Bates’ Guide To Physical Examination and History Taking 13th
Edition Bickley Test Bank
CHAPTER 1 Foundations for Clinical
Proficiency
1. After completing an initial assessment of a patient, the nurse has charted that his
respirationsare eupneic and his pulse is 58 beats per minute. These types of data would be:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANSWER: A
Objective data are What the health professional observes by inspecting, percussing,
palpating, and auscultating during the physical examination. Subjective data is What the
person says abouthim or herself during history taking. The terms reflective and
introspective are not used to describe data.
DIF: Cognitive level: Understanding (Comprehension) REF: p. 2
MSC: Patient 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
types ofdata would be:
, a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANSWER: C
Subjective data are What the person says about him or herself during history taking.
Objectivedata are What the health professional observes by inspecting, percussing,
palpating, and
auscultating during the physical examination. The terms reflective and introspective are not
used
,to describe data.
DIF: Cognitive level: Understanding (Comprehension) REF: p. 2
MSC: Patient Needs: Safe and Effective Care Environment: Management of Care
3. The patients record, laboratory studies, objective data, and subjective data combine
to formthe:
a Data base.
.
b Admitting data.
.
c Financial statement.
.
d Discharge summary.
.
ANSWER: 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: Patient Needs: Safe and Effective Care Environment: Management of Care
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is
heard. The NURSES 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.
.
ANSWER: 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 expertto listen.
DIF: Cognitive level: Analyzing (Analysis) REF: p. 2
MSC: Patient Needs: Safe and Effective Care Environment: Management of Care
Edition Bickley Test Bank
CHAPTER 1 Foundations for Clinical
Proficiency
1. After completing an initial assessment of a patient, the nurse has charted that his
respirationsare eupneic and his pulse is 58 beats per minute. These types of data would be:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANSWER: A
Objective data are What the health professional observes by inspecting, percussing,
palpating, and auscultating during the physical examination. Subjective data is What the
person says abouthim or herself during history taking. The terms reflective and
introspective are not used to describe data.
DIF: Cognitive level: Understanding (Comprehension) REF: p. 2
MSC: Patient 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
types ofdata would be:
, a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANSWER: C
Subjective data are What the person says about him or herself during history taking.
Objectivedata are What the health professional observes by inspecting, percussing,
palpating, and
auscultating during the physical examination. The terms reflective and introspective are not
used
,to describe data.
DIF: Cognitive level: Understanding (Comprehension) REF: p. 2
MSC: Patient Needs: Safe and Effective Care Environment: Management of Care
3. The patients record, laboratory studies, objective data, and subjective data combine
to formthe:
a Data base.
.
b Admitting data.
.
c Financial statement.
.
d Discharge summary.
.
ANSWER: 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: Patient Needs: Safe and Effective Care Environment: Management of Care
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is
heard. The NURSES 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.
.
ANSWER: 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 expertto listen.
DIF: Cognitive level: Analyzing (Analysis) REF: p. 2
MSC: Patient Needs: Safe and Effective Care Environment: Management of Care
