Test bank: bates' guide to physical examination and history taking , 13th edition by bickley - chapters 1-27, 9781975210533 | rationals included

, Bates’;,Guide;,To;,Physical;,Examination;,and;,History;,Taking;,13th;,Edi
tion;,Bickley;,Test;,Bank
CHAPTER
1;,Foundations;,for;,Clinical;,Proficienc
y;,MULTIPLE;,CHOICE
1. After;,completing;,an;,initial;,assessment;,of;,a;,patient,;,the;,nurse;,has;,charted;,that;,his;,respirati
ons;,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,
;,and;,auscultating;,during;,the;,physical;,examination.;,Subjective;,data;,is;,what;,the;,person;,says;,ab
out;,him;,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:;,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;,type
s;,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.; , Obj
ective;,data;,are;,what;,the;,health;,professional;,observes;,by;,inspecting,;,percussing,;,palpating,;,
and

, Bates’;,Guide;,To;,Physical;,Examination;,and;,History;,Taking;,13th
Edition;,Bickley;,Test;,Bank

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:;,Client;,Needs:;,Safe;,and;,Effective;,Care;,Environment:;,Management;,of;,Care
3. The;,patients;,record,;,laboratory;,studies,;,objective;,data,;,and;,subjective;,data;,combine;
,to;,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;,for
m;,the;,data;,base.;,The;,other;,items;,are;,not;,part;,of;,the;,patients;,record,;,laboratory;,studies,;,or;,d
ata.

DIF:;,Cognitive;,Level:;,Remembering;,(Knowledge);,REF:;,p.;,2
MSC:;,Client;,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;,he
ard.;,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.
.

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