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Bates’ Nursing Guide to Physical Examination and History Taking 3rd North American Edition Study Notes with Assessment Skills Exam Preparation Guide

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These comprehensive study notes for Bates’ Nursing Guide to Physical Examination and History Taking 3rd North American Edition are designed to help nursing students master patient assessment skills and succeed in exams. The material covers key topics such as health history taking, physical examination techniques, head-to-toe assessment, system-based examination (cardiovascular, respiratory, neurological, gastrointestinal), and documentation of clinical findings. Each concept is clearly structured to enhance understanding, improve clinical reasoning, and support practical application in healthcare settings. Ideal for nursing students and healthcare professionals, this resource supports effective revision, builds confidence, and helps achieve strong academic and clinical performance in physical assessment courses.

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Chapter 1
MULTIPLE CHOICE


1. For which of the following patients would a comprehensive health history be appropriate?
A) A new patient with the chief complaint of ―I sprained my ankle‖
B) An established patient with the chief complaint of ―I have an upper respiratory infection‖
C) A new patient with the chief complaint of ―I am here to establish care‖
D) A new patient with the chief complaint of ―I cut my hand‖

Ans: C
Chapter: 01
Page and Header: 4, Patient Assessment: Comprehensive or Focused
Feedback: This patient is here to establish care, and because she is new to you, a
comprehensive health history is appropriate.




2. The components of the health history include all of the following except which one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items

Ans: B
Chapter: 01

Feedback: The thorax and lungs are part of the physical examination, not part of the health
history. The others answers are all part of a complete health history.


3. Is the following information subjective or objective?
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity
and relieved by rest.
A) Subjective
B) Objective

Ans: A
Chapter: 01

4. Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of
120.
A) Subjective
B) Objective

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Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank



Ans:
Ans: BA
Chapter: 01
Chapter: 01
Feedback: This is
Feedback: This is ainformation
measurement obtained
about by thehospitalization
a significant examiner, so itand
is considered objective
should be placed data.
in the
The patient is unlikely to be able to give this information to the examiner.
adult illnesses section. If the patient is being seen for an asthma exacerbation, you may consider


5. The following information is recorded in the health history: ―The patient has had
abdominal pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes. The
severity is 7 to 9 on a scale of 1 to 10. It is accompanied by nausea and vomiting. It is located in
the mid- epigastric area.‖
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems

Ans: B
Chapter: 01

Feedback: This information describes the problem of abdominal pain, which is the present
illness. The interviewer has obtained the location, timing, severity, and associated
manifestations of the pain. The interviewer will still need to obtain information concerning the
quality of the pain, the setting in which it occurred, and the factors that aggravate and alleviate
the pain. You will notice that it does include portions of the pertinent review of systems, but
because it relates directly to the complaint, it is included in the history of present illness.


6. The following information is recorded in the health history: ―The patient completed 8th
grade. He currently lives with his wife and two children. He works on old cars on the weekend.
He works in a glass factory during the week.‖

Ans: C
Chapter: 01

Feedback: Personal and social history information includes educational level, family of origin,
current household status, personal interests, employment, religious beliefs, military history,
and lifestyle (including diet and exercise habits; use of alcohol, tobacco, and/or drugs; and
sexual preferences and history). All of this information is documented in this example.




7. The following information is recorded in the health history: ―I feel really tired.‖
Which category does it belong to?
A) Chief complaint
B) Present illness
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