Bates yGuide yTo yPhysical yExamination yand yHistory yTaking y13th yEdition yBickley
yTest yBank
FNP y509 yBates yGuide yTo yPhysical yExamination yand y
yHistory yTaking y13th yEdition yBickley yTest yBank
Bates’ yGuide yTo yPhysical yExamination yand yHistory yTaking
y13th yEdition yBickley yTest yBank
CHAPTER 1 yFoundations yfor yClinical
yProficiency yMULTIPLE yCHOICE
1. After ycompleting yan yinitial yassessment yof ya ypatient, ythe ynurse yhas ycharted ythat yhis
yrespirations yare yeupneic yand yhis ypulse yis y58 ybeats yper yminute. yThese ytypes yof ydata
ywould ybe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: yA
Objective ydata yare ywhat ythe yhealth yprofessional yobserves yby yinspecting, ypercussing,
ypalpating, yand yauscultating yduring ythe yphysical yexamination. ySubjective ydata yis ywhat ythe
yperson ysays yabout yhim yor yherself yduring yhistory ytaking. yThe yterms yreflective yand
yintrospective yare ynot yused yto ydescribe ydata.
DIF: yCognitive yLevel: yUnderstanding y(Comprehension) yREF: yp. y2
MSC: yClient yNeeds: ySafe yand yEffective yCare yEnvironment: yManagement yof yCare
2. A ypatient ytells ythe ynurse ythat yhe yis yvery ynervous, yis ynauseated, yand yfeels yhot.
yThese ytypes yof ydata ywould ybe:
a Objective.
.
,Bates yGuide yTo yPhysical yExamination yand yHistory yTaking y13th yEdition yBickley
yTest yBank
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: yC
Subjective ydata yare ywhat ythe yperson ysays yabout yhim yor yherself yduring yhistory ytaking.
yObjective ydata yare ywhat ythe yhealth yprofessional yobserves yby yinspecting, ypercussing,
ypalpating, yand
auscultating yduring ythe y physical y examination. yThe y terms yreflective y and yintrospective y are y not
y used
,Bates yGuide yTo yPhysical yExamination yand yHistory yTaking y13th yEdition yBickley
yTest yBank
to ydescribe ydata.
DIF: yCognitive yLevel: yUnderstanding y(Comprehension) yREF: yp. y2
MSC: yClient yNeeds: ySafe yand yEffective yCare yEnvironment: yManagement yof yCare
3. The ypatients yrecord, ylaboratory ystudies, yobjective ydata, yand ysubjective ydata ycombine
yto yform ythe:
a Data ybase.
.
b Admitting ydata.
.
c Financial ystatement.
.
d Discharge ysummary.
.
ANS: yA
Together ywith ythe ypatients yrecord yand ylaboratory ystudies, ythe yobjective yand ysubjective
ydata yform ythe ydata ybase. yThe yother yitems yare ynot ypart yof ythe ypatients yrecord, ylaboratory
ystudies, yor ydata.
DIF: yCognitive yLevel: yRemembering y(Knowledge) yREF: yp. y2
MSC: yClient yNeeds: ySafe yand yEffective yCare yEnvironment: yManagement yof yCare
4. When ylistening yto ya ypatients ybreath ysounds, ythe ynurse yis yunsure yof ya ysound ythat yis
yheard. yThe ynurses ynext yaction yshould ybe yto:
a Immediately ynotify ythe ypatients yphysician.
.
b Document ythe ysound yexactly yas yit ywas yheard.
.
c Validate ythe ydata yby yasking ya ycoworker yto ylisten yto ythe ybreath ysounds.
.
d Assess yagain yin y20 yminutes yto ynote ywhether ythe ysound yis ystill ypresent.
.
ANS: yC
When yunsure yof ya ysound yheard ywhile ylistening yto ya ypatients ybreath ysounds, ythe ynurse
yvalidates ythe ydata yto yensure yaccuracy. y If ythe ynurse yhas yless yexperience yin yan yarea, ythen
yhe yor yshe yasks yan yexpert y to ylisten.
DIF: yCognitive yLevel: yAnalyzing y(Analysis) yREF: yp. y2
MSC: yClient yNeeds: ySafe yand yEffective yCare yEnvironment: yManagement yof yCare
, Bates yGuide yTo yPhysical yExamination yand yHistory yTaking y13th yEdition yBickley
yTest yBank
5. The ynurse yis yconducting ya yclass yfor ynew ygraduate ynurses. yDuring ythe yteaching
ysession, ythe ynurse yshould ykeep yin ymind ythat ynovice ynurses, ywithout ya ybackground yof
yskills yand yexperience yfrom ywhich yto ydraw, yare ymore ylikely yto ymake ytheir ydecisions
y using:
a Intuition.
.
b A yset yof yrules.
.
c Articles yin yjournals.
.
d Advice yfrom ysupervisors.
.
ANS: yB
Novice ynurses yoperate yfrom ya yset yof ydefined, ystructured yrules. yThe yexpert ypractitioner
yuses yintuitive ylinks.
DIF: yCognitive yLevel: yUnderstanding y(Comprehension) yREF: yp.
y3 yMSC: yClient yNeeds: yGeneral
6. Expert ynurses ylearn yto yattend yto ya ypattern yof yassessment ydata yand yact ywithout
yconsciously ylabeling yit. yThese yresponses yare yreferred yto yas:
a Intuition.
.
b The ynursing yprocess.
.
c Clinical yknowledge.
.
d Diagnostic yreasoning.
.
ANS: yA
Intuition yis ycharacterized yby ypattern yrecognitionexpert ynurses ylearn yto yattend yto ya ypattern
yof yassessment ydata yand yact ywithout yconsciously ylabeling yit. yThe yother yoptions yare ynot
ycorrect.
DIF: yCognitive yLevel: yUnderstanding y(Comprehension) yREF: yp.
y4 yMSC: yClient yNeeds: yGeneral
7. The ynurse yis yreviewing yinformation yabout yevidence-based ypractice y(EBP). yWhich
ystatement ybest yreflects yEBP?
yTest yBank
FNP y509 yBates yGuide yTo yPhysical yExamination yand y
yHistory yTaking y13th yEdition yBickley yTest yBank
Bates’ yGuide yTo yPhysical yExamination yand yHistory yTaking
y13th yEdition yBickley yTest yBank
CHAPTER 1 yFoundations yfor yClinical
yProficiency yMULTIPLE yCHOICE
1. After ycompleting yan yinitial yassessment yof ya ypatient, ythe ynurse yhas ycharted ythat yhis
yrespirations yare yeupneic yand yhis ypulse yis y58 ybeats yper yminute. yThese ytypes yof ydata
ywould ybe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: yA
Objective ydata yare ywhat ythe yhealth yprofessional yobserves yby yinspecting, ypercussing,
ypalpating, yand yauscultating yduring ythe yphysical yexamination. ySubjective ydata yis ywhat ythe
yperson ysays yabout yhim yor yherself yduring yhistory ytaking. yThe yterms yreflective yand
yintrospective yare ynot yused yto ydescribe ydata.
DIF: yCognitive yLevel: yUnderstanding y(Comprehension) yREF: yp. y2
MSC: yClient yNeeds: ySafe yand yEffective yCare yEnvironment: yManagement yof yCare
2. A ypatient ytells ythe ynurse ythat yhe yis yvery ynervous, yis ynauseated, yand yfeels yhot.
yThese ytypes yof ydata ywould ybe:
a Objective.
.
,Bates yGuide yTo yPhysical yExamination yand yHistory yTaking y13th yEdition yBickley
yTest yBank
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: yC
Subjective ydata yare ywhat ythe yperson ysays yabout yhim yor yherself yduring yhistory ytaking.
yObjective ydata yare ywhat ythe yhealth yprofessional yobserves yby yinspecting, ypercussing,
ypalpating, yand
auscultating yduring ythe y physical y examination. yThe y terms yreflective y and yintrospective y are y not
y used
,Bates yGuide yTo yPhysical yExamination yand yHistory yTaking y13th yEdition yBickley
yTest yBank
to ydescribe ydata.
DIF: yCognitive yLevel: yUnderstanding y(Comprehension) yREF: yp. y2
MSC: yClient yNeeds: ySafe yand yEffective yCare yEnvironment: yManagement yof yCare
3. The ypatients yrecord, ylaboratory ystudies, yobjective ydata, yand ysubjective ydata ycombine
yto yform ythe:
a Data ybase.
.
b Admitting ydata.
.
c Financial ystatement.
.
d Discharge ysummary.
.
ANS: yA
Together ywith ythe ypatients yrecord yand ylaboratory ystudies, ythe yobjective yand ysubjective
ydata yform ythe ydata ybase. yThe yother yitems yare ynot ypart yof ythe ypatients yrecord, ylaboratory
ystudies, yor ydata.
DIF: yCognitive yLevel: yRemembering y(Knowledge) yREF: yp. y2
MSC: yClient yNeeds: ySafe yand yEffective yCare yEnvironment: yManagement yof yCare
4. When ylistening yto ya ypatients ybreath ysounds, ythe ynurse yis yunsure yof ya ysound ythat yis
yheard. yThe ynurses ynext yaction yshould ybe yto:
a Immediately ynotify ythe ypatients yphysician.
.
b Document ythe ysound yexactly yas yit ywas yheard.
.
c Validate ythe ydata yby yasking ya ycoworker yto ylisten yto ythe ybreath ysounds.
.
d Assess yagain yin y20 yminutes yto ynote ywhether ythe ysound yis ystill ypresent.
.
ANS: yC
When yunsure yof ya ysound yheard ywhile ylistening yto ya ypatients ybreath ysounds, ythe ynurse
yvalidates ythe ydata yto yensure yaccuracy. y If ythe ynurse yhas yless yexperience yin yan yarea, ythen
yhe yor yshe yasks yan yexpert y to ylisten.
DIF: yCognitive yLevel: yAnalyzing y(Analysis) yREF: yp. y2
MSC: yClient yNeeds: ySafe yand yEffective yCare yEnvironment: yManagement yof yCare
, Bates yGuide yTo yPhysical yExamination yand yHistory yTaking y13th yEdition yBickley
yTest yBank
5. The ynurse yis yconducting ya yclass yfor ynew ygraduate ynurses. yDuring ythe yteaching
ysession, ythe ynurse yshould ykeep yin ymind ythat ynovice ynurses, ywithout ya ybackground yof
yskills yand yexperience yfrom ywhich yto ydraw, yare ymore ylikely yto ymake ytheir ydecisions
y using:
a Intuition.
.
b A yset yof yrules.
.
c Articles yin yjournals.
.
d Advice yfrom ysupervisors.
.
ANS: yB
Novice ynurses yoperate yfrom ya yset yof ydefined, ystructured yrules. yThe yexpert ypractitioner
yuses yintuitive ylinks.
DIF: yCognitive yLevel: yUnderstanding y(Comprehension) yREF: yp.
y3 yMSC: yClient yNeeds: yGeneral
6. Expert ynurses ylearn yto yattend yto ya ypattern yof yassessment ydata yand yact ywithout
yconsciously ylabeling yit. yThese yresponses yare yreferred yto yas:
a Intuition.
.
b The ynursing yprocess.
.
c Clinical yknowledge.
.
d Diagnostic yreasoning.
.
ANS: yA
Intuition yis ycharacterized yby ypattern yrecognitionexpert ynurses ylearn yto yattend yto ya ypattern
yof yassessment ydata yand yact ywithout yconsciously ylabeling yit. yThe yother yoptions yare ynot
ycorrect.
DIF: yCognitive yLevel: yUnderstanding y(Comprehension) yREF: yp.
y4 yMSC: yClient yNeeds: yGeneral
7. The ynurse yis yreviewing yinformation yabout yevidence-based ypractice y(EBP). yWhich
ystatement ybest yreflects yEBP?
