vv vv vv vv vv vv vv vv
Edition Bickley Test Bank vv vv vv
CHAPTER 1Foundations for Clinical l l l
lProficiency MULTIPLE CHOICE l l
1. After completing an initial assessment of a patient, the nurse has charted that his
l l l l l l l l l l l l l
respirations are eupneic and his pulse is 58 beats per minute.
l l l l l l l l l l l
These types of data would be:
l l l l l l
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: A l
Objective data are what the health professional observes by inspecting,
l l l l l l l l l
percussing, palpating, and auscultating during the physical examination. Subjective
l l l l l l l l l
data is what the person says about him or herself during history taking. The
l l l l l l l l l l l l l l
terms reflective and introspective are not used to describe data.
l l l l l l l l l l
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
l l l l l l l
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
l l l l l l l l l l
2. Apatient tells the nurse that he is very nervous, is nauseated, and feels hot.
l l l l l l l l l l l l l
These types of data would be:
l l l l l l
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: C l
Subjective data are what the person says about him or herself during
l l l l l l l l l l l
history taking. Objective data are what the health professional observes by inspecting,
l l l l l l l l l l l l
percussing, palpating, and
l l l
, Bates’ Guide To Physical Examination and History Taking 13th
vv vv vv vv vv vv vv vv
Edition Bickley Test Bank b vv vv vv
auscultating during the physical examination. The terms reflective and introspective are
l l l l l l l l l l
lnot usedl
to describe data.
l l
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
l l l l l l l
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
l l l l l l l l l l
3. The patients record, laboratory studies, objective data, and subjective
l l l l l l l l
ldata combine to form the:
l l l l
a Data base. l
.
b Admitting data. l
.
c Financial statement. l
.
d Discharge summary. l
.
ANS: A l
Together with the patients record and laboratory studies, the objective and subjective
l l l l l l l l l l l
data form the data base. The other items are not part of the patients
l l l l l l l l l l l l l l
lrecord, laboratory studies, or data. l l l l
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2
l l l l l l l
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
l l l l l l l l l l
4. When listening to a patients breath sounds, the nurse is unsure of a
l l l l l l l l l l l l
l sound that is heard. The nurses next action should be to:
l l l l l l l l l l
a Immediately notify the patients physician. l l l l
.
b Document the sound exactly as it was heard. l l l l l l l
.
c Validate the data by asking a coworker to listen to the breath sounds.
l l l l l l l l l l l l
.
d Assess again in 20 minutes to note whether the sound is still present.
l l l l l l l l l l l l
.
ANS: C l
When unsure of a sound heard while listening to a patients breath sounds, the nurse
l l l l l l l l l l l l l l
validates the data to ensure accuracy. If the nurse has less experience in an
l l l l l l l l l l l l l l
larea, then he or she asks an expert
l to listen. l l l l l l l l l l
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
l l l l l l l
, MSC: Client Needs: Safe and Effective Care Environment: Management of Care
l l l l l l l l l l