Bates’ Guide To Physical Examination and History Taking
b b b b b b b
13th Edition Bickley Test Bank latestupdated
b b b b b b
Bates’ Guide To Physical Examination and History Taking
b b b b b b b
13th Edition Bickley Test Bank
b b b b
CHAPTER
1bFoundationsbforbClinicalbProficiencyb
MULTIPLEbCHOICE
1. Afterbcompletingbanbinitialbassessmentbofbabpatient,bthebnursebhasbchartedbthatbhisbrespirati
onsbarebeupneicbandbhisbpulsebisb58bbeatsbperbminute.bThesebtypesbofbdatabwouldb be:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS:bA
Objectivebdatabarebwhatbthebhealthbprofessionalbobservesbbybinspecting,bpercussing,bpalpating,ban
dbauscultatingbduringbthebphysicalbexamination.bSubjectivebdatabisbwhatbthebpersonbsaysbaboutbhi
mborbherselfbduringbhistorybtaking.bThebtermsbreflectivebandbintrospectivebarebnotbusedbtobdescribe
bdata.
DIF:bCognitivebLevel:bUnderstandingb(Comprehension)bREF:bp.b2
MSC:bClientbNeeds:bSafebandbEffectivebCarebEnvironment:bManagementbofbCare
2. Abpatientbtellsbthebnursebthatbhebisbverybnervous,bisbnauseated,bandbfeelsbhot.bThesebtypesbo
fbdatabwouldbbe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS:bC
Subjectivebdatabarebwhatbthebpersonbsaysbaboutbhimborbherselfbduringbhistorybtaking.bObjectivebdatab
arebwhatbthebhealthbprofessionalbobservesbbybinspecting,bpercussing,bpalpating,bandbauscultatingbdu
ringbthebphysicalb examination.bThebtermsbreflectiveb andbintrospectiveb areb notb used
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, Bates’ Guide To Physical Examination and History Taking 13th
b b b b b b b b b
Edition Bickley Test Bank latest updated
b b b b b
tobdescribebdata.
DIF:bCognitivebLevel:bUnderstandingb(Comprehension)bREF:bp.b2
MSC:bClientbNeeds:bSafebandbEffectivebCarebEnvironment:bManagementbofbCare
3. Thebpatientsbrecord,blaboratorybstudies,bobjectivebdata,bandbsubjectivebdatabcombinebtobf
ormbthe:
a Databbase.
.
b Admittingbdata.
.
c Financialbstatement.
.
d Dischargebsummary.
.
ANS:bA
Togetherbwithbthebpatientsbrecordb andblaboratorybstudies,b thebobjectiveb andb subjectiveb datab formbth
ebdatabbase.bThebotherbitemsbarebnotbpartbofbthebpatientsbrecord,blaboratorybstudies,borbdata.
DIF:bCognitivebLevel:bRememberingb(Knowledge)bREF:bp.b2
MSC:bClientbNeeds:bSafebandbEffectivebCarebEnvironment:bManagementbofbCare
4. Whenblisteningbtobabpatientsbbreathbsounds,bthebnursebisbunsurebofbabsoundbthatbisbheard.b
Thebnursesbnextbactionbshouldbbebto:
a Immediatelybnotifybthebpatientsbphysician.
.
b Documentbthebsoundbexactlybasbitbwasbheard.
.
c Validatebthebdatabbybaskingbabcoworkerbtoblistenbtobthebbreathbsounds.
.
d Assessbagainbinb20bminutesbtobnotebwhetherbthebsoundbisbstillbpresent.
.
ANS:bC
Whenbunsurebofbabsoundbheardbwhileblisteningbtobabpatientsbbreathbsounds,bthebnursebvalidatesbthebda
tabtobensureb accuracy.b Ifb theb nurseb hasb lessb experienceb inb anbarea,b thenb heb orb sheb asksbanb expertbtobli
sten.
DIF:bCognitivebLevel:bAnalyzingb(Analysis)bREF:bp.b2
MSC:bClientbNeeds:bSafebandbEffectivebCarebEnvironment:bManagementbofbCare
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, Bates’ Guide To Physical Examination and History Taking 13th
b b b b b b b b b
Edition Bickley Test Bank latest updated
b b b b b
5. Thebnursebisbconductingbabclassbforbnewbgraduatebnurses.bDuringbthebteachingbsession,bthebn
ursebshouldbkeepbinbmindbthatbnovicebnurses,bwithoutbabbackgroundbofbskillsbandbexperiencebf
rombwhichbtobdraw,barebmoreblikelybtobmakebtheirbdecisionsb using:
a Intuition.
.
b Absetbofbrules.
.
c Articlesbinbjournals.
.
d Advicebfrombsupervisors.
.
ANS:bB
Novicebnursesboperatebfrombabsetbofbdefined,bstructuredbrules.bThebexpertbpractitionerbusesbi
ntuitiveblinks.
DIF:bCognitivebLevel:bUnderstandingb(Comprehension)bREF:bp.b3b
MSC:bClientbNeeds:bGeneral
6. Expertbnursesblearnbtobattendbtobabpatternbofbassessmentbdatabandbactbwithoutbc
onsciouslyblabelingbit.bThesebresponsesbarebreferredbtob as:
a Intuition.
.
b Thebnursingbprocess.
.
c Clinicalbknowledge.
.
d Diagnosticbreasoning.
.
ANS:bA
Intuitionbisbcharacterizedbbybpatternbrecognitionexpertbnursesblearnbtobattendbtobabpatternbofba
ssessmentbdatabandbactbwithoutbconsciouslyblabelingbit.bThebotherboptionsbarebnotbcorrect.
DIF:bCognitivebLevel:bUnderstandingb(Comprehension)bREF:bp.b4b
MSC:bClientbNeeds:bGeneral
7. Thebnursebisbreviewingbinformationbaboutbevidence-
basedbpracticeb(EBP).bWhichbstatementbbestbreflectsbEBP?
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, Bates’ Guide To Physical Examination and History Taking 13th
b b b b b b b b b
Edition Bickley Test Bank latest updated
b b b b b
a EBPbreliesbonbtraditionbforbsupportbofbbestbpractices.
.
b EBPbisbsimplybthebusebofbbestbpracticebtechniquesbforbthebtreatmentbofbpatients.
.
c EBPbemphasizesbthebusebofbbestbevidencebwithbthebcliniciansb experience.
.
d ThebpatientsbownbpreferencesbarebnotbimportantbwithbEBP.
.
ANS:bC
EBPbisbabsystematicbapproachbtobpracticebthatbemphasizesbthebusebofbbestbevidencebinbcombinatio
nbwithbthebcliniciansbexperience,basbwellbasbpatientbpreferencesbandbvalues,bwhenbmakingbdecision
sbaboutbcarebandbtreatment.bEBPbisbmorebthanbsimplybusingbthebbestbpracticebtechniquesbtobtreatbpat
ients,bandbquestioningbtraditionbisbimportantbwhenbnobcompellingbandbsupportivebresearchbeviden
cebexists.
DIF:bCognitivebLevel:bApplyingb(Application)bREF:bp.b5
MSC:bClientbNeeds:bSafebandbEffectivebCarebEnvironment:bManagementbofbCare
8. Thebnursebisbconductingbabclassbonbprioritybsettingbforbabgroupbofbnewbgraduatebnurses.b
Whichbisbanbexamplebofbabfirst-levelbpriorityb problem?
a Patientbwithbpostoperativebpain
.
b Newlybdiagnosedbpatientbwithbdiabetesbwhobneedsbdiabeticbteaching
.
c Individualbwithbabsmallblacerationbonbthebsolebofbthebfoot
.
d Individualbwithbshortnessbofbbreathbandbrespiratorybdistress
.
ANS:bD
First-
levelbprioritybproblemsbarebthosebthatbarebemergent,blifebthreatening,bandbimmediateb(e.g.,bestablis
hingbanbairway,bsupportingbbreathing,bmaintainingbcirculation,bmonitoringbabnormalbvitalbsigns)b(s
eebTableb1-1).
DIF:bCognitivebLevel:bUnderstandingb(Comprehension)bREF:bp.b4
MSC:bClientbNeeds:bSafebandbEffectivebCarebEnvironment:bManagementbofbCare
9. Whenbconsideringbprioritybsettingbofbproblems,bthebnursebkeepsbinbmindbthatbsecond-
levelbprioritybproblemsbincludebwhichbofbtheseb aspects?
WWW.THENURSINGMASTERY.C
b b b b b b b
13th Edition Bickley Test Bank latestupdated
b b b b b b
Bates’ Guide To Physical Examination and History Taking
b b b b b b b
13th Edition Bickley Test Bank
b b b b
CHAPTER
1bFoundationsbforbClinicalbProficiencyb
MULTIPLEbCHOICE
1. Afterbcompletingbanbinitialbassessmentbofbabpatient,bthebnursebhasbchartedbthatbhisbrespirati
onsbarebeupneicbandbhisbpulsebisb58bbeatsbperbminute.bThesebtypesbofbdatabwouldb be:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS:bA
Objectivebdatabarebwhatbthebhealthbprofessionalbobservesbbybinspecting,bpercussing,bpalpating,ban
dbauscultatingbduringbthebphysicalbexamination.bSubjectivebdatabisbwhatbthebpersonbsaysbaboutbhi
mborbherselfbduringbhistorybtaking.bThebtermsbreflectivebandbintrospectivebarebnotbusedbtobdescribe
bdata.
DIF:bCognitivebLevel:bUnderstandingb(Comprehension)bREF:bp.b2
MSC:bClientbNeeds:bSafebandbEffectivebCarebEnvironment:bManagementbofbCare
2. Abpatientbtellsbthebnursebthatbhebisbverybnervous,bisbnauseated,bandbfeelsbhot.bThesebtypesbo
fbdatabwouldbbe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS:bC
Subjectivebdatabarebwhatbthebpersonbsaysbaboutbhimborbherselfbduringbhistorybtaking.bObjectivebdatab
arebwhatbthebhealthbprofessionalbobservesbbybinspecting,bpercussing,bpalpating,bandbauscultatingbdu
ringbthebphysicalb examination.bThebtermsbreflectiveb andbintrospectiveb areb notb used
WWW.THENURSINGMASTERY.C
, Bates’ Guide To Physical Examination and History Taking 13th
b b b b b b b b b
Edition Bickley Test Bank latest updated
b b b b b
tobdescribebdata.
DIF:bCognitivebLevel:bUnderstandingb(Comprehension)bREF:bp.b2
MSC:bClientbNeeds:bSafebandbEffectivebCarebEnvironment:bManagementbofbCare
3. Thebpatientsbrecord,blaboratorybstudies,bobjectivebdata,bandbsubjectivebdatabcombinebtobf
ormbthe:
a Databbase.
.
b Admittingbdata.
.
c Financialbstatement.
.
d Dischargebsummary.
.
ANS:bA
Togetherbwithbthebpatientsbrecordb andblaboratorybstudies,b thebobjectiveb andb subjectiveb datab formbth
ebdatabbase.bThebotherbitemsbarebnotbpartbofbthebpatientsbrecord,blaboratorybstudies,borbdata.
DIF:bCognitivebLevel:bRememberingb(Knowledge)bREF:bp.b2
MSC:bClientbNeeds:bSafebandbEffectivebCarebEnvironment:bManagementbofbCare
4. Whenblisteningbtobabpatientsbbreathbsounds,bthebnursebisbunsurebofbabsoundbthatbisbheard.b
Thebnursesbnextbactionbshouldbbebto:
a Immediatelybnotifybthebpatientsbphysician.
.
b Documentbthebsoundbexactlybasbitbwasbheard.
.
c Validatebthebdatabbybaskingbabcoworkerbtoblistenbtobthebbreathbsounds.
.
d Assessbagainbinb20bminutesbtobnotebwhetherbthebsoundbisbstillbpresent.
.
ANS:bC
Whenbunsurebofbabsoundbheardbwhileblisteningbtobabpatientsbbreathbsounds,bthebnursebvalidatesbthebda
tabtobensureb accuracy.b Ifb theb nurseb hasb lessb experienceb inb anbarea,b thenb heb orb sheb asksbanb expertbtobli
sten.
DIF:bCognitivebLevel:bAnalyzingb(Analysis)bREF:bp.b2
MSC:bClientbNeeds:bSafebandbEffectivebCarebEnvironment:bManagementbofbCare
WWW.THENURSINGMASTERY.C
, Bates’ Guide To Physical Examination and History Taking 13th
b b b b b b b b b
Edition Bickley Test Bank latest updated
b b b b b
5. Thebnursebisbconductingbabclassbforbnewbgraduatebnurses.bDuringbthebteachingbsession,bthebn
ursebshouldbkeepbinbmindbthatbnovicebnurses,bwithoutbabbackgroundbofbskillsbandbexperiencebf
rombwhichbtobdraw,barebmoreblikelybtobmakebtheirbdecisionsb using:
a Intuition.
.
b Absetbofbrules.
.
c Articlesbinbjournals.
.
d Advicebfrombsupervisors.
.
ANS:bB
Novicebnursesboperatebfrombabsetbofbdefined,bstructuredbrules.bThebexpertbpractitionerbusesbi
ntuitiveblinks.
DIF:bCognitivebLevel:bUnderstandingb(Comprehension)bREF:bp.b3b
MSC:bClientbNeeds:bGeneral
6. Expertbnursesblearnbtobattendbtobabpatternbofbassessmentbdatabandbactbwithoutbc
onsciouslyblabelingbit.bThesebresponsesbarebreferredbtob as:
a Intuition.
.
b Thebnursingbprocess.
.
c Clinicalbknowledge.
.
d Diagnosticbreasoning.
.
ANS:bA
Intuitionbisbcharacterizedbbybpatternbrecognitionexpertbnursesblearnbtobattendbtobabpatternbofba
ssessmentbdatabandbactbwithoutbconsciouslyblabelingbit.bThebotherboptionsbarebnotbcorrect.
DIF:bCognitivebLevel:bUnderstandingb(Comprehension)bREF:bp.b4b
MSC:bClientbNeeds:bGeneral
7. Thebnursebisbreviewingbinformationbaboutbevidence-
basedbpracticeb(EBP).bWhichbstatementbbestbreflectsbEBP?
WWW.THENURSINGMASTERY.C
, Bates’ Guide To Physical Examination and History Taking 13th
b b b b b b b b b
Edition Bickley Test Bank latest updated
b b b b b
a EBPbreliesbonbtraditionbforbsupportbofbbestbpractices.
.
b EBPbisbsimplybthebusebofbbestbpracticebtechniquesbforbthebtreatmentbofbpatients.
.
c EBPbemphasizesbthebusebofbbestbevidencebwithbthebcliniciansb experience.
.
d ThebpatientsbownbpreferencesbarebnotbimportantbwithbEBP.
.
ANS:bC
EBPbisbabsystematicbapproachbtobpracticebthatbemphasizesbthebusebofbbestbevidencebinbcombinatio
nbwithbthebcliniciansbexperience,basbwellbasbpatientbpreferencesbandbvalues,bwhenbmakingbdecision
sbaboutbcarebandbtreatment.bEBPbisbmorebthanbsimplybusingbthebbestbpracticebtechniquesbtobtreatbpat
ients,bandbquestioningbtraditionbisbimportantbwhenbnobcompellingbandbsupportivebresearchbeviden
cebexists.
DIF:bCognitivebLevel:bApplyingb(Application)bREF:bp.b5
MSC:bClientbNeeds:bSafebandbEffectivebCarebEnvironment:bManagementbofbCare
8. Thebnursebisbconductingbabclassbonbprioritybsettingbforbabgroupbofbnewbgraduatebnurses.b
Whichbisbanbexamplebofbabfirst-levelbpriorityb problem?
a Patientbwithbpostoperativebpain
.
b Newlybdiagnosedbpatientbwithbdiabetesbwhobneedsbdiabeticbteaching
.
c Individualbwithbabsmallblacerationbonbthebsolebofbthebfoot
.
d Individualbwithbshortnessbofbbreathbandbrespiratorybdistress
.
ANS:bD
First-
levelbprioritybproblemsbarebthosebthatbarebemergent,blifebthreatening,bandbimmediateb(e.g.,bestablis
hingbanbairway,bsupportingbbreathing,bmaintainingbcirculation,bmonitoringbabnormalbvitalbsigns)b(s
eebTableb1-1).
DIF:bCognitivebLevel:bUnderstandingb(Comprehension)bREF:bp.b4
MSC:bClientbNeeds:bSafebandbEffectivebCarebEnvironment:bManagementbofbCare
9. Whenbconsideringbprioritybsettingbofbproblems,bthebnursebkeepsbinbmindbthatbsecond-
levelbprioritybproblemsbincludebwhichbofbtheseb aspects?
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