for Bates’ Guide To Physical Examination and History Taking 13th
Edition
,https://www.stuvia.com/user/Prose1
CHAPTER 1 Foundations for ClinicalProficiency p1 p1 p1 p1
MULTIPLE CHOICE
p1 p1
1. After completing an initial assessment of a patient, the nurse has charted that his
p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1
respirations are eupneic and his pulse is 58 beats per minute. These types of data would
p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1
be:
p1
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: A p1
Objective data are what the health professional observes by inspecting, percussing, palpating,
p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1
and auscultating during the physical examination. Subjective data is what the person says
p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1
about him or herself during history taking. The terms reflective and introspective are not used
p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1
to describe data.
p1 p1 p1
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
p1 p1 p1 p1 p1 p1 p1
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
p1 p1 p1 p1 p1 p1 p1 p1 p1 p1
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types
p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1
of data would be:
p1 p1 p1 p1
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: C p1
Subjective data are what the person says about him or herself during history taking.
p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1
Objective data are what the health professional observes by inspecting, percussing,
p 1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1
palpating, and
p1 p1
, Bates’ Guide To Physical Examination and History Taking 13th
Edition Bickley Test Bank p1 p1 p1
auscultating during the physical examination. The terms reflective and introspective are not used
p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1
to describe data.
p1 p1
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
p1 p1 p1 p1 p1 p1 p1
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
p1 p1 p1 p1 p1 p1 p1 p1 p1 p1
3. The patients record, laboratory studies, objective data, and subjective data combine
p1 p1 p1 p1 p1 p1 p1 p1 p1 p1
to form the:
p1 p1 p1
a Data base. p1
.
b Admitting data. p1
.
c Financial statement. p1
.
d Discharge summary. p1
.
ANS: A p1
Together with the patients record and laboratory studies, the objective and subjective data form
p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1
the data base. The other items are not part of the patients record, laboratory studies, or data.
p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2
p1 p1 p1 p1 p1 p1 p1
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
p1 p1 p1 p1 p1 p1 p1 p1 p1 p1
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is
p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1
heard. The nurses next action should be to:
p1 p1 p1 p1 p1 p1 p1 p1
a Immediately notify the patients physician. p1 p1 p1 p1
.
b Document the sound exactly as it was heard. p1 p1 p1 p1 p1 p1 p1
.
c Validate the data by asking a coworker to listen to the breath sounds.
p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1
.
d Assess again in 20 minutes to note whether the sound is still present.
p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1
.
ANS: C p1
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates
p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1
the data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an
p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1
expert to listen.
p1 p 1 p1
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
p1 p1 p1 p1 p1 p1 p1
, MSC: Client Needs: Safe and Effective Care Environment: Management of Care
p1 p1 p1 p1 p1 p1 p1 p1 p1 p1