BATES Guide TO Physical Exam History
Taking Assessment Script Detailed Questions
and Answers Verified Solutions Latest Update
2026/2027
Question:
When considering priority setting of problems, the nurse keeps in mind that second-level priority
problems include which of these aspects?
a Low self-esteem
b Lack of knowledge
c Abnormal laboratory values
d Severely abnormal vital signs.
Answer:
C
Second-level priority problems are those that require prompt intervention to forestall further
deterioration (e.g., mental status change, acute pain, abnormal laboratory values, risks to safety or
security)
Question:
Which critical thinking skill helps the nurse see relationships among the data?
a Validation
b Clustering related cues
c Identifying gaps in data
d Distinguishing relevant from irrelevant.
Answer:
B
Clustering related cues helps the nurse see relationships among the data.
Question:
The nurse knows that developing appropriate nursing interventions for a patient relies on the
appropriateness of the diagnosis.
a Nursing
,b Medical
c Admission
d Collaborative.
Answer:
A
An accurate nursing diagnosis provides the basis for the selection of nursing interventions to
achieve outcomes for which the nurse is accountable. The other items do not contribute to the
development of appropriate nursing interventions.
Question:
The nursing process is a sequential method of problem solving that nurses use and includes which
steps?
a Assessment, treatment, planning, evaluation,
discharge, and follow-up
b Admission, assessment, diagnosis, treatment,
and discharge planning
c Admission, diagnosis, treatment, evaluation,
and discharge planning
d Assessment, diagnosis, outcome
identification, planning, implementation, and
evaluation.
Answer:
D
The nursing process is a method of problem solving that includes assessment, diagnosis, outcome
identification, planning, implementation, and evaluation.
Question:
A newly admitted patient is in acute pain, has not been sleeping well lately, and is having difficulty
breathing. How should the nurse prioritize these problems?
a Breathing, pain, and sleep
b Breathing, sleep, and pain
c Sleep, breathing, and pain
d Sleep, pain, and breathing.
Answer:
, A
First-level priority problems are immediate priorities, remembering the ABCs (airway, breathing,
and circulation), followed by second- level problems, and then third-level problems.
Question:
Which of these would be formulated by a nurse using diagnostic reasoning?
a Nursing diagnosis
b Medical diagnosis
c Diagnostic hypothesis
d Diagnostic assessment.
Answer:
C
Diagnostic reasoning calls for the nurse to formulate a diagnostic hypothesis; the nursing process
calls for a nursing diagnosis.
Question:
Barriers to incorporating EBP include:
a Nurses lack of research skills in evaluating
the quality of research studies.
b Lack of significant research studies.
c Insufficient clinical skills of nurses.
d Inadequate physical assessment skills..
Answer:
A
As individuals, nurses lack research skills in evaluating the quality of research studies, are isolated
from other colleagues who are knowledgeable in research, and
often lack the time to visit the library to read research. The other responses are not considered
barriers.
Question:
What step of the nursing process includes data collection by health history, physical examination,
and interview?
a Planning
b Diagnosis
c Evaluation
Taking Assessment Script Detailed Questions
and Answers Verified Solutions Latest Update
2026/2027
Question:
When considering priority setting of problems, the nurse keeps in mind that second-level priority
problems include which of these aspects?
a Low self-esteem
b Lack of knowledge
c Abnormal laboratory values
d Severely abnormal vital signs.
Answer:
C
Second-level priority problems are those that require prompt intervention to forestall further
deterioration (e.g., mental status change, acute pain, abnormal laboratory values, risks to safety or
security)
Question:
Which critical thinking skill helps the nurse see relationships among the data?
a Validation
b Clustering related cues
c Identifying gaps in data
d Distinguishing relevant from irrelevant.
Answer:
B
Clustering related cues helps the nurse see relationships among the data.
Question:
The nurse knows that developing appropriate nursing interventions for a patient relies on the
appropriateness of the diagnosis.
a Nursing
,b Medical
c Admission
d Collaborative.
Answer:
A
An accurate nursing diagnosis provides the basis for the selection of nursing interventions to
achieve outcomes for which the nurse is accountable. The other items do not contribute to the
development of appropriate nursing interventions.
Question:
The nursing process is a sequential method of problem solving that nurses use and includes which
steps?
a Assessment, treatment, planning, evaluation,
discharge, and follow-up
b Admission, assessment, diagnosis, treatment,
and discharge planning
c Admission, diagnosis, treatment, evaluation,
and discharge planning
d Assessment, diagnosis, outcome
identification, planning, implementation, and
evaluation.
Answer:
D
The nursing process is a method of problem solving that includes assessment, diagnosis, outcome
identification, planning, implementation, and evaluation.
Question:
A newly admitted patient is in acute pain, has not been sleeping well lately, and is having difficulty
breathing. How should the nurse prioritize these problems?
a Breathing, pain, and sleep
b Breathing, sleep, and pain
c Sleep, breathing, and pain
d Sleep, pain, and breathing.
Answer:
, A
First-level priority problems are immediate priorities, remembering the ABCs (airway, breathing,
and circulation), followed by second- level problems, and then third-level problems.
Question:
Which of these would be formulated by a nurse using diagnostic reasoning?
a Nursing diagnosis
b Medical diagnosis
c Diagnostic hypothesis
d Diagnostic assessment.
Answer:
C
Diagnostic reasoning calls for the nurse to formulate a diagnostic hypothesis; the nursing process
calls for a nursing diagnosis.
Question:
Barriers to incorporating EBP include:
a Nurses lack of research skills in evaluating
the quality of research studies.
b Lack of significant research studies.
c Insufficient clinical skills of nurses.
d Inadequate physical assessment skills..
Answer:
A
As individuals, nurses lack research skills in evaluating the quality of research studies, are isolated
from other colleagues who are knowledgeable in research, and
often lack the time to visit the library to read research. The other responses are not considered
barriers.
Question:
What step of the nursing process includes data collection by health history, physical examination,
and interview?
a Planning
b Diagnosis
c Evaluation
