Test Bank for Bates' Guide To Physical Examination and History Taking (Lippincott Connect) 13th Edition by Lynn S. Bickley MD FACP (Author), Peter G. Szilagyi MD MPH (Author), (All Chapters Covered) (Multiple choice Questions and Verified Answers w

,Bates’ Guide To Physical Examination and History Taking 13thEdition
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Bickley Test Bank ff ff ff




CHAPTER 1 Foundations for Clinical ff ff ff ff


ProficiencyMULTIPLE 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 ff


Objective data are what the health professional observes by inspecting, percussing, palpating,
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andauscultating during the physical examination. Subjective data is what the person
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says about him or herself during history taking. The terms reflective and introspective are
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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. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These
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f ftypes ofdata would be:
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a Objective.
.

b Reflective.
.

c Subjective.
.

d Introspective.
.




THENURSINGMASTERY

,ANS: C ff


Subjective data are what the person says about him or herself during history taking. Objective
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f data are what the health professional observes by inspecting, percussing, palpating, and
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auscultating during the physical examination. The terms reflective and introspective
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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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3. The patients record, laboratory studies, objective data, and subjective data combine
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to form the:
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a Data base. ff


.

b Admitting data. ff


.

c Financial statement. gg



.

d Discharge summary. gg



.


ANS: A ff


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, laboratory studies, or
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data.
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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 that
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is heard.The nurses next action should be to:
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a Immediately notify the patients physician. ff ff ff ff


.

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


.

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 ff


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, then
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he or she asks an expert
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DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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5. The nurse is conducting a class for new graduate nurses. During the teaching
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session, the nurse should keep in mind that novice nurses, without a background of skills
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and experience from which to draw, are more likely to make their decisions using:
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a Intuition.
.

b A set of rules.
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.

c Articles in journals. gg gg



.

d Advice from supervisors. gg ff


.


ANS: B ff


Novice nurses operate from a set of defined, structured rules. The expert practitioner
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usesintuitive links.
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DIF: Cognitive Level: Understanding (Comprehension) REF: p.
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3MSC: Client Needs: General
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6. Expert nurses learn to attend to a pattern of assessment data and act without
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consciouslylabeling it. These responses are referred to as:
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a Intuition.
.

b The nursing process.
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.




THENURSINGMASTERY
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