b b
lOMoAR cPSD| 11700591
,
,prepared by stevesalvardo b b
for any inquiry and further request
b b b b b
bemail:
Chapter 1 b
MULTIPLEbCHOICE
1. bForbwhichbofbthebfollowingbpatientsbwouldbabcomprehensivebhealthbhistorybbebappropriate?
A) Abnewbpatientbwithbthebchiefbcomplaintbofb―Ibsprainedbmybankle‖
B) Anbestablishedbpatientbwithbthebchiefbcomplaintbofb―Ibhavebanbupperbrespiratorybinfection‖
C) Abnewbpatientbwithbthebchiefbcomplaintbofb―Ibambherebtobestablishbcare‖
D) Abnewbpatientbwithbthebchiefbcomplaintbofb―Ibcutbmybhand‖
Ans:bC
Chapter:b 01
PagebandbHeader:b 4,bPatientbAssessment:bComprehensiveborbFocused
Feedback:b Thisbpatientbisbherebtobestablishbcare,bandbbecausebshebisbnewbtobyou,babcomprehensivebh
ealthbhistorybisbappropriate.
2. Thebcomponentsbofbthebhealthbhistorybincludeballbofbthebfollowingbexceptbwhichbone?
A) Reviewbofbsystems
B) Thoraxbandblungs
C) Presentbillness
D) Personalbandbsocialbitems
Ans:bB
Chapter:b 01
Feedback:b Thebthoraxbandblungsbarebpartbofbthebphysicalbexamination,bnotbpartbofbthebhealthbhistor
y.b Thebothersbanswersbareballbpartbofbabcompletebhealthbhistory.
3. Isbthebfollowingbinformationbsubjectiveborbobjective?
Mr.bM.bhasbshortnessbofbbreathbthatbhasbpersistedbforbthebpastb10bdays;bitbisbworsebwithbactivitybandb
relievedbbybrest.
A) Subjective
,B) Objective
Ans:bA
Chapter:b 01
4. Isbthebfollowingbinformationbsubjectiveborbobjective?bM
r.bM.bhasbabrespiratorybratebofb32bandbabpulsebratebofb120.
A) Subjective
B) Objective
, b b
lOMoAR cPSD| 11700591
Bates'bNursingbGuidebtobPhysicalbExaminationbandbHistorybTakingb/bEditionb3bTestbank
Ans: B
Ans: bA
Chapter: 01
Chapter:b 01
Feedback: Thisbis
Feedback:b This isbinformation
abmeasurement bobtainedbbybthebexaminer,bsobitbisbconsideredbobjectivebdata.bTh
about a significant hospitalization and should be placed in the
eadult
bpatientbisbunlikelybtobbebablebtobgivebthisbinformationbtobthebexaminer.
illnesses section. If the patient is being seen for an asthma exacerbation, you may consider
5. Thebfollowingbinformationbisbrecordedbinbthebhealthbhistory:b―Thebpatientbhasbhadbabdominalbp
ainbforb1bweek.bThebpainblastsbforb30bminutesbatbabtime;bitbcomesbandbgoes.bThebseveritybisb7btob9bonb
abscalebofb1btob10.bItbisbaccompaniedbbybnauseabandbvomiting.bItbisblocatedbinbthebmid-
bepigastricbarea.‖
Whichbofbthesebcategoriesbdoesbitbbelongbto?
A) Chiefbcomplaint
B) Presentbillness
C) Personalbandbsocialbhistory
D) Reviewbofbsystems
Ans:bB
Chapter:b 01
Feedback:bThisbinformationbdescribesbthebproblembofbabdominalbpain,bwhichbisbthebpresentbillness.b
Thebinterviewerbhasbobtainedbtheblocation,btiming,bseverity,bandbassociatedbmanifestationsbofbthebpa
in.bThebinterviewerbwillbstillbneedbtobobtainbinformationbconcerningbthebqualitybofbthebpain,bthebsetti
ngbinbwhichbitboccurred,bandbthebfactorsbthatbaggravatebandballeviatebthebpain.bYoubwillbnoticebthatbi
tbdoesbincludebportionsbofbthebpertinentbreviewbofbsystems,bbutbbecausebitbrelatesbdirectlybtobthebco
mplaint,bitbisbincludedbinbthebhistorybofbpresentbillness.
6. Thebfollowingbinformationbisbrecordedbinbthebhealthbhistory:b―Thebpatientbcompletedb8thbgrade.b
Hebcurrentlyblivesbwithbhisbwifebandbtwobchildren.bHebworksbonboldbcarsbonbthebweekend.bHebworksb
inbabglassbfactorybduringbthebweek.‖
Ans:bC
Chapter:b 01
Feedback:bPersonalbandbsocialbhistorybinformationbincludesbeducationalblevel,bfamilybofborigin,bcu
rrentbhouseholdbstatus,bpersonalbinterests,bemployment,breligiousbbeliefs,b militarybhistory,bandblife
styleb(includingbdietbandbexercisebhabits;busebofbalcohol,btobacco,band/orbdrugs;bandbsexualbprefere
ncesbandbhistory).bAllbofbthisbinformationbisbdocumentedbinbthisbexample.
7. Thebfollowingbinformationbisbrecordedbinbthebhealthbhistory:b―Ibfeelbreallybtired.‖b
Whichbcategorybdoesbitbbelongbto?
A) Chiefbcomplaint
B) Presentbillness
C) Personalbandbsocialbhistory
D) Reviewbofbsystems
, b b
lOMoAR cPSD| 11700591
Bates'bNursingbGuidebtobPhysicalbExaminationbandbHistorybTakingb/bEditionb3bTestbank
Ans:bA
Chapter:
Ans: A b 01
Chapter: 01
Feedback:b Thebchiefbcomplaintbisbanbattemptbtobquotebthebpatient'sbownbwords,basblongbasbtheybareb
suitable
Feedback: btobprint.bItbisbbrief,blikebabheadline,bandbfurtherbdetails bshouldbbebsoughtbinbthebpresent billnes
This is information about a significant hospitalization and should be placed in the
sadult
bsection.bThebabovebinformationbisbabchiefbcomplaint.
illnesses section. If the patient is being seen for an asthma exacerbation, you may consider
8. Thebfollowingbinformationbisbrecordedbinbthebhealthbhistory:b―Patientbdeniesbchestbpain,b
palpitations,borthopnea,bandbparoxysmalbnocturnalbdyspnea.‖
Whichbcategorybdoesbitbbelongbto?
A) Chiefbcomplaint
B) Presentbillness
C) Personalbandbsocialbhistory
D) Reviewbofbsystems
Ans:bD
Chapter:b 01
Feedback:b Reviewbofbsystemsbdocumentsbthebpresenceborbabsencebofbcommonbsymptomsbrelated
9. Thebfollowingbinformationbisbbestbplacedbinbwhichbcategory?
―Thebpatientbhasbhadbthreebcesareanbsections.‖
A) Adultbillnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans:bB
Chapter:b 01
Feedback:bAbcesareanbsectionbisbabsurgicalbprocedure.bApproximatebdatesborbthebagebofbthebpatientba
tbthebtimebofbthebsurgerybshouldbalsobbebrecorded.
10. Thebfollowingbinformationbisbbestbplacedbinbwhichbcategory?
―Thebpatientbhadbabstentbplacedbinbthebleftbanteriorbdescendingbarteryb(LAD)binb1999.‖
A) Adultbillnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans:bA
Chapter:b 01
Feedback:bThebadultbillnessesbcategorybisbreservedbforbchronicbillnesses,bsignificantbhospitalization
s,bsignificantbinjuries,bandbsignificantbprocedures.bAbstentbisbabmajorbprocedurebbutbdoesbnotbinvolveb
absurgeon.
, b b
lOMoAR cPSD| 11700591
Bates'bNursingbGuidebtobPhysicalbExaminationbandbHistorybTakingb/bEditionb3bTestbank
Ans: A
11. Thebfollowingbinformationbisbbestbplacedbinbwhichbcategory?
Chapter: 01
―Thebpatientbwasbtreatedbforbanbasthmabexacerbationbinbthebhospitalblastbyear;bthebpatientbhasbnever
bbeenbintubated.‖
Feedback: This is information about a significant hospitalization and should be placed in the
A) Adultbillnesses
adult illnesses section. If the patient is being seen for an asthma exacerbation, you may consider
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
placingbthisbinformationbinbthebpresentbillnessbsection,bbecausebitbrelatesbtobthebchiefbcomplaintbatbt
hatbvisit.
Chapterb2bCriticalbThinkingbinbHealthbAssessment
MULTIPLEbCHOICE
1. Whenbperformingbabphysicalbassessment,bthebfirstbtechniquebthebnursebwillbalwaysbusebis:
a. Palpation.
b. Inspection.
c. Percussion.
d. Auscultation.
ANS:bB
Thebskillsbrequisitebforbthebphysicalbexaminationbarebinspection,bpalpation,bpercussion,bandbauscult
ation.bThebskillsbarebperformedbonebatbabtimebandbinbthisborderb(withbthebexceptionbofbthebabdominalb
assessment,bduringbwhichbauscultationbtakesbplacebbeforebpalpationbandbpercussion).bThebassessme
ntbofbeachbbodybsystembbeginsbwithbinspection.bAbfocusedbinspectionbtakesbtimebandbyieldsbabsurpris
ingbamountbofbinformation.
2. Thebnursebisbpreparingbtobperformbabphysicalbassessment.bWhichbstatementbisbtruebaboutbthebp
hysicalbassessment?bThebinspectionbphase:
a. Usuallybyieldsblittlebinformation.
b. Takesbtimebandbrevealsbabsurprisingbamountbofbinformation.
c. Maybbebsomewhatbuncomfortablebforbthebexpertbpractitioner.
, lOMoAR cPSD| 11700591
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
a. Turgor
b. Texture
c. Density
Abfocusedbinspectionbtakesbtimebandbyieldsbabsurprisingbamountbofbinformation.bInitially,bthebexamine
rbmaybfeelbuncomfortable,bstaringbatbthebpersonbwithoutbalsobdoingbsomething.bAbfocusedbassessmentb
isbsignificantlybmorebthanbabquickbglance.
3. Thebnursebisbassessingbabpatientsbskinbduringbanbofficebvisit.bWhatbpartbofbthebhandbandbt
echniquebshouldbbebusedbtobbestbassessbthebpatientsbskinbtemperature?
a. Fingertips;btheybarebmorebsensitivebtobsmallbchangesbinbtemperature.
b. Dorsalbsurfacebofbthebhand;bthebskinbisbthinnerbonbthisbsurfacebthanbonbthebpalms.
c. Ulnarbportionbofbthebhand;bincreasedbbloodbsupplybinbthisbareabenhancesbt
emperaturebsensitivity.
d. Palmarbsurfacebofbthebhand;bthisbsurfacebisbthebmostbsensitivebtobtemperatureb
variationsbbecausebofbitsbincreasedbnervebsupplybinbthisbarea.
ANS:bB
Thebdorsab(backs)bofbthebhandsbandbfingersbarebbestbforbdeterminingbtemperaturebbecausebthebskinbis
thinnerbonbthebdorsalbsurfacesbthanbonbthebpalms.bFingertipsbarebbestbforbfine,btactilebdiscrimination
b
.bThebotherbresponsesbarebnotbusefulbforbpalpation.
4. Whichbofbthesebtechniquesbusesbthebsensebofbtouchbtobassessbtexture,btemperature,bmoisture,bandbs
wellingbwhenbthebnursebisbassessingbabpatient?
a. Palpation
b. Inspection
c. Percussion
d. Auscultation
ANS:bA
5. Thebnursebisbpreparingbtobassessbabpatientsbabdomenbbybpalpation.bHowbshouldbthebnursebp
roceed?
, lOMoAR cPSD| 11700591
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
a. Turgor
b. Texture
c. Density
a. Palpationbofbreportedlybtenderbareasbarebavoidedbbecausebpalpationbinbthesebareas
maybcausebpain.
b. Palpatingbabtenderbareabisbquicklybperformedbtobavoidbanybdiscomfortbthatbtheb
patientbmaybexperience.
c. Thebassessmentbbeginsbwithbdeepbpalpation,bwhilebencouragingbthebpatientbtobrelaxba
ndbtobtakebdeepbbreaths.
d. Thebassessmentbbeginsbwithblightbpalpationbtobdetectbsurfacebcharacteristicsbandbtob
accustombthebpatientbtobbeingbtouched.
ANS:bD
Lightbpalpationbisbinitiallybperformedbtobdetectbanybsurfacebcharacteristicsbandbtobaccustombthebpers
onbtobbeingbtouched.bTenderbareasbshouldbbebpalpatedblast,bnotbfirst.
6. Thebnursebwouldbusebbimanualbpalpationbtechniquebinbwhichbsituation?
a. Palpatingbthebthoraxbofbanbinfant
b. Palpatingbthebkidneysbandbuterus
c. Assessingbpulsationsbandbvibrations
d. Assessingbthebpresencebofbtendernessbandbpain
ANS:bB
Bimanualbpalpationbrequiresbthebusebofbbothbhandsbtobenvelopborbcapturebcertainbbodybpartsborborg
ansbsuchbasbthebkidneys,buterus,borbadnexa.bThebotherbsituationsbarebnotbappropriatebforbbimanualbp
alpation.
7. Thebnursebisbpreparingbtobpercussbthebabdomenbofbabpatient.bThebpurposebofbthebpercussionbisbtoba
ssessbthe ofbthebunderlyingbtissue.
d.b Consistency
ANS:bC
Percussionbyieldsbabsoundbthatbdepictsbtheblocation,bsize,bandbdensitybofbthebunderlyingborgan.
, lOMoAR cPSD| 11700591
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
a. Turgor
b. Texture
c. Density
Turgorbandbtexturebarebassessedbwithbpalpation.
8. Thebnursebisbreviewingbpercussionbtechniquesbwithbabnewlybgraduatedbnurse.bWhichbtechnique,bi
fbusedbbybthebnewbnurse,bindicatesbthatbmorebreviewbisbneeded?
a. Percussingbonceboverbeachbarea
b. Quicklybliftingbthebstrikingbfingerbafterbeachbstroke
c. Strikingbwithbthebfingertip,bnotbthebfingerbpad
d. Usingbthebwristbtobmakebthebstrikes,bnotbthebarm
ANS:bA
Forbpercussion,bthebnursebshouldbpercussbtwobtimesboverbeachblocation.bThebstrikingbfingerbshouldbb
ebquicklybliftedbbecausebabrestingbfingerbdampsboffbvibrations.bThebtipbofbthebstrikingbfingerbshouldb
makebcontact,bnotbthebpadbofbthebfinger.bThebwristbmustbbebrelaxedbandbisbusedbtobmakebthebstrikes,bn
otbthebarm.
9. Whenbpercussingboverbthebliverbofbabpatient,bthebnursebnoticesbabdullbsound.bThebnursebshould:
a. Considerbthisbabnormalbfinding.
b. Palpatebthisbareabforbanbunderlyingbmass.
c. Repositionbthebhands,bandbattemptbtobpercussbinbthisbareabagain.
d. Considerbthisbfindingbasbabnormal,bandbreferbthebpatientbforbadditionalbtreatment.
ANS:bA
lOMoAR cPSD| 11700591
,
,prepared by stevesalvardo b b
for any inquiry and further request
b b b b b
bemail:
Chapter 1 b
MULTIPLEbCHOICE
1. bForbwhichbofbthebfollowingbpatientsbwouldbabcomprehensivebhealthbhistorybbebappropriate?
A) Abnewbpatientbwithbthebchiefbcomplaintbofb―Ibsprainedbmybankle‖
B) Anbestablishedbpatientbwithbthebchiefbcomplaintbofb―Ibhavebanbupperbrespiratorybinfection‖
C) Abnewbpatientbwithbthebchiefbcomplaintbofb―Ibambherebtobestablishbcare‖
D) Abnewbpatientbwithbthebchiefbcomplaintbofb―Ibcutbmybhand‖
Ans:bC
Chapter:b 01
PagebandbHeader:b 4,bPatientbAssessment:bComprehensiveborbFocused
Feedback:b Thisbpatientbisbherebtobestablishbcare,bandbbecausebshebisbnewbtobyou,babcomprehensivebh
ealthbhistorybisbappropriate.
2. Thebcomponentsbofbthebhealthbhistorybincludeballbofbthebfollowingbexceptbwhichbone?
A) Reviewbofbsystems
B) Thoraxbandblungs
C) Presentbillness
D) Personalbandbsocialbitems
Ans:bB
Chapter:b 01
Feedback:b Thebthoraxbandblungsbarebpartbofbthebphysicalbexamination,bnotbpartbofbthebhealthbhistor
y.b Thebothersbanswersbareballbpartbofbabcompletebhealthbhistory.
3. Isbthebfollowingbinformationbsubjectiveborbobjective?
Mr.bM.bhasbshortnessbofbbreathbthatbhasbpersistedbforbthebpastb10bdays;bitbisbworsebwithbactivitybandb
relievedbbybrest.
A) Subjective
,B) Objective
Ans:bA
Chapter:b 01
4. Isbthebfollowingbinformationbsubjectiveborbobjective?bM
r.bM.bhasbabrespiratorybratebofb32bandbabpulsebratebofb120.
A) Subjective
B) Objective
, b b
lOMoAR cPSD| 11700591
Bates'bNursingbGuidebtobPhysicalbExaminationbandbHistorybTakingb/bEditionb3bTestbank
Ans: B
Ans: bA
Chapter: 01
Chapter:b 01
Feedback: Thisbis
Feedback:b This isbinformation
abmeasurement bobtainedbbybthebexaminer,bsobitbisbconsideredbobjectivebdata.bTh
about a significant hospitalization and should be placed in the
eadult
bpatientbisbunlikelybtobbebablebtobgivebthisbinformationbtobthebexaminer.
illnesses section. If the patient is being seen for an asthma exacerbation, you may consider
5. Thebfollowingbinformationbisbrecordedbinbthebhealthbhistory:b―Thebpatientbhasbhadbabdominalbp
ainbforb1bweek.bThebpainblastsbforb30bminutesbatbabtime;bitbcomesbandbgoes.bThebseveritybisb7btob9bonb
abscalebofb1btob10.bItbisbaccompaniedbbybnauseabandbvomiting.bItbisblocatedbinbthebmid-
bepigastricbarea.‖
Whichbofbthesebcategoriesbdoesbitbbelongbto?
A) Chiefbcomplaint
B) Presentbillness
C) Personalbandbsocialbhistory
D) Reviewbofbsystems
Ans:bB
Chapter:b 01
Feedback:bThisbinformationbdescribesbthebproblembofbabdominalbpain,bwhichbisbthebpresentbillness.b
Thebinterviewerbhasbobtainedbtheblocation,btiming,bseverity,bandbassociatedbmanifestationsbofbthebpa
in.bThebinterviewerbwillbstillbneedbtobobtainbinformationbconcerningbthebqualitybofbthebpain,bthebsetti
ngbinbwhichbitboccurred,bandbthebfactorsbthatbaggravatebandballeviatebthebpain.bYoubwillbnoticebthatbi
tbdoesbincludebportionsbofbthebpertinentbreviewbofbsystems,bbutbbecausebitbrelatesbdirectlybtobthebco
mplaint,bitbisbincludedbinbthebhistorybofbpresentbillness.
6. Thebfollowingbinformationbisbrecordedbinbthebhealthbhistory:b―Thebpatientbcompletedb8thbgrade.b
Hebcurrentlyblivesbwithbhisbwifebandbtwobchildren.bHebworksbonboldbcarsbonbthebweekend.bHebworksb
inbabglassbfactorybduringbthebweek.‖
Ans:bC
Chapter:b 01
Feedback:bPersonalbandbsocialbhistorybinformationbincludesbeducationalblevel,bfamilybofborigin,bcu
rrentbhouseholdbstatus,bpersonalbinterests,bemployment,breligiousbbeliefs,b militarybhistory,bandblife
styleb(includingbdietbandbexercisebhabits;busebofbalcohol,btobacco,band/orbdrugs;bandbsexualbprefere
ncesbandbhistory).bAllbofbthisbinformationbisbdocumentedbinbthisbexample.
7. Thebfollowingbinformationbisbrecordedbinbthebhealthbhistory:b―Ibfeelbreallybtired.‖b
Whichbcategorybdoesbitbbelongbto?
A) Chiefbcomplaint
B) Presentbillness
C) Personalbandbsocialbhistory
D) Reviewbofbsystems
, b b
lOMoAR cPSD| 11700591
Bates'bNursingbGuidebtobPhysicalbExaminationbandbHistorybTakingb/bEditionb3bTestbank
Ans:bA
Chapter:
Ans: A b 01
Chapter: 01
Feedback:b Thebchiefbcomplaintbisbanbattemptbtobquotebthebpatient'sbownbwords,basblongbasbtheybareb
suitable
Feedback: btobprint.bItbisbbrief,blikebabheadline,bandbfurtherbdetails bshouldbbebsoughtbinbthebpresent billnes
This is information about a significant hospitalization and should be placed in the
sadult
bsection.bThebabovebinformationbisbabchiefbcomplaint.
illnesses section. If the patient is being seen for an asthma exacerbation, you may consider
8. Thebfollowingbinformationbisbrecordedbinbthebhealthbhistory:b―Patientbdeniesbchestbpain,b
palpitations,borthopnea,bandbparoxysmalbnocturnalbdyspnea.‖
Whichbcategorybdoesbitbbelongbto?
A) Chiefbcomplaint
B) Presentbillness
C) Personalbandbsocialbhistory
D) Reviewbofbsystems
Ans:bD
Chapter:b 01
Feedback:b Reviewbofbsystemsbdocumentsbthebpresenceborbabsencebofbcommonbsymptomsbrelated
9. Thebfollowingbinformationbisbbestbplacedbinbwhichbcategory?
―Thebpatientbhasbhadbthreebcesareanbsections.‖
A) Adultbillnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans:bB
Chapter:b 01
Feedback:bAbcesareanbsectionbisbabsurgicalbprocedure.bApproximatebdatesborbthebagebofbthebpatientba
tbthebtimebofbthebsurgerybshouldbalsobbebrecorded.
10. Thebfollowingbinformationbisbbestbplacedbinbwhichbcategory?
―Thebpatientbhadbabstentbplacedbinbthebleftbanteriorbdescendingbarteryb(LAD)binb1999.‖
A) Adultbillnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans:bA
Chapter:b 01
Feedback:bThebadultbillnessesbcategorybisbreservedbforbchronicbillnesses,bsignificantbhospitalization
s,bsignificantbinjuries,bandbsignificantbprocedures.bAbstentbisbabmajorbprocedurebbutbdoesbnotbinvolveb
absurgeon.
, b b
lOMoAR cPSD| 11700591
Bates'bNursingbGuidebtobPhysicalbExaminationbandbHistorybTakingb/bEditionb3bTestbank
Ans: A
11. Thebfollowingbinformationbisbbestbplacedbinbwhichbcategory?
Chapter: 01
―Thebpatientbwasbtreatedbforbanbasthmabexacerbationbinbthebhospitalblastbyear;bthebpatientbhasbnever
bbeenbintubated.‖
Feedback: This is information about a significant hospitalization and should be placed in the
A) Adultbillnesses
adult illnesses section. If the patient is being seen for an asthma exacerbation, you may consider
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
placingbthisbinformationbinbthebpresentbillnessbsection,bbecausebitbrelatesbtobthebchiefbcomplaintbatbt
hatbvisit.
Chapterb2bCriticalbThinkingbinbHealthbAssessment
MULTIPLEbCHOICE
1. Whenbperformingbabphysicalbassessment,bthebfirstbtechniquebthebnursebwillbalwaysbusebis:
a. Palpation.
b. Inspection.
c. Percussion.
d. Auscultation.
ANS:bB
Thebskillsbrequisitebforbthebphysicalbexaminationbarebinspection,bpalpation,bpercussion,bandbauscult
ation.bThebskillsbarebperformedbonebatbabtimebandbinbthisborderb(withbthebexceptionbofbthebabdominalb
assessment,bduringbwhichbauscultationbtakesbplacebbeforebpalpationbandbpercussion).bThebassessme
ntbofbeachbbodybsystembbeginsbwithbinspection.bAbfocusedbinspectionbtakesbtimebandbyieldsbabsurpris
ingbamountbofbinformation.
2. Thebnursebisbpreparingbtobperformbabphysicalbassessment.bWhichbstatementbisbtruebaboutbthebp
hysicalbassessment?bThebinspectionbphase:
a. Usuallybyieldsblittlebinformation.
b. Takesbtimebandbrevealsbabsurprisingbamountbofbinformation.
c. Maybbebsomewhatbuncomfortablebforbthebexpertbpractitioner.
, lOMoAR cPSD| 11700591
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
a. Turgor
b. Texture
c. Density
Abfocusedbinspectionbtakesbtimebandbyieldsbabsurprisingbamountbofbinformation.bInitially,bthebexamine
rbmaybfeelbuncomfortable,bstaringbatbthebpersonbwithoutbalsobdoingbsomething.bAbfocusedbassessmentb
isbsignificantlybmorebthanbabquickbglance.
3. Thebnursebisbassessingbabpatientsbskinbduringbanbofficebvisit.bWhatbpartbofbthebhandbandbt
echniquebshouldbbebusedbtobbestbassessbthebpatientsbskinbtemperature?
a. Fingertips;btheybarebmorebsensitivebtobsmallbchangesbinbtemperature.
b. Dorsalbsurfacebofbthebhand;bthebskinbisbthinnerbonbthisbsurfacebthanbonbthebpalms.
c. Ulnarbportionbofbthebhand;bincreasedbbloodbsupplybinbthisbareabenhancesbt
emperaturebsensitivity.
d. Palmarbsurfacebofbthebhand;bthisbsurfacebisbthebmostbsensitivebtobtemperatureb
variationsbbecausebofbitsbincreasedbnervebsupplybinbthisbarea.
ANS:bB
Thebdorsab(backs)bofbthebhandsbandbfingersbarebbestbforbdeterminingbtemperaturebbecausebthebskinbis
thinnerbonbthebdorsalbsurfacesbthanbonbthebpalms.bFingertipsbarebbestbforbfine,btactilebdiscrimination
b
.bThebotherbresponsesbarebnotbusefulbforbpalpation.
4. Whichbofbthesebtechniquesbusesbthebsensebofbtouchbtobassessbtexture,btemperature,bmoisture,bandbs
wellingbwhenbthebnursebisbassessingbabpatient?
a. Palpation
b. Inspection
c. Percussion
d. Auscultation
ANS:bA
5. Thebnursebisbpreparingbtobassessbabpatientsbabdomenbbybpalpation.bHowbshouldbthebnursebp
roceed?
, lOMoAR cPSD| 11700591
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
a. Turgor
b. Texture
c. Density
a. Palpationbofbreportedlybtenderbareasbarebavoidedbbecausebpalpationbinbthesebareas
maybcausebpain.
b. Palpatingbabtenderbareabisbquicklybperformedbtobavoidbanybdiscomfortbthatbtheb
patientbmaybexperience.
c. Thebassessmentbbeginsbwithbdeepbpalpation,bwhilebencouragingbthebpatientbtobrelaxba
ndbtobtakebdeepbbreaths.
d. Thebassessmentbbeginsbwithblightbpalpationbtobdetectbsurfacebcharacteristicsbandbtob
accustombthebpatientbtobbeingbtouched.
ANS:bD
Lightbpalpationbisbinitiallybperformedbtobdetectbanybsurfacebcharacteristicsbandbtobaccustombthebpers
onbtobbeingbtouched.bTenderbareasbshouldbbebpalpatedblast,bnotbfirst.
6. Thebnursebwouldbusebbimanualbpalpationbtechniquebinbwhichbsituation?
a. Palpatingbthebthoraxbofbanbinfant
b. Palpatingbthebkidneysbandbuterus
c. Assessingbpulsationsbandbvibrations
d. Assessingbthebpresencebofbtendernessbandbpain
ANS:bB
Bimanualbpalpationbrequiresbthebusebofbbothbhandsbtobenvelopborbcapturebcertainbbodybpartsborborg
ansbsuchbasbthebkidneys,buterus,borbadnexa.bThebotherbsituationsbarebnotbappropriatebforbbimanualbp
alpation.
7. Thebnursebisbpreparingbtobpercussbthebabdomenbofbabpatient.bThebpurposebofbthebpercussionbisbtoba
ssessbthe ofbthebunderlyingbtissue.
d.b Consistency
ANS:bC
Percussionbyieldsbabsoundbthatbdepictsbtheblocation,bsize,bandbdensitybofbthebunderlyingborgan.
, lOMoAR cPSD| 11700591
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
a. Turgor
b. Texture
c. Density
Turgorbandbtexturebarebassessedbwithbpalpation.
8. Thebnursebisbreviewingbpercussionbtechniquesbwithbabnewlybgraduatedbnurse.bWhichbtechnique,bi
fbusedbbybthebnewbnurse,bindicatesbthatbmorebreviewbisbneeded?
a. Percussingbonceboverbeachbarea
b. Quicklybliftingbthebstrikingbfingerbafterbeachbstroke
c. Strikingbwithbthebfingertip,bnotbthebfingerbpad
d. Usingbthebwristbtobmakebthebstrikes,bnotbthebarm
ANS:bA
Forbpercussion,bthebnursebshouldbpercussbtwobtimesboverbeachblocation.bThebstrikingbfingerbshouldbb
ebquicklybliftedbbecausebabrestingbfingerbdampsboffbvibrations.bThebtipbofbthebstrikingbfingerbshouldb
makebcontact,bnotbthebpadbofbthebfinger.bThebwristbmustbbebrelaxedbandbisbusedbtobmakebthebstrikes,bn
otbthebarm.
9. Whenbpercussingboverbthebliverbofbabpatient,bthebnursebnoticesbabdullbsound.bThebnursebshould:
a. Considerbthisbabnormalbfinding.
b. Palpatebthisbareabforbanbunderlyingbmass.
c. Repositionbthebhands,bandbattemptbtobpercussbinbthisbareabagain.
d. Considerbthisbfindingbasbabnormal,bandbreferbthebpatientbforbadditionalbtreatment.
ANS:bA
