Test Bank - Bates Nursing Guide to
Physical Examination and History
Taking, With over 200+ ,3rd Edition
(Hogan-Quigley, 2022), Chapter 1-24 |
All Chapters
A nurse begins a patient interview by asking, “Can you tell me what concerns brought you
here today?”
A. Closed-ended question
B. Open-ended question
C. Leading question
D. Direct question
Correct Answer: B
Rationale:
Open-ended questions allow patients to explain concerns in their own words and provide
more complete information. Closed-ended questions limit responses, while leading questions
may influence the patient’s answer.
During a physical assessment, the nurse uses touch to evaluate temperature, tenderness, and
texture of the skin.
A. Inspection
B. Palpation
C. Percussion
D. Auscultation
Correct Answer: B
Rationale:
Palpation involves using the hands to assess body structures such as temperature, moisture,
tenderness, and masses. Inspection is visual observation, percussion involves tapping, and
auscultation involves listening to internal body sounds.
A nurse observes a patient’s posture, facial expressions, and movements while entering the
room.
,A. Objective measurement
B. Inspection
C. Palpation
D. Percussion
Correct Answer: B
Rationale:
Inspection is the careful visual observation of a patient. It begins the moment the nurse first
sees the patient and includes assessment of general appearance, posture, and behavior.
A patient states, “My chest hurts whenever I walk up the stairs.” This statement is an example
of:
A. Objective data
B. Diagnostic data
C. Subjective data
D. Measured data
Correct Answer: C
Rationale:
Subjective data are symptoms reported by the patient and cannot be directly measured by the
examiner. Objective data are observable and measurable findings.
The nurse listens to heart sounds using a stethoscope.
A. Palpation
B. Auscultation
C. Percussion
D. Inspection
Correct Answer: B
Rationale:
Auscultation involves listening to sounds produced within the body such as heart, lung, and
bowel sounds using a stethoscope.
Which part of the stethoscope is best for detecting low-pitched heart sounds?
A. Diaphragm
B. Bell
C. Tubing
D. Earpieces
,Correct Answer: B
Rationale:
The bell of the stethoscope is used to detect low-pitched sounds such as some heart murmurs
and extra heart sounds (S3 and S4). The diaphragm is better for high-pitched sounds.
A nurse taps the chest wall to assess underlying lung tissue.
A. Auscultation
B. Inspection
C. Percussion
D. Palpation
Correct Answer: C
Rationale:
Percussion involves tapping on a surface to produce sounds that help determine the density of
underlying tissues or organs.
While obtaining a health history, the nurse asks, “Do you have pain in your chest?”
A. Open-ended question
B. Leading question
C. Closed-ended question
D. Reflective question
Correct Answer: C
Rationale:
Closed-ended questions limit responses to short answers such as “yes” or “no.” They are
useful when gathering specific information.
A nurse documents blood pressure as 120/80 mmHg. This is classified as:
A. Subjective data
B. Objective data
C. Symptom data
D. Historical data
Correct Answer: B
Rationale:
Objective data are measurable observations obtained through physical examination,
diagnostic tests, or vital signs.
, A patient crosses their arms and avoids eye contact during the interview.
A. Comfort and trust
B. Defensive body language
C. Cultural greeting
D. Active listening
Correct Answer: B
Rationale:
Closed body posture and avoidance of eye contact may indicate anxiety, discomfort, or
reluctance to communicate.
Which technique helps establish trust during the patient interview?
A. Interrupting frequently
B. Using medical jargon
C. Active listening
D. Rapid questioning
Correct Answer: C
Rationale:
Active listening demonstrates respect and interest in the patient’s concerns, promoting
effective communication and trust.
A nurse organizes the health history into present illness, past health, and family history. This
is known as:
A. Data clustering
B. Systematic health history
C. Diagnostic reasoning
D. Clinical judgment
Correct Answer: B
Rationale:
A systematic health history follows an organized structure to ensure that all relevant
information about the patient is obtained.
Which type of question may unintentionally influence the patient’s response?
Physical Examination and History
Taking, With over 200+ ,3rd Edition
(Hogan-Quigley, 2022), Chapter 1-24 |
All Chapters
A nurse begins a patient interview by asking, “Can you tell me what concerns brought you
here today?”
A. Closed-ended question
B. Open-ended question
C. Leading question
D. Direct question
Correct Answer: B
Rationale:
Open-ended questions allow patients to explain concerns in their own words and provide
more complete information. Closed-ended questions limit responses, while leading questions
may influence the patient’s answer.
During a physical assessment, the nurse uses touch to evaluate temperature, tenderness, and
texture of the skin.
A. Inspection
B. Palpation
C. Percussion
D. Auscultation
Correct Answer: B
Rationale:
Palpation involves using the hands to assess body structures such as temperature, moisture,
tenderness, and masses. Inspection is visual observation, percussion involves tapping, and
auscultation involves listening to internal body sounds.
A nurse observes a patient’s posture, facial expressions, and movements while entering the
room.
,A. Objective measurement
B. Inspection
C. Palpation
D. Percussion
Correct Answer: B
Rationale:
Inspection is the careful visual observation of a patient. It begins the moment the nurse first
sees the patient and includes assessment of general appearance, posture, and behavior.
A patient states, “My chest hurts whenever I walk up the stairs.” This statement is an example
of:
A. Objective data
B. Diagnostic data
C. Subjective data
D. Measured data
Correct Answer: C
Rationale:
Subjective data are symptoms reported by the patient and cannot be directly measured by the
examiner. Objective data are observable and measurable findings.
The nurse listens to heart sounds using a stethoscope.
A. Palpation
B. Auscultation
C. Percussion
D. Inspection
Correct Answer: B
Rationale:
Auscultation involves listening to sounds produced within the body such as heart, lung, and
bowel sounds using a stethoscope.
Which part of the stethoscope is best for detecting low-pitched heart sounds?
A. Diaphragm
B. Bell
C. Tubing
D. Earpieces
,Correct Answer: B
Rationale:
The bell of the stethoscope is used to detect low-pitched sounds such as some heart murmurs
and extra heart sounds (S3 and S4). The diaphragm is better for high-pitched sounds.
A nurse taps the chest wall to assess underlying lung tissue.
A. Auscultation
B. Inspection
C. Percussion
D. Palpation
Correct Answer: C
Rationale:
Percussion involves tapping on a surface to produce sounds that help determine the density of
underlying tissues or organs.
While obtaining a health history, the nurse asks, “Do you have pain in your chest?”
A. Open-ended question
B. Leading question
C. Closed-ended question
D. Reflective question
Correct Answer: C
Rationale:
Closed-ended questions limit responses to short answers such as “yes” or “no.” They are
useful when gathering specific information.
A nurse documents blood pressure as 120/80 mmHg. This is classified as:
A. Subjective data
B. Objective data
C. Symptom data
D. Historical data
Correct Answer: B
Rationale:
Objective data are measurable observations obtained through physical examination,
diagnostic tests, or vital signs.
, A patient crosses their arms and avoids eye contact during the interview.
A. Comfort and trust
B. Defensive body language
C. Cultural greeting
D. Active listening
Correct Answer: B
Rationale:
Closed body posture and avoidance of eye contact may indicate anxiety, discomfort, or
reluctance to communicate.
Which technique helps establish trust during the patient interview?
A. Interrupting frequently
B. Using medical jargon
C. Active listening
D. Rapid questioning
Correct Answer: C
Rationale:
Active listening demonstrates respect and interest in the patient’s concerns, promoting
effective communication and trust.
A nurse organizes the health history into present illness, past health, and family history. This
is known as:
A. Data clustering
B. Systematic health history
C. Diagnostic reasoning
D. Clinical judgment
Correct Answer: B
Rationale:
A systematic health history follows an organized structure to ensure that all relevant
information about the patient is obtained.
Which type of question may unintentionally influence the patient’s response?
