Test Bank
v
for Bates’ Guide To Physical Examination and History Taking 13th
v v v v v v v v v
Edition
v
,https://www.stuvia.com/user/Prose1
CHAPTER 1Foundations for ClinicalProficiency v v v
MULTIPLE CHOICE
v v
1. After completing an initial assessment of a patient, the nurse has charted that his
v v v v v v v v v v v v v
respirations are eupneic and his pulse is 58 beats per minute. These types of data would
v v v v v v v v v v v v v v v v
be:
v
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: A v
Objective data are what the health professional observes by inspecting, percussing, palpating,
v v v v v v v v v v v
and auscultating during the physical examination. Subjective data is what the person says
v v v v v v v v v v v v v
about him or herself during history taking. The terms reflective and introspective are not used to
v v v v v v v v v v v v v v v v
describe data.
v v
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
v v v v v v v
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
v v v v v v v v v v
2. Apatient tells the nurse that he is verynervous, is nauseated, and feels hot. These types of
v v v v v v v v v v v v v v v v
data would be:
v v v
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: C v
Subjective data are what the person says about him or herself during history taking.
v v v v v v v v v v v v v
Objective data are what the health professional observes by inspecting, percussing,
v v v v v v v v v v v
palpating, and
v v
, Bates’ Guide To Physical Examination and History Taking 13th
v v v v v v v v v
p1 p1 p1
auscultating during the physical examination. The terms reflective and introspective are not used
v v v v v v v v v v v v
to describe data.
v v
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
v v v v v v v
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
v v v v v v v v v v
3. The patients record, laboratory studies, objective data, and subjective data combine
v v v v v v v v v v
vto form the:
v v
a Data base. v
.
b Admitting data. v
.
c Financial statement. v
.
d Discharge summary. v
.
ANS: A v
Together with the patients record and laboratory studies, the objective and subjective data form
v v v v v v v v v v v v v
the data base. The other items are not part of the patients record, laboratory studies, or
v v v v v v v v v v v v v v v v
data.
v
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2
v v v v v v v
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
v v v v v v v v v v
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is
v v v v v v v v v v v v v v v
vheard. The nurses next action should be to:
v v v v v v v
a Immediately notify the patients physician. v v v v
.
b Document the sound exactly as it was heard. v v v v v v v
.
c Validate the data by asking a coworker to listen to the breath sounds.
v v v v v v v v v v v v
.
d Assess again in 20 minutes to note whether the sound is still present.
v v v v v v v v v v v v
.
ANS: C v
When unsure of a sound heard while listening to a patients breath sounds, the nurse
v v v v v v v v v v v v v v
validates the data to ensure accuracy. If the nurse has less experience in an area, then he or she asks
v v v v v v v v v v v v v v v v v v v v
an expert to listen.
v v v v
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
v v v v v v v
, MSC: Client Needs: Safe and Effective Care Environment: Management of Care
v v v v v v v v v v
5. The nurse is conducting a class for new graduate nurses. During the teaching session,
v v v v v v v v v v v v v
vthe nurse should keep in mind that novice nurses, without a background of skills and
v v v v v v v v v v v v v v
vexperience from which to draw, are more likely to make their decisions using:
v v v v v v v v v v v v
a Intuition.
.
b A set of rules. v v v
.
c Articles in journals. v v
.
d Advice from supervisors. v v
.
ANS: B v
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses
v v v v v v v v v v v v v
vintuitive links. v
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 3
v v v v v v v
vMSC: Client Needs: General
v v v
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously
v v v v v v v v v v v v v v
vlabeling it. These responses are referred to as:
v v v v v v v
a Intuition.
.
b The nursing process. v v
.
c Clinical knowledge. v
.
d Diagnostic reasoning. v
.
ANS: A v
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of
v v v v v v v v v v v v v
vassessment data and act without consciously labeling it. The other options are not correct.
v v v v v v v v v v v v v
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 4
v v v v v v v
vMSC: Client Needs: General
v v v
7. The nurse is reviewing information about evidence-based practice (EBP). Which statement
v v v v v v v v v v
vbest reflects EBP?
v v
v
for Bates’ Guide To Physical Examination and History Taking 13th
v v v v v v v v v
Edition
v
,https://www.stuvia.com/user/Prose1
CHAPTER 1Foundations for ClinicalProficiency v v v
MULTIPLE CHOICE
v v
1. After completing an initial assessment of a patient, the nurse has charted that his
v v v v v v v v v v v v v
respirations are eupneic and his pulse is 58 beats per minute. These types of data would
v v v v v v v v v v v v v v v v
be:
v
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: A v
Objective data are what the health professional observes by inspecting, percussing, palpating,
v v v v v v v v v v v
and auscultating during the physical examination. Subjective data is what the person says
v v v v v v v v v v v v v
about him or herself during history taking. The terms reflective and introspective are not used to
v v v v v v v v v v v v v v v v
describe data.
v v
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
v v v v v v v
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
v v v v v v v v v v
2. Apatient tells the nurse that he is verynervous, is nauseated, and feels hot. These types of
v v v v v v v v v v v v v v v v
data would be:
v v v
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: C v
Subjective data are what the person says about him or herself during history taking.
v v v v v v v v v v v v v
Objective data are what the health professional observes by inspecting, percussing,
v v v v v v v v v v v
palpating, and
v v
, Bates’ Guide To Physical Examination and History Taking 13th
v v v v v v v v v
p1 p1 p1
auscultating during the physical examination. The terms reflective and introspective are not used
v v v v v v v v v v v v
to describe data.
v v
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
v v v v v v v
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
v v v v v v v v v v
3. The patients record, laboratory studies, objective data, and subjective data combine
v v v v v v v v v v
vto form the:
v v
a Data base. v
.
b Admitting data. v
.
c Financial statement. v
.
d Discharge summary. v
.
ANS: A v
Together with the patients record and laboratory studies, the objective and subjective data form
v v v v v v v v v v v v v
the data base. The other items are not part of the patients record, laboratory studies, or
v v v v v v v v v v v v v v v v
data.
v
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2
v v v v v v v
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
v v v v v v v v v v
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is
v v v v v v v v v v v v v v v
vheard. The nurses next action should be to:
v v v v v v v
a Immediately notify the patients physician. v v v v
.
b Document the sound exactly as it was heard. v v v v v v v
.
c Validate the data by asking a coworker to listen to the breath sounds.
v v v v v v v v v v v v
.
d Assess again in 20 minutes to note whether the sound is still present.
v v v v v v v v v v v v
.
ANS: C v
When unsure of a sound heard while listening to a patients breath sounds, the nurse
v v v v v v v v v v v v v v
validates the data to ensure accuracy. If the nurse has less experience in an area, then he or she asks
v v v v v v v v v v v v v v v v v v v v
an expert to listen.
v v v v
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
v v v v v v v
, MSC: Client Needs: Safe and Effective Care Environment: Management of Care
v v v v v v v v v v
5. The nurse is conducting a class for new graduate nurses. During the teaching session,
v v v v v v v v v v v v v
vthe nurse should keep in mind that novice nurses, without a background of skills and
v v v v v v v v v v v v v v
vexperience from which to draw, are more likely to make their decisions using:
v v v v v v v v v v v v
a Intuition.
.
b A set of rules. v v v
.
c Articles in journals. v v
.
d Advice from supervisors. v v
.
ANS: B v
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses
v v v v v v v v v v v v v
vintuitive links. v
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 3
v v v v v v v
vMSC: Client Needs: General
v v v
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously
v v v v v v v v v v v v v v
vlabeling it. These responses are referred to as:
v v v v v v v
a Intuition.
.
b The nursing process. v v
.
c Clinical knowledge. v
.
d Diagnostic reasoning. v
.
ANS: A v
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of
v v v v v v v v v v v v v
vassessment data and act without consciously labeling it. The other options are not correct.
v v v v v v v v v v v v v
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 4
v v v v v v v
vMSC: Client Needs: General
v v v
7. The nurse is reviewing information about evidence-based practice (EBP). Which statement
v v v v v v v v v v
vbest reflects EBP?
v v
