Physical Examination and History Taking,
Fourteenth Edition by Rainier P. Soriano –
Featuring Two Hundred Practice Questions with
Verified Correct Answers and Detailed Clinical
Rationales for Effective Exam Preparation, Study
Review, and Clinical Success
Chapter 1: Approach to the Clinical Encounter
1. Which component is considered the most
important first step in patient assessment?
A) Physical examination
B) Diagnostic testing
C) Health history taking
D) Laboratory investigation
☑VERIFIED ANSWER: C
Rationale: The health history provides the
foundation for identifying patient concerns and
guides the direction and focus of the physical
,examination. It is the starting point for building a
therapeutic relationship.
2. What is the best definition of the inspection
technique?
A) Listening to body sounds using a stethoscope
B) Using the hands to feel the texture and size of
structures
C) Careful observation of the patient using the
senses of sight and smell
D) Tapping the body to assess underlying structures
☑VERIFIED ANSWER: C
Rationale: Inspection is the process of deliberate,
purposeful observation of the patient in a
systematic manner, utilizing sight and smell. It is the
first of the four cardinal examination techniques.
3. The nurse is unsure of a sound heard while
auscultating a patient's breath sounds. What is the
best action?
A) Immediately notify the patient's physician
B) Document the sound exactly as it was heard
,C) Validate the data by asking a colleague to listen
D) Document the sound as normal
☑VERIFIED ANSWER: C
Rationale: When uncertain about an assessment
finding, the best practice is to validate the data with
another experienced clinician to ensure accuracy
and prevent misinterpretation.
4. What is the primary goal of the clinical
encounter?
A) To prescribe treatment immediately
B) To build trust and gather accurate health
information
C) To complete the exam in under 10 minutes
D) To document as much as possible
☑VERIFIED ANSWER: B
Rationale: The primary goal is to establish a
therapeutic relationship and gather accurate health
information to guide clinical decision-making.
5. Which of the following is an example of
objective data?
, A) Patient reports headache pain rated 7/10
B) Patient states they feel anxious
C) Respiratory rate of 16 breaths per minute
D) Patient describes burning sensation in the chest
☑VERIFIED ANSWER: C
Rationale: Objective data are observable and
measurable facts obtained through physical
examination, such as vital signs. Subjective data are
what the patient reports.
6. A patient tells the nurse, "I feel like I'm having a
heart attack." This is an example of:
A) Objective data
B) Subjective data
C) Sign
D) Assessment finding
☑VERIFIED ANSWER: B
Rationale: Subjective data are the patient's verbal
descriptions of their health concerns, feelings, and
perceptions. They cannot be directly measured by
the examiner.