Bates’ Guide To Physical Examination and History Taking, 13th Edition by Bickley
,Bates’ Guide To Physical Examination and History Taking, 13th Edition by Bickley
,Bates’ Guide To Physical Examination and History Taking, 13th Edition by Bickley
Bates' Guide to Physical Examination and History Taking 13th Edition Bickley Test Bank
CHAPTER 1 Approach to the Clinical Encounter
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.
ANS: 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.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
• 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.
ANS: 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.
, Bates’ Guide To Physical Examination and History Taking, 13th Edition by Bickley
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
• 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.
ANS: 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.
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
• 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.
ANS: 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.
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
• 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
,Bates’ Guide To Physical Examination and History Taking, 13th Edition by Bickley
,Bates’ Guide To Physical Examination and History Taking, 13th Edition by Bickley
Bates' Guide to Physical Examination and History Taking 13th Edition Bickley Test Bank
CHAPTER 1 Approach to the Clinical Encounter
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.
ANS: 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.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
• 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.
ANS: 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.
, Bates’ Guide To Physical Examination and History Taking, 13th Edition by Bickley
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
• 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.
ANS: 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.
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
• 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.
ANS: 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.
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
• 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
