Test Bank: Bates' Guide to Physical Examination and History Taking (13th Edition)

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CHAPTER 1FoundationsforClinicalProficiency
MULTIPLECHOICE
1. Aftercompletinganinitialassessmentofa patient,thenursehaschartedthathisrespirationsare IS IS IS




eupneicandhispulseis58 beatsperminute.Thesetypesofdata wouldbe: IS




a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.

ANS:A
Objective data are what the health professional observes by inspecting, percussing, palpating,
and auscultatingduring the physical examination. Subjective data is what the person says about
him or herselfduringhistorytaking.Thetermsreflectiveandintrospectivearenotusedtodescribedata.
IS IS IS IS




DIF:Cognitive Level:Understanding(Comprehension)REF:p.2
MSC:ClientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare
IS IS IS IS




2. Apatienttellsthenursethatheisverynervous,isnauseated,and feelshot.Thesetypesofdata
IS IS IS IS il IS IS




wouldbe:


a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.

ANS:C
Subjectivedataarewhatthepersonsaysabouthimorherselfduringhistorytaking.
IS




Objectivedataarewhatthehealthprofessionalobservesbyinspecting,percussing,palpating,and
IS IS IS IS

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auscultatingduringthephysicalexamination.Thetermsreflectiveandintrospectivearenotused IS IS




todescribedata. IS




DIF:Cognitive Level:Understanding(Comprehension)REF:p.2
MSC:ClientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare
IS IS IS IS IS




3. Thepatientsrecord,laboratorystudies,objectivedata,andsubjectivedatacombineto
IS IS IS IS




formthe:
IS




a Database. IS




.
b Admittingdata.
.
c Financialstatement.
.
d Dischargesummary. IS




.

ANS:A
Togetherwiththepatientsrecordandlaboratorystudies,theobjectiveandsubjectivedataformthedataIS IS IS IS




base.Theotheritemsarenotpartofthepatientsrecord,laboratorystudies, ordata. IS




DIF:Cognitive Level:Remembering(Knowledge)REF:p.2
MSC:ClientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare
IS IS IS IS IS IS




4. Whenlisteningtoapatientsbreathsounds,thenurseisunsureofasoundthatisheard.The
IS IS IS IS IS IS IS IS




nursesnextactionshouldbeto:


a Immediatelynotifythepatientsphysician.
.
b Documentthesoundexactlyasitwasheard. IS IS IS




.
c Validatethedatabyaskingacoworkertolistentothebreathsounds. IS IS




.
d Assessagainin20minutestonotewhetherthesoundisstillpresent. IS




.

ANS:C
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates
the datatoensureaccuracy.Ifthenursehaslessexperienceinanarea,thenheorsheasksanexpert tolisten.
IS IS IS IS IS IS




DIF:CognitiveLevel:Analyzing(Analysis)REF:p.2

, MSC:ClientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare
IS IS IS