Bates’ Guide to Physical Examination and History Taking 13th Edition Bickley Test Bank.

Bates Guide to Physical Examination and
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History Taking 13th Edition Bickley Test
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Bank

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CHAPTER 1 Foundations for bg bg


ClinicalProficiency MULTIPLE CHOICE
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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 data
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would be:
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a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.

ANS: A bg


Objective data are what the health professional observes by inspecting, percussing,
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palpating, and auscultating during the physical examination. Subjective data is what
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bgthe person says about him or herself during history taking. The terms reflective and
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introspective are not used 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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2. Apatient 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.
.

ANS: C bg


Subjective data are what the person says about him or herself during history taking.
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Objective data are what the health professional observes by inspecting, percussing,
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palpating, and
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auscultating during the physical examination. The terms reflective and introspective are not
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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
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combine to form the:
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a Data base. bg


.
b Admitting data. bg


.
c Financial statement. bg


.
d Discharge summary. bg


.

ANS: A bg


Together with the patients record and laboratory studies, the objective and subjective data
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form the data base. The other items are not part of the patients record,
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bglaboratory studies, or data. bg bg bg




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
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that is heard. The nurses next action should be to:
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a Immediately notify the patients physician. bg bg bg bg


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


.
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 bg


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