Test Bank-Bates’ Guide To Physical Examination and History Taking 13th Edition Bickley

, Test Bank-Bates’ Guide To Physical
Examination and History Taking 13th
Edition Bickley

CHAPTER 1

Foundations for ClinicalProficiency MULTIPLE
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CHOICE
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1. After completing an initial assessment of a patient, the nurse has charted that his respirations
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are eupneic and his pulse is 58 beats per minute. These types of data would be:
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a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.

ANS: A vi



Objective data are what the health professional observes by inspecting, percussing, palpating,
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and auscultating during the physical examination. Subjective data is what the person says about
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him or herself during history taking. The terms reflective and introspective are not used to
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describe data.
vi vi




DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of
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data would be:
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a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.

,ANS: Cvi



Subjective data are what the person says about him or herself during history taking.
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Objective data are what the health professional observes by inspecting, percussing,
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palpating, and
vi vi

, auscultating during the physical examination. The terms reflective and introspective are not used
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to describe data.
vi vi




DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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3. The patients record, laboratory studies, objective data, and subjective data combine to
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form the:
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a Data base. vi



.
b Admitting data. vi



.
c Financial statement. vi



.
d Discharge summary. vi



.

ANS: A vi



Together with the patients record and laboratory studies, the objective and subjective data form
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the data base. The other items are not part of the patients record, laboratory studies, or data.
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DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard.
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The nurses next action should be to:
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a Immediately notify the patients physician. vi vi vi vi



.
b Document the sound exactly as it was heard. vi vi vi vi vi vi vi



.
c Validate the data by asking a coworker to listen to the breath sounds.
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.
d Assess again in 20 minutes to note whether the sound is still present.
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.

ANS: C vi



When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the
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data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert
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to listen.
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DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
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