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on Bickley Test Bank ku ku ku
CHAPTER
1 Foundations for Clinical Proficiency
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MULTIPLE CHOICE ku
1. After completing an initial assessment of a patient, the nurse has charted that his respirations
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are eupneic and his pulse is 58 beats per minute. These types of data would be:
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, a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: A ku
Objective data are what the health professional observes by inspecting, percussing, palpating, a
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nd auscultating during the physical examination. Subjective data is what the person says about
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him or herself during history taking. The terms reflective and introspective are not used to desc
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ribe data.
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DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of
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data would be:
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a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: C ku
Subjective data are what the person says about him or herself during history taking. Objecti
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ve data are what the health professional observes by inspecting, percussing, palpating,and
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, Bates’ Guide To Physical Examination and History Taking 13thEditio
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n Bickley Test Bank ku ku ku
auscultating during the physical examination. The terms reflective and introspective are not used
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to describe data.
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DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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3. The patients record, laboratory studies, objective data, and subjective data combine to
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form the: ku
a Data base. ku
.
b Admitting data. ku
.
c Financial statement. ku
.
d Discharge summary. ku
.
ANS: A ku
Together with the patients record and laboratory studies, the objective and subjective data formt
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he data 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: Client Needs: Safe and Effective Care Environment: Management of Care
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4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard.
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The nurses next action should be to:
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a Immediately notify the patients physician. ku ku ku ku
.
b Document the sound exactly as it was heard. ku ku ku ku ku ku ku
.
c Validate the data by asking a coworker to listen to the breath sounds.
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.
d Assess again in 20 minutes to note whether the sound is still present.
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.
ANS: C ku
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the
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data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an exp
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ertto listen.
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DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
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, MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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