13th Edition Bickley Test Bank latest
updated
Bates’ Guide To Physical Examination and History Taking
13th Edition Bickley Test Bank
CHAPTER 1 Foundations for
Clinical Proficiency MULTIPLE
CHOICE
1. Whenconsidering priority setting of problems, the
nurse keeps in mind that second-level priority
problems include which of these aspects?
2. After
completing an initial assessment of a patient, the
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.
.
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 about him or herself during history
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,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
3. A patient tells the nurse that he is very nervous, is
nauseated, and feels hot. These types of data would
be:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: 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
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, Bates’ Guide To Physical Examination and History Taking 13th
Edition Bickley Test Bank latest updated
to describe data.
DIF: Cognitive Level: Understanding (Comprehension) REF:
p. 2
MSC: Client Needs: Safe and Effective Care Environment:
Management of Care
4. The patients record, laboratory studies, objective
data, and subjective data combine to form the:
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
5. When listening to a patients breath sounds, the nurse
is unsure of a sound that is heard. The nurses next
action should be to:
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, Bates’ Guide To Physical Examination and History Taking 13th
Edition Bickley Test Bank latest updated
a Immediately notify the patients 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.
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 expert to listen.
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
MSC: Client Needs: Safe and Effective Care Environment:
Management of Care
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