k
FNPg509gBatesgGuidegTogPhysicalgExaminationgandggHistor
ygTakingg13thgEditiongBickleygTestgBank
Bates’ Guide To Physical Examination and History Taking 13th E
g g g g g g g g g
dition Bickley Test Bank g g g
CHAPTER
1gFoundationsgforgClinicalgProficiencyg
MULTIPLEgCHOICE
1. Aftergcompletingganginitialgassessmentgofgagpatient,gthegnurseghasgchartedgthatghisgrespirationsga
regeupneicgandghisgpulsegisg58gbeatsgpergminute.gThesegtypesgofgdatagwouldgbe:
a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS:gA
Objectivegdatagaregwhatgtheghealthgprofessionalgobservesgbyginspecting,gpercussing,gpalpating,gand
gauscultatinggduringgthegphysicalgexamination.gSubjectivegdatagisgwhatgthegpersongsaysgaboutghimgo
rgherselfgduringghistorygtaking.gThegtermsgreflectivegandgintrospectivegaregnotgusedgtogdescribegdata
.
DIF:gCognitivegLevel:gUnderstandingg(Comprehension)gREF:gp.g2
MSC:gClientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare
2. Agpatientgtellsgthegnursegthatghegisgverygnervous,gisgnauseated,gandgfeelsghot.gThesegtypesgofgd
atagwouldgbe:
a Objective.
.
,BatesgGuidegTogPhysicalgExaminationgandgHistorygTakingg13thgEditiongBickleygTestgBan
k
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS:gC
Subjectivegdatagaregwhatgthegpersongsaysgaboutghimgorgherselfgduringghistorygtaking.gObjectivegda
tagaregwhatgtheghealthgprofessionalgobservesgbyginspecting,gpercussing,gpalpating,gand
auscultatingg duringg theg physicalg examination.g Theg termsg reflectiveg andg introspectiveg areg notg used
,BatesgGuidegTogPhysicalgExaminationgandgHistorygTakingg13thgEditiongBickleygTestgBan
k
togdescribegdata.
DIF:gCognitivegLevel:gUnderstandingg(Comprehension)gREF:gp.g2
MSC:gClientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare
3. Thegpatientsgrecord,glaboratorygstudies,gobjectivegdata,gandgsubjectivegdatagcombinegtogformgt
he:
a Datagbase.
.
b Admittinggdata.
.
c Financialgstatement.
.
d Dischargegsummary.
.
ANS:gA
Togethergwithgthegpatientsgrecordgandglaboratorygstudies,gthegobjectivegandgsubjectivegdatagformgth
egdatagbase.gThegothergitemsgaregnotgpartgofgthegpatientsgrecord,glaboratorygstudies,gorgdata.
DIF:gCognitivegLevel:gRememberingg(Knowledge)gREF:gp.g2
MSC:gClientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare
4. Whenglisteninggtogagpatientsgbreathgsounds,gthegnursegisgunsuregofgagsoundgthatgisgheard.gThegn
ursesgnextgactiongshouldgbegto:
a Immediatelygnotifygthegpatientsgphysician.
.
b Documentgthegsoundgexactlygasgitgwasgheard.
.
c Validategthegdatagbygaskinggagcoworkergtoglistengtogthegbreathgsounds.
.
d Assessgagainging20gminutesgtognotegwhethergthegsoundgisgstillgpresent.
.
ANS:gC
Whengunsuregofgagsoundgheardgwhileglisteninggtogagpatientsgbreathgsounds,gthegnursegvalidatesgthegda
tagtogensuregaccuracy.g Ifgthegnurseghasglessgexperiencegingangarea,gthenghegorgshegasksgangexpertg toglis
ten.
DIF:gCognitivegLevel:gAnalyzingg(Analysis)gREF:gp.g2
MSC:gClientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare
, BatesgGuidegTogPhysicalgExaminationgandgHistorygTakingg13thgEditiongBickleygTestgBan
k
5. Thegnursegisgconductinggagclassgforgnewggraduategnurses.gDuringgthegteachinggsession,gthegn
ursegshouldgkeepgingmindgthatgnovicegnurses,gwithoutgagbackgroundgofgskillsgandgexperiencegfr
omgwhichgtogdraw,garegmoreglikelygtogmakegtheirgdecisionsg using:
a Intuition.
.
b Agsetgofgrules.
.
c Articlesgingjournals.
.
d Advicegfromgsupervisors.
.
ANS:gB
Novicegnursesgoperategfromgagsetgofgdefined,gstructuredgrules.gThegexpertgpractitionergusesgintuiti
veglinks.
DIF:gCognitivegLevel:gUnderstandingg(Comprehension)gREF:gp.g3gM
SC:gClientgNeeds:gGeneral
6. Expertgnursesglearngtogattendgtogagpatterngofgassessmentgdatagandgactgwithoutgconsciouslygl
abelinggit.gThesegresponsesgaregreferredgtogas:
a Intuition.
.
b Thegnursinggprocess.
.
c Clinicalgknowledge.
.
d Diagnosticgreasoning.
.
ANS:gA
Intuitiongisgcharacterizedgbygpatterngrecognitionexpertgnursesglearngtogattendgtogagpatterngofgassess
mentgdatagandgactgwithoutgconsciouslyglabelinggit.gThegothergoptionsgaregnotgcorrect.
DIF:gCognitivegLevel:gUnderstandingg(Comprehension)gREF:gp.g4gM
SC:gClientgNeeds:gGeneral
7. Thegnursegisgreviewingginformationgaboutgevidence-
basedgpracticeg(EBP).gWhichgstatementgbestgreflectsgEBP?