Test Bank for Bates' Guide to Physical Examination and History Taking (13th Edition) by Lynn S. Bickley | All Chapters Covered | Latest Update 2025–2026

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CHAPTER 1FoundationsforClinicalProficiency
MULTIPLE CHOICE
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1. Aftercompletinganinitial assessmentofa patient,the nursehaschartedthat his respirations are aq aq aq aq aq aq aq




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 aq




Objective data are what the health professional observes by inspecting, percussing, palpating, and
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auscultatingduring the physical examination. Subjective data is what the person says about him or
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herself during history taking. The terms reflective and introspective are not used to describe data.
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DIF: Cognitive Level: Understanding(Comprehension) REF: p. 2
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MSC:Client Needs: Safe andEffective Care Environment: ManagementofCare
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2. Apatienttellsthenursethatheisverynervous,isnauseated,and feelshot.These typesof
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data would be:
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a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.

ANS:C aq




Subjective data are what the person says about him or herself during history taking. Objective
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dataare whatthehealthprofessionalobservesbyinspecting,percussing, palpating, and
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auscultatingduringthephysicalexamination.Theterms reflective andintrospective arenotused aq aq aq aq aq aq aq aq aq aq




todescribedata.
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DIF: Cognitive Level: Understanding(Comprehension) REF: p. 2
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MSC:Client Needs: Safe andEffective Care Environment: ManagementofCare
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3. Thepatientsrecord,laboratorystudies,objectivedata,andsubjectivedatacombineto
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form the:
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a Database. aq




.
b Admittingdata.
.
c Financial statement. aq




.
d Discharge summary. aq




.

ANS:A aq




Togetherwiththe patientsrecordandlaboratorystudies,the objectiveand subjectivedata form the data
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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 andEffective Care Environment: ManagementofCare
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4. Whenlisteningtoapatientsbreathsounds,thenurseisunsureofasoundthatisheard. The
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nurses next action should be to:
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a Immediatelynotifythe patientsphysician. aq aq aq




.
b Documentthe soundexactlyasit was heard. aq aq aq aq aq aq




.
c Validatethedata byaskinga coworkertolisten tothe breath sounds. aq aq aq aq aq aq aq aq aq aq




.
d Assessagainin20minutestonote whetherthesoundisstillpresent. aq aq aq aq aq aq aq aq aq aq aq




.

ANS:C aq




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 expert to
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listen.
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DIF:CognitiveLevel:Analyzing(Analysis)REF:p.2
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, MSC:Client Needs: Safe andEffective Care Environment: ManagementofCare
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