BATES NURSING GUIDE TO PHYSICAL EXAMINATION AND
HISTORY TAKING 3RD EDITION (LWW, 2021) BY BETH
HOGAN QUIGLEY AND MARY LOUISE PALM, ISBN NO;
9781975161095, ALL 24 CHAPTERS COVERED
Page 1
,Chapter 1
MULTIPLE CHOICE
1. For which of the following patients would a comprehensive health history be
appropriate?
A) A new patient with the chief complaint of ―I sprained my ankle‖
B) An established patient with the chief complaint of ―I have an upper respiratory
infection‖
C) A new patient with the chief complaint of ―I am here to establish care‖
D) A new patient with the chief complaint of ―I cut my hand‖
Ans: C
Chapter: 01
Page and Header: 4, Patient Assessment: Comprehensive or Focused
Feedback: This patient is here to establish care, and because she is new to you, a
comprehensive health history is appropriate.
2. The components of the health history include all of the following except which one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items
Ans: B
Chapter: 01
Feedback: The thorax and lungs are part of the physical examination, not part of the health
history. The others answers are all part of a complete health history.
3. Is the following information subjective or objective?
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with
activity and relieved by rest.
A) Subjective
B) Objective
Ans: A
Chapter: 01
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,4. Is the following information subjective or objective? Mr. M. has a respiratory rate of
32 and a pulse rate of 120.
A) Subjective
B) Objective
l OM oARc PSD|117 00591
Ans: B
Chapter: 01
Feedback: This is a measurement obtained by the examiner, so it is considered objective
data. The patient is unlikely to be able to give this information to the examiner.
5. The following information is recorded in the health history: ―The patient has had
abdominal pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes. The
severity is 7 to 9 on a scale of 1 to 10. It is accompanied by nausea and vomiting. It is located
in the mid- epigastric area.‖
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Ans: B
Chapter: 01
Feedback: This information describes the problem of abdominal pain, which is the present
illness. The interviewer has obtained the location, timing, severity, and associated
manifestations of the pain. The interviewer will still need to obtain information concerning
the quality of the pain, the setting in which it occurred, and the factors that aggravate and
alleviate the pain. You will notice that it does include portions of the pertinent review of
systems, but because it relates directly to the complaint, it is included in the history of
present illness.
6. The following information is recorded in the health history: ―The patient completed
8th grade. He currently lives with his wife and two children. He works on old cars on the
weekend. He works in a glass factory during the week.‖
Ans: C
Chapter: 01
Feedback: Personal and social history information includes educational level, family of
origin, current household status, personal interests, employment, religious beliefs, military
history, and lifestyle (including diet and exercise habits; use of alcohol, tobacco, and/or
drugs; and sexual preferences and history). All of this information is documented in this
example.
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, 7. The following information is recorded in the health history: ―I feel really tired.‖
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Ans: A
Chapter: 01
Feedback: The chief complaint is an attempt to quote the patient's own words, as long as
they are suitable to print. It is brief, like a headline, and further details should be sought in
the present illness section. The above information is a chief complaint.
8. The following information is recorded in the health history: ―Patient denies chest
pain, palpitations, orthopnea, and paroxysmal nocturnal dyspnea.‖
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Ans: D
Chapter: 01
Feedback: Review of systems documents the presence or absence of common symptoms
related
9. The following information is best placed in which category?
―The patient has had three cesarean sections.‖
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: B
Chapter: 01
Feedback: A cesarean section is a surgical procedure. Approximate dates or the age of the
patient at the time of the surgery should also be recorded.
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