TEST BANK FOR BATE’S GUIDE TO PHYSICAL EXAMINATION
AND HISTORY TAKING 13TH EDITION BICKLEY | ALL CHAPTERS |
QUESTIONS AND ANSWERS | 2024
,CHAPTER 1
Foundations for Clinical Proficiency
MULTIPLE CHOICE
1. After completing an initial assessment of a patient, the nurse has charted that his
respirations are eupneic and his pulse is 58 beats per minute. These types of data
would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANSWER: A
Objective data are what the health professional observes by inspecting, percussing, palpating,
and auscultating during the physical examination. Subjective data is what the person says about
him or herself during history taking. The terms reflective and introspective are not used to
describe data.
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These
types of data would be:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANSWER: C
Subjective data are what the person says about him or herself during history taking. Objective data
are what the health professional observes by inspecting, percussing, palpating, and auscultating
,during the physical examination. The terms reflective and introspective are not used to describe
data.
3. The patients record, laboratory studies, objective data, and subjective data combine
to form the:
a Data base.
.
b Admitting data.
.
c Financial statement.
.
d Discharge summary.
.
ANSWER: A
Together with the patients record and laboratory studies, the objective and subjective data
form the data base. The other items are not part of the patients record, laboratory studies, or
data.
4. When listening to a patients breath sounds, the nurse is unsure of a sound that
is heard. The nurses next action should be to:
a Immediately notify the patients physician.
.
b Document the sound exactly as it was heard.
.
c Validate the data by asking a coworker to listen to the breath sounds.
.
d Assess again in 20 minutes to note whether the sound is still present.
.
ANSWER: C
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the
data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert
to listen.
5. The nurse is conducting a class for new graduate nurses. During the teaching
session, the nurse should keep in mind that novice nurses, without a background
of skills and experience from which to draw, are more likely to make their
decisions using:
a Intuition.
.
, b A sset sof srules.
.
c Articles sin sjournals.
.
d Advice sfrom ssupervisors.
.
ANSWER: sB
Novice snurses soperate sfrom sa sset sof sdefined, sstructured srules. sThe sexpert spractitioner suses
sintuitive slinks.
6. Expert snurses slearn sto sattend sto sa spattern sof sassessment sdata sand sact
swithout sconsciously slabeling sit. sThese sresponses sare sreferred sto sas:
a Intuition.
.
b The snursing sprocess.
.
c Clinical sknowledge.
.
d Diagnostic sreasoning.
.
ANSWER: sA
Intuition sis scharacterized sby spattern srecognition sexpert snurses slearn sto sattend sto sa spattern sof
sassessment sdata sand sact swithout sconsciously slabeling sit. sThe sother soptions sare snot scorrect.
7. The snurse sis sreviewing sinformation sabout sevidence-based spractice s(EBP). sWhich
sstatement sbest sreflects sEBP?
a EBP srelies son stradition sfor ssupport sof sbest spractices.
.
b EBP sis ssimply sthe suse sof sbest spractice stechniques sfor sthe streatment sof spatients.
.
c EBP semphasizes sthe suse sof sbest sevidence swith sthe sclinicians sexperience.
.
d The spatients sown spreferences sare snot simportant swith sEBP.
.
ANSWER: sC
EBP sis sa ssystematic sapproach sto spractice sthat semphasizes sthe suse sof sbest sevidence sin
scombination swith sthe sclinicians sexperience, sas swell sas spatient spreferences sand svalues, swhen
AND HISTORY TAKING 13TH EDITION BICKLEY | ALL CHAPTERS |
QUESTIONS AND ANSWERS | 2024
,CHAPTER 1
Foundations for Clinical Proficiency
MULTIPLE CHOICE
1. After completing an initial assessment of a patient, the nurse has charted that his
respirations are eupneic and his pulse is 58 beats per minute. These types of data
would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANSWER: A
Objective data are what the health professional observes by inspecting, percussing, palpating,
and auscultating during the physical examination. Subjective data is what the person says about
him or herself during history taking. The terms reflective and introspective are not used to
describe data.
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These
types of data would be:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANSWER: C
Subjective data are what the person says about him or herself during history taking. Objective data
are what the health professional observes by inspecting, percussing, palpating, and auscultating
,during the physical examination. The terms reflective and introspective are not used to describe
data.
3. The patients record, laboratory studies, objective data, and subjective data combine
to form the:
a Data base.
.
b Admitting data.
.
c Financial statement.
.
d Discharge summary.
.
ANSWER: A
Together with the patients record and laboratory studies, the objective and subjective data
form the data base. The other items are not part of the patients record, laboratory studies, or
data.
4. When listening to a patients breath sounds, the nurse is unsure of a sound that
is heard. The nurses next action should be to:
a Immediately notify the patients physician.
.
b Document the sound exactly as it was heard.
.
c Validate the data by asking a coworker to listen to the breath sounds.
.
d Assess again in 20 minutes to note whether the sound is still present.
.
ANSWER: C
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the
data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert
to listen.
5. The nurse is conducting a class for new graduate nurses. During the teaching
session, the nurse should keep in mind that novice nurses, without a background
of skills and experience from which to draw, are more likely to make their
decisions using:
a Intuition.
.
, b A sset sof srules.
.
c Articles sin sjournals.
.
d Advice sfrom ssupervisors.
.
ANSWER: sB
Novice snurses soperate sfrom sa sset sof sdefined, sstructured srules. sThe sexpert spractitioner suses
sintuitive slinks.
6. Expert snurses slearn sto sattend sto sa spattern sof sassessment sdata sand sact
swithout sconsciously slabeling sit. sThese sresponses sare sreferred sto sas:
a Intuition.
.
b The snursing sprocess.
.
c Clinical sknowledge.
.
d Diagnostic sreasoning.
.
ANSWER: sA
Intuition sis scharacterized sby spattern srecognition sexpert snurses slearn sto sattend sto sa spattern sof
sassessment sdata sand sact swithout sconsciously slabeling sit. sThe sother soptions sare snot scorrect.
7. The snurse sis sreviewing sinformation sabout sevidence-based spractice s(EBP). sWhich
sstatement sbest sreflects sEBP?
a EBP srelies son stradition sfor ssupport sof sbest spractices.
.
b EBP sis ssimply sthe suse sof sbest spractice stechniques sfor sthe streatment sof spatients.
.
c EBP semphasizes sthe suse sof sbest sevidence swith sthe sclinicians sexperience.
.
d The spatients sown spreferences sare snot simportant swith sEBP.
.
ANSWER: sC
EBP sis sa ssystematic sapproach sto spractice sthat semphasizes sthe suse sof sbest sevidence sin
scombination swith sthe sclinicians sexperience, sas swell sas spatient spreferences sand svalues, swhen
