BATES' GUIDE TO PHYSICAL EXAMINATION
AND HISTORY TAKING (LIPPINCOTT
CONNECT) FOURTEENTH, NORTH AMERICAN
EDITION – TEST BANK
BY RAINIER P. SORIANO MD (AUTHOR)
1|Page
,BATES’ GUIDE TO PHYSICAL
EXAMINATION AND HISTORY TAKING
14TH EDITION
CHAPTER1
FOUNDATIONS FOR CLINICAL
PROFICIENCY
MULTIPLE CHOICE
1. AFTER COMPLETING AN INITIAL ASSESSMENT OF A PATIENT, THE NURSE HAS
CHARTED THAT HIS RESPIRATIONS ARE 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 ABOUT 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 TYPES OF DATA WOULD BE:
2|Page
,a. OBJECTIVE.
b. REFLECTIVE.
c. SUBJECTIVE.
d. INTROSPECTIVE.
ANSWER; 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 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.
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: 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 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.
3|Page
, 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 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 EXPERIENCE FROM WHICH TO DRAW, ARE
MORE LIKELY TO MAKE THEIR DECISIONS USING:
a. INTUITION.
b. A SET OF RULES.
c. ARTICLES IN JOURNALS.
d. ADVICE FROM SUPERVISORS.
ANSWER; B
NOVICE NURSES OPERATE FROM A SET OF DEFINED, STRUCTURED RULES. THE EXPERT
PRACTITIONER USES INTUITIVE 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 CONSCIOUSLY LABELING IT. THESE RESPONSES ARE REFERRED TO
AS:
a. INTUITION.
b. THE NURSING PROCESS.
c. CLINICAL KNOWLEDGE.
d. DIAGNOSTIC REASONING.
ANSWER; A
INTUITION IS CHARACTERIZED BY PATTERN RECOGNITION EXPERT NURSES LEARN TO
ATTEND TO A PATTERN OF ASSESSMENT DATA AND ACT WITHOUT CONSCIOUSLY
LABELING IT. THE OTHER OPTIONS ARE NOT CORRECT.
4|Page
AND HISTORY TAKING (LIPPINCOTT
CONNECT) FOURTEENTH, NORTH AMERICAN
EDITION – TEST BANK
BY RAINIER P. SORIANO MD (AUTHOR)
1|Page
,BATES’ GUIDE TO PHYSICAL
EXAMINATION AND HISTORY TAKING
14TH EDITION
CHAPTER1
FOUNDATIONS FOR CLINICAL
PROFICIENCY
MULTIPLE CHOICE
1. AFTER COMPLETING AN INITIAL ASSESSMENT OF A PATIENT, THE NURSE HAS
CHARTED THAT HIS RESPIRATIONS ARE 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 ABOUT 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 TYPES OF DATA WOULD BE:
2|Page
,a. OBJECTIVE.
b. REFLECTIVE.
c. SUBJECTIVE.
d. INTROSPECTIVE.
ANSWER; 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 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.
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: 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 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.
3|Page
, 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 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 EXPERIENCE FROM WHICH TO DRAW, ARE
MORE LIKELY TO MAKE THEIR DECISIONS USING:
a. INTUITION.
b. A SET OF RULES.
c. ARTICLES IN JOURNALS.
d. ADVICE FROM SUPERVISORS.
ANSWER; B
NOVICE NURSES OPERATE FROM A SET OF DEFINED, STRUCTURED RULES. THE EXPERT
PRACTITIONER USES INTUITIVE 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 CONSCIOUSLY LABELING IT. THESE RESPONSES ARE REFERRED TO
AS:
a. INTUITION.
b. THE NURSING PROCESS.
c. CLINICAL KNOWLEDGE.
d. DIAGNOSTIC REASONING.
ANSWER; A
INTUITION IS CHARACTERIZED BY PATTERN RECOGNITION EXPERT NURSES LEARN TO
ATTEND TO A PATTERN OF ASSESSMENT DATA AND ACT WITHOUT CONSCIOUSLY
LABELING IT. THE OTHER OPTIONS ARE NOT CORRECT.
4|Page
