TEST BANK
Bates’ Guide to Physical Examination and History Taking 13th Edition by Lynn
S Bickley and Szilagyi
Chapters 1-27
TABLE OF CONTENTS
Unit 1. Foundations of health assessment.
Chapter 1. Approach to the clinical encounter
Chapter 2. Interviewing, communication, and interpersonal skills
Chapter 3. Health history
Chapter 4. Physical examination
Chapter 5. Clinical reasoning, assessment, and plan
Chapter 6. Health maintenance and screening
Chapter 7. Evauating clinical evidence ;
Unit 2. Regional examinations.
Chapter 8. General survey, vital signs, and pain
Chapter 9. Cognition, behavior, and mental status
Chapter 10. Skin, hair, and nails
Chapter 11. Head and neck
Chapter 12. Eyes
Chapter 13. Ears and nose
Chapter 14. Throat and oral cavity
Chapter 15. Thorax and lungs
Chapter 16. Cardiovascular system
Chapter 17. Peripheral vascular system
Chapter 18. Beasts and axillae
Chapter 19. Abdomen
Chapter 20. Male genitalia
Chapter 21. Female genitalia
Chapter 22. Anus, rectum, and prostate
Chapter 23. Musculoskeletal system
Chapter 24. Nervous system ;
Unit 3. Special populations.
Chapter 25. Children: infancy through adolescence
Chapter 26. Pregnant woman
Chapter 27. Older adult.
,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.
.
CORRECT ANSWER(s) : : 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.
.
CORRECT ANSWER(s) : : 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, and 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.
.
CORRECT ANSWER(s) : : 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.
.
CORRECT ANSWER(s) : : 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 nurse is conducting a class for new graduate nurses. During the
teaching session, the nurse should keep in mind that novice nurses, without
a background of skills and experience from which to draw, are more likely
to make their decisions using:
a Intuition.
.
b A set of rules.
.
c Articles in journals.
.
d Advice from supervisors.
.
CORRECT ANSWER(s) : : B
Novice nurses operate from a set of defined, structured rules. The expert
practitioner uses intuitive links.
DIF: Cognitive Level: Understanding
(Comprehension) REF: p. 3 MSC: Client Needs:
General
6. Expert nurses learn to attend to a pattern of assessment data
and act without consciously labeling it. These responses are
referred to as:
a Intuition.
.
b The nursing process.
.
c Clinical knowledge.
.
d Diagnostic reasoning.
.
Bates’ Guide to Physical Examination and History Taking 13th Edition by Lynn
S Bickley and Szilagyi
Chapters 1-27
TABLE OF CONTENTS
Unit 1. Foundations of health assessment.
Chapter 1. Approach to the clinical encounter
Chapter 2. Interviewing, communication, and interpersonal skills
Chapter 3. Health history
Chapter 4. Physical examination
Chapter 5. Clinical reasoning, assessment, and plan
Chapter 6. Health maintenance and screening
Chapter 7. Evauating clinical evidence ;
Unit 2. Regional examinations.
Chapter 8. General survey, vital signs, and pain
Chapter 9. Cognition, behavior, and mental status
Chapter 10. Skin, hair, and nails
Chapter 11. Head and neck
Chapter 12. Eyes
Chapter 13. Ears and nose
Chapter 14. Throat and oral cavity
Chapter 15. Thorax and lungs
Chapter 16. Cardiovascular system
Chapter 17. Peripheral vascular system
Chapter 18. Beasts and axillae
Chapter 19. Abdomen
Chapter 20. Male genitalia
Chapter 21. Female genitalia
Chapter 22. Anus, rectum, and prostate
Chapter 23. Musculoskeletal system
Chapter 24. Nervous system ;
Unit 3. Special populations.
Chapter 25. Children: infancy through adolescence
Chapter 26. Pregnant woman
Chapter 27. Older adult.
,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.
.
CORRECT ANSWER(s) : : 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.
.
CORRECT ANSWER(s) : : 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, and 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.
.
CORRECT ANSWER(s) : : 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.
.
CORRECT ANSWER(s) : : 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 nurse is conducting a class for new graduate nurses. During the
teaching session, the nurse should keep in mind that novice nurses, without
a background of skills and experience from which to draw, are more likely
to make their decisions using:
a Intuition.
.
b A set of rules.
.
c Articles in journals.
.
d Advice from supervisors.
.
CORRECT ANSWER(s) : : B
Novice nurses operate from a set of defined, structured rules. The expert
practitioner uses intuitive links.
DIF: Cognitive Level: Understanding
(Comprehension) REF: p. 3 MSC: Client Needs:
General
6. Expert nurses learn to attend to a pattern of assessment data
and act without consciously labeling it. These responses are
referred to as:
a Intuition.
.
b The nursing process.
.
c Clinical knowledge.
.
d Diagnostic reasoning.
.
