, Test Bank For Bates’ Guide To Physical Examination and History
Taking 13th Edition Bickley
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,
and auscultating during the physical examination. Subjective data is what the person says about
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,
a
,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
the data base. The other items are not part of the patients record, laboratory studies, or data.
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2
MSC: 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 rxnurse rxis rxconducting rxa rxclass rxfor rxnew rxgraduate rxnurses. rxDuring rxthe rxteaching
rxsession, rxthe rxnurse rxshould rxkeep rxin rxmind rxthat rxnovice rxnurses, rxwithout rxa rxbackground rxof
rxskills rxand rxexperience rxfrom rxwhich rxto rxdraw, rxare rxmore rxlikely rxto rxmake rxtheir rxdecisions
r x using:
a Intuition.
.
b A rxset rxof rxrules.
.
c Articles rxin rxjournals.
.
d Advice rxfrom rxsupervisors.
.
ANS: rxB
Novice rxnurses rxoperate rxfrom rxa rxset rxof rxdefined, rxstructured rxrules. rxThe rxexpert rxpractitioner rxuses
rxintuitive rxlinks.
DIF: rxCognitive rxLevel: rxUnderstanding rx(Comprehension) rxREF: rxp.
rx3 rxMSC: rxClient rxNeeds: rxGeneral
6. Expert rxnurses rxlearn rxto rxattend rxto rxa rxpattern rxof rxassessment rxdata rxand rxact rxwithout
rxconsciously rxlabeling rxit. rxThese rxresponses rxare rxreferred rxto rxas:
a Intuition.
.
b The rxnursing rxprocess.
.
c Clinical rxknowledge.
.
d Diagnostic rxreasoning.
.
ANS: rxA
Intuition rxis rxcharacterized rxby rxpattern rxrecognitionexpert rxnurses rxlearn rxto rxattend rxto rxa rxpattern rxof
rxassessment rxdata rxand rxact rxwithout rxconsciously rxlabeling rxit. rxThe rxother rxoptions rxare rxnot
rxcorrect.
DIF: rxCognitive rxLevel: rxUnderstanding rx(Comprehension) rxREF: rxp.
rx4 rxMSC: rxClient rxNeeds: rxGeneral
7. The rxnurse rxis rxreviewing rxinformation rxabout rxevidence-based rxpractice rx(EBP). rxWhich
rxstatement rxbest rxreflects rxEBP?
Taking 13th Edition Bickley
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,
and auscultating during the physical examination. Subjective data is what the person says about
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,
a
,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
the data base. The other items are not part of the patients record, laboratory studies, or data.
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2
MSC: 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 rxnurse rxis rxconducting rxa rxclass rxfor rxnew rxgraduate rxnurses. rxDuring rxthe rxteaching
rxsession, rxthe rxnurse rxshould rxkeep rxin rxmind rxthat rxnovice rxnurses, rxwithout rxa rxbackground rxof
rxskills rxand rxexperience rxfrom rxwhich rxto rxdraw, rxare rxmore rxlikely rxto rxmake rxtheir rxdecisions
r x using:
a Intuition.
.
b A rxset rxof rxrules.
.
c Articles rxin rxjournals.
.
d Advice rxfrom rxsupervisors.
.
ANS: rxB
Novice rxnurses rxoperate rxfrom rxa rxset rxof rxdefined, rxstructured rxrules. rxThe rxexpert rxpractitioner rxuses
rxintuitive rxlinks.
DIF: rxCognitive rxLevel: rxUnderstanding rx(Comprehension) rxREF: rxp.
rx3 rxMSC: rxClient rxNeeds: rxGeneral
6. Expert rxnurses rxlearn rxto rxattend rxto rxa rxpattern rxof rxassessment rxdata rxand rxact rxwithout
rxconsciously rxlabeling rxit. rxThese rxresponses rxare rxreferred rxto rxas:
a Intuition.
.
b The rxnursing rxprocess.
.
c Clinical rxknowledge.
.
d Diagnostic rxreasoning.
.
ANS: rxA
Intuition rxis rxcharacterized rxby rxpattern rxrecognitionexpert rxnurses rxlearn rxto rxattend rxto rxa rxpattern rxof
rxassessment rxdata rxand rxact rxwithout rxconsciously rxlabeling rxit. rxThe rxother rxoptions rxare rxnot
rxcorrect.
DIF: rxCognitive rxLevel: rxUnderstanding rx(Comprehension) rxREF: rxp.
rx4 rxMSC: rxClient rxNeeds: rxGeneral
7. The rxnurse rxis rxreviewing rxinformation rxabout rxevidence-based rxpractice rx(EBP). rxWhich
rxstatement rxbest rxreflects rxEBP?
