Bates’ Guide To Physical Examination and History Taking
n n n n n n n
13th Edition Bickley Test Bank latestupdated
n n n n n n
Bates’ Guide To Physical Examination and History Taking
n n n n n n n
13th Edition Bickley Test Bank
n n n n
CHAPTER
1nFoundationsnfornClinicalnProficiencyn
MULTIPLEnCHOICE
1. Afterncompletingnanninitialnassessmentnofnanpatient,nthennursenhasnchartednthatnhisnrespirati
onsnareneupneicnandnhisnpulsenisn58nbeatsnpernminute.nThesentypesnofndatanwouldn be:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS:nA
Objectivendatanarenwhatnthenhealthnprofessionalnobservesnbyninspecting,npercussing,npalpating,nan
dnauscultatingnduringnthenphysicalnexamination.nSubjectivendatanisnwhatnthenpersonnsaysnaboutnhi
mnornherselfnduringnhistoryntaking.nThentermsnreflectivenandnintrospectivenarennotnusedntondescribe
n data.
DIF:nCognitivenLevel:nUnderstandingn(Comprehension)nREF:np.n2
MSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment:nManagementnofnCare
2. Anpatientntellsnthennursenthatnhenisnverynnervous,nisnnauseated,nandnfeelsnhot.nThesentypesno
fndatanwouldnbe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS:nC
Subjectivendatanarenwhatnthenpersonnsaysnaboutnhimnornherselfnduringnhistoryntaking.nObjectivendatan
arenwhatnthenhealthnprofessionalnobservesnbyninspecting,npercussing,npalpating,nandnauscultatingn du
ringn then physicaln examination.n Then termsn reflectiven andn introspectiven aren notn used
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, Bates’ Guide To Physical Examination and History Taking 13th
n n n n n n n n n
Edition Bickley Test Bank latest updated
n n n n n
tondescribendata.
DIF:nCognitivenLevel:nUnderstandingn(Comprehension)nREF:np.n2
MSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment:nManagementnofnCare
3. Thenpatientsnrecord,nlaboratorynstudies,nobjectivendata,nandnsubjectivendatancombinentonf
ormnthe:
a Datanbase.
.
b Admittingndata.
.
c Financialnstatement.
.
d Dischargensummary.
.
ANS:nA
Togethern withn then patientsn recordn andn laboratoryn studies,n then objectiven andn subjectiven datan formnth
endatanbase.nThenothernitemsnarennotnpartnofnthenpatientsnrecord,nlaboratorynstudies,n orndata.
DIF:nCognitivenLevel:nRememberingn(Knowledge)nREF:np.n2
MSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment:nManagementnofnCare
4. Whennlisteningntonanpatientsnbreathnsounds,nthennursenisnunsurenofnansoundnthatnisnheard.n
Thennursesnnextnactionnshouldnben to:
a Immediatelynnotifynthenpatientsnphysician.
.
b Documentnthensoundnexactlynasnitnwasnheard.
.
c Validatenthendatanbynaskingnancoworkerntonlistenntonthenbreathnsounds.
.
d Assessnagainninn20nminutesntonnotenwhethernthensoundnisnstillnpresent.
.
ANS:nC
Whennunsurenofnansoundnheardnwhilenlisteningntonanpatientsnbreathnsounds,nthennursenvalidatesnthenda
tan ton ensuren accuracy.n Ifn then nursen hasn lessn experiencen inn ann area,n thenn hen orn shen asksn ann expertntonli
sten.
DIF:nCognitivenLevel:nAnalyzingn(Analysis)nREF:np.n2
MSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment:nManagementnofnCare
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, Bates’ Guide To Physical Examination and History Taking 13th
n n n n n n n n n
Edition Bickley Test Bank latest updated
n n n n n
5. Thennursenisnconductingnanclassnfornnewngraduatennurses.nDuringnthenteachingnsession,nthenn
ursenshouldnkeepninnmindnthatnnovicennurses,nwithoutnanbackgroundnofnskillsnandnexperiencenf
romnwhichntondraw,narenmorenlikelyntonmakentheirndecisionsn using:
a Intuition.
.
b Ansetnofnrules.
.
c Articlesninnjournals.
.
d Advicenfromnsupervisors.
.
ANS:nB
Novicennursesnoperatenfromnansetnofndefined,nstructurednrules.nThenexpertnpractitionernusesni
ntuitivenlinks.
DIF:nCognitivenLevel:nUnderstandingn(Comprehension)nREF:np.n3n
MSC:nClientnNeeds:nGeneral
6. Expertnnursesnlearnntonattendntonanpatternnofnassessmentndatanandnactnwithoutnc
onsciouslynlabelingnit.nThesenresponsesnarenreferrednton as:
a Intuition.
.
b Thennursingnprocess.
.
c Clinicalnknowledge.
.
d Diagnosticnreasoning.
.
ANS:nA
Intuitionnisncharacterizednbynpatternnrecognitionexpertnnursesnlearnntonattendntonanpatternnofna
ssessmentndatanandnactnwithoutnconsciouslynlabelingnit.nThenothernoptionsnarennotncorrect.
DIF:nCognitivenLevel:nUnderstandingn(Comprehension)nREF:np.n4n
MSC:nClientnNeeds:nGeneral
7. Thennursenisnreviewingninformationnaboutnevidence-
basednpracticen(EBP).nWhichnstatementnbestnreflectsn EBP?
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, Bates’ Guide To Physical Examination and History Taking 13th
n n n n n n n n n
Edition Bickley Test Bank latest updated
n n n n n
a EBPnreliesnonntraditionnfornsupportnofnbestnpractices.
.
b EBPnisnsimplynthenusenofnbestnpracticentechniquesnfornthentreatmentnofnpatients.
.
c EBPnemphasizesnthenusenofnbestnevidencenwithnthencliniciansn experience.
.
d ThenpatientsnownnpreferencesnarennotnimportantnwithnEBP.
.
ANS:nC
EBPnisnansystematicnapproachntonpracticenthatnemphasizesnthenusenofnbestnevidenceninncombinatio
nnwithnthencliniciansnexperience,nasnwellnasnpatientnpreferencesnandnvalues,nwhennmakingndecision
snaboutncarenandntreatment.nEBPnisnmorenthannsimplynusingnthenbestnpracticentechniquesntontreatnpat
ients,nandnquestioningntraditionnisnimportantnwhennnoncompellingnandnsupportivenresearchn eviden
cenexists.
DIF:nCognitivenLevel:nApplyingn(Application)nREF:np.n5
MSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment:nManagementnofnCare
8. Thennursenisnconductingnanclassnonnprioritynsettingnfornangroupnofnnewngraduatennurses.n
Whichnisnannexamplenofnanfirst-levelnpriorityn problem?
a Patientnwithnpostoperativenpain
.
b Newlyndiagnosednpatientnwithndiabetesnwhonneedsndiabeticnteaching
.
c Individualnwithnansmallnlacerationnonnthensolenofnthenfoot
.
d Individualnwithnshortnessnofnbreathnandnrespiratoryndistress
.
ANS:nD
First-
levelnprioritynproblemsnarenthosenthatnarenemergent,nlifenthreatening,nandnimmediaten(e.g.,nestablis
hingnannairway,nsupportingnbreathing,nmaintainingncirculation,nmonitoringnabnormalnvitalnsigns)n(s
eenTablen1-1).
DIF:nCognitivenLevel:nUnderstandingn(Comprehension)nREF:np.n4
MSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment:nManagementnofnCare
9. Whennconsideringnprioritynsettingnofnproblems,nthennursenkeepsninnmindnthatnsecond-
levelnprioritynproblemsnincludenwhichnofnthesen aspects?
WWW.THENURSINGMASTERY.C
n n n n n n n
13th Edition Bickley Test Bank latestupdated
n n n n n n
Bates’ Guide To Physical Examination and History Taking
n n n n n n n
13th Edition Bickley Test Bank
n n n n
CHAPTER
1nFoundationsnfornClinicalnProficiencyn
MULTIPLEnCHOICE
1. Afterncompletingnanninitialnassessmentnofnanpatient,nthennursenhasnchartednthatnhisnrespirati
onsnareneupneicnandnhisnpulsenisn58nbeatsnpernminute.nThesentypesnofndatanwouldn be:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS:nA
Objectivendatanarenwhatnthenhealthnprofessionalnobservesnbyninspecting,npercussing,npalpating,nan
dnauscultatingnduringnthenphysicalnexamination.nSubjectivendatanisnwhatnthenpersonnsaysnaboutnhi
mnornherselfnduringnhistoryntaking.nThentermsnreflectivenandnintrospectivenarennotnusedntondescribe
n data.
DIF:nCognitivenLevel:nUnderstandingn(Comprehension)nREF:np.n2
MSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment:nManagementnofnCare
2. Anpatientntellsnthennursenthatnhenisnverynnervous,nisnnauseated,nandnfeelsnhot.nThesentypesno
fndatanwouldnbe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS:nC
Subjectivendatanarenwhatnthenpersonnsaysnaboutnhimnornherselfnduringnhistoryntaking.nObjectivendatan
arenwhatnthenhealthnprofessionalnobservesnbyninspecting,npercussing,npalpating,nandnauscultatingn du
ringn then physicaln examination.n Then termsn reflectiven andn introspectiven aren notn used
WWW.THENURSINGMASTERY.C
, Bates’ Guide To Physical Examination and History Taking 13th
n n n n n n n n n
Edition Bickley Test Bank latest updated
n n n n n
tondescribendata.
DIF:nCognitivenLevel:nUnderstandingn(Comprehension)nREF:np.n2
MSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment:nManagementnofnCare
3. Thenpatientsnrecord,nlaboratorynstudies,nobjectivendata,nandnsubjectivendatancombinentonf
ormnthe:
a Datanbase.
.
b Admittingndata.
.
c Financialnstatement.
.
d Dischargensummary.
.
ANS:nA
Togethern withn then patientsn recordn andn laboratoryn studies,n then objectiven andn subjectiven datan formnth
endatanbase.nThenothernitemsnarennotnpartnofnthenpatientsnrecord,nlaboratorynstudies,n orndata.
DIF:nCognitivenLevel:nRememberingn(Knowledge)nREF:np.n2
MSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment:nManagementnofnCare
4. Whennlisteningntonanpatientsnbreathnsounds,nthennursenisnunsurenofnansoundnthatnisnheard.n
Thennursesnnextnactionnshouldnben to:
a Immediatelynnotifynthenpatientsnphysician.
.
b Documentnthensoundnexactlynasnitnwasnheard.
.
c Validatenthendatanbynaskingnancoworkerntonlistenntonthenbreathnsounds.
.
d Assessnagainninn20nminutesntonnotenwhethernthensoundnisnstillnpresent.
.
ANS:nC
Whennunsurenofnansoundnheardnwhilenlisteningntonanpatientsnbreathnsounds,nthennursenvalidatesnthenda
tan ton ensuren accuracy.n Ifn then nursen hasn lessn experiencen inn ann area,n thenn hen orn shen asksn ann expertntonli
sten.
DIF:nCognitivenLevel:nAnalyzingn(Analysis)nREF:np.n2
MSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment:nManagementnofnCare
WWW.THENURSINGMASTERY.C
, Bates’ Guide To Physical Examination and History Taking 13th
n n n n n n n n n
Edition Bickley Test Bank latest updated
n n n n n
5. Thennursenisnconductingnanclassnfornnewngraduatennurses.nDuringnthenteachingnsession,nthenn
ursenshouldnkeepninnmindnthatnnovicennurses,nwithoutnanbackgroundnofnskillsnandnexperiencenf
romnwhichntondraw,narenmorenlikelyntonmakentheirndecisionsn using:
a Intuition.
.
b Ansetnofnrules.
.
c Articlesninnjournals.
.
d Advicenfromnsupervisors.
.
ANS:nB
Novicennursesnoperatenfromnansetnofndefined,nstructurednrules.nThenexpertnpractitionernusesni
ntuitivenlinks.
DIF:nCognitivenLevel:nUnderstandingn(Comprehension)nREF:np.n3n
MSC:nClientnNeeds:nGeneral
6. Expertnnursesnlearnntonattendntonanpatternnofnassessmentndatanandnactnwithoutnc
onsciouslynlabelingnit.nThesenresponsesnarenreferrednton as:
a Intuition.
.
b Thennursingnprocess.
.
c Clinicalnknowledge.
.
d Diagnosticnreasoning.
.
ANS:nA
Intuitionnisncharacterizednbynpatternnrecognitionexpertnnursesnlearnntonattendntonanpatternnofna
ssessmentndatanandnactnwithoutnconsciouslynlabelingnit.nThenothernoptionsnarennotncorrect.
DIF:nCognitivenLevel:nUnderstandingn(Comprehension)nREF:np.n4n
MSC:nClientnNeeds:nGeneral
7. Thennursenisnreviewingninformationnaboutnevidence-
basednpracticen(EBP).nWhichnstatementnbestnreflectsn EBP?
WWW.THENURSINGMASTERY.C
, Bates’ Guide To Physical Examination and History Taking 13th
n n n n n n n n n
Edition Bickley Test Bank latest updated
n n n n n
a EBPnreliesnonntraditionnfornsupportnofnbestnpractices.
.
b EBPnisnsimplynthenusenofnbestnpracticentechniquesnfornthentreatmentnofnpatients.
.
c EBPnemphasizesnthenusenofnbestnevidencenwithnthencliniciansn experience.
.
d ThenpatientsnownnpreferencesnarennotnimportantnwithnEBP.
.
ANS:nC
EBPnisnansystematicnapproachntonpracticenthatnemphasizesnthenusenofnbestnevidenceninncombinatio
nnwithnthencliniciansnexperience,nasnwellnasnpatientnpreferencesnandnvalues,nwhennmakingndecision
snaboutncarenandntreatment.nEBPnisnmorenthannsimplynusingnthenbestnpracticentechniquesntontreatnpat
ients,nandnquestioningntraditionnisnimportantnwhennnoncompellingnandnsupportivenresearchn eviden
cenexists.
DIF:nCognitivenLevel:nApplyingn(Application)nREF:np.n5
MSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment:nManagementnofnCare
8. Thennursenisnconductingnanclassnonnprioritynsettingnfornangroupnofnnewngraduatennurses.n
Whichnisnannexamplenofnanfirst-levelnpriorityn problem?
a Patientnwithnpostoperativenpain
.
b Newlyndiagnosednpatientnwithndiabetesnwhonneedsndiabeticnteaching
.
c Individualnwithnansmallnlacerationnonnthensolenofnthenfoot
.
d Individualnwithnshortnessnofnbreathnandnrespiratoryndistress
.
ANS:nD
First-
levelnprioritynproblemsnarenthosenthatnarenemergent,nlifenthreatening,nandnimmediaten(e.g.,nestablis
hingnannairway,nsupportingnbreathing,nmaintainingncirculation,nmonitoringnabnormalnvitalnsigns)n(s
eenTablen1-1).
DIF:nCognitivenLevel:nUnderstandingn(Comprehension)nREF:np.n4
MSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment:nManagementnofnCare
9. Whennconsideringnprioritynsettingnofnproblems,nthennursenkeepsninnmindnthatnsecond-
levelnprioritynproblemsnincludenwhichnofnthesen aspects?
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