Test Bank for Bates’ Guide To Physical Examination and History Taking 13th Edition

Bates’ Guide To Physical Examination and History
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Taking 13th Edition Bickley Test Bank latest updated
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,CHAPTER1 n




FoundationsforClinicalProficiency
MULTIPLE CHOICE n




1. After completing an initial assessment of a patient, the nurse has charted that his
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respirations are eupneic and his pulse is 58 beats per minute. These types of
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data would be:
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a. Objective.


b. Reflective.


c. Subjective.


d. Introspective.


ANSWER: A n




Objective data are what the health professional observes by inspecting, percussing, palpating,
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nand auscultating during the physical examination. Subjective data is what the person says about
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n him or herself during history taking. The terms reflective and introspective are not used
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nto describe data.
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2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These
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types of data would be:
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a Objective.
.

b Reflective.
.

c Subjective.
.
d Introspective.
.
ANSWER: C n




Subjective data are what the personsays about him or herself during history taking.Objective data are
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what the health professional observes by inspecting, percussing, palpating, and
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auscultating
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,during the physical examination. The terms reflective and introspective are not used to
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ndescribe data. n




3. The patients record, laboratory studies, objective data, and subjective data
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combine to form the:
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a Data base. n




.
b Admitting data. n




.

c Financial statement. n




.

d Discharge summary. n




.
ANSWER: A n




Together with the patients record and laboratory studies, the objective and subjective data form
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nthe data base. The other items are not part of the patients record, laboratory studies, or data.
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4. When listening to a patients breath sounds, the nurse is unsure of a sound that
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is heard. The nurses next action should be to:
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a Immediately notify the patients physician. n n n n




.
b Document the sound exactly as it was heard. n n n n n n n




.

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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.
ANSWER: C n




When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the
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ndata to ensure accuracy. If the nurse has less experience in an area, then he or she asks an
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nexpert to listen. n n




5. The nurse is conducting a class for new graduate nurses. During the teaching
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session, the nurse should keep in mind that novice nurses, without a background
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of skills and experience from which to draw, are more likely to make their
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decisions using:n n




a Intuition.
.

, b A set of rules.
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.

c Articles in journals. n n




.

d Advice from supervisors. n n




.
ANSWER: B n




Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive
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nlinks.


6. Expert nurses learn to attend to a pattern of assessment data and act
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without consciously labeling it. These responses are referred to as:
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a Intuition.
.

b The nursing process. n n




.

c Clinical knowledge. n




.
d Diagnostic reasoning. n




.
ANSWER: A n




Intuition is characterized by pattern recognition expert nurses learn to attend to a pattern of
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nassessment data and act without consciously labeling it. The other options are not correct.
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7. The nurse is reviewing information about evidence-based practice (EBP).
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Which statement best reflects EBP?
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a EBP relies on tradition for support of best practices.
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.

b EBP is simply the use of best practice techniques for the treatment of patients.
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.

c EBP emphasizes the use of best evidence with the clinicians experience.
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.
d The patients own preferences are not important with EBP.
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.
ANSWER: C n




EBP is a systematic approach to practice that emphasizes the use of best evidence in combination
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nwith the clinicians experience, as well as patient preferences and values, when
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