BATES’ GUIDE TO PHYSICAL
EXAMINATION AND HISTORY TAKING
13TH EDITION BICKLEY TEST BANK
Bates’ iGuide iTo iPhysical iExamination iand iHistory iTaking i13thiEdition iBickley
iTest iBank
CHAPTER 1 iFoundations ifor iClinical
iProficiencyiMULTIPLE iCHOICE
1. After icompleting ian iinitial iassessment iof ia ipatient, ithe inurse ihas icharted ithat ihis
irespirationsiare ieupneic iand ihis ipulse iis i58 ibeats iper iminute. iThese itypes iof idata iwould
i be:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: iA
Objective idata iare iwhat ithe ihealth iprofessional iobserves iby iinspecting, ipercussing,
ipalpating, iand iauscultating iduring ithe iphysical iexamination. iSubjective idata iis iwhat ithe
iperson isays iaboutihim ior iherself iduring ihistory itaking. iThe iterms ireflective iand
iintrospective iare inot iused ito idescribe idata.
DIF: iCognitive iLevel: iUnderstanding i(Comprehension) iREF: ip. i2
MSC: iClient iNeeds: iSafe iand iEffective iCare iEnvironment: iManagement iof iCare
2. A ipatient itells ithe inurse ithat ihe iis ivery inervous, iis inauseated, iand ifeels ihot. iThese
,itypes iofidata iwould ibe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: iC
Subjective idata iare iwhat ithe iperson isays iabout ihim ior iherself iduring ihistory itaking.
iObjectiveidata iare iwhat ithe ihealth iprofessional iobserves iby iinspecting, ipercussing,
ipalpating, iand
auscultating i during i the i physical i examination. i The i terms i reflective i and i introspective i are
i not i used
to idescribe idata.
DIF: iCognitive iLevel: iUnderstanding i(Comprehension) iREF: ip. i2
MSC: iClient iNeeds: iSafe iand iEffective iCare iEnvironment: iManagement iof iCare
3. The ipatients irecord, ilaboratory istudies, iobjective idata, iand isubjective idata icombine
ito iformithe:
a Data ibase.
.
b Admitting idata.
.
c Financial istatement.
.
d Discharge isummary.
.
ANS: iA
Together iwith ithe ipatients irecord iand ilaboratory istudies, ithe iobjective iand isubjective idata
iform ithe idata ibase. iThe iother iitems iare inot ipart iof ithe ipatients irecord, ilaboratory istudies,
ior idata.
DIF: iCognitive iLevel: iRemembering i(Knowledge) iREF: ip. i2
MSC: iClient iNeeds: iSafe iand iEffective iCare iEnvironment: iManagement iof iCare
4. When ilistening ito ia ipatients ibreath isounds, ithe inurse iis iunsure iof ia isound ithat iis
iheard. iTheinurses inext iaction ishould ibe i to:
WWW.THENURSINGMASTERY.COM
, a Immediately inotify ithe ipatients iphysician.
.
b Document ithe isound iexactly ias iit iwas iheard.
.
c Validate ithe idata iby iasking ia icoworker ito ilisten ito ithe ibreath isounds.
.
d Assess iagain iin i20 iminutes ito inote iwhether ithe isound iis istill ipresent.
.
ANS: iC
When iunsure iof ia isound iheard iwhile ilistening ito ia ipatients ibreath isounds, ithe inurse
ivalidates ithe idata i to i ensure i accuracy. i If i the i nurse i has i less i experience i in i an i area, i then
i he i or i she i asks i an i expertito ilisten.
DIF: iCognitive iLevel: iAnalyzing i(Analysis) iREF: ip. i2
MSC: iClient iNeeds: iSafe iand iEffective iCare iEnvironment: iManagement iof iCare
5. The inurse iis iconducting ia iclass ifor inew igraduate inurses. iDuring ithe iteaching
isession, ithe inurse ishould ikeep iin imind ithat inovice inurses, iwithout ia ibackground iof
iskills iand iexperienceifrom iwhich ito idraw, iare imore ilikely ito imake itheir idecisions
i using:
a Intuition.
.
b A iset iof irules.
.
c Articles iin ijournals.
.
d Advice ifrom isupervisors.
.
ANS: iB
Novice inurses ioperate ifrom ia iset iof idefined, istructured irules. iThe iexpert
ipractitioner iusesiintuitive ilinks.
DIF: iCognitive iLevel: iUnderstanding i(Comprehension) iREF:
ip. i3iMSC: iClient iNeeds: iGeneral
6. Expert inurses ilearn ito iattend ito ia ipattern iof iassessment idata iand iact iwithout
iconsciouslyilabeling iit. iThese iresponses iare ireferred ito i as:
a Intuition.
.
WWW.THENURSINGMASTERY.COM
, b The inursing iprocess.
.
c Clinical iknowledge.
.
d Diagnostic ireasoning.
.
ANS: iA
Intuition iis icharacterized iby ipattern irecognitionexpert inurses ilearn ito iattend ito ia
ipattern iofiassessment idata iand iact iwithout iconsciously ilabeling iit. iThe iother ioptions
iare inot icorrect.
DIF: iCognitive iLevel: iUnderstanding i(Comprehension) iREF:
ip. i4iMSC: iClient iNeeds: iGeneral
7. The inurse iis ireviewing iinformation iabout ievidence-based ipractice i(EBP). iWhich
istatementibest ireflects iEBP?
a EBP irelies ion itradition ifor isupport iof ibest ipractices.
.
b EBP iis isimply ithe iuse iof ibest ipractice itechniques ifor ithe itreatment iof ipatients.
.
c EBP iemphasizes ithe iuse iof ibest ievidence iwith ithe iclinicians i experience.
.
d The ipatients iown ipreferences iare inot iimportant iwith iEBP.
.
ANS: iC
EBP iis ia isystematic iapproach ito ipractice ithat iemphasizes ithe iuse iof ibest ievidence iin
icombinationiwith ithe iclinicians iexperience, ias iwell ias ipatient ipreferences iand ivalues,
iwhen imaking idecisions iabout icare iand itreatment. iEBP iis imore ithan isimply iusing ithe ibest
ipractice itechniques ito itreat ipatients, iand iquestioning itradition iis iimportant iwhen ino
icompelling iand isupportive iresearch ievidence iexists.
DIF: iCognitive iLevel: iApplying i(Application) iREF: ip. i5
MSC: iClient iNeeds: iSafe iand iEffective iCare iEnvironment: iManagement iof iCare
8. The inurse iis iconducting ia iclass ion ipriority isetting ifor ia igroup iof inew igraduate
inurses. iWhichiis ian iexample iof ia ifirst-level ipriority i problem?
a Patient iwith ipostoperative ipain
.
b Newly idiagnosed ipatient iwith idiabetes iwho ineeds idiabetic iteaching
.
WWW.THENURSINGMASTERY.COM
EXAMINATION AND HISTORY TAKING
13TH EDITION BICKLEY TEST BANK
Bates’ iGuide iTo iPhysical iExamination iand iHistory iTaking i13thiEdition iBickley
iTest iBank
CHAPTER 1 iFoundations ifor iClinical
iProficiencyiMULTIPLE iCHOICE
1. After icompleting ian iinitial iassessment iof ia ipatient, ithe inurse ihas icharted ithat ihis
irespirationsiare ieupneic iand ihis ipulse iis i58 ibeats iper iminute. iThese itypes iof idata iwould
i be:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: iA
Objective idata iare iwhat ithe ihealth iprofessional iobserves iby iinspecting, ipercussing,
ipalpating, iand iauscultating iduring ithe iphysical iexamination. iSubjective idata iis iwhat ithe
iperson isays iaboutihim ior iherself iduring ihistory itaking. iThe iterms ireflective iand
iintrospective iare inot iused ito idescribe idata.
DIF: iCognitive iLevel: iUnderstanding i(Comprehension) iREF: ip. i2
MSC: iClient iNeeds: iSafe iand iEffective iCare iEnvironment: iManagement iof iCare
2. A ipatient itells ithe inurse ithat ihe iis ivery inervous, iis inauseated, iand ifeels ihot. iThese
,itypes iofidata iwould ibe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: iC
Subjective idata iare iwhat ithe iperson isays iabout ihim ior iherself iduring ihistory itaking.
iObjectiveidata iare iwhat ithe ihealth iprofessional iobserves iby iinspecting, ipercussing,
ipalpating, iand
auscultating i during i the i physical i examination. i The i terms i reflective i and i introspective i are
i not i used
to idescribe idata.
DIF: iCognitive iLevel: iUnderstanding i(Comprehension) iREF: ip. i2
MSC: iClient iNeeds: iSafe iand iEffective iCare iEnvironment: iManagement iof iCare
3. The ipatients irecord, ilaboratory istudies, iobjective idata, iand isubjective idata icombine
ito iformithe:
a Data ibase.
.
b Admitting idata.
.
c Financial istatement.
.
d Discharge isummary.
.
ANS: iA
Together iwith ithe ipatients irecord iand ilaboratory istudies, ithe iobjective iand isubjective idata
iform ithe idata ibase. iThe iother iitems iare inot ipart iof ithe ipatients irecord, ilaboratory istudies,
ior idata.
DIF: iCognitive iLevel: iRemembering i(Knowledge) iREF: ip. i2
MSC: iClient iNeeds: iSafe iand iEffective iCare iEnvironment: iManagement iof iCare
4. When ilistening ito ia ipatients ibreath isounds, ithe inurse iis iunsure iof ia isound ithat iis
iheard. iTheinurses inext iaction ishould ibe i to:
WWW.THENURSINGMASTERY.COM
, a Immediately inotify ithe ipatients iphysician.
.
b Document ithe isound iexactly ias iit iwas iheard.
.
c Validate ithe idata iby iasking ia icoworker ito ilisten ito ithe ibreath isounds.
.
d Assess iagain iin i20 iminutes ito inote iwhether ithe isound iis istill ipresent.
.
ANS: iC
When iunsure iof ia isound iheard iwhile ilistening ito ia ipatients ibreath isounds, ithe inurse
ivalidates ithe idata i to i ensure i accuracy. i If i the i nurse i has i less i experience i in i an i area, i then
i he i or i she i asks i an i expertito ilisten.
DIF: iCognitive iLevel: iAnalyzing i(Analysis) iREF: ip. i2
MSC: iClient iNeeds: iSafe iand iEffective iCare iEnvironment: iManagement iof iCare
5. The inurse iis iconducting ia iclass ifor inew igraduate inurses. iDuring ithe iteaching
isession, ithe inurse ishould ikeep iin imind ithat inovice inurses, iwithout ia ibackground iof
iskills iand iexperienceifrom iwhich ito idraw, iare imore ilikely ito imake itheir idecisions
i using:
a Intuition.
.
b A iset iof irules.
.
c Articles iin ijournals.
.
d Advice ifrom isupervisors.
.
ANS: iB
Novice inurses ioperate ifrom ia iset iof idefined, istructured irules. iThe iexpert
ipractitioner iusesiintuitive ilinks.
DIF: iCognitive iLevel: iUnderstanding i(Comprehension) iREF:
ip. i3iMSC: iClient iNeeds: iGeneral
6. Expert inurses ilearn ito iattend ito ia ipattern iof iassessment idata iand iact iwithout
iconsciouslyilabeling iit. iThese iresponses iare ireferred ito i as:
a Intuition.
.
WWW.THENURSINGMASTERY.COM
, b The inursing iprocess.
.
c Clinical iknowledge.
.
d Diagnostic ireasoning.
.
ANS: iA
Intuition iis icharacterized iby ipattern irecognitionexpert inurses ilearn ito iattend ito ia
ipattern iofiassessment idata iand iact iwithout iconsciously ilabeling iit. iThe iother ioptions
iare inot icorrect.
DIF: iCognitive iLevel: iUnderstanding i(Comprehension) iREF:
ip. i4iMSC: iClient iNeeds: iGeneral
7. The inurse iis ireviewing iinformation iabout ievidence-based ipractice i(EBP). iWhich
istatementibest ireflects iEBP?
a EBP irelies ion itradition ifor isupport iof ibest ipractices.
.
b EBP iis isimply ithe iuse iof ibest ipractice itechniques ifor ithe itreatment iof ipatients.
.
c EBP iemphasizes ithe iuse iof ibest ievidence iwith ithe iclinicians i experience.
.
d The ipatients iown ipreferences iare inot iimportant iwith iEBP.
.
ANS: iC
EBP iis ia isystematic iapproach ito ipractice ithat iemphasizes ithe iuse iof ibest ievidence iin
icombinationiwith ithe iclinicians iexperience, ias iwell ias ipatient ipreferences iand ivalues,
iwhen imaking idecisions iabout icare iand itreatment. iEBP iis imore ithan isimply iusing ithe ibest
ipractice itechniques ito itreat ipatients, iand iquestioning itradition iis iimportant iwhen ino
icompelling iand isupportive iresearch ievidence iexists.
DIF: iCognitive iLevel: iApplying i(Application) iREF: ip. i5
MSC: iClient iNeeds: iSafe iand iEffective iCare iEnvironment: iManagement iof iCare
8. The inurse iis iconducting ia iclass ion ipriority isetting ifor ia igroup iof inew igraduate
inurses. iWhichiis ian iexample iof ia ifirst-level ipriority i problem?
a Patient iwith ipostoperative ipain
.
b Newly idiagnosed ipatient iwith idiabetes iwho ineeds idiabetic iteaching
.
WWW.THENURSINGMASTERY.COM
