lOMoAR cPSD|11700591
,
,Chapter 1
MULTIPLE CHOICE
1. For which of the following patients would a comprehensive health history be appropriate?
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‖
C) A new patient with the chief complaint of ―I am here to establish care‖
D) A new patient with the chief complaint of ―I cut my hand‖
Ans: C
Chapter: 01
Page and Header: 4, Patient Assessment: Comprehensive or Focused
Feedback: This patient is here to establish care, and because she is new to you, a
comprehensive health history is appropriate.
2. The components of the health history include all of the following except which one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items
Ans: B
Chapter: 01
Feedback: The thorax and lungs are part of the physical examination, not part of the health
history. The others answers are all part of a complete health history.
3. Is the following information subjective or objective?
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity
and relieved by rest.
A) Subjective
B) Objective
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.
A) Subjective
B) Objective
, lOMoAR cPSD|11700591
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
Ans:
Ans: BA
Chapter: 01
Chapter: 01
Feedback:
Feedback:This
Thisisisa measurement obtained
information about by the examiner,
a significant so it is considered
hospitalization objective
and should data.inThe
be placed the
patient is unlikely to be able to give this information to the examiner.
adult illnesses section. If the patient is being seen for an asthma exacerbation, you may consider
5. The following information is recorded in the health history: ―The patient has had abdominal pain
for 1 week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7 to 9 on a scale of
1 to 10. It is accompanied by nausea and vomiting. It is located in the mid- epigastric area.‖
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Ans: B
Chapter: 01
Feedback: This information describes the problem of abdominal pain, which is the present illness. The
interviewer has obtained the location, timing, severity, and associated manifestations of the pain. The
interviewer will still need to obtain information concerning the quality of the pain, the setting in which
it occurred, and the factors that aggravate and alleviate the pain. You 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.
6. The following information is recorded in the health history: ―The patient completed 8th grade. He
currently lives with his wife and two children. He works on old cars on the weekend. He works in a glass
factory during the week.‖
Ans: C
Chapter: 01
Feedback: Personal and social history information includes educational level, family of origin, current
household status, personal interests, employment, religious beliefs, military history, and 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.
7. The following information is recorded in the health history: ―I feel really tired.‖ Which
category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
, lOMoAR cPSD|11700591
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
Ans: A
Chapter:
Ans: A 01
Chapter: 01
Feedback: The chief complaint is an attempt to quote the patient's own words, as long as they
are suitableThis
Feedback: to print. It is brief,about
is information like a aheadline, andhospitalization
significant further detailsand
should be sought
should in the
be placed in the
present illness section. The above information is a chief complaint.
adult illnesses section. If the patient is being seen for an asthma exacerbation, you may consider
8. The following information is recorded in the health history: ―Patient denies chest pain,
palpitations, orthopnea, and paroxysmal nocturnal dyspnea.‖
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Ans: D
Chapter: 01
Feedback: Review of systems documents the presence or absence of common symptoms related
9. The following information is best placed in which category?
―The patient has had three cesarean sections.‖
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: B
Chapter: 01
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.
10. The following information is best placed in which category?
―The patient had a stent placed in the left anterior descending artery (LAD) in 1999.‖
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: A
Chapter: 01
Feedback: The adult illnesses category is reserved for chronic illnesses, significant hospitalizations,
significant injuries, and significant procedures. A stent is a major procedure but does not involve a
surgeon.
, lOMoAR cPSD|11700591
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
Ans: A
11. The following information is best placed in which category?
Chapter: 01
―The patient was treated for an asthma exacerbation in the hospital last year; the patient has
never beenThis
Feedback: intubated.‖
is information about a significant hospitalization and should be placed in the
A) Adult
adult illnesses
illnesses section. If the patient is being seen for an asthma exacerbation, you may consider
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
placing this information in the present illness section, because it relates to the chief complaint
at that visit.
Chapter 2 Critical Thinking in Health Assessment
MULTIPLE CHOICE
1. When performing a physical assessment, the first technique the nurse will always use is:
a. Palpation.
b. Inspection.
c. Percussion.
d. Auscultation.
ANS: B
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).
The assessment of each body system begins with inspection. A focused inspection takes time
and yields a surprising amount of information.
2. The nurse is preparing to perform a physical assessment. Which statement is true about
the physical assessment? The inspection phase:
a. Usually yields little information.
b. Takes time and reveals a surprising amount of information.
c. May be somewhat uncomfortable for the expert practitioner.
, lOMoAR cPSD| 11700591
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
a. Turgor
b. Texture
c. Density
A focused inspection takes time and yields a surprising amount of information. Initially, the
examiner may feel uncomfortable, staring at the person without also doing something. A focused
assessment is significantly more than a quick glance.
3. The tnurse tis tassessing ta tpatients tskin tduring tan toffice tvisit. tWhat tpart tof tthe
thand tand ttechnique tshould tbe tused tto tbest tassess tthe tpatients tskin ttemperature?
a. Fingertips; tthey tare tmore tsensitive tto tsmall tchanges tin ttemperature.
b. Dorsal tsurface tof tthe thand; tthe tskin tis tthinner ton tthis tsurface tthan ton tthe tpalms.
c. Ulnar tportion tof tthe thand; tincreased tblood tsupply tin tthis tarea
tenhances ttemperature tsensitivity.
d. Palmar tsurface tof tthe thand; tthis tsurface tis tthe tmost tsensitive tto
ttemperature tvariations tbecause tof tits tincreased tnerve tsupply tin tthis
tarea.
ANS: tB
The tdorsa t(backs) tof tthe thands tand tfingers tare tbest tfor tdetermining ttemperature tbecause
tthe tskin tis tthinner ton tthe tdorsal tsurfaces tthan ton tthe tpalms. tFingertips tare tbest tfor tfine,
ttactile tdiscrimination. tThe tother tresponses tare tnot tuseful tfor tpalpation.
4. Which tof tthese ttechniques tuses tthe tsense tof ttouch tto tassess ttexture, ttemperature,
tmoisture, tand tswelling twhen tthe tnurse tis tassessing ta tpatient?
a. Palpation
b. Inspection
c. Percussion
d. Auscultation
ANS: tA
5. The tnurse tis tpreparing tto tassess ta tpatients tabdomen tby tpalpation. tHow tshould tthe
, lOMoAR cPSD| 11700591
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
a. Turgor
b. Texture
c. Density
tnurse tproceed?
, lOMoAR cPSD| 11700591
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
a. Turgor
b. Texture
c. Density
a. Palpation tof treportedly ttender tareas tare tavoided tbecause tpalpation tin tthese tareas
may tcause tpain.
b. Palpating ta ttender tarea tis tquickly tperformed tto tavoid tany tdiscomfort
tthat tthe tpatient tmay texperience.
c. The tassessment tbegins twith tdeep tpalpation, twhile tencouraging tthe tpatient tto
trelax tand tto ttake tdeep tbreaths.
d. The tassessment tbegins twith tlight tpalpation tto tdetect tsurface tcharacteristics
tand tto taccustom tthe tpatient tto tbeing ttouched.
ANS: tD
Light tpalpation tis tinitially tperformed tto tdetect tany tsurface tcharacteristics tand tto taccustom
tthe tperson tto tbeing ttouched. tTender tareas tshould tbe tpalpated tlast, tnot tfirst.
6. The tnurse twould tuse tbimanual tpalpation ttechnique tin twhich tsituation?
a. Palpating tthe tthorax tof tan tinfant
b. Palpating tthe tkidneys tand tuterus
c. Assessing tpulsations tand tvibrations
d. Assessing tthe tpresence tof ttenderness tand tpain
ANS: tB
Bimanual tpalpation trequires tthe tuse tof tboth thands tto tenvelop tor tcapture tcertain tbody
tparts tor torgans tsuch tas tthe tkidneys, tuterus, tor tadnexa. tThe tother tsituations tare tnot
tappropriate tfor tbimanual tpalpation.
7. The tnurse tis tpreparing tto tpercuss tthe tabdomen tof ta tpatient. tThe tpurpose tof tthe
tpercussion tis tto tassess tthe of tthe tunderlying ttissue.
d. t Consistency
ANS: tC
, lOMoAR cPSD| 11700591
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
a. Turgor
b. Texture
c. Density
Percussion tyields ta tsound tthat tdepicts tthe tlocation, tsize, tand tdensity tof tthe tunderlying torgan.
,
,Chapter 1
MULTIPLE CHOICE
1. For which of the following patients would a comprehensive health history be appropriate?
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‖
C) A new patient with the chief complaint of ―I am here to establish care‖
D) A new patient with the chief complaint of ―I cut my hand‖
Ans: C
Chapter: 01
Page and Header: 4, Patient Assessment: Comprehensive or Focused
Feedback: This patient is here to establish care, and because she is new to you, a
comprehensive health history is appropriate.
2. The components of the health history include all of the following except which one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items
Ans: B
Chapter: 01
Feedback: The thorax and lungs are part of the physical examination, not part of the health
history. The others answers are all part of a complete health history.
3. Is the following information subjective or objective?
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity
and relieved by rest.
A) Subjective
B) Objective
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.
A) Subjective
B) Objective
, lOMoAR cPSD|11700591
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
Ans:
Ans: BA
Chapter: 01
Chapter: 01
Feedback:
Feedback:This
Thisisisa measurement obtained
information about by the examiner,
a significant so it is considered
hospitalization objective
and should data.inThe
be placed the
patient is unlikely to be able to give this information to the examiner.
adult illnesses section. If the patient is being seen for an asthma exacerbation, you may consider
5. The following information is recorded in the health history: ―The patient has had abdominal pain
for 1 week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7 to 9 on a scale of
1 to 10. It is accompanied by nausea and vomiting. It is located in the mid- epigastric area.‖
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Ans: B
Chapter: 01
Feedback: This information describes the problem of abdominal pain, which is the present illness. The
interviewer has obtained the location, timing, severity, and associated manifestations of the pain. The
interviewer will still need to obtain information concerning the quality of the pain, the setting in which
it occurred, and the factors that aggravate and alleviate the pain. You 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.
6. The following information is recorded in the health history: ―The patient completed 8th grade. He
currently lives with his wife and two children. He works on old cars on the weekend. He works in a glass
factory during the week.‖
Ans: C
Chapter: 01
Feedback: Personal and social history information includes educational level, family of origin, current
household status, personal interests, employment, religious beliefs, military history, and 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.
7. The following information is recorded in the health history: ―I feel really tired.‖ Which
category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
, lOMoAR cPSD|11700591
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
Ans: A
Chapter:
Ans: A 01
Chapter: 01
Feedback: The chief complaint is an attempt to quote the patient's own words, as long as they
are suitableThis
Feedback: to print. It is brief,about
is information like a aheadline, andhospitalization
significant further detailsand
should be sought
should in the
be placed in the
present illness section. The above information is a chief complaint.
adult illnesses section. If the patient is being seen for an asthma exacerbation, you may consider
8. The following information is recorded in the health history: ―Patient denies chest pain,
palpitations, orthopnea, and paroxysmal nocturnal dyspnea.‖
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Ans: D
Chapter: 01
Feedback: Review of systems documents the presence or absence of common symptoms related
9. The following information is best placed in which category?
―The patient has had three cesarean sections.‖
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: B
Chapter: 01
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.
10. The following information is best placed in which category?
―The patient had a stent placed in the left anterior descending artery (LAD) in 1999.‖
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: A
Chapter: 01
Feedback: The adult illnesses category is reserved for chronic illnesses, significant hospitalizations,
significant injuries, and significant procedures. A stent is a major procedure but does not involve a
surgeon.
, lOMoAR cPSD|11700591
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
Ans: A
11. The following information is best placed in which category?
Chapter: 01
―The patient was treated for an asthma exacerbation in the hospital last year; the patient has
never beenThis
Feedback: intubated.‖
is information about a significant hospitalization and should be placed in the
A) Adult
adult illnesses
illnesses section. If the patient is being seen for an asthma exacerbation, you may consider
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
placing this information in the present illness section, because it relates to the chief complaint
at that visit.
Chapter 2 Critical Thinking in Health Assessment
MULTIPLE CHOICE
1. When performing a physical assessment, the first technique the nurse will always use is:
a. Palpation.
b. Inspection.
c. Percussion.
d. Auscultation.
ANS: B
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).
The assessment of each body system begins with inspection. A focused inspection takes time
and yields a surprising amount of information.
2. The nurse is preparing to perform a physical assessment. Which statement is true about
the physical assessment? The inspection phase:
a. Usually yields little information.
b. Takes time and reveals a surprising amount of information.
c. May be somewhat uncomfortable for the expert practitioner.
, lOMoAR cPSD| 11700591
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
a. Turgor
b. Texture
c. Density
A focused inspection takes time and yields a surprising amount of information. Initially, the
examiner may feel uncomfortable, staring at the person without also doing something. A focused
assessment is significantly more than a quick glance.
3. The tnurse tis tassessing ta tpatients tskin tduring tan toffice tvisit. tWhat tpart tof tthe
thand tand ttechnique tshould tbe tused tto tbest tassess tthe tpatients tskin ttemperature?
a. Fingertips; tthey tare tmore tsensitive tto tsmall tchanges tin ttemperature.
b. Dorsal tsurface tof tthe thand; tthe tskin tis tthinner ton tthis tsurface tthan ton tthe tpalms.
c. Ulnar tportion tof tthe thand; tincreased tblood tsupply tin tthis tarea
tenhances ttemperature tsensitivity.
d. Palmar tsurface tof tthe thand; tthis tsurface tis tthe tmost tsensitive tto
ttemperature tvariations tbecause tof tits tincreased tnerve tsupply tin tthis
tarea.
ANS: tB
The tdorsa t(backs) tof tthe thands tand tfingers tare tbest tfor tdetermining ttemperature tbecause
tthe tskin tis tthinner ton tthe tdorsal tsurfaces tthan ton tthe tpalms. tFingertips tare tbest tfor tfine,
ttactile tdiscrimination. tThe tother tresponses tare tnot tuseful tfor tpalpation.
4. Which tof tthese ttechniques tuses tthe tsense tof ttouch tto tassess ttexture, ttemperature,
tmoisture, tand tswelling twhen tthe tnurse tis tassessing ta tpatient?
a. Palpation
b. Inspection
c. Percussion
d. Auscultation
ANS: tA
5. The tnurse tis tpreparing tto tassess ta tpatients tabdomen tby tpalpation. tHow tshould tthe
, lOMoAR cPSD| 11700591
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
a. Turgor
b. Texture
c. Density
tnurse tproceed?
, lOMoAR cPSD| 11700591
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
a. Turgor
b. Texture
c. Density
a. Palpation tof treportedly ttender tareas tare tavoided tbecause tpalpation tin tthese tareas
may tcause tpain.
b. Palpating ta ttender tarea tis tquickly tperformed tto tavoid tany tdiscomfort
tthat tthe tpatient tmay texperience.
c. The tassessment tbegins twith tdeep tpalpation, twhile tencouraging tthe tpatient tto
trelax tand tto ttake tdeep tbreaths.
d. The tassessment tbegins twith tlight tpalpation tto tdetect tsurface tcharacteristics
tand tto taccustom tthe tpatient tto tbeing ttouched.
ANS: tD
Light tpalpation tis tinitially tperformed tto tdetect tany tsurface tcharacteristics tand tto taccustom
tthe tperson tto tbeing ttouched. tTender tareas tshould tbe tpalpated tlast, tnot tfirst.
6. The tnurse twould tuse tbimanual tpalpation ttechnique tin twhich tsituation?
a. Palpating tthe tthorax tof tan tinfant
b. Palpating tthe tkidneys tand tuterus
c. Assessing tpulsations tand tvibrations
d. Assessing tthe tpresence tof ttenderness tand tpain
ANS: tB
Bimanual tpalpation trequires tthe tuse tof tboth thands tto tenvelop tor tcapture tcertain tbody
tparts tor torgans tsuch tas tthe tkidneys, tuterus, tor tadnexa. tThe tother tsituations tare tnot
tappropriate tfor tbimanual tpalpation.
7. The tnurse tis tpreparing tto tpercuss tthe tabdomen tof ta tpatient. tThe tpurpose tof tthe
tpercussion tis tto tassess tthe of tthe tunderlying ttissue.
d. t Consistency
ANS: tC
, lOMoAR cPSD| 11700591
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
a. Turgor
b. Texture
c. Density
Percussion tyields ta tsound tthat tdepicts tthe tlocation, tsize, tand tdensity tof tthe tunderlying torgan.
