Bates’

Bates’ Guide to Physical Examination and History Taking 13th Edition Bickley MULTIPLE CHOICE 1. When taking the health history on a patient with a seizure disorder, the nurse assesses whether the patient has an aura. Which of these would be the best question for obtaining this information? a. Does your muscle tone seem tense or limp? b. After the seizure, do you spend a lot of time sleeping? c. Do you have any warning sign before your seizure starts? d. Do you experience any colo...

Bates’ Guide to Physical Examination and History Taking 13th Edition Bickley MULTIPLE CHOICE 1. The nurse is checking the range of motion in a patients knee and knows that the knee is capable of which movement(s)? a. Flexion and extension b. Supination and pronation c. Circumduction d. Inversion and eversion ANS: A The knee is a hinge joint, permitting flexion and extension of the lower leg on a single plane. The knee is not capable of the other movements listed. DIF: Co...

Bates’ Guide to Physical Examination and History Taking 13th Edition Bickley MULTIPLE CHOICE 1. The nurse is assessing the forms of support an older patient has before she is discharged. Which of these examples is an informal source of support? a. Local senior center b. Patients Medicare check c. Meals on Wheels meal delivery service d. Patients neighbor, who visits with her daily ANS: D Informal support includes family and close, long-time friends and is usually provided f...

Bates’ Guide to Physical Examination and History Taking 13th Edition Bickley MULTIPLE CHOICE 1. Which finding is considered normal and expected when the nurse is performing a physical examination on a pregnant woman? a. Palpable, full thyroid b. Edema in one lower leg c. Significant diffuse enlargement of the thyroid d. Pale mucous membranes of the mouth ANS: A The thyroid may be palpable during pregnancy. It should feel full, but smooth. Significant diffuse enlargement oc...

MULTIPLE CHOICE 1. A female patient tells the nurse that she has four children and has had three pregnancies. How should the nurse document this? a. Gravida 3, para 4 b. Gravida 4, para 3 c. This information cannot be documented using the terms gravida and para. d. The patient seems to be confused about how many times she has been pregnant. ANS: A Gravida refers to the number of pregnancies, and para refers to the number of children. One pregnancy was with twins. DIF: Cogniti...

Bates’ Guide to Physical Examination and History Taking 13th Edition Bickley MULTIPLE CHOICE 1. The nurse is performing an assessment on an adult. The adults vital signs are normal, and capillary refill time is 5 seconds. What should the nurse do next? a. Ask the patient about a history of frostbite. b. Suspect that the patient has venous insufficiency. c. Consider this a delayed capillary refill time, and investigate further. d. Consider this a normal capillary refill time that ...

Bates’ Guide to Physical Examination and History Taking 13th Edition Bickley MULTIPLE CHOICE 1. The physician comments that a patient has abdominal borborygmi. The nurse knows that this term refers to: a. Loud continual hum. b. Peritoneal friction rub. c. Hypoactive bowel sounds. d. Hyperactive bowel sounds. ANS: D Borborygmi is the term used for hyperperistalsis when the person actually feels his or her stomach growling. DIF: Cognitive Level: Understanding (Comprehensio...

Bates’ Guide to Physical Examination and History Taking 13th Edition Bickley MULTIPLE CHOICE 1. The nurse is examining only the rectal area of a woman and should place the woman in what position? a. Lithotomy b. Prone c. Left lateral decubitus d. Bending over the table while standing ANS: C The nurse should place the female patient in the lithotomy position if the genitalia are being examined as well. The left lateral decubitus position is used for the rectal area alone. ...

Bates’ Guide to Physical Examination and History Taking 13th Edition Bickley MULTIPLE CHOICE 1. During the interview, a patient reveals that she has some vaginal discharge. She is worried that it may be a sexually transmitted infection. The nurses most appropriate response to this would be: a. Oh, dont worry. Some cyclic vaginal discharge is normal. b. Have you been engaging in unprotected sexual intercourse? c. Id like some information about the discharge. What color is it? d. H...

Bates’ Guide to Physical Examination and History Taking 13th Edition Bickley MULTIPLE CHOICE 1. Which of these statements is most appropriate when the nurse is obtaining a genitourinary history from an older man? a. Do you need to get up at night to urinate? b. Do you experience nocturnal emissions, or wet dreams? c. Do you know how to perform a testicular self-examination? d. Has anyone ever touched your genitals when you did not want them to? ANS: A The older male patient...