Page 1 of 151
Bates guide to physical examination and
history taking 13th edition bickley test
bank pdf
[1] After completing an initial assessment, a nurse charts that
the patient's respirations are eupneic and pulse is 58 beats per
minute. These data are classified as:
A) Subjective
B) Reflective
C) Objective
D) Introspective
Answer: C) Objective
Rationale: Objective data are observations made by the
healthcare professional through inspection, palpation, percussion,
and auscultation. Subjective data are symptoms reported by the
,Page 2 of 151
patient. Terms like "reflective" and "introspective" are not
standard classifications for clinical data.
[2] A patient tells the nurse, "I feel very nervous, nauseated, and
hot." This information is considered:
A) Objective data
B) Reflective data
C) Introspective data
D) Subjective data
be directly observed or measured by the clinician. Answer: D)
Subjective data
Rationale: Subjective data consist of what the patient personally
reports about their feelings, sensations, or history. These
symptoms ("feels nervous") cannot
[3] The patient’s medical record, laboratory results, objective
data, and subjective information together form the:
A) Financial statement
,Page 3 of 151
B) Discharge summary
C) Data base
D) Admitting data
Answer: C) Data base
Rationale: The database is the compilation of all patient
information: the health history (subjective), physical exam findings
(objective), and diagnostic studies. This foundation is used to
identify patient problems and develop a care plan.
[4] A nurse is unsure about a sound heard while auscultating a
patient's breath sounds. The best next action is to:
A) Immediately notify the physician
B) Document the sound exactly as heard
C) Validate the data by asking a coworker to listen
D) Reassess again in 20 minutes
Answer: C) Validate the data by asking a coworker to listen
Rationale: If a finding is ambiguous or the clinician is uncertain,
, Page 4 of 151
validation with a more experienced colleague ensures accuracy
and safety. This is a key aspect of data validation before
documentation or intervention.
[5] Novice nurses, lacking a background of skills and experience,
are more likely to make clinical decisions using:
A) Intuition
B) A set of defined rules
C) Advice from supervisors only
D) Articles in journals
Answer: B) A set of defined rules
Rationale: Novices operate by applying learned rules and
guidelines in a stepwise, context-free manner. Intuitive decision-
making and pattern recognition develop with proficiency and
experience.
[6] Expert nurses learn to recognize patterns of assessment data
and act without consciously labeling each element. This ability is
Bates guide to physical examination and
history taking 13th edition bickley test
bank pdf
[1] After completing an initial assessment, a nurse charts that
the patient's respirations are eupneic and pulse is 58 beats per
minute. These data are classified as:
A) Subjective
B) Reflective
C) Objective
D) Introspective
Answer: C) Objective
Rationale: Objective data are observations made by the
healthcare professional through inspection, palpation, percussion,
and auscultation. Subjective data are symptoms reported by the
,Page 2 of 151
patient. Terms like "reflective" and "introspective" are not
standard classifications for clinical data.
[2] A patient tells the nurse, "I feel very nervous, nauseated, and
hot." This information is considered:
A) Objective data
B) Reflective data
C) Introspective data
D) Subjective data
be directly observed or measured by the clinician. Answer: D)
Subjective data
Rationale: Subjective data consist of what the patient personally
reports about their feelings, sensations, or history. These
symptoms ("feels nervous") cannot
[3] The patient’s medical record, laboratory results, objective
data, and subjective information together form the:
A) Financial statement
,Page 3 of 151
B) Discharge summary
C) Data base
D) Admitting data
Answer: C) Data base
Rationale: The database is the compilation of all patient
information: the health history (subjective), physical exam findings
(objective), and diagnostic studies. This foundation is used to
identify patient problems and develop a care plan.
[4] A nurse is unsure about a sound heard while auscultating a
patient's breath sounds. The best next action is to:
A) Immediately notify the physician
B) Document the sound exactly as heard
C) Validate the data by asking a coworker to listen
D) Reassess again in 20 minutes
Answer: C) Validate the data by asking a coworker to listen
Rationale: If a finding is ambiguous or the clinician is uncertain,
, Page 4 of 151
validation with a more experienced colleague ensures accuracy
and safety. This is a key aspect of data validation before
documentation or intervention.
[5] Novice nurses, lacking a background of skills and experience,
are more likely to make clinical decisions using:
A) Intuition
B) A set of defined rules
C) Advice from supervisors only
D) Articles in journals
Answer: B) A set of defined rules
Rationale: Novices operate by applying learned rules and
guidelines in a stepwise, context-free manner. Intuitive decision-
making and pattern recognition develop with proficiency and
experience.
[6] Expert nurses learn to recognize patterns of assessment data
and act without consciously labeling each element. This ability is
