lOMoAR cPSD| 24815199
lOMoAR cPSD| 24815199
Bates’ Guide To Physical Examination and History Taking 13th
Edition Bickley Test Bank
CHAPTER 1 Foundations for Clinical Proficiency
MULTIPLE CHOICE
1. After completing an initial assessment of a patient, the nurse has charted that his
respirations are eupneic and his pulse is 58 beats per minute. These types of data would be:
a Objective.
Test Bank For Bates' Guide To Physical Examination and .
History Taking 13th Edition by Lynn S. Bickley Complete Guide b Reflective.
A+ LATEST UPDATES QUESTION ANS ANSWERS. .
c Subjective.
.
d Introspective.
.
ANS: A
Objective data are what the health professional observes by inspecting, percussing, palpating, and
auscultating during the physical examination. Subjective data is what the person says about him
or herself during history taking. The terms reflective and introspective are not used to describe
data.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of
data would be:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
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)
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d Assess again in 20 minutes to note whether the sound is still present.
ANS: C
.
Subjective data are what the person says about him or herself during history taking. Objective data
are what the health professional observes by inspecting, percussing, palpating, and auscultating
during the physical examination. The terms reflective and introspective are not used to describe ANS: C
data. When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the
data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert to
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2 listen.
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. The patients record, laboratory studies, objective data, and subjective data combine to DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
form the: MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the
nurse should keep in mind that novice nurses, without a background of skills and experience
a Data base. from which to draw, are more likely to make their decisions using:
.
b Admitting data. a Intuition.
. .
c Financial statement. b A set of rules.
. .
d Discharge summary. c Articles in journals.
. .
d Advice from supervisors.
ANS: A .
Together with the patients record and laboratory studies, the objective and subjective data form
the data base. The other items are not part of the patients record, laboratory studies, or data.
ANS: B
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2 Novice nurses operate from a set of defined, structured rules. The expert practitioner uses
MSC: Client Needs: Safe and Effective Care Environment: Management of Care intuitive links.
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard.
The nurses next action should be to: DIF: Cognitive Level: Understanding (Comprehension) REF: p. 3
MSC: Client Needs: General
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously
a Immediately notify the patients physician. labeling it. These responses are referred to as:
.
b Document the sound exactly as it was heard. a Intuition.
. .
c Validate the data by asking a coworker to listen to the breath sounds. b The nursing process.
. .
THENURSINGMASTERY
)
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c Clinical knowledge. b Newly diagnosed patient with diabetes who needs diabetic teaching
. .
d Diagnostic reasoning. c Individual with a small laceration on the sole of the foot
. .
d Individual with shortness of breath and respiratory distress
ANS: A .
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of
assessment data and act without consciously labeling it. The other options are not correct.
ANS: D
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 4 First-level priority problems are those that are emergent, life threatening, and immediate (e.g.,
MSC: Client Needs: General establishing an airway, supporting breathing, maintaining circulation, monitoring abnormal vital
7. The nurse is reviewing information about evidence-based practice (EBP). Which signs) (see Table 1-1).
statement best reflects EBP?
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 4
a EBP relies on tradition for support of best practices. MSC: Client Needs: Safe and Effective Care Environment: Management of Care
.
9. When considering priority setting of problems, the nurse keeps in mind that second-level
b EBP is simply the use of best practice techniques for the treatment of patients. priority problems include which of these aspects?
. a Low self-esteem
.
c EBP emphasizes the use of best evidence with the clinicians experience.
. b Lack of knowledge
.
d The patients own preferences are not important with EBP.
. c Abnormal laboratory values
.
ANS: C d Severely abnormal vital signs
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination .
with the clinicians experience, as well as patient preferences and values, when making decisions
about care and treatment. EBP is more than simply using the best practice techniques to treat
patients, and questioning tradition is important when no compelling and supportive research ANS: C
evidence exists. 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
DIF: Cognitive Level: Applying (Application) REF: p. 5 or security) (see Table 1-1).
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
8. The nurse is conducting a class on priority setting for a group of new graduate nurses. DIF: Cognitive Level: Understanding (Comprehension) REF: p. 4
Which is an example of a first-level priority problem? MSC: Client Needs: Safe and Effective Care Environment: Management of Care 10.
Which critical thinking skill helps the nurse see relationships among the data?
a Patient with postoperative pain
. a Validation
.
THENURSINGMASTERY
)
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b Clustering related cues b Admission, assessment, diagnosis, treatment, and discharge planning
. .
c Admission, diagnosis, treatment, evaluation, and discharge planning
c Identifying gaps in data .
.
d Assessment, diagnosis, outcome identification, planning, implementation, and
d Distinguishing relevant from irrelevant
. evaluation
.
ANS: D
ANS: B The nursing process is a method of problem solving that includes assessment, diagnosis, outcome
Clustering related cues helps the nurse see relationships among the data. identification, planning, implementation, and evaluation.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2 DIF: Cognitive Level: Understanding (Comprehension) REF: p. 3
MSC: Client Needs: Safe and Effective Care Environment: Management of Care MSC: Client Needs: Safe and Effective Care Environment: Management of Care
11. The nurse knows that developing appropriate nursing interventions for a patient relies on 13. A newly admitted patient is in acute pain, has not been sleeping well lately, and is having
the appropriateness of the diagnosis. difficulty breathing. How should the nurse prioritize these problems?
a Nursing a Breathing, pain, and sleep
. .
b Medical b Breathing, sleep, and pain
. .
c Admission c Sleep, breathing, and pain
. .
d Collaborative d Sleep, pain, and breathing
. .
ANS: A ANS: A
An accurate nursing diagnosis provides the basis for the selection of nursing interventions to First-level priority problems are immediate priorities, remembering the ABCs (airway, breathing,
achieve outcomes for which the nurse is accountable. The other items do not contribute to the and circulation), followed by second-level problems, and then third-level problems.
development of appropriate nursing interventions.
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 4
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 6 MSC: Client Needs: Safe and Effective Care Environment: Management of Care 14.
MSC: Client Needs: Safe and Effective Care Environment: Management of Care Which of these would be formulated by a nurse using diagnostic reasoning?
12. The nursing process is a sequential method of problem solving that nurses use and
includes which steps?
a Nursing diagnosis
.
a Assessment, treatment, planning, evaluation, discharge, and follow-up
.
THENURSINGMASTERY
)
lOMoAR cPSD| 24815199
Bates’ Guide To Physical Examination and History Taking 13th
Edition Bickley Test Bank
CHAPTER 1 Foundations for Clinical Proficiency
MULTIPLE CHOICE
1. After completing an initial assessment of a patient, the nurse has charted that his
respirations are eupneic and his pulse is 58 beats per minute. These types of data would be:
a Objective.
Test Bank For Bates' Guide To Physical Examination and .
History Taking 13th Edition by Lynn S. Bickley Complete Guide b Reflective.
A+ LATEST UPDATES QUESTION ANS ANSWERS. .
c Subjective.
.
d Introspective.
.
ANS: A
Objective data are what the health professional observes by inspecting, percussing, palpating, and
auscultating during the physical examination. Subjective data is what the person says about him
or herself during history taking. The terms reflective and introspective are not used to describe
data.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of
data would be:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
THENURSINGMASTERY
)
, lOMoAR cPSD| 24815199 lOMoAR cPSD| 24815199
d Assess again in 20 minutes to note whether the sound is still present.
ANS: C
.
Subjective data are what the person says about him or herself during history taking. Objective data
are what the health professional observes by inspecting, percussing, palpating, and auscultating
during the physical examination. The terms reflective and introspective are not used to describe ANS: C
data. When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the
data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert to
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2 listen.
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. The patients record, laboratory studies, objective data, and subjective data combine to DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
form the: MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the
nurse should keep in mind that novice nurses, without a background of skills and experience
a Data base. from which to draw, are more likely to make their decisions using:
.
b Admitting data. a Intuition.
. .
c Financial statement. b A set of rules.
. .
d Discharge summary. c Articles in journals.
. .
d Advice from supervisors.
ANS: A .
Together with the patients record and laboratory studies, the objective and subjective data form
the data base. The other items are not part of the patients record, laboratory studies, or data.
ANS: B
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2 Novice nurses operate from a set of defined, structured rules. The expert practitioner uses
MSC: Client Needs: Safe and Effective Care Environment: Management of Care intuitive links.
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard.
The nurses next action should be to: DIF: Cognitive Level: Understanding (Comprehension) REF: p. 3
MSC: Client Needs: General
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously
a Immediately notify the patients physician. labeling it. These responses are referred to as:
.
b Document the sound exactly as it was heard. a Intuition.
. .
c Validate the data by asking a coworker to listen to the breath sounds. b The nursing process.
. .
THENURSINGMASTERY
)
, lOMoAR cPSD| 24815199 lOMoAR cPSD| 24815199
c Clinical knowledge. b Newly diagnosed patient with diabetes who needs diabetic teaching
. .
d Diagnostic reasoning. c Individual with a small laceration on the sole of the foot
. .
d Individual with shortness of breath and respiratory distress
ANS: A .
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of
assessment data and act without consciously labeling it. The other options are not correct.
ANS: D
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 4 First-level priority problems are those that are emergent, life threatening, and immediate (e.g.,
MSC: Client Needs: General establishing an airway, supporting breathing, maintaining circulation, monitoring abnormal vital
7. The nurse is reviewing information about evidence-based practice (EBP). Which signs) (see Table 1-1).
statement best reflects EBP?
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 4
a EBP relies on tradition for support of best practices. MSC: Client Needs: Safe and Effective Care Environment: Management of Care
.
9. When considering priority setting of problems, the nurse keeps in mind that second-level
b EBP is simply the use of best practice techniques for the treatment of patients. priority problems include which of these aspects?
. a Low self-esteem
.
c EBP emphasizes the use of best evidence with the clinicians experience.
. b Lack of knowledge
.
d The patients own preferences are not important with EBP.
. c Abnormal laboratory values
.
ANS: C d Severely abnormal vital signs
EBP is a systematic approach to practice that emphasizes the use of best evidence in combination .
with the clinicians experience, as well as patient preferences and values, when making decisions
about care and treatment. EBP is more than simply using the best practice techniques to treat
patients, and questioning tradition is important when no compelling and supportive research ANS: C
evidence exists. 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
DIF: Cognitive Level: Applying (Application) REF: p. 5 or security) (see Table 1-1).
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
8. The nurse is conducting a class on priority setting for a group of new graduate nurses. DIF: Cognitive Level: Understanding (Comprehension) REF: p. 4
Which is an example of a first-level priority problem? MSC: Client Needs: Safe and Effective Care Environment: Management of Care 10.
Which critical thinking skill helps the nurse see relationships among the data?
a Patient with postoperative pain
. a Validation
.
THENURSINGMASTERY
)
, lOMoAR cPSD| 24815199 lOMoAR cPSD| 24815199
b Clustering related cues b Admission, assessment, diagnosis, treatment, and discharge planning
. .
c Admission, diagnosis, treatment, evaluation, and discharge planning
c Identifying gaps in data .
.
d Assessment, diagnosis, outcome identification, planning, implementation, and
d Distinguishing relevant from irrelevant
. evaluation
.
ANS: D
ANS: B The nursing process is a method of problem solving that includes assessment, diagnosis, outcome
Clustering related cues helps the nurse see relationships among the data. identification, planning, implementation, and evaluation.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2 DIF: Cognitive Level: Understanding (Comprehension) REF: p. 3
MSC: Client Needs: Safe and Effective Care Environment: Management of Care MSC: Client Needs: Safe and Effective Care Environment: Management of Care
11. The nurse knows that developing appropriate nursing interventions for a patient relies on 13. A newly admitted patient is in acute pain, has not been sleeping well lately, and is having
the appropriateness of the diagnosis. difficulty breathing. How should the nurse prioritize these problems?
a Nursing a Breathing, pain, and sleep
. .
b Medical b Breathing, sleep, and pain
. .
c Admission c Sleep, breathing, and pain
. .
d Collaborative d Sleep, pain, and breathing
. .
ANS: A ANS: A
An accurate nursing diagnosis provides the basis for the selection of nursing interventions to First-level priority problems are immediate priorities, remembering the ABCs (airway, breathing,
achieve outcomes for which the nurse is accountable. The other items do not contribute to the and circulation), followed by second-level problems, and then third-level problems.
development of appropriate nursing interventions.
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 4
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 6 MSC: Client Needs: Safe and Effective Care Environment: Management of Care 14.
MSC: Client Needs: Safe and Effective Care Environment: Management of Care Which of these would be formulated by a nurse using diagnostic reasoning?
12. The nursing process is a sequential method of problem solving that nurses use and
includes which steps?
a Nursing diagnosis
.
a Assessment, treatment, planning, evaluation, discharge, and follow-up
.
THENURSINGMASTERY
)
