BA
ObjectiveBdataBareBwhatBtheBhealthBprofessionalBobservesBbyBinspecting,Bpercussing,Bpalpating,
andBauscultatingBduringBtheBphysicalBexamination.BSubjectiveBdataBisBwhatBtheBpersonBsaysBabout
himBorBherselfBduringBhistoryBtaking.BTheBtermsBreflectiveBandBintrospectiveBareBnotBusedBto
describeBdata.
2.BABpatientBtellsBtheBnurseBthatBheBisBveryBnervous,BisBnauseated,BandBfeelsBhot.BTheseBtypesBof
dataBwouldBbe:
a.BObjective.
,b.BReflective.
c.BSubjective.
d.BIntrospective.B-BANSWERBANS:BC
SubjectiveBdataBareBwhatBtheBpersonBsaysBaboutBhimBorBherselfBduringBhistoryBtaking.BObjective
dataBareBwhatBtheBhealthBprofessionalBobservesBbyBinspecting,Bpercussing,Bpalpating,Band
auscultatingBduringBtheBphysicalBexamination.BTheBtermsBreflectiveBandBintrospectiveBareBnotBused
toBdescribeBdata.
3.BTheBpatientsBrecord,BlaboratoryBstudies,BobjectiveBdata,BandBsubjectiveBdataBcombineBtoBform
the:
a.BDataBbase.
b.BAdmittingBdata.
c.BFinancialBstatement.
d.BDischargeBsummary.B-BANSWERBANS:BA
TogetherBwithBtheBpatientsBrecordBandBlaboratoryBstudies,BtheBobjectiveBandBsubjectiveBdataBform
theBdataBbase.BTheBotherBitemsBareBnotBpartBofBtheBpatientsBrecord,BlaboratoryBstudies,BorBdata.
4.BWhenBlisteningBtoBaBpatientsBbreathBsounds,BtheBnurseBisBunsureBofBaBsoundBthatBisBheard.BThe
nursesBnextBactionBshouldBbeBto:
a.BImmediatelyBnotifyBtheBpatientsBphysician.
b.BDocumentBtheBsoundBexactlyBasBitBwasBheard.
c.BValidateBtheBdataBbyBaskingBaBcoworkerBtoBlistenBtoBtheBbreathBsounds.
d.BAssessBagainBinB20BminutesBtoBnoteBwhetherBtheBsoundBisBstillBpresent.B-BANSWERBANS:BC
WhenBunsureBofBaBsoundBheardBwhileBlisteningBtoBaBpatientsBbreathBsounds,BtheBnurseBvalidatesBthe
dataBtoBensureBaccuracy.BIfBtheBnurseBhasBlessBexperienceBinBanBarea,BthenBheBorBsheBasksBanBexpert
toBlisten.
5.BTheBnurseBisBconductingBaBclassBforBnewBgraduateBnurses.BDuringBtheBteachingBsession,Bthe
nurseBshouldBkeepBinBmindBthatBnoviceBnurses,BwithoutBaBbackgroundBofBskillsBandBexperience
,fromBwhichBtoBdraw,BareBmoreBlikelyBtoBmakeBtheirBdecisionsBusing:
aBIntuition.
bBABsetBofBrules.
cBArticlesBinBjournals.
dBAdviceBfromBsupervisors.B-BANSWERBANS:BB
NoviceBnursesBoperateBfromBaBsetBofBdefined,BstructuredBrules.BTheBexpertBpractitionerBuses
intuitiveBlinks.
6.BExpertBnursesBlearnBtoBattendBtoBaBpatternBofBassessmentBdataBandBactBwithoutBconsciouslyBlabelingBit.B
TheseBresponsesBareBreferredBtoBas:
aBIntuition.
bBTheBnursingBprocess.
cBClinicalBknowledge.
dBDiagnosticBreasoning.B-BANSWERBANS:BA
IntuitionBisBcharacterizedBbyBpatternBrecognitionBexpertBnursesBlearnBtoBattendBtoBaBpatternBofBassessment
BdataBandBactBwithoutBconsciouslyBlabelingBit.BTheBotherBoptionsBareBnotBcorrect.
7.BTheBnurseBisBreviewingBinformationBaboutBevidence-basedBpracticeB(EBP).BWhichBstatement
bestBreflectsBEBP?
aBEBPBreliesBonBtraditionBforBsupportBofBbestBpractices.
bBEBPBisBsimplyBtheBuseBofBbestBpracticeBtechniquesBforBtheBtreatmentBofBpatients.
cBEBPBemphasizesBtheBuseBofBbestBevidenceBwithBtheBcliniciansBexperience.
dBTheBpatientsBownBpreferencesBareBnotBimportantBwithBEBP.B-BANSWERBANS:BC
EBPBisBaBsystematicBapproachBtoBpracticeBthatBemphasizesBtheBuseBofBbestBevidenceBinBcombination
withBtheBcliniciansBexperience,BasBwellBasBpatientBpreferencesBandBvalues,BwhenBmakingBdecisions
aboutBcareBandBtreatment.BEBPBisBmoreBthanBsimplyBusingBtheBbestBpracticeBtechniquesBtoBtreat
patients,BandBquestioningBtraditionBisBimportantBwhenBnoBcompellingBandBsupportiveBresearch
evidenceBexists.
, 8.BTheBnurseBisBconductingBaBclassBonBpriorityBsettingBforBaBgroupBofBnewBgraduateBnurses.BWhichBisBanBexa
mpleBofBaBfirst-levelBpriorityBproblem?
aBPatientBwithBpostoperativeBpain
bBNewlyBdiagnosedBpatientBwithBdiabetesBwhoBneedsBdiabeticBteaching
cBIndividualBwithBaBsmallBlacerationBonBtheBsoleBofBtheBfoot
dBIndividualBwithBshortnessBofBbreathBandBrespiratoryBdistressB-BANSWERBANS:BD
First-levelBpriorityBproblemsBareBthoseBthatBareBemergent,BlifeBthreatening,BandBimmediateB(e.g.,
establishingBanBairway,BsupportingBbreathing,BmaintainingBcirculation,BmonitoringBabnormalBvital
signs)B(seeBTableB1-1).
9.BWhenBconsideringBpriorityBsettingBofBproblems,BtheBnurseBkeepsBinBmindBthatBsecond-
levelBpriorityBproblemsBincludeBwhichBofBtheseBaspects?
aBLowBself-esteem
bBLackBofBknowledge
cBAbnormalBlaboratoryBvalues
dBSeverelyBabnormalBvitalBsignsB-BANSWERBANS:BC
Second-levelBpriorityBproblemsBareBthoseBthatBrequireBpromptBinterventionBtoBforestallBfurther
deteriorationB(e.g.,BmentalBstatusBchange,BacuteBpain,BabnormalBlaboratoryBvalues,BrisksBtoBsafety
orBsecurity)B(seeBTableB1-1).
10.BWhichBcriticalBthinkingBskillBhelpsBtheBnurseBseeBrelationshipsBamongBtheBdata?
aBValidation
bBClusteringBrelatedBcues
cBIdentifyingBgapsBinBdata
dBDistinguishingBrelevantBfromBirrelevantB-BANSWERBANS:BB
ClusteringBrelatedBcuesBhelpsBtheBnurseBseeBrelationshipsBamongBtheBdata.
11.BTheBnurseBknowsBthatBdevelopingBappropriateBnursingBinterventionsBforBaBpatientBreliesBonBtheBappro
priatenessBofBtheBdiagnosis.
aBNursing