Bates’ Guide to Physical Examination and History Taking 13th Edition Bickley Test Bank Latest 2026/2027 Version

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CHAPTER 1FoundationsforClinicalProficiency
MULTIPLE CHOICE
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1. Aftercompletinganinitial assessmentofa patient,the nursehaschartedthat his respirations are m6 m6 6
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eupneic and his pulse is 58 beats per minute. These types of data would be:
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a Objective.
.
b Reflective.
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c Subjective.
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d Introspective.
.

ANS:A 6
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Objective data are what the health professional observes by inspecting, percussing, palpating, and
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auscultatingduring the physical examination. Subjective data is what the person says about him or
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herselfduringhistory taking. The termsreflective and introspective arenot used to describedata.
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DIF:Cognitive Level: Understanding(Comprehension) REF: p. 2
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MSC:ClientNeeds:Safe andEffectiveCareEnvironment:ManagementofCare
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2. Apatienttellsthenursethatheisverynervous,isnauseated,and feelshot.Thesetypesof data
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would be:
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a Objective.
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b Reflective.
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c Subjective.
.
d Introspective.
.

ANS:C 6
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Subjective data are what the person says about him or herself during history taking. Objective
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dataarewhatthehealthprofessionalobservesbyinspecting,percussing,palpating, and
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auscultatingduringthephysicalexamination.Theterms reflectiveandintrospective arenotused 6
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todescribedata.
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DIF:Cognitive Level: Understanding(Comprehension) REF: p. 2
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MSC:ClientNeeds:Safe andEffectiveCareEnvironment:ManagementofCare
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3. Thepatientsrecord,laboratorystudies,objectivedata,andsubjectivedatacombineto
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form the:
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a Database. 6
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b Admittingdata.
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c Financialstatement. m
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d Dischargesummary. m
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ANS:A 6
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Togetherwiththepatientsrecordandlaboratorystudies,theobjectiveandsubjectivedataform the data
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base. The other items are not part of the patients record, laboratory studies, or data.
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DIF:Cognitive Level:Remembering(Knowledge)REF: p. 2
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MSC:ClientNeeds:Safe andEffectiveCareEnvironment:ManagementofCare
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4. Whenlisteningtoapatientsbreathsounds,thenurseisunsureofasoundthatisheard. The
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nurses next action should be to:
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a Immediatelynotifythe patientsphysician. 6
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.
b Documentthesoundexactlyasitwasheard. 6
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c Validatethedata byaskinga coworkertolistentothe breathsounds. 6
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d Assessagainin20minutestonotewhetherthesoundisstillpresent. 6
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.

ANS:C 6
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When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the datato
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ensureaccuracy. Ifthenursehas lessexperienceinanarea,thenheor sheasksanexpert to listen.
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DIF:CognitiveLevel:Analyzing(Analysis)REF:p.2
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, MSC:ClientNeeds:Safe andEffectiveCareEnvironment:ManagementofCare
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