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

Bates’ Guide To Physical Examination and History Taking
13thEdition Bickley Test Bank
CHAPTER 1 Foundations for Clinical 
ProficiencyMULTIPLE CHOICE
• After completing an initial assessment of a patient, in nurse has charted that his respirations
are eupneic and his pulse is 58 beats per minute. inse types of data aould be:
a
.
Objective.
b
.
Reflective.
c
.
Subjective.
d
.
Introspective.
ANS: A
Objective data are ahat in health professional observes toinspecting, percussing, palpating, and 
auscultating during in physical examination. Subjective data is ahat in person says abouthim or 
herself during history taking. in 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
• A patient tells in nurse that he is very nervous, is nauseated, and feels hot. inse types of
data aould be:
a
.
Objective.
b
.
Reflective.
c
.
Subjective.
d
.
Introspective.
ANS: C
Subjective data are ahat in person says about him or herself during history taking. Objective
data are ahat in health professional observes toinspecting, percussing, palpating, and
auscultating during in physical examination. in 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
• in patients record, laboratory studies, objective data, and subjective data combine to form
in:
a
.
Data base.
b
.
Admitting data.
c
.
Financial statement.
d
.
Discharge summary.
ANS: A
Togeinr aith in patients record and laboratory studies, in objective and subjective data form in
data base. in oinr items are not part of in patients record, laboratory studies, or data.
DIF: Cognitive Level: Remembering (Knoaledge) REF: p. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
• ahen listening to a patients breath sounds, in nurse is unsure of a sound that is heard. in
nurses next action should be to:
a
.
Immediately notify in patients physician.
b
.
Document in sound exactly as it aas heard.
c
.
Validate in data toasking a coaorker to listen to in breath sounds.
d
.
Assess again in 20 minutes to note aheinr in sound is still present.
ANS: C
ahen unsure of a sound heard ahile listening to a patients breath sounds, in nurse validates in data
to ensure accuracy. If in nurse has less experience in an area, inn 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
• in nurse is conducting a class for nea graduate nurses. During in teaching session, in
nurse should keep in mind that novice nurses, aithout a background of skills and experience
from ahich to draa, are more likely to make inir decisions using:
a
.
Intuition.
b
.
A set of rules.
c
.
Articles in journals.
d
.
Advice from supervisors.
ANS: B
Novice nurses operate from a set of defined, structured rules. in expert practitioner uses
intuitive links.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 
3MSC: Client Needs: General
• Expert nurses learn to attend to a pattern of assessment data and act aithout consciously
labeling it. inse responses are referred to as:
a
.
Intuition.
b
.
in nursing process.
c
.
Clinical knoaledge.
d
.
Diagnostic reasoning.
ANS: A
Intuition is characterized topattern recognitionexpert nurses learn to attend to a pattern of
assessment data and act aithout consciously labeling it. in oinr options are not correct.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 
4MSC: Client Needs: General