NR509 Bates Test Bank – Midterm Exam
NR509 BATES TEST BANK – MIDTERM EXAM PREPARATION NEWEST
2026 WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES| BRAND NEW VERSION!
Mr. Larson is a 42-year-old widowed father of two children, ages 4 and 11. He
works in a
sales office to support his family. Recently he has injured his back and you are
thinking he
would benefit from physical therapy, three times a week, for an hour per session.
What would
be your next step?
A) Write the physical therapy prescription.
B) Have your office staff explain directions to the physical therapy center.
C) Discuss the plan with Mr. Larson.
D) Tell Mr. Larson that he will be going to physical therapy three times a week.
C) Discuss the plan with Mr. Larson.
You should discuss your proposed plan with the patient before implementing it.
In this case, you and Mr. Larson will need to weigh the benefit of physical
therapy against the
ability to provide for his family. You may need to consider other ways of helping
the patient,
perhaps through prescribed back exercises he can do at home. It is a common
mistake to
implement a plan without coming to an agreement with the patient first.
You are seeing an elderly man with multiple complaints. He has chronic arthritis,
pain from an old war injury, and headaches. Today he complains of these pains, as
well as dull chest pain under his sternum. What would the order of priority be for
your problem list?
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, NR509 Bates Test Bank – Midterm Exam
A) Arthritis, war injury pain, headaches, chest pain
B) War injury pain, arthritis, headaches, chest pain
C) Headaches, arthritis, war injury pain, chest pain
D) Chest pain, headaches, arthritis, war injury pain
D) Chest pain, headaches, arthritis, war injury pain
The problem list should have the most active and serious problem first. This new
complaint of chest pain is almost certainly a higher priority than his other, more
chronic
problems.
You are excited about a positive test finding you have just noticed on physical
examination
of your patient. You go on to do more examination, laboratory work, and
diagnostic tests, only
to find that there is no sign of the disease you thought would correlate with the
finding. This
same experience happens several times. What should you conclude?
A) Consider not doing this test routinely.
B) Use this test when you have a higher suspicion for a certain correlating
condition.
C) Continue using the test, perhaps doing less laboratory work and diagnostics.
D) Omit this test from future examinations.
C) Continue using the test, perhaps doing less laboratory work and diagnostics.
This is an example of a specific test that lacks sensitivity. With this scenario,
when you finally find a positive, you might be very certain that a given condition
is present.
We generally develop our examinations to fit our clinical experiences. Sensitive
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, NR509 Bates Test Bank – Midterm Exam
tests are
performed routinely on the screening examination, while specific tests are
usually saved for the
detailed or "branched" examinations. Branched examinations are further
maneuvers we can
perform to investigate positive findings on our screening examinations. Save this
type of
maneuver to confirm your hypothesis.
You have recently returned from a medical missions trip to sub-Saharan Africa,
where you
learned a great deal about malaria. You decide to use some of the same questions
and
maneuvers in your "routine" when examining patients in the midwestern United
States. You
are disappointed to find that despite getting some positive answers and findings,
on further
workup, none of your patients has malaria except one, who recently emigrated
from Ghana. How should you next approach these questions and maneuvers?
A) Continue asking these questions in a more selective way.
B) Stop asking these questions, because they are low yield.
C) Question the validity of the questions.
D) Ask these questions of all your patients.
A) Continue asking these questions in a more selective way.
The predictive value of a positive finding depends upon the prevalence of a
given
disease in a population. The prevalence of malaria in the Midwest is almost
zero, except in people immigrating from areas of high prevalence. You will waste
time and resources applying
these questions and maneuvers to all patients. It would be wise to continue
3|Page
, NR509 Bates Test Bank – Midterm Exam
applying what you
learned to those who are from areas of high prevalence of a given disease. You
will learn to tailor your examination to the population you
are serving.
For which of the following patients would a comprehensive health history be
appropriate?
A) A new patient with the chief complaint of "I sprained my ankle".
B) An established patient with the chief complaint of "I have an upper respiratory
infection".
C) A new patient with the chief complaint of "I am here to establish care".
D) A new patient with the chief complaint of "I cut my hand".
C) A new patient with the chief complaint of "I am here to establish care".
This patient is here to establish care, and because she is new to you, a
comprehensive health history is appropriate.
The components of the health history include all of the following except which
one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items
B) Thorax and lungs
The thorax and lungs are part of the physical examination, not part of the health
history.
Is the following information subjective or objective?
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse
4|Page
NR509 BATES TEST BANK – MIDTERM EXAM PREPARATION NEWEST
2026 WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES| BRAND NEW VERSION!
Mr. Larson is a 42-year-old widowed father of two children, ages 4 and 11. He
works in a
sales office to support his family. Recently he has injured his back and you are
thinking he
would benefit from physical therapy, three times a week, for an hour per session.
What would
be your next step?
A) Write the physical therapy prescription.
B) Have your office staff explain directions to the physical therapy center.
C) Discuss the plan with Mr. Larson.
D) Tell Mr. Larson that he will be going to physical therapy three times a week.
C) Discuss the plan with Mr. Larson.
You should discuss your proposed plan with the patient before implementing it.
In this case, you and Mr. Larson will need to weigh the benefit of physical
therapy against the
ability to provide for his family. You may need to consider other ways of helping
the patient,
perhaps through prescribed back exercises he can do at home. It is a common
mistake to
implement a plan without coming to an agreement with the patient first.
You are seeing an elderly man with multiple complaints. He has chronic arthritis,
pain from an old war injury, and headaches. Today he complains of these pains, as
well as dull chest pain under his sternum. What would the order of priority be for
your problem list?
1|Page
, NR509 Bates Test Bank – Midterm Exam
A) Arthritis, war injury pain, headaches, chest pain
B) War injury pain, arthritis, headaches, chest pain
C) Headaches, arthritis, war injury pain, chest pain
D) Chest pain, headaches, arthritis, war injury pain
D) Chest pain, headaches, arthritis, war injury pain
The problem list should have the most active and serious problem first. This new
complaint of chest pain is almost certainly a higher priority than his other, more
chronic
problems.
You are excited about a positive test finding you have just noticed on physical
examination
of your patient. You go on to do more examination, laboratory work, and
diagnostic tests, only
to find that there is no sign of the disease you thought would correlate with the
finding. This
same experience happens several times. What should you conclude?
A) Consider not doing this test routinely.
B) Use this test when you have a higher suspicion for a certain correlating
condition.
C) Continue using the test, perhaps doing less laboratory work and diagnostics.
D) Omit this test from future examinations.
C) Continue using the test, perhaps doing less laboratory work and diagnostics.
This is an example of a specific test that lacks sensitivity. With this scenario,
when you finally find a positive, you might be very certain that a given condition
is present.
We generally develop our examinations to fit our clinical experiences. Sensitive
2|Page
, NR509 Bates Test Bank – Midterm Exam
tests are
performed routinely on the screening examination, while specific tests are
usually saved for the
detailed or "branched" examinations. Branched examinations are further
maneuvers we can
perform to investigate positive findings on our screening examinations. Save this
type of
maneuver to confirm your hypothesis.
You have recently returned from a medical missions trip to sub-Saharan Africa,
where you
learned a great deal about malaria. You decide to use some of the same questions
and
maneuvers in your "routine" when examining patients in the midwestern United
States. You
are disappointed to find that despite getting some positive answers and findings,
on further
workup, none of your patients has malaria except one, who recently emigrated
from Ghana. How should you next approach these questions and maneuvers?
A) Continue asking these questions in a more selective way.
B) Stop asking these questions, because they are low yield.
C) Question the validity of the questions.
D) Ask these questions of all your patients.
A) Continue asking these questions in a more selective way.
The predictive value of a positive finding depends upon the prevalence of a
given
disease in a population. The prevalence of malaria in the Midwest is almost
zero, except in people immigrating from areas of high prevalence. You will waste
time and resources applying
these questions and maneuvers to all patients. It would be wise to continue
3|Page
, NR509 Bates Test Bank – Midterm Exam
applying what you
learned to those who are from areas of high prevalence of a given disease. You
will learn to tailor your examination to the population you
are serving.
For which of the following patients would a comprehensive health history be
appropriate?
A) A new patient with the chief complaint of "I sprained my ankle".
B) An established patient with the chief complaint of "I have an upper respiratory
infection".
C) A new patient with the chief complaint of "I am here to establish care".
D) A new patient with the chief complaint of "I cut my hand".
C) A new patient with the chief complaint of "I am here to establish care".
This patient is here to establish care, and because she is new to you, a
comprehensive health history is appropriate.
The components of the health history include all of the following except which
one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items
B) Thorax and lungs
The thorax and lungs are part of the physical examination, not part of the health
history.
Is the following information subjective or objective?
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse
4|Page
