TEST BANK
Bates' Nursing Guide to Physical Examination and History
Taking
Beth Hogan-Quigley, Mary Louise Palm, and Lynn S. Bickley
9th Edition
,Table of Contents
Chapter 1. Introduction to Health Assessment 1
Chapter 2. Critical Thinking in Health Assessment 5
Chapter 3. Interviewing and Communication 9
Chapter 4. The Health History 14
Chapter 5. Cultural and Spiritual Assessment 19
Chapter 6. Physical Examination Getting Started 24
Chapter 7. Beginning the Physical Examination General Survey, Vital Signs, and Pain 28
Chapter 8. Nutrition and Hydration 33
Chapter 9. The Integumentary System 37
Chapter 10. The Head and Neck 41
Chapter 11.The Eyes 45
Chapter 12. Ears, Nose, Mouth, and Throat 49
Chapter 13. The Respiratory System 54
Chapter 14. The Cardiovascular System 58
Chapter 15. The Peripheral Vascular System and Lymphatic System 62
Chapter 16. The Gastrointestinal and Renal Systems 66
Chapter 17. The Breasts and Axillae 70
Chapter 18. The Musculoskeletal System 74
Chapter 19. Mental Status 78
Chapter 20. The Nervous System 82
Chapter 21. Reproductive Systems 86
Chapter 22. Putting It All Together 90
Chapter 23. Assessing Children Infancy Through Adolescence 94
Chapter 24. Assessing Older Adults 98
, ______________________________________________________________________________________________
Test Bank - Bates Nursing Guide to Physical Examination and History Taking, 2nd Edition (Hogan-Quigley, 2017)
Chapter 1. Introduction to Health Assessment
MULTIPLE CHOICE
1. Before beginning a health assessment with a patient, the nurse reviews Healthy People 2020
because:
a. It helps determine the patient's plan of care.
b. It serves as a guide for the health assessment.
c. It identifies risk factors, health issues, and diseases.
d. It lists specific interventions to address most patient health problems.
ANS: C PTS: 1
2. The nurse is following a structured head-to-toe approach to identify changes in a patient's
body systems. Which component of the health assessment is the nurse completing with the
patient?
a. Health history
b. Physical examination
c. Goal setting
W W W . T B S M . W S
d. Planning care
ANS: B PTS: 1
3. What will be the nurse's initial role when conducting a health assessment with a client
reporting abdominal pain?
a. Teaching the client to drawWWW.TBSM.WS
knees to chest to help minimize the pain
b. Planning care to help minimize the client's pain
c. Collecting data regarding the nature of the pain
d. Identifying pain management interventions with input from the client
ANS: C PTS: 1
4. As the nurse assesses vital signs, he notices the client is shaking. The nurse notes a change
in the client's tone and in a loud voice the hospitalized client insists, "You're not my wife.
How did you get into my house?". Based upon the client's behavior, which assessment will
the nurse now focus upon?
a. Mental
b. Physical
c. Spiritual
d. Interpersonal
ANS: A PTS: 1
5. When doing an overall assessment of a patient, the nurse is able to utilize findings and do
what?
a. Identify what level of prevention the patient is at
b. Identify in what areas the patient can educate his or her family
c. Identify in what areas the patient needs the most care
d. Identify the patient's medical diagnosis
______________________________________________________________________________________________
1|Page
, ______________________________________________________________________________________________
Test Bank - Bates Nursing Guide to Physical Examination and History Taking, 2nd Edition (Hogan-Quigley, 2017)
ANS: C PTS: 1
6. During a health assessment, the client identifies having a 1 pack per day smoking habit.
What should the nurse initially focus upon when approaching the client about the benefits of
smoking cessation?
a. Determining whether the client wants to stop smoking
b. Educating the client on the detrimental effects smoking has on the entire body.
c. Identifying smoking as a modifiable risk factor for the client.
d. Sharing with the client that there are various smoking cessation methods available.
ANS: A PTS: 1
7. Which statement by the new nurse demonstrates an understanding of the nurse's
responsibility to conduct an effective health assessment of the client?
a. "A health assessment requires both a patient history as well as a physical
examination."
b. "I always allow sufficient time to conduct the history portion of the assessment
effectively."
c. "I am always trying to improve my assessment skills."
d. "The health assessment is the foundation of quality patient care."
W W W . T B S M . W S
ANS: C PTS: 1
8. During a health assessment, a client shares, "I get a little dizzy when I get up from my chair
too quickly. "Which question will the nurse ask the client first when attempting to identify
client needs and potential health risks?
a. "What do you mean by 'a little dizzy'?"
WWW.TBSM.WS
b. "Do you often feel dizzy?"
c. "Have you ever been dizzy enough to fall?"
d. Can you remember when you first started to feel dizzy?"
ANS: A PTS: 1
9. A client is being admitted to the medical unit after being seen in the emergency department.
Which statement by the nurse indicates an understanding of the importance of the
appropriate timing of a health assessment?
a. "The client has been ordered a nutritional consult; I do the health assessment right
after that is finished."
b. "I'll do the health assessment when the client's family leaves so that distractions
will be minimal."
c. "I'm going to assess the client now so that I can begin formulating the care plan."
d. "The health assessment will be more thorough if I wait until the client is pain free."
ANS: C PTS: 1
10. A client admitted with reports of nausea and vomiting has not reported any vomiting in the
last 6 hours. What initial response should the nurse have regarding this assessment
information and its effect on the client's nursing plan of care?
a. Request that the health care team revise the plan of care.
b. Notify the primary health care provider of the change in the client's health status.
c. Recognize the need to reevaluate the client's plan of care.
______________________________________________________________________________________________
2|Page
, ______________________________________________________________________________________________
Test Bank - Bates Nursing Guide to Physical Examination and History Taking, 2nd Edition (Hogan-Quigley, 2017)
d. Monitor the client frequently for other changes in health status.
ANS: C PTS: 1
11. Consider the nurse's role in the health assessment of a client. What action will the nurse
perform initially when admitting a client to a long-term care facility?
a. collecting information regarding the client's health status
b. stabilizing the client's physical condition
c. developing an effective, respectful nurse–client relationship
d. creating an environment that encourages client autonomy
ANS: A PTS: 1
12. The nurse has completed a health assessment on an older adult client being seen at a
neighborhood clinic. What client-specific information should the nurse identify as being a
priority?
a. lives alone
b. significantly impaired hearing
c. widowed 2 years ago
d. greatly concerned about cost of services
W W W . T B S M . W S
ANS: B PTS: 1
13. Data being collected during a health assessment causes the nurse to believe there may be
additional issues that are possibly affecting the client's health and wellness. What action
should the nurse take to best address the suggestion of additional health concerns?
a. Concentrate first on planning care for the problem identified initially by the client.
WWW.TBSM.WS
b. Extend the time originally allotted for the completion of the initial health
assessment.
c. Plan to reassess the client with the focus on the possible additional health issues.
d. Interview the family about the existence of additional health-related issues when
they visit.
ANS: B PTS: 1
14. When the client begins to cry, the nurse recognizes the need to focus the assessment on the
client's emotional health. What factor will have the greatest effect on the nurse's ability to
gather information concerning why the client is crying?
a. the client's ability to communicate verbally
b. the nurse's ability to ask relevant questions
c. the type and degree of physical issues the client is experiencing
d. the rapport that exists between the nurse and the client
ANS: D PTS: 1
MULTIPLE RESPONSE
15. What is the nurse's focus while conducting a health assessment with a client? (Select all that
apply.)
a. Completing the health history.
b. Interpreting findings.
______________________________________________________________________________________________
3|Page
, ______________________________________________________________________________________________
Test Bank - Bates Nursing Guide to Physical Examination and History Taking, 2nd Edition (Hogan-Quigley, 2017)
c. Formulating a plan of care
d. Implementing a plan of care.
e. Conducting a physical examination.
ANS: A, E PTS: 1
16. The nurse is performing a health assessment with a client who presented to the emergency
department after falling as a result of feeling dizzy. Which questions demonstrates that the
nurse understands the initial purpose of effectively conducting a health assessment? Select
all that apply.
a. "Are you experiencing any pain at this time?"
b. "Are you feeling dizzy now?"
c. "Do you know what may have caused you to fall?"
d. "Do you know what your blood pressure is usually?"
e. "What do you think will help you from falling again?"
ANS: A, B, D PTS: 1
17. The nurse recognizes the value of the Healthy People 2020 guidelines when creating a plan
of care that addresses which client-centered goals? Select all that apply
a. living a healthy lifestyle
W W W . T B S M . W S
b. disease prevention
c. improving one's quality of life
d. providing affordable health care services
e. increasing the longevity of one's life
ANS: A, B, C, E PTS: 1
WWW.TBSM.WS
______________________________________________________________________________________________
4|Page
, ______________________________________________________________________________________________
Test Bank - Bates Nursing Guide to Physical Examination and History Taking, 2nd Edition (Hogan-Quigley, 2017)
Chapter 2. Critical Thinking in Health Assessment
MULTIPLE CHOICE
1. In partnership with the client, the nurse identifies a priority health goal for this client is
smoking cessation. The nurse and client discuss possible interventions to assist the client in
achieving this goal. In which phase of the nursing process are the nurse and patient
participating?
a. Assessment
b. Diagnosis
c. Planning
d. Evaluation
ANS: C PTS: 1
2. A client with a diagnosis of non-insulin dependent diabetes reports she has not been able to
follow through with recommendations to walk 20-25 minutes after her dinner meal due to
leg pain. In this situation, the nurse should revise which phase of the nursing process?
a. Assessment
W W W . T B S M . W S
b. Planning
c. Implementation
d. Evaluation
ANS: D PTS: 1
3. During an assessment, the nurse asks a patient with low back pain if the pain is radiating.
WWW.TBSM.WS
The nurse is asks this question to obtain assessment information for which category of the
mnemonic OLD CART?
a. Treatments
b. Duration
c. Location
d. Onset
ANS: C PTS: 1
4. The nurse is completing an assessment of a patient who reports two episodes of fainting in
the late afternoon. Which data would the nurse categorize as subjective?
a. Blood pressure 168/94 mm Hg
b. Respiratory rate 28 and shallow
c. Increase in psycho-social stress
d. Irregular heart rhythm
ANS: C PTS: 1
5. After completing an assessment of a female with poorly controlled non-insulin dependent
diabetes, the nurse is generating the client's problem list. Which problem would have the
highest priority for the client?
a. Muscle weakness
b. Insomnia
c. Anxiety
______________________________________________________________________________________________
5|Page
, ______________________________________________________________________________________________
Test Bank - Bates Nursing Guide to Physical Examination and History Taking, 2nd Edition (Hogan-Quigley, 2017)
d. Knowledge deficit
ANS: A PTS: 1
6. For a client with the chief complaint of urinary incontinence, 10 additional health issues
have been identified and need to be included in the problem list. What is the most effective
way for the nurse to determine which is the priority problem?
a. Any problem required physician intervention
b. The chief complaint should be investigated first.
c. Respiratory problems will always take priority
d. The client determines which health issue is most serious and acute
ANS: B PTS: 1
7. The nurse is determining a priority problem that would be appropriate for a client with heart
failure. Which problem would have the highest priority for the client?
a. Weight gain of 3 pounds (1.5 kilograms) over 1-2 days
b. Ineffective health maintenance related to having last mammogram 2 years ago
c. Knowledge deficit related to lack of information regarding low-sodium diet
d. Anxiety related to ineffective coping during hospitalization
W W W . T B S M . W S
ANS: A PTS: 1
8. The nurse has completed a plan of care for a client having a total knee replacement. In order
to develop goals which are realistic for the client, what should the nurse do prior to
implementing the plan?
a. Discuss the plan of care with all of the health care providers involved.
WWW.TBSM.WS
b. Share the assessment and plan with the client's primary health care provider.
c. Ask the client for opinions and willingness to proceed with the interventions.
d. Identify the needs of the client's family in relation to the priority problem.
ANS: C PTS: 1
9. A 60-year-old female client reports a 5-day history of constipation. She describes a
sensation of “burning” in her perianal area. This information is considered which part of the
assessment data?
a. subjective data
b. objective data
c. health history
d. physical examination
ANS: A PTS: 1
10. A client reports difficulty sleeping. Which question would be the most effective way for the
nurse to open the interview?
a. "Can you tell me about your sleep problem from when it started until now?"
b. "When did the sleep problem begin?"
c. 'How would you rate your sleep on a scale from 1 to 10?"
d. "What have you tried to help with your sleep?"
ANS: A PTS: 1
______________________________________________________________________________________________
6|Page
Bates' Nursing Guide to Physical Examination and History
Taking
Beth Hogan-Quigley, Mary Louise Palm, and Lynn S. Bickley
9th Edition
,Table of Contents
Chapter 1. Introduction to Health Assessment 1
Chapter 2. Critical Thinking in Health Assessment 5
Chapter 3. Interviewing and Communication 9
Chapter 4. The Health History 14
Chapter 5. Cultural and Spiritual Assessment 19
Chapter 6. Physical Examination Getting Started 24
Chapter 7. Beginning the Physical Examination General Survey, Vital Signs, and Pain 28
Chapter 8. Nutrition and Hydration 33
Chapter 9. The Integumentary System 37
Chapter 10. The Head and Neck 41
Chapter 11.The Eyes 45
Chapter 12. Ears, Nose, Mouth, and Throat 49
Chapter 13. The Respiratory System 54
Chapter 14. The Cardiovascular System 58
Chapter 15. The Peripheral Vascular System and Lymphatic System 62
Chapter 16. The Gastrointestinal and Renal Systems 66
Chapter 17. The Breasts and Axillae 70
Chapter 18. The Musculoskeletal System 74
Chapter 19. Mental Status 78
Chapter 20. The Nervous System 82
Chapter 21. Reproductive Systems 86
Chapter 22. Putting It All Together 90
Chapter 23. Assessing Children Infancy Through Adolescence 94
Chapter 24. Assessing Older Adults 98
, ______________________________________________________________________________________________
Test Bank - Bates Nursing Guide to Physical Examination and History Taking, 2nd Edition (Hogan-Quigley, 2017)
Chapter 1. Introduction to Health Assessment
MULTIPLE CHOICE
1. Before beginning a health assessment with a patient, the nurse reviews Healthy People 2020
because:
a. It helps determine the patient's plan of care.
b. It serves as a guide for the health assessment.
c. It identifies risk factors, health issues, and diseases.
d. It lists specific interventions to address most patient health problems.
ANS: C PTS: 1
2. The nurse is following a structured head-to-toe approach to identify changes in a patient's
body systems. Which component of the health assessment is the nurse completing with the
patient?
a. Health history
b. Physical examination
c. Goal setting
W W W . T B S M . W S
d. Planning care
ANS: B PTS: 1
3. What will be the nurse's initial role when conducting a health assessment with a client
reporting abdominal pain?
a. Teaching the client to drawWWW.TBSM.WS
knees to chest to help minimize the pain
b. Planning care to help minimize the client's pain
c. Collecting data regarding the nature of the pain
d. Identifying pain management interventions with input from the client
ANS: C PTS: 1
4. As the nurse assesses vital signs, he notices the client is shaking. The nurse notes a change
in the client's tone and in a loud voice the hospitalized client insists, "You're not my wife.
How did you get into my house?". Based upon the client's behavior, which assessment will
the nurse now focus upon?
a. Mental
b. Physical
c. Spiritual
d. Interpersonal
ANS: A PTS: 1
5. When doing an overall assessment of a patient, the nurse is able to utilize findings and do
what?
a. Identify what level of prevention the patient is at
b. Identify in what areas the patient can educate his or her family
c. Identify in what areas the patient needs the most care
d. Identify the patient's medical diagnosis
______________________________________________________________________________________________
1|Page
, ______________________________________________________________________________________________
Test Bank - Bates Nursing Guide to Physical Examination and History Taking, 2nd Edition (Hogan-Quigley, 2017)
ANS: C PTS: 1
6. During a health assessment, the client identifies having a 1 pack per day smoking habit.
What should the nurse initially focus upon when approaching the client about the benefits of
smoking cessation?
a. Determining whether the client wants to stop smoking
b. Educating the client on the detrimental effects smoking has on the entire body.
c. Identifying smoking as a modifiable risk factor for the client.
d. Sharing with the client that there are various smoking cessation methods available.
ANS: A PTS: 1
7. Which statement by the new nurse demonstrates an understanding of the nurse's
responsibility to conduct an effective health assessment of the client?
a. "A health assessment requires both a patient history as well as a physical
examination."
b. "I always allow sufficient time to conduct the history portion of the assessment
effectively."
c. "I am always trying to improve my assessment skills."
d. "The health assessment is the foundation of quality patient care."
W W W . T B S M . W S
ANS: C PTS: 1
8. During a health assessment, a client shares, "I get a little dizzy when I get up from my chair
too quickly. "Which question will the nurse ask the client first when attempting to identify
client needs and potential health risks?
a. "What do you mean by 'a little dizzy'?"
WWW.TBSM.WS
b. "Do you often feel dizzy?"
c. "Have you ever been dizzy enough to fall?"
d. Can you remember when you first started to feel dizzy?"
ANS: A PTS: 1
9. A client is being admitted to the medical unit after being seen in the emergency department.
Which statement by the nurse indicates an understanding of the importance of the
appropriate timing of a health assessment?
a. "The client has been ordered a nutritional consult; I do the health assessment right
after that is finished."
b. "I'll do the health assessment when the client's family leaves so that distractions
will be minimal."
c. "I'm going to assess the client now so that I can begin formulating the care plan."
d. "The health assessment will be more thorough if I wait until the client is pain free."
ANS: C PTS: 1
10. A client admitted with reports of nausea and vomiting has not reported any vomiting in the
last 6 hours. What initial response should the nurse have regarding this assessment
information and its effect on the client's nursing plan of care?
a. Request that the health care team revise the plan of care.
b. Notify the primary health care provider of the change in the client's health status.
c. Recognize the need to reevaluate the client's plan of care.
______________________________________________________________________________________________
2|Page
, ______________________________________________________________________________________________
Test Bank - Bates Nursing Guide to Physical Examination and History Taking, 2nd Edition (Hogan-Quigley, 2017)
d. Monitor the client frequently for other changes in health status.
ANS: C PTS: 1
11. Consider the nurse's role in the health assessment of a client. What action will the nurse
perform initially when admitting a client to a long-term care facility?
a. collecting information regarding the client's health status
b. stabilizing the client's physical condition
c. developing an effective, respectful nurse–client relationship
d. creating an environment that encourages client autonomy
ANS: A PTS: 1
12. The nurse has completed a health assessment on an older adult client being seen at a
neighborhood clinic. What client-specific information should the nurse identify as being a
priority?
a. lives alone
b. significantly impaired hearing
c. widowed 2 years ago
d. greatly concerned about cost of services
W W W . T B S M . W S
ANS: B PTS: 1
13. Data being collected during a health assessment causes the nurse to believe there may be
additional issues that are possibly affecting the client's health and wellness. What action
should the nurse take to best address the suggestion of additional health concerns?
a. Concentrate first on planning care for the problem identified initially by the client.
WWW.TBSM.WS
b. Extend the time originally allotted for the completion of the initial health
assessment.
c. Plan to reassess the client with the focus on the possible additional health issues.
d. Interview the family about the existence of additional health-related issues when
they visit.
ANS: B PTS: 1
14. When the client begins to cry, the nurse recognizes the need to focus the assessment on the
client's emotional health. What factor will have the greatest effect on the nurse's ability to
gather information concerning why the client is crying?
a. the client's ability to communicate verbally
b. the nurse's ability to ask relevant questions
c. the type and degree of physical issues the client is experiencing
d. the rapport that exists between the nurse and the client
ANS: D PTS: 1
MULTIPLE RESPONSE
15. What is the nurse's focus while conducting a health assessment with a client? (Select all that
apply.)
a. Completing the health history.
b. Interpreting findings.
______________________________________________________________________________________________
3|Page
, ______________________________________________________________________________________________
Test Bank - Bates Nursing Guide to Physical Examination and History Taking, 2nd Edition (Hogan-Quigley, 2017)
c. Formulating a plan of care
d. Implementing a plan of care.
e. Conducting a physical examination.
ANS: A, E PTS: 1
16. The nurse is performing a health assessment with a client who presented to the emergency
department after falling as a result of feeling dizzy. Which questions demonstrates that the
nurse understands the initial purpose of effectively conducting a health assessment? Select
all that apply.
a. "Are you experiencing any pain at this time?"
b. "Are you feeling dizzy now?"
c. "Do you know what may have caused you to fall?"
d. "Do you know what your blood pressure is usually?"
e. "What do you think will help you from falling again?"
ANS: A, B, D PTS: 1
17. The nurse recognizes the value of the Healthy People 2020 guidelines when creating a plan
of care that addresses which client-centered goals? Select all that apply
a. living a healthy lifestyle
W W W . T B S M . W S
b. disease prevention
c. improving one's quality of life
d. providing affordable health care services
e. increasing the longevity of one's life
ANS: A, B, C, E PTS: 1
WWW.TBSM.WS
______________________________________________________________________________________________
4|Page
, ______________________________________________________________________________________________
Test Bank - Bates Nursing Guide to Physical Examination and History Taking, 2nd Edition (Hogan-Quigley, 2017)
Chapter 2. Critical Thinking in Health Assessment
MULTIPLE CHOICE
1. In partnership with the client, the nurse identifies a priority health goal for this client is
smoking cessation. The nurse and client discuss possible interventions to assist the client in
achieving this goal. In which phase of the nursing process are the nurse and patient
participating?
a. Assessment
b. Diagnosis
c. Planning
d. Evaluation
ANS: C PTS: 1
2. A client with a diagnosis of non-insulin dependent diabetes reports she has not been able to
follow through with recommendations to walk 20-25 minutes after her dinner meal due to
leg pain. In this situation, the nurse should revise which phase of the nursing process?
a. Assessment
W W W . T B S M . W S
b. Planning
c. Implementation
d. Evaluation
ANS: D PTS: 1
3. During an assessment, the nurse asks a patient with low back pain if the pain is radiating.
WWW.TBSM.WS
The nurse is asks this question to obtain assessment information for which category of the
mnemonic OLD CART?
a. Treatments
b. Duration
c. Location
d. Onset
ANS: C PTS: 1
4. The nurse is completing an assessment of a patient who reports two episodes of fainting in
the late afternoon. Which data would the nurse categorize as subjective?
a. Blood pressure 168/94 mm Hg
b. Respiratory rate 28 and shallow
c. Increase in psycho-social stress
d. Irregular heart rhythm
ANS: C PTS: 1
5. After completing an assessment of a female with poorly controlled non-insulin dependent
diabetes, the nurse is generating the client's problem list. Which problem would have the
highest priority for the client?
a. Muscle weakness
b. Insomnia
c. Anxiety
______________________________________________________________________________________________
5|Page
, ______________________________________________________________________________________________
Test Bank - Bates Nursing Guide to Physical Examination and History Taking, 2nd Edition (Hogan-Quigley, 2017)
d. Knowledge deficit
ANS: A PTS: 1
6. For a client with the chief complaint of urinary incontinence, 10 additional health issues
have been identified and need to be included in the problem list. What is the most effective
way for the nurse to determine which is the priority problem?
a. Any problem required physician intervention
b. The chief complaint should be investigated first.
c. Respiratory problems will always take priority
d. The client determines which health issue is most serious and acute
ANS: B PTS: 1
7. The nurse is determining a priority problem that would be appropriate for a client with heart
failure. Which problem would have the highest priority for the client?
a. Weight gain of 3 pounds (1.5 kilograms) over 1-2 days
b. Ineffective health maintenance related to having last mammogram 2 years ago
c. Knowledge deficit related to lack of information regarding low-sodium diet
d. Anxiety related to ineffective coping during hospitalization
W W W . T B S M . W S
ANS: A PTS: 1
8. The nurse has completed a plan of care for a client having a total knee replacement. In order
to develop goals which are realistic for the client, what should the nurse do prior to
implementing the plan?
a. Discuss the plan of care with all of the health care providers involved.
WWW.TBSM.WS
b. Share the assessment and plan with the client's primary health care provider.
c. Ask the client for opinions and willingness to proceed with the interventions.
d. Identify the needs of the client's family in relation to the priority problem.
ANS: C PTS: 1
9. A 60-year-old female client reports a 5-day history of constipation. She describes a
sensation of “burning” in her perianal area. This information is considered which part of the
assessment data?
a. subjective data
b. objective data
c. health history
d. physical examination
ANS: A PTS: 1
10. A client reports difficulty sleeping. Which question would be the most effective way for the
nurse to open the interview?
a. "Can you tell me about your sleep problem from when it started until now?"
b. "When did the sleep problem begin?"
c. 'How would you rate your sleep on a scale from 1 to 10?"
d. "What have you tried to help with your sleep?"
ANS: A PTS: 1
______________________________________________________________________________________________
6|Page
