Bates’,Guide,To,Physical,Examination,and,History,Taking,13th,Editi
on,Bickley,Test,Bank,latest,updated,2025,-,2026
Bates’,Guide,To,Physical,Examination,and,History,Taking,
13th,Edition,Bickley,Test,Bank
CHAPTER 1,Foundations,for,Clinical,Proficiency
MULTIPLE,CHOICE
1. After,completing,an,initial,assessment,of,a,patient,,the,nurse,has,charted,that,his,resp
irations,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,,a
nd,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,descr
ibe,data.
DIF:,Cognitive,Level:,Understanding,(Comprehension),REF:,p.,2
MSC:,Client,Needs:,Safe,and,Effective,Care,Environment:,Management,of,Care
2. A,patient,tells,the,nurse,that,he,is,very,nervous,,is,nauseated,,and,feels,hot.,These,typ
es,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,du
ring,the,physical,examination.,The,terms,reflective,and,introspective,are,not,used,to,describe,data.
WWW.THENURSINGMASTERY.
C,OM
, Bates’,Guide,To,Physical,Examination,and,History,Taking,13th
Edition,Bickley,Test,Bank,latest,updated
DIF:,Cognitive,Level:,Understanding,(Comprehension),REF:,p.,2
MSC:,Client,Needs:,Safe,and,Effective,Care,Environment:,Management,of,Care
3. The,patients,record,,laboratory,studies,,objective,data,,and,subjective,data,combine,t
o,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,4.,When,li
stening,to,a,patients,breath,sounds,,the,nurse,is,unsure,of,a,sound,that,is,heard.,The,nurs
es,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
5. 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,background,of,skills,and,experi
ence,from,which,to,draw,,are,more,likely,to,make,their,decisions,using:
WWW.THENURSINGMASTERY.
C,OM
, Bates’,Guide,To,Physical,Examination,and,History,Taking,13th
Edition,Bickley,Test,Bank,latest,updated
a Intuition.
.
b A,set,of,rules.
.
c Articles,in,journals.
.
d Advice,from,supervisors.
.
ANS:,B
Novice,nurses,operate,from,a,set,of,defined,,structured,rules.,The,expert,practitioner,uses,intuiti
ve,links.
DIF:,Cognitive,Level:,Understanding,(Comprehension),REF:,p.,3,
MSC:,Client,Needs:,General
6. Expert,nurses,learn,to,attend,to,a,pattern,of,assessment,data,and,act,without,consci
ously,labeling,it.,These,responses,are,referred,to,as:
a Intuition.
.
b The,nursing,process.
.
c Clinical,knowledge.
.
d Diagnostic,reasoning.
.
ANS:,A
Intuition,is,characterized,by,pattern,recognitionexpert,nurses,learn,to,attend,to,a,pattern,of,asse
ssment,data,and,act,without,consciously,labeling,it.,The,other,options,are,not,correct.
DIF:,Cognitive,Level:,Understanding,(Comprehension),REF:,p.,4,
MSC:,Client,Needs:,General
7. The,nurse,is,reviewing,information,about,evidence-
based,practice,(EBP).,Which,statement,best,reflects,EBP?
a EBP,relies,on,tradition,for,support,of,best,practices.
.
b EBP,is,simply,the,use,of,best,practice,techniques,for,the,treatment,of,patients.
.
WWW.THENURSINGMASTERY.
C,OM
, Bates’,Guide,To,Physical,Examination,and,History,Taking,13th
Edition,Bickley,Test,Bank,latest,updated
c EBP,emphasizes,the,use,of,best,evidence,with,the,clinicians,experience.
.
d The,patients,own,preferences,are,not,important,with,EBP.
.
ANS:,C
EBP,is,a,systematic,approach,to,practice,that,emphasizes,the,use,of,best,evidence,in,combination,
with,the,clinicians,experience,,as,well,as,patient,preferences,and,values,,when,making,decisions,
about,care,and,treatment.,EBP,is,more,than,simply,using,the,best,practice,techniques,to,treat,pat
ients,,and,questioning,tradition,is,important,when,no,compelling,and,supportive,research,eviden
ce,exists.
DIF:,Cognitive,Level:,Applying,(Application),REF:,p.,5
MSC:,Client,Needs:,Safe,and,Effective,Care,Environment:,Management,of,Care,8.,The,nu
rse,is,conducting,a,class,on,priority,setting,for,a,group,of,new,graduate,nurses.,Which,is,
an,example,of,a,first-level,priority,problem?
a Patient,with,postoperative,pain
.
b Newly,diagnosed,patient,with,diabetes,who,needs,diabetic,teaching
.
c Individual,with,a,small,laceration,on,the,sole,of,the,foot
.
d Individual,with,shortness,of,breath,and,respiratory,distress
.
ANS:,D
First-
level,priority,problems,are,those,that,are,emergent,,life,threatening,,and,immediate,(e.g.,,establi
shing,an,airway,,supporting,breathing,,maintaining,circulation,,monitoring,abnormal,vital,signs),(
see,Table,1-1).
DIF:,Cognitive,Level:,Understanding,(Comprehension),REF:,p.,4
MSC:,Client,Needs:,Safe,and,Effective,Care,Environment:,Management,of,Care
9.,When,considering,priority,setting,of,problems,,the,nurse,keeps,in,mind,that,second-
level,priority,problems,include,which,of,these,aspects?
a Low,self-esteem
.
b Lack,of,knowledge
.
c Abnormal,laboratory,values
.
WWW.THENURSINGMASTERY.
C,OM
on,Bickley,Test,Bank,latest,updated,2025,-,2026
Bates’,Guide,To,Physical,Examination,and,History,Taking,
13th,Edition,Bickley,Test,Bank
CHAPTER 1,Foundations,for,Clinical,Proficiency
MULTIPLE,CHOICE
1. After,completing,an,initial,assessment,of,a,patient,,the,nurse,has,charted,that,his,resp
irations,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,,a
nd,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,descr
ibe,data.
DIF:,Cognitive,Level:,Understanding,(Comprehension),REF:,p.,2
MSC:,Client,Needs:,Safe,and,Effective,Care,Environment:,Management,of,Care
2. A,patient,tells,the,nurse,that,he,is,very,nervous,,is,nauseated,,and,feels,hot.,These,typ
es,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,du
ring,the,physical,examination.,The,terms,reflective,and,introspective,are,not,used,to,describe,data.
WWW.THENURSINGMASTERY.
C,OM
, Bates’,Guide,To,Physical,Examination,and,History,Taking,13th
Edition,Bickley,Test,Bank,latest,updated
DIF:,Cognitive,Level:,Understanding,(Comprehension),REF:,p.,2
MSC:,Client,Needs:,Safe,and,Effective,Care,Environment:,Management,of,Care
3. The,patients,record,,laboratory,studies,,objective,data,,and,subjective,data,combine,t
o,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,4.,When,li
stening,to,a,patients,breath,sounds,,the,nurse,is,unsure,of,a,sound,that,is,heard.,The,nurs
es,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
5. 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,background,of,skills,and,experi
ence,from,which,to,draw,,are,more,likely,to,make,their,decisions,using:
WWW.THENURSINGMASTERY.
C,OM
, Bates’,Guide,To,Physical,Examination,and,History,Taking,13th
Edition,Bickley,Test,Bank,latest,updated
a Intuition.
.
b A,set,of,rules.
.
c Articles,in,journals.
.
d Advice,from,supervisors.
.
ANS:,B
Novice,nurses,operate,from,a,set,of,defined,,structured,rules.,The,expert,practitioner,uses,intuiti
ve,links.
DIF:,Cognitive,Level:,Understanding,(Comprehension),REF:,p.,3,
MSC:,Client,Needs:,General
6. Expert,nurses,learn,to,attend,to,a,pattern,of,assessment,data,and,act,without,consci
ously,labeling,it.,These,responses,are,referred,to,as:
a Intuition.
.
b The,nursing,process.
.
c Clinical,knowledge.
.
d Diagnostic,reasoning.
.
ANS:,A
Intuition,is,characterized,by,pattern,recognitionexpert,nurses,learn,to,attend,to,a,pattern,of,asse
ssment,data,and,act,without,consciously,labeling,it.,The,other,options,are,not,correct.
DIF:,Cognitive,Level:,Understanding,(Comprehension),REF:,p.,4,
MSC:,Client,Needs:,General
7. The,nurse,is,reviewing,information,about,evidence-
based,practice,(EBP).,Which,statement,best,reflects,EBP?
a EBP,relies,on,tradition,for,support,of,best,practices.
.
b EBP,is,simply,the,use,of,best,practice,techniques,for,the,treatment,of,patients.
.
WWW.THENURSINGMASTERY.
C,OM
, Bates’,Guide,To,Physical,Examination,and,History,Taking,13th
Edition,Bickley,Test,Bank,latest,updated
c EBP,emphasizes,the,use,of,best,evidence,with,the,clinicians,experience.
.
d The,patients,own,preferences,are,not,important,with,EBP.
.
ANS:,C
EBP,is,a,systematic,approach,to,practice,that,emphasizes,the,use,of,best,evidence,in,combination,
with,the,clinicians,experience,,as,well,as,patient,preferences,and,values,,when,making,decisions,
about,care,and,treatment.,EBP,is,more,than,simply,using,the,best,practice,techniques,to,treat,pat
ients,,and,questioning,tradition,is,important,when,no,compelling,and,supportive,research,eviden
ce,exists.
DIF:,Cognitive,Level:,Applying,(Application),REF:,p.,5
MSC:,Client,Needs:,Safe,and,Effective,Care,Environment:,Management,of,Care,8.,The,nu
rse,is,conducting,a,class,on,priority,setting,for,a,group,of,new,graduate,nurses.,Which,is,
an,example,of,a,first-level,priority,problem?
a Patient,with,postoperative,pain
.
b Newly,diagnosed,patient,with,diabetes,who,needs,diabetic,teaching
.
c Individual,with,a,small,laceration,on,the,sole,of,the,foot
.
d Individual,with,shortness,of,breath,and,respiratory,distress
.
ANS:,D
First-
level,priority,problems,are,those,that,are,emergent,,life,threatening,,and,immediate,(e.g.,,establi
shing,an,airway,,supporting,breathing,,maintaining,circulation,,monitoring,abnormal,vital,signs),(
see,Table,1-1).
DIF:,Cognitive,Level:,Understanding,(Comprehension),REF:,p.,4
MSC:,Client,Needs:,Safe,and,Effective,Care,Environment:,Management,of,Care
9.,When,considering,priority,setting,of,problems,,the,nurse,keeps,in,mind,that,second-
level,priority,problems,include,which,of,these,aspects?
a Low,self-esteem
.
b Lack,of,knowledge
.
c Abnormal,laboratory,values
.
WWW.THENURSINGMASTERY.
C,OM
