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Exam (elaborations)

Bates’ Nursing Physical Assessment Study Guide – 2026 Updated | Health Assessment Exam Prep Notes

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Accurate physical assessment and effective history taking are core nursing skills that require both knowledge and clinical reasoning. This 2026 updated study guide provides structured, easy-to-follow revision notes designed to help nursing students master the principles and techniques taught in Bates’ Nursing Guide to Physical Examination and History Taking (3rd Edition). This resource organizes health assessment content into clear, exam-focused sections that connect theory with real clinical practice. Instead of navigating lengthy textbook explanations, students can review concise notes that highlight essential assessment techniques, normal findings, abnormal signs, and clinical significance. Key topics include patient interviewing skills, health history structure, cultural and psychosocial considerations, and documentation principles. Step-by-step physical examination guidance is provided for all major body systems, including skin, head and neck, respiratory, cardiovascular, abdominal, musculoskeletal, neurological, and mental status assessments. The guide emphasizes proper inspection, palpation, percussion, and auscultation techniques, along with tips for recognizing deviations from normal findings. Common assessment errors, safety considerations, and patient communication strategies are also addressed to strengthen practical understanding. Challenging areas such as differentiating normal versus abnormal heart and lung sounds, neurological screening, pain assessment, and functional health patterns are explained in a clear and student-friendly manner. The focus is on helping learners develop systematic assessment habits and clinical reasoning skills. The 2026 update ensures alignment with current nursing education priorities, including patient-centered care, cultural sensitivity, and early recognition of clinical deterioration. This makes the guide valuable for written exams, OSCEs, simulation labs, and real clinical placements. Ideal for: Nursing students in health assessment courses Learners preparing for physical examination practical exams OSCE and skills lab preparation Quick review before clinical rotations Building confidence in patient assessment Organized for efficient study and quick reference, this guide helps students improve recall, strengthen assessment skills, and approach both exams and patient care with greater confidence.

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Institution
BATES NURSING TO PHYSICAL
Course
BATES NURSING TO PHYSICAL

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lOMoAR b cPSD| b 11700591

,
,Chapter 1 b




MULTIPLE CHOICE b




1. For which of the following patients would a comprehensive health history be appropriate?
b b b b b b b b b b b b




A) Anewpatientwiththechiefcomplaint of―Isprained myankle‖
b b b b b b b b b b b




B) An established patient with the chief complaint of―Ihave an upper respiratoryinfection‖
b b b b b b b b b b b b b




C) Anewpatientwiththechiefcomplaint of―Iam here to establish care‖
b b b b b b b b b b b b b




D) Anewpatientwiththechiefcomplaint of ―Icut my hand‖
b b b b b b b b b b b




Ans: C b




Chapter: 01 b




Page and Header: 4, Patient Assessment: Comprehensive or Focused
b b b b b b b b




Feedback: This patient is here to establish care, and because she is new to you, a comprehensive
b b b b b b b b b b b b b b b b




health history is appropriate.
b b b b




2. The components of the health history include all of the following except which one?
b b b b b b b b b b b b b




A) Review of systems b b




B) Thorax and lungs b b




C) Present illness b




D) Personal and social items b b b




Ans: B b




Chapter: 01 b




Feedback: The thorax and lungs are part of the physical examination, not part of the health history.
b b b b b b b b b b b b b b b b




The others answers are all part of a complete health history.
b b b b b b b b b b b




3. Is the following information subjective or objective?
b b b b b b




Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity and
b b b b b b b b b b b b b b b b b b b




relieved by rest.
b b b




A) Subjective
B) Objective

Ans: A b




Chapter: 01 b




4. Is the following information subjective or objective? Mr.
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M. has a respiratory rate of 32 and a pulse rate of 120.
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A) Subjective
B) Objective

, lOMoAR b cPSD| b 11700591




Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
b b b b b b b b b b b b




Ans: B
Ans: A b




Chapter: 01
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patient
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5. The following information is recorded in the health history: ―The patient has had abdominal pain
b b b b b b b b b b b b b b




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
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1 to 10. It is accompanied by nausea and vomiting. It is located in the mid- epigastric area.‖
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Which of these categories does it belong to?
b b b b b b b




A) Chief complaint b




B) Present illness b




C) Personal and social history b b b




D) Review of systems b b




Ans: B b




Chapter: 01 b




Feedback: This information describes the problem of abdominal pain, which is the present illness.
b b b b b b b b b b b b b




The interviewer has obtained the location, timing, severity, and associated manifestations of the pain.
b b b b b b b b b b b b b b




The interviewer will still need to obtain information concerning the quality of the pain, the setting in
b b b b b b b b b b b b b b b b b




which it occurred, and the factors that aggravate and alleviate the pain. You will notice that it does
b b b b b b b b b b b b b b b b b b




include portions of the pertinent review of systems, but because it relates directly to the complaint, it
b b b b b b b b b b b b b b b b b




is included in the history of present illness.
b b b b b b b b




6. Thefollowinginformation isrecorded in thehealth history: ―Thepatient completed 8th grade. He
b b b b b b b b b b b b b b




currently lives with his wife and two children. He works on old cars on the weekend. He works in a
b b b b b b b b b b b b b b b b b b b b




glass factory during the week.‖
b b b b b




Ans: C b




Chapter: 01 b




Feedback: Personal and social history information includes educational level, family of origin,
b b b b b b b b b b b




current household status, personal interests, employment, religious beliefs, military history, and
b b b b b b b b b b b




lifestyle (including diet and exercise habits; use of alcohol, tobacco, and/or drugs; and sexual
b b b b b b b b b b b b b b




preferences and history). All of this information is documented in this example.
b b b b b b b b b b b b




7. The following information is recorded in the health history: ―Ifeel really tired.‖
b b b b b b b b b b b b




Which category does it belong to?
b b b b b b




A) Chief complaint b




B) Present illness b




C) Personal and social history b b b




D) Review of systems b b

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