Bates Guide To Physical Examination and History Taking 13th Edition by Bickley - Test Bank

Bates’ Guide To Physical Examination and History Taking 13th

Edition Bickley Test Bank

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,

about

and auscultating during the physical examination. Subjective data is what the person says

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

data.

the data base. The other items are not part of the patients record, laboratory studies, or

DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2MSC: 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

5. The nurse is conducting a class for new graduate nurses. During the teaching session,

the

nurse should keep in mind that novice nurses, without a background of skills and

experience

from which to draw, are more likely to