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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...

Chapter 6: The Skin, Hair, and Nails Chapter 7: The Head and Neck Chapter 8: The Thorax and Lungs Chapter 9: The Cardiovascular System Chapter 10: The Breasts and Axillae

Chapter 01: Foundations for Clinical Proficiency Chapter 2: Evaluating Clinical Evidence Chapter 3: Interviewing and the Health History Chapter 4: Beginning the Physical Examination: General Survey, Vital Signs, and Pain Chapter 5: Behavior and Mental Status

Bates’ Guide to Physical Examination and History Taking 13th Edition Bickley MULTIPLE CHOICE 1. A patient reports excruciating headache pain on one side of his head, especially around his eye, forehead, and cheek that has lasted approximately to 2 hours, occurring once or twice each day. The nurse should suspect: a. Hypertension. b. Cluster headaches. c. Tension headaches. d. Migraine headaches. ANS: B Cluster headaches produce pain around the eye, temple, forehead, and chee...

Bates’ Guide to Physical Examination and History Taking 13th Edition Bickley MULTIPLE CHOICE 1. A patient comes to the clinic and tells the nurse that he has been confined to his recliner chair for approximately 3 days with his feet down and he asks the nurse to evaluate his feet. During the assessment, the nurse might expect to find: a. Pallor b. Coolness c. Distended veins d. Prolonged capillary filling time ANS: C Keeping the feet in a dependent position causes venous po...

Bates’ Guide to Physical Examination and History Taking 13th Edition Bickley MULTIPLE CHOICE 1. The nurse is reviewing statistics regarding breast cancer. Which woman, aged 40 years in the United States, has the highest risk for developing breast cancer? a. Black b. White c. Asian d. American Indian ANS: A The incidence of breast cancer varies within different cultural groups. White women have a higher incidence of breast cancer than black women starting at age 45 years; bu...

Bates’ Guide to Physical Examination and History Taking 13th Edition Bickley MULTIPLE CHOICE 1. During an assessment of a 68-year-old man with a recent onset of right-sided weakness, the nurse hears a blowing, swishing sound with the bell of the stethoscope over the left carotid artery. This finding would indicate: a. Valvular disorder. b. Blood flow turbulence. c. Fluid volume overload. d. Ventricular hypertrophy. ANS: B A bruit is a blowing, swishing sound indicating bloo...

Bates’ Guide to Physical Examination and History Taking 13th Edition Bickley MULTIPLE CHOICE 1. When auscultating the lungs of an adult patient, the nurse notes that low-pitched, soft breath sounds are heard over the posterior lower lobes, with inspiration being longer than expiration. The nurse interprets that these sounds are: a. Normally auscultated over the trachea. b. Bronchial breath sounds and normal in that location. c. Vesicular breath sounds and normal in that location. ...

Bates’ Guide to Physical Examination and History Taking 13th Edition Bickley MULTIPLE CHOICE 1. The nurse is obtaining a history from a 30-year-old male patient and is concerned about health promotion activities. Which of these questions would be appropriate to use to assess health promotion activities for this patient? a. Do you perform testicular self-examinations? b. Have you ever noticed any pain in your testicles? c. Have you had any problems with passing urine? d. Do you hav...

Bates’ Guide to Physical Examination and History Taking 13th Edition Bickley MULTIPLE CHOICE 1. The nurse is unable to palpate the right radial pulse on a patient. The best action would be to: a. Auscultate over the area with a fetoscope. b. Use a goniometer to measure the pulsations. c. Use a Doppler device to check for pulsations over the area. d. Check for the presence of pulsations with a stethoscope. ANS: C Doppler devices are used to augment pulse or blood pressure me...

Bates’ Guide to Physical Examination and History Taking 13th Edition Bickley MULTIPLE CHOICE 1. Barriers to incorporating EBP include a. Nurses lack of research skills in evaluating the quality of research studies. b. Lack of significant research studies. c. Insufficient clinical skills of nurses. d. Inadequate physical assessment skills. ANS: A As individuals, nurses lack research skills in evaluating the quality of research studies, are isolated from other colleagues who ...

Bates’ Guide to Physical Examination and History Taking 13th Edition Bickley MULTIPLE CHOICE 1. The nurse is assessing orientation in a 79-year-old patient. Which of these responses would lead the nurse to conclude that this patient is oriented? a. I know my name is John. I couldn’t tell you where I am. I think it is 2010, though. b. I know my name is John, but to tell you the truth, I get kind of confused about the date. c. I know my name is John; I guess Im at the hospital in Spok...

Bates’ Guide to Physical Examination and History Taking 13th Edition Bickley MULTIPLE CHOICE 1. Which of these actions illustrates the correct technique the nurse should use when assessing oral temperature with a mercury thermometer? a. Wait 30 minutes if the patient has ingested hot or iced liquids. b. Leave the thermometer in place 3 to 4 minutes if the patient is afebrile. c. Place the thermometer in front of the tongue, and ask the patient to close his or her lips. d. Shake the mer...

Chapter 31: Alterations in Endocrine Function Chapter 32: Genetic Disorders Chapter 33: Alterations in Cognition and Mental Health Chapter 34: Pediatric Emergencies

MULTIPLE CHOICE 1. What is the best intervention when a child with autism is hospitalized? a. Limit the individuals who enter the childs room. b. Perform all of the childs activities of daily living for her. c. Make sure the nurses know this child may be violent. d. Assign the strongest nurse to control the child. ANS: A The child with autism is often unable to tolerate the slightest change in routine. Limiting who enters the childs room to those knowledgeable about the childs rout...

Question 1 Type: MCSA 1. A school-age client diagnosed with diabetes insipidus (DI) is admitted to the pediatric unit. Which laboratory value does the nurse anticipate for this client based on the diagnosis? 1. Hyperglycemia 2. Hypernatremia 3. Hypercalcemia 4. Hypoglycemia Correct Answer: 2 Rationale 1: In all forms of diabetes insipidus, serum sodium can increase to pathologic levels, so hypernatremia can occur and should be treated. The glucose level is not affected, so hypogl...

1. Which nursing action would be most appropriate to assist a preschool-age child in coping with the emergency department experience? a. Explain the procedures and give the child some time to prepare. b. Remind the child that she is a big girl. c. Avoid the use of bandages. d. Use positive terms and avoid terms such as shot and cut. 2. Which action should the nurse incorporate into a care plan for a 14-year-old child in the emergency department? 3. The emergency department nurse notices...

Chapter 26: Oncological Disorders Chapter 27: Alterations in Musculoskeletal Function Chapter 28: Alterations in Neuromuscular Function Chapter 29: Alterations in Integumentary Function Chapter 30: Alterations in Immune Function

Question 1 Type: MCSA 1. A nurse is caring for four pediatric clients in the hospital. Which client should the nurse refer for play therapy? 1. An adolescent with asthma 2. A preschool-age child with a fractured femur 3. A school-age child having an appendectomy 4. An infant with sepsis Correct Answer: 2 Rationale 1: Play therapy is often used with preschool and school-age children who are experiencing anxiety, stress, and other specific nonpsychotic mental disorders. In this cas...

MULTIPLE CHOICE 1. What is the primary method of treating osteomyelitis? a. Joint replacement b. Bracing and casting c. Intravenous antibiotic therapy d. Long-term corticosteroid therapy ANS: C Osteomyelitis is an infection of the bone, most commonly caused by Staphylococcus aureus infection. The treatment of choice is antibiotics. Joint replacement, bracing and casting, and long-term corticosteroid therapy are not indicated for infectious processes. 2. What nursing intervention...