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Chamberlain Collegeof Nursing
FNP 509
Bates’ Guide To Physical Examination and History
Taking 13th Edition Bickley Test
Bank
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 REFERENCElective.
.
c Subjective.
.
d Introspective.
.
CORRECT ANSWER: 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 REFERENCElective and introspective are not used to
describe data.
DIF: Cognitive Level: Understanding (Comprehension) REFERENCE: 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 REFERENCElective.
.
c Subjective.
.
d Introspective.
.
CORRECT ANSWER: 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 REFERENCElective and
introspective are not used
,to describe data.
DIF: Cognitive Level: Understanding (Comprehension) REFERENCE: 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: 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) REFERENCE: 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: 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) REFERENCE: 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: B
Novice nurses operate from a set of defined, structured rules. The expert
practitioner uses intuitive links.
DIF: Cognitive Level: Understanding (Comprehension)
REFERENCE: 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 REFERENCEerred to
as:
a Intuition.
.
b The nursing process.
.
c Clinical knowledge.
.
d Diagnostic reasoning.
.
CORRECT ANSWER: A
Intuition is characterized by pattern recognitionexpert nurses learn to
attend to a pattern of assessment data and act without consciously
labeling it. The other options are not correct.
DIF: Cognitive Level: Understanding (Comprehension)
REFERENCE: p. 4 MSC: Client Needs: General
7. The nurse is reviewing information about evidence-based practice (EBP).
Which statement best REFERENCElects EBP?
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