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, TABLE OF CONTENTS
Test Bank: Bates' Guide to Physical Examination and History
Taking, 13th Edition
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Authors: Lynn S. Bickley, Peter G. Szilagyi, Richard M. Hoffman
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Chapter 1. Approach to the Clinical Encounter
Chapter 2. Interviewing, Communication, and Interpersonal Skills
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Chapter 3. Health History
Chapter 4. Physical Examination
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Chapter 5. Clinical Reasoning, Assessment, and Plan
Chapter 6. Health Maintenance and Screening
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Chapter 7. Evaluating Clinical Evidence
Chapter 8. General Survey, Vital Signs, and Pain
Chapter 9. Cognition, Behavior, and Mental Status
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Chapter 10. Skin, Hair, and Nails
Chapter 11. Head and Neck
Chapter 12. Eyes
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Chapter 13. Ears and Nose
Chapter 14. Throat and Oral Cavity
Chapter 15. Thorax and Lungs
Chapter 16. Cardiovascular System
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Chapter 17. Peripheral Vascular System
Chapter 18. Breasts and Axillae
Chapter 19. Abdomen
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Chapter 20. Male Genitalia
Chapter 21. Female Genitalia
Chapter 22. Anus, Rectum, and Prostate
Chapter 23. Musculoskeletal System
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Chapter 24. Nervous System
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Chapter 25. Children: Infancy through Adolescence
Chapter 26. Pregnant Woman
Chapter 27. Older Adult
, CHAPTER 1 Foundations for Clinical Proficiency
MULTIPLE CHOICE
1. 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:
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a Objective.
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b Reflective.
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c Subjective.
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d Introspective.
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ANS: A
Objective data are what the health professional observes by inspecting, percussing, palpating,
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and auscultating during the physical examination. Subjective data is what the person says about
him or 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
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of
data would be:
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a Objective.
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b Reflective.
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c Subjective.
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d Introspective.
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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
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auscultating during the physical examination. The terms reflective and introspective are not used
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, to describe data.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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3. The patients record, laboratory studies, objective data, and subjective data combine to form
the:
a Data base.
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b Admitting data.
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c Financial statement.
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d Discharge summary.
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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.
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DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. 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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a Immediately notify the patients physician.
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b Document the sound exactly as it was heard.
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c Validate the data by asking a coworker to listen to the breath sounds.
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d Assess again in 20 minutes to note whether the sound is still present.
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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
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to listen.
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DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care