l OM oARc PSD| 117 0059 1
, l OM oARc PSD| 117 0059 1
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
Chapter 1
Ans: B
Ans: A
Chapter: 01
Chapter: 01
MULTIPLE CHOICE
Feedback: This is
Feedback: This is information
a measurement obtained
about by the hospitalization
a significant examiner, so it and
is considered
should be objective
placed indata.
the
1. For which of the following patients would a comprehensive health history be appropriate? The
adultpatient is unlikely
illnesses section. toIf be
theable to give
patient this information
is being to the examiner.
seen for an asthma exacerbation, you may consider
A) A new patient with the chief complaint of ―I sprained my ankle‖
B) An established patient with the chief complaint of ―I have an upper respiratory infection‖
5. The following information is recorded in the health history: ―The patient has had abdominal
C) A new patient with the chief complaint of ―I am here to establish care‖
pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7 to 9
D) A new patient with the chief complaint of ―I cut my hand‖
on a scale of 1 to 10. It is accompanied by nausea and vomiting. It is located in the mid-
epigastric area.‖
Ans: C
Which of these categories does it belong to?
Chapter: 01
A) Chief complaint
Page and Header: 4, Patient Assessment: Comprehensive or Focused
B) Present illness
Feedback: This patient is here to establish care, and because she is new to you, a comprehensive
C) Personal and social history
health history is appropriate.
D) Review of systems
Ans: B
Chapter: 01
2. The components of the health history include all of the following except which one?
Feedback: This information describes the problem of abdominal pain, which is the present
A) Review of systems
illness. The interviewer has obtained the location, timing, severity, and associated manifestations
B) Thorax and lungs
of the pain. The interviewer will still need to obtain information concerning the quality of the
C) Present illness
pain, the setting in which it occurred, and the factors that aggravate and alleviate the pain. You
D) Personal and social items
will notice that it does include portions of the pertinent review of systems, but because it relates
directly to the complaint, it is included in the history of present illness.
Ans: B
Chapter: 01
6. The following information is recorded in the health history: ―The patient completed 8th grade.
Feedback: The thorax and lungs are part of the physical examination, not part of the health He currently lives with his wife and two children. He works on old cars on the weekend. He
history. The others answers are all part of a complete health history. works in a glass factory during the week.‖
Ans: C
3. Is the following information subjective or objective?
Chapter: 01
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity
and relieved by rest.
Feedback: Personal and social history information includes educational level, family of origin,
A) Subjective
current household status, personal interests, employment, religious beliefs, military history, and
B) Objective
lifestyle (including diet and exercise habits; use of alcohol, tobacco, and/or drugs; and sexual
preferences and history). All of this information is documented in this example.
Ans: A
Chapter: 01
4. Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
7. The following information is recorded in the health history: ―I feel really tired.‖
A) Subjective
Which category does it belong to?
B) Objective
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
, l OM oARc PSD| 117 0059 1 l OM oARc PSD| 117 0059 1
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
Ans: A
Chapter:
Ans: A 01 Ans: A
11. The following information is best placed in which category?
Chapter: 01 Chapter: 01
Feedback: The chief complaint is an attempt to quote the patient's own words, as long as they ―The patient was treated for an asthma exacerbation in the hospital last year; the patient has
are suitableThis
to print. It is brief, about
like a headline, andhospitalization
further details and
should be sought in the never been intubated.‖
Feedback: is information a significant should be placed inpresent
the Feedback: This is information about a significant hospitalization and should be placed in the
illness section.section.
adult illnesses The above information
If the patient is is a chief
being seencomplaint.
for an asthma exacerbation, you may consider A) Adult
adult illnesses
illnesses section. If the patient is being seen for an asthma exacerbation, you may consider
B) Surgeries
C) Obstetrics/gynecology
8. The following information is recorded in the health history: ―Patient denies chest pain, D) Psychiatric
palpitations, orthopnea, and paroxysmal nocturnal dyspnea.‖ placing this information in the present illness section, because it relates to the chief complaint at
Which category does it belong to? that visit.
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems Chapter 2 Critical Thinking in Health Assessment
Ans: D
Chapter: 01 MULTIPLE CHOICE
Feedback: Review of systems documents the presence or absence of common symptoms related 1. When performing a physical assessment, the first technique the nurse will always use is:
9. The following information is best placed in which category?
―The patient has had three cesarean sections.‖
a. Palpation.
A) Adult illnesses
B) Surgeries b. Inspection.
C) Obstetrics/gynecology
D) Psychiatric c. Percussion.
d. Auscultation.
Ans: B
Chapter: 01
ANS: B
Feedback: A cesarean section is a surgical procedure. Approximate dates or the age of the patient
at the time of the surgery should also be recorded.
The skills requisite for the physical examination are inspection, palpation, percussion, and
auscultation. The skills are performed one at a time and in this order (with the exception of the
abdominal assessment, during which auscultation takes place before palpation and percussion).
10. The following information is best placed in which category? The assessment of each body system begins with inspection. A focused inspection takes time and
―The patient had a stent placed in the left anterior descending artery (LAD) in 1999.‖ yields a surprising amount of information.
A) Adult illnesses
B) Surgeries
2. The nurse is preparing to perform a physical assessment. Which statement is true about the
C) Obstetrics/gynecology
D) Psychiatric physical assessment? The inspection phase:
Ans: A a. Usually yields little information.
Chapter: 01
b. Takes time and reveals a surprising amount of information.
Feedback: The adult illnesses category is reserved for chronic illnesses, significant c. May be somewhat uncomfortable for the expert practitioner.
hospitalizations, significant injuries, and significant procedures. A stent is a major procedure but
does not involve a surgeon.
, l OM oARc PSD| 117 0059 1 l OM oARc PSD| 117 0059 1
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
a. Turgor a. Turgor
b. Texture b. Texture
c. Density c. Density
A focused inspection takes time and yields a surprising amount of information. Initially, the a. Palpation of reportedly tender areas are avoided because palpation in these areas
may cause pain.
examiner may feel uncomfortable, staring at the person without also doing something. A focused
b. Palpating a tender area is quickly performed to avoid any discomfort that the
assessment is significantly more than a quick glance.
patient may experience.
3. The nurse is assessing a patients skin during an office visit. What part of the hand and c. The assessment begins with deep palpation, while encouraging the patient to relax
and to take deep breaths.
technique should be used to best assess the patients skin temperature?
d. The assessment begins with light palpation to detect surface characteristics and to
a. Fingertips; they are more sensitive to small changes in temperature. accustom the patient to being touched.
b. Dorsal surface of the hand; the skin is thinner on this surface than on the palms.
ANS: D
c. Ulnar portion of the hand; increased blood supply in this area enhances
temperature sensitivity.
Light palpation is initially performed to detect any surface characteristics and to accustom the
d. Palmar surface of the hand; this surface is the most sensitive to temperature person to being touched. Tender areas should be palpated last, not first.
variations because of its increased nerve supply in this area.
6. The nurse would use bimanual palpation technique in which situation?
ANS: B
a. Palpating the thorax of an infant
The dorsa (backs) of the hands and fingers are best for determining temperature because the skin
b. Palpating the kidneys and uterus
is thinner on the dorsal surfaces than on the palms. Fingertips are best for fine, tactile
c. Assessing pulsations and vibrations
discrimination. The other responses are not useful for palpation.
d. Assessing the presence of tenderness and pain
4. Which of these techniques uses the sense of touch to assess texture, temperature, moisture, and
swelling when the nurse is assessing a patient? ANS: B
a. Palpation Bimanual palpation requires the use of both hands to envelop or capture certain body parts or
b. Inspection organs such as the kidneys, uterus, or adnexa. The other situations are not appropriate for
bimanual palpation.
c. Percussion
d. Auscultation 7. The nurse is preparing to percuss the abdomen of a patient. The purpose of the percussion is to
assess the of the underlying tissue.
ANS: A d. Consistency
5. The nurse is preparing to assess a patients abdomen by palpation. How should the nurse ANS: C
proceed?
Percussion yields a sound that depicts the location, size, and density of the underlying organ.
, l OM oARc PSD| 117 0059 1
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
Chapter 1
Ans: B
Ans: A
Chapter: 01
Chapter: 01
MULTIPLE CHOICE
Feedback: This is
Feedback: This is information
a measurement obtained
about by the hospitalization
a significant examiner, so it and
is considered
should be objective
placed indata.
the
1. For which of the following patients would a comprehensive health history be appropriate? The
adultpatient is unlikely
illnesses section. toIf be
theable to give
patient this information
is being to the examiner.
seen for an asthma exacerbation, you may consider
A) A new patient with the chief complaint of ―I sprained my ankle‖
B) An established patient with the chief complaint of ―I have an upper respiratory infection‖
5. The following information is recorded in the health history: ―The patient has had abdominal
C) A new patient with the chief complaint of ―I am here to establish care‖
pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7 to 9
D) A new patient with the chief complaint of ―I cut my hand‖
on a scale of 1 to 10. It is accompanied by nausea and vomiting. It is located in the mid-
epigastric area.‖
Ans: C
Which of these categories does it belong to?
Chapter: 01
A) Chief complaint
Page and Header: 4, Patient Assessment: Comprehensive or Focused
B) Present illness
Feedback: This patient is here to establish care, and because she is new to you, a comprehensive
C) Personal and social history
health history is appropriate.
D) Review of systems
Ans: B
Chapter: 01
2. The components of the health history include all of the following except which one?
Feedback: This information describes the problem of abdominal pain, which is the present
A) Review of systems
illness. The interviewer has obtained the location, timing, severity, and associated manifestations
B) Thorax and lungs
of the pain. The interviewer will still need to obtain information concerning the quality of the
C) Present illness
pain, the setting in which it occurred, and the factors that aggravate and alleviate the pain. You
D) Personal and social items
will notice that it does include portions of the pertinent review of systems, but because it relates
directly to the complaint, it is included in the history of present illness.
Ans: B
Chapter: 01
6. The following information is recorded in the health history: ―The patient completed 8th grade.
Feedback: The thorax and lungs are part of the physical examination, not part of the health He currently lives with his wife and two children. He works on old cars on the weekend. He
history. The others answers are all part of a complete health history. works in a glass factory during the week.‖
Ans: C
3. Is the following information subjective or objective?
Chapter: 01
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity
and relieved by rest.
Feedback: Personal and social history information includes educational level, family of origin,
A) Subjective
current household status, personal interests, employment, religious beliefs, military history, and
B) Objective
lifestyle (including diet and exercise habits; use of alcohol, tobacco, and/or drugs; and sexual
preferences and history). All of this information is documented in this example.
Ans: A
Chapter: 01
4. Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
7. The following information is recorded in the health history: ―I feel really tired.‖
A) Subjective
Which category does it belong to?
B) Objective
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
, l OM oARc PSD| 117 0059 1 l OM oARc PSD| 117 0059 1
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
Ans: A
Chapter:
Ans: A 01 Ans: A
11. The following information is best placed in which category?
Chapter: 01 Chapter: 01
Feedback: The chief complaint is an attempt to quote the patient's own words, as long as they ―The patient was treated for an asthma exacerbation in the hospital last year; the patient has
are suitableThis
to print. It is brief, about
like a headline, andhospitalization
further details and
should be sought in the never been intubated.‖
Feedback: is information a significant should be placed inpresent
the Feedback: This is information about a significant hospitalization and should be placed in the
illness section.section.
adult illnesses The above information
If the patient is is a chief
being seencomplaint.
for an asthma exacerbation, you may consider A) Adult
adult illnesses
illnesses section. If the patient is being seen for an asthma exacerbation, you may consider
B) Surgeries
C) Obstetrics/gynecology
8. The following information is recorded in the health history: ―Patient denies chest pain, D) Psychiatric
palpitations, orthopnea, and paroxysmal nocturnal dyspnea.‖ placing this information in the present illness section, because it relates to the chief complaint at
Which category does it belong to? that visit.
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems Chapter 2 Critical Thinking in Health Assessment
Ans: D
Chapter: 01 MULTIPLE CHOICE
Feedback: Review of systems documents the presence or absence of common symptoms related 1. When performing a physical assessment, the first technique the nurse will always use is:
9. The following information is best placed in which category?
―The patient has had three cesarean sections.‖
a. Palpation.
A) Adult illnesses
B) Surgeries b. Inspection.
C) Obstetrics/gynecology
D) Psychiatric c. Percussion.
d. Auscultation.
Ans: B
Chapter: 01
ANS: B
Feedback: A cesarean section is a surgical procedure. Approximate dates or the age of the patient
at the time of the surgery should also be recorded.
The skills requisite for the physical examination are inspection, palpation, percussion, and
auscultation. The skills are performed one at a time and in this order (with the exception of the
abdominal assessment, during which auscultation takes place before palpation and percussion).
10. The following information is best placed in which category? The assessment of each body system begins with inspection. A focused inspection takes time and
―The patient had a stent placed in the left anterior descending artery (LAD) in 1999.‖ yields a surprising amount of information.
A) Adult illnesses
B) Surgeries
2. The nurse is preparing to perform a physical assessment. Which statement is true about the
C) Obstetrics/gynecology
D) Psychiatric physical assessment? The inspection phase:
Ans: A a. Usually yields little information.
Chapter: 01
b. Takes time and reveals a surprising amount of information.
Feedback: The adult illnesses category is reserved for chronic illnesses, significant c. May be somewhat uncomfortable for the expert practitioner.
hospitalizations, significant injuries, and significant procedures. A stent is a major procedure but
does not involve a surgeon.
, l OM oARc PSD| 117 0059 1 l OM oARc PSD| 117 0059 1
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
a. Turgor a. Turgor
b. Texture b. Texture
c. Density c. Density
A focused inspection takes time and yields a surprising amount of information. Initially, the a. Palpation of reportedly tender areas are avoided because palpation in these areas
may cause pain.
examiner may feel uncomfortable, staring at the person without also doing something. A focused
b. Palpating a tender area is quickly performed to avoid any discomfort that the
assessment is significantly more than a quick glance.
patient may experience.
3. The nurse is assessing a patients skin during an office visit. What part of the hand and c. The assessment begins with deep palpation, while encouraging the patient to relax
and to take deep breaths.
technique should be used to best assess the patients skin temperature?
d. The assessment begins with light palpation to detect surface characteristics and to
a. Fingertips; they are more sensitive to small changes in temperature. accustom the patient to being touched.
b. Dorsal surface of the hand; the skin is thinner on this surface than on the palms.
ANS: D
c. Ulnar portion of the hand; increased blood supply in this area enhances
temperature sensitivity.
Light palpation is initially performed to detect any surface characteristics and to accustom the
d. Palmar surface of the hand; this surface is the most sensitive to temperature person to being touched. Tender areas should be palpated last, not first.
variations because of its increased nerve supply in this area.
6. The nurse would use bimanual palpation technique in which situation?
ANS: B
a. Palpating the thorax of an infant
The dorsa (backs) of the hands and fingers are best for determining temperature because the skin
b. Palpating the kidneys and uterus
is thinner on the dorsal surfaces than on the palms. Fingertips are best for fine, tactile
c. Assessing pulsations and vibrations
discrimination. The other responses are not useful for palpation.
d. Assessing the presence of tenderness and pain
4. Which of these techniques uses the sense of touch to assess texture, temperature, moisture, and
swelling when the nurse is assessing a patient? ANS: B
a. Palpation Bimanual palpation requires the use of both hands to envelop or capture certain body parts or
b. Inspection organs such as the kidneys, uterus, or adnexa. The other situations are not appropriate for
bimanual palpation.
c. Percussion
d. Auscultation 7. The nurse is preparing to percuss the abdomen of a patient. The purpose of the percussion is to
assess the of the underlying tissue.
ANS: A d. Consistency
5. The nurse is preparing to assess a patients abdomen by palpation. How should the nurse ANS: C
proceed?
Percussion yields a sound that depicts the location, size, and density of the underlying organ.
