, lOMoAR
ss
Bates’ Guide To Physical Examination and History Taking 13th
ss ss ss ss ss ss ss ss
Edition Bickley Test Bank
ss ss ss ss
CHAPTER ss1 ssFoundations ssfor ssClinical ssProficiency
ssMULTIPLE ssCHOICE
1. After sscompleting ssan ssinitial ssassessment ssof ssa sspatient, ssthe ssnurse sshas sscharted ssthat
sshis ssrespirations ssare sseupneic ssand sshis sspulse ssis ss58 ssbeats ssper ssminute. ssThese sstypes ssof ssdata
sswould ssbe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: ssA
Objective ssdata ssare sswhat ssthe sshealth ssprofessional ssobserves ssby ssinspecting, sspercussing, sspalpating,
ssand ssauscultating ssduring ssthe ssphysical ssexamination. ssSubjective ssdata ssis sswhat ssthe ssperson sssays
ssabout sshim ssor ssherself ssduring sshistory sstaking. ssThe ssterms ssreflective ssand ssintrospective ssare ssnot
ssused ssto ssdescribe ssdata.
DIF: ssCognitive ssLevel: ssUnderstanding ss(Comprehension) ssREF: ssp. ss2
MSC: ssClient ssNeeds: ssSafe ssand ssEffective ssCare ssEnvironment: ssManagement ssof ssCare
2. A sspatient sstells ssthe ssnurse ssthat sshe ssis ssvery ssnervous, ssis ssnauseated, ssand ssfeels sshot. ssThese
sstypes ssof ssdata sswould ssbe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
THENURSINGMASTERY
)
, lOMoAR
ss
ANS: ssC
Subjective ssdata ssare sswhat ssthe ssperson sssays ssabout sshim ssor ssherself ssduring sshistory sstaking. ssObjective
s s data ssare sswhat ssthe sshealth ssprofessional ssobserves ssby ssinspecting, sspercussing, sspalpating, ssand
ssauscultating ssduring ssthe ssphysical ssexamination. ssThe ssterms ssreflective ssand ssintrospective ssare ssnot
ssused ssto ssdescribe ssdata.
DIF: ssCognitive ssLevel: ssUnderstanding ss(Comprehension) ssREF: ssp. ss2
MSC: ssClient ssNeeds: ssSafe ssand ssEffective ssCare ssEnvironment: ssManagement ssof ssCare
3. The sspatients ssrecord, sslaboratory ssstudies, ssobjective ssdata, ssand sssubjective ssdata
sscombine ssto ssform ssthe:
a Data ssbase.
.
b Admitting ssdata.
.
c Financial ssstatement.
.
d Discharge sssummary.
.
ANS: ssA
Together sswith ssthe sspatients ssrecord ssand sslaboratory ssstudies, ssthe ssobjective ssand sssubjective ssdata
ssform ssthe ssdata ssbase. ssThe ssother ssitems ssare ssnot sspart ssof ssthe sspatients ssrecord, sslaboratory
ssstudies, ssor ssdata.
DIF: ssCognitive ssLevel: ssRemembering ss(Knowledge) ssREF: ssp. ss2
MSC: ssClient ssNeeds: ssSafe ssand ssEffective ssCare ssEnvironment: ssManagement ssof ssCare
4. When sslistening ssto ssa sspatients ssbreath sssounds, ssthe ssnurse ssis ssunsure ssof ssa sssound ssthat ssis
ssheard. ssThe ssnurses ssnext ssaction ssshould ssbe ssto:
a Immediately ssnotify ssthe sspatients ssphysician.
.
b Document ssthe sssound ssexactly ssas ssit sswas ssheard.
.
c Validate ssthe ssdata ssby ssasking ssa sscoworker ssto sslisten ssto ssthe ssbreath sssounds.
.
, lOMoAR
ss
d Assess ssagain ssin ss20 ssminutes ssto ssnote sswhether ssthe sssound ssis ssstill
. sspresent.
ANS: ssC
When ssunsure ssof ssa sssound ssheard sswhile sslistening ssto ssa sspatients ssbreath sssounds, ssthe ssnurse
ssvalidates ssthe ssdata ssto ssensure ssaccuracy. ssIf ssthe ssnurse sshas ssless ssexperience ssin ssan ssarea, ssthen sshe ssor
ssshe ssasks ssan ssexpert s s to sslisten.
DIF: ssCognitive ssLevel: ssAnalyzing ss(Analysis) ssREF: ssp. ss2
MSC: ssClient ssNeeds: ssSafe ssand ssEffective ssCare ssEnvironment: ssManagement ssof ssCare
5. The ssnurse ssis ssconducting ssa ssclass ssfor ssnew ssgraduate ssnurses. ssDuring ssthe ssteaching
sssession, ssthe ssnurse ssshould sskeep ssin ssmind ssthat ssnovice ssnurses, sswithout ssa ssbackground ssof
ssskills ssand ssexperience ssfrom sswhich ssto ssdraw, ssare ssmore sslikely ssto ssmake sstheir ssdecisions
ssusing:
a Intuition.
.
b A ssset ssof ssrules.
.
c Articles ssin ssjournals.
.
d Advice ssfrom sssupervisors.
.
ANS: ssB
Novice ssnurses ssoperate ssfrom ssa ssset ssof ssdefined, ssstructured ssrules. ssThe ssexpert sspractitioner ssuses
ssintuitive sslinks.
DIF: ssCognitive ssLevel: ssUnderstanding ss(Comprehension) ssREF: ssp.
ss3 ssMSC: ssClient ssNeeds: ssGeneral
6. Expert ssnurses sslearn ssto ssattend ssto ssa sspattern ssof ssassessment ssdata ssand ssact sswithout
ssconsciously sslabeling ssit. ssThese ssresponses ssare ssreferred ssto ssas:
a Intuition.
.
b The ssnursing ssprocess.
.
THENURSINGMASTERY
)
ss
Bates’ Guide To Physical Examination and History Taking 13th
ss ss ss ss ss ss ss ss
Edition Bickley Test Bank
ss ss ss ss
CHAPTER ss1 ssFoundations ssfor ssClinical ssProficiency
ssMULTIPLE ssCHOICE
1. After sscompleting ssan ssinitial ssassessment ssof ssa sspatient, ssthe ssnurse sshas sscharted ssthat
sshis ssrespirations ssare sseupneic ssand sshis sspulse ssis ss58 ssbeats ssper ssminute. ssThese sstypes ssof ssdata
sswould ssbe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: ssA
Objective ssdata ssare sswhat ssthe sshealth ssprofessional ssobserves ssby ssinspecting, sspercussing, sspalpating,
ssand ssauscultating ssduring ssthe ssphysical ssexamination. ssSubjective ssdata ssis sswhat ssthe ssperson sssays
ssabout sshim ssor ssherself ssduring sshistory sstaking. ssThe ssterms ssreflective ssand ssintrospective ssare ssnot
ssused ssto ssdescribe ssdata.
DIF: ssCognitive ssLevel: ssUnderstanding ss(Comprehension) ssREF: ssp. ss2
MSC: ssClient ssNeeds: ssSafe ssand ssEffective ssCare ssEnvironment: ssManagement ssof ssCare
2. A sspatient sstells ssthe ssnurse ssthat sshe ssis ssvery ssnervous, ssis ssnauseated, ssand ssfeels sshot. ssThese
sstypes ssof ssdata sswould ssbe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
THENURSINGMASTERY
)
, lOMoAR
ss
ANS: ssC
Subjective ssdata ssare sswhat ssthe ssperson sssays ssabout sshim ssor ssherself ssduring sshistory sstaking. ssObjective
s s data ssare sswhat ssthe sshealth ssprofessional ssobserves ssby ssinspecting, sspercussing, sspalpating, ssand
ssauscultating ssduring ssthe ssphysical ssexamination. ssThe ssterms ssreflective ssand ssintrospective ssare ssnot
ssused ssto ssdescribe ssdata.
DIF: ssCognitive ssLevel: ssUnderstanding ss(Comprehension) ssREF: ssp. ss2
MSC: ssClient ssNeeds: ssSafe ssand ssEffective ssCare ssEnvironment: ssManagement ssof ssCare
3. The sspatients ssrecord, sslaboratory ssstudies, ssobjective ssdata, ssand sssubjective ssdata
sscombine ssto ssform ssthe:
a Data ssbase.
.
b Admitting ssdata.
.
c Financial ssstatement.
.
d Discharge sssummary.
.
ANS: ssA
Together sswith ssthe sspatients ssrecord ssand sslaboratory ssstudies, ssthe ssobjective ssand sssubjective ssdata
ssform ssthe ssdata ssbase. ssThe ssother ssitems ssare ssnot sspart ssof ssthe sspatients ssrecord, sslaboratory
ssstudies, ssor ssdata.
DIF: ssCognitive ssLevel: ssRemembering ss(Knowledge) ssREF: ssp. ss2
MSC: ssClient ssNeeds: ssSafe ssand ssEffective ssCare ssEnvironment: ssManagement ssof ssCare
4. When sslistening ssto ssa sspatients ssbreath sssounds, ssthe ssnurse ssis ssunsure ssof ssa sssound ssthat ssis
ssheard. ssThe ssnurses ssnext ssaction ssshould ssbe ssto:
a Immediately ssnotify ssthe sspatients ssphysician.
.
b Document ssthe sssound ssexactly ssas ssit sswas ssheard.
.
c Validate ssthe ssdata ssby ssasking ssa sscoworker ssto sslisten ssto ssthe ssbreath sssounds.
.
, lOMoAR
ss
d Assess ssagain ssin ss20 ssminutes ssto ssnote sswhether ssthe sssound ssis ssstill
. sspresent.
ANS: ssC
When ssunsure ssof ssa sssound ssheard sswhile sslistening ssto ssa sspatients ssbreath sssounds, ssthe ssnurse
ssvalidates ssthe ssdata ssto ssensure ssaccuracy. ssIf ssthe ssnurse sshas ssless ssexperience ssin ssan ssarea, ssthen sshe ssor
ssshe ssasks ssan ssexpert s s to sslisten.
DIF: ssCognitive ssLevel: ssAnalyzing ss(Analysis) ssREF: ssp. ss2
MSC: ssClient ssNeeds: ssSafe ssand ssEffective ssCare ssEnvironment: ssManagement ssof ssCare
5. The ssnurse ssis ssconducting ssa ssclass ssfor ssnew ssgraduate ssnurses. ssDuring ssthe ssteaching
sssession, ssthe ssnurse ssshould sskeep ssin ssmind ssthat ssnovice ssnurses, sswithout ssa ssbackground ssof
ssskills ssand ssexperience ssfrom sswhich ssto ssdraw, ssare ssmore sslikely ssto ssmake sstheir ssdecisions
ssusing:
a Intuition.
.
b A ssset ssof ssrules.
.
c Articles ssin ssjournals.
.
d Advice ssfrom sssupervisors.
.
ANS: ssB
Novice ssnurses ssoperate ssfrom ssa ssset ssof ssdefined, ssstructured ssrules. ssThe ssexpert sspractitioner ssuses
ssintuitive sslinks.
DIF: ssCognitive ssLevel: ssUnderstanding ss(Comprehension) ssREF: ssp.
ss3 ssMSC: ssClient ssNeeds: ssGeneral
6. Expert ssnurses sslearn ssto ssattend ssto ssa sspattern ssof ssassessment ssdata ssand ssact sswithout
ssconsciously sslabeling ssit. ssThese ssresponses ssare ssreferred ssto ssas:
a Intuition.
.
b The ssnursing ssprocess.
.
THENURSINGMASTERY
)
