Examination and History Taking, 14th Edition
by Lynn S. Bickley & Rainier P. Soriano
ISBN: 978-1975218348
Instructions
This test bank contains exam-style questions aligned with the 14th edition of Bates' Guide to
Physical Examination and History Taking, which is the trusted resource for mastering patient
assessment -6. This edition features new content on clinical reasoning, point-of-care ultrasound
(POCUS) techniques, inclusive language, and health disparities framed within the context of Social
Determinants of Health -6-3. Each question includes the correct answer and a detailed rationale.
Unit 1: Foundations of Health Assessment
Chapter 1: Introduction to Health Assessment
Question 1
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
Answer: B) To build trust and gather accurate health information
Rationale: The primary goal of the clinical encounter is to build trust and gather accurate health
information about the patient -2-12. Establishing a therapeutic relationship is essential for obtaining
reliable data and ensuring patient cooperation. The clinical encounter is patient-centered, not task-
focused or rushed.
Question 2
A nurse documents that a patient's respirations are eupneic and pulse is 58 beats per minute. These
findings are classified as:
A) Subjective data
B) Objective data
C) Reflective data
D) Introspective data
Answer: B) Objective data
Rationale: Objective data are what the health professional observes by inspecting, percussing,
palpating, and auscultating during the physical examination -2-12. Eupneic respirations and a pulse rate
are measurable findings observed by the examiner. Subjective data are what the person says about
themselves during history taking -2.
, Question 3
A patient tells the nurse, "I am very nervous, nauseated, and feel hot." This information is classified as:
A) Objective data
B) Reflective data
C) Subjective data
D) Introspective data
Answer: C) Subjective data
Rationale: Subjective data are the patient's own words describing their symptoms, feelings, and
experiences -1-2. These cannot be observed or measured by the examiner. Objective data would be the
physical findings the examiner observes (e.g., elevated temperature measured with a thermometer,
tachycardia on pulse assessment).
Question 4
Which of the following is an example of objective data?
A) A patient reports chest pain rated 7/10
B) A patient states they feel dizzy when standing
C) Blood pressure reading of 142/88 mmHg
D) A patient describes feeling anxious about their surgery
Answer: C) Blood pressure reading of 142/88 mmHg
, Rationale: Objective data are physical examination findings, laboratory results, and diagnostic
test results that can be observed or measured by the examiner -1-2. Blood pressure measurement is a
quantifiable finding. The other options represent subjective data—the patient's personal reports of
symptoms and feelings.
Question 5
What is the correct sequence of the physical examination techniques?
A) Palpation, Inspection, Auscultation, Percussion
B) Inspection, Palpation, Percussion, Auscultation
C) Auscultation, Inspection, Palpation, Percussion
D) Percussion, Auscultation, Inspection, Palpation
Answer: B) Inspection, Palpation, Percussion, Auscultation
Rationale: Inspection is always the first step of the physical examination and should be
performed before any other technique -1. It involves using the senses of sight and smell to observe the
patient systematically. Palpation, percussion, and auscultation follow in sequence. Note: For abdominal
assessment, auscultation is performed before palpation and percussion to avoid altering bowel sounds.
Question 6
Palpation primarily uses which sense?
A) Vision
B) Touch