BATES’ GUIDE TO PHYSICAL EXAMINATION AND HISTORY TAKING
13TH EDITION BY LYNN S. TEST BANK GUIDE|ALL CHAPTERS WITH
100%COMPLETE SOLUTIONS|RATED A+2024/2025
,Table of Contents
CHAPTER 1 FOUNDATIONS FOR CLINICAL PROFICIENCY .............................................................................. 2
CHAPTER 2 EVALUATING CLINICAL EVIDENCE ............................................................................................ 17
CHAPTER 3 INTERVIEWING AND THE HEALTH HISTORY ............................................................................. 39
CHAPTER 4 BEGINNING THE PHYSICAL EXAMINATION: GENERAL SURVEY, VITAL SIGNS, AND PAIN ........ 53
CHAPTER 5 BEHAVIOR AND MENTAL STATUS ............................................................................................ 71
CHAPTER 6 THE SKIN, HAIR, AND NAILS ..................................................................................................... 90
CHAPTER 7 THE HEAD AND NECK ............................................................................................................. 108
CHAPTER 8 THE THORAX AND LUNGS ...................................................................................................... 126
CHAPTER 9 THE CARDIOVASCULAR SYSTEM............................................................................................. 144
CHAPTER 10 THE BREASTS AND AXILLAE .................................................................................................. 162
CHAPTER 11 THE ABDOMEN ..................................................................................................................... 181
CHAPTER 12 THE PERIPHERAL VASCULAR SYSTEM................................................................................... 198
CHAPTER 13 MALE GENITALIA AND HERNIAS........................................................................................... 216
CHAPTER 14 FEMALE GENITALIA .............................................................................................................. 233
CHAPTER 15 THE ANUS, RECTUM, AND PROSTATE .................................................................................. 252
CHAPTER 16 THE MUSCULOSKELETAL SYSTEM ........................................................................................ 268
CHAPTER 17 THE NERVOUS SYSTEM......................................................................................................... 284
CHAPTER 18 ASSESSING CHILDREN: INFANCY THROUGH ADOLESCENCE ................................................ 300
CHAPTER 19 THE PREGNANT WOMAN ..................................................................................................... 305
CHAPTER 20 THE OLDER ADULT................................................................................................................ 321
CHAPTER 1 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.
,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 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:
A OBJECTIVE.
B REFLECTIVE.
C SUBJECTIVE.
D INTROSPECTIVE.
ANS> 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.
, ANS> 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.
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
13TH EDITION BY LYNN S. TEST BANK GUIDE|ALL CHAPTERS WITH
100%COMPLETE SOLUTIONS|RATED A+2024/2025
,Table of Contents
CHAPTER 1 FOUNDATIONS FOR CLINICAL PROFICIENCY .............................................................................. 2
CHAPTER 2 EVALUATING CLINICAL EVIDENCE ............................................................................................ 17
CHAPTER 3 INTERVIEWING AND THE HEALTH HISTORY ............................................................................. 39
CHAPTER 4 BEGINNING THE PHYSICAL EXAMINATION: GENERAL SURVEY, VITAL SIGNS, AND PAIN ........ 53
CHAPTER 5 BEHAVIOR AND MENTAL STATUS ............................................................................................ 71
CHAPTER 6 THE SKIN, HAIR, AND NAILS ..................................................................................................... 90
CHAPTER 7 THE HEAD AND NECK ............................................................................................................. 108
CHAPTER 8 THE THORAX AND LUNGS ...................................................................................................... 126
CHAPTER 9 THE CARDIOVASCULAR SYSTEM............................................................................................. 144
CHAPTER 10 THE BREASTS AND AXILLAE .................................................................................................. 162
CHAPTER 11 THE ABDOMEN ..................................................................................................................... 181
CHAPTER 12 THE PERIPHERAL VASCULAR SYSTEM................................................................................... 198
CHAPTER 13 MALE GENITALIA AND HERNIAS........................................................................................... 216
CHAPTER 14 FEMALE GENITALIA .............................................................................................................. 233
CHAPTER 15 THE ANUS, RECTUM, AND PROSTATE .................................................................................. 252
CHAPTER 16 THE MUSCULOSKELETAL SYSTEM ........................................................................................ 268
CHAPTER 17 THE NERVOUS SYSTEM......................................................................................................... 284
CHAPTER 18 ASSESSING CHILDREN: INFANCY THROUGH ADOLESCENCE ................................................ 300
CHAPTER 19 THE PREGNANT WOMAN ..................................................................................................... 305
CHAPTER 20 THE OLDER ADULT................................................................................................................ 321
CHAPTER 1 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.
,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 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:
A OBJECTIVE.
B REFLECTIVE.
C SUBJECTIVE.
D INTROSPECTIVE.
ANS> 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.
, ANS> 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.
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
