test bank for bates nursing guide to physical examination and history taking 3rd third edition by hogan quigley palm
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lOMoAR cPSD | 11700591
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3
Testbank
claudication.
B) An aortic width of 2.5 cm is abnormal.
TEST BANK
C) Bruits FORbenign findings.
are commonly
Bates' Nursing
D) Orthostatic Guide
blood toand
pressure Physical Examination
pulse are not useful in this and History Taking /
population.
Edition 3 Testbank
By Hogan-Quigley Palm
Chapter 1
MULTIPLE CHOICE
1. For which of the following patients would a comprehensive health history be appropriate?
A) A new patient with the chief complaint of ―I sprained my ankle‖
B) An established patient with the chief complaint of ―I have an upper respiratory infection‖
C) A new patient with the chief complaint of ―I am here to establish care‖
D) A new patient with the chief complaint of ―I cut my hand‖
Ans: C
Chapter: 01
Page and Header: 4, Patient Assessment: Comprehensive or Focused
Feedback: This patient is here to establish care, and because she is new to you, a comprehensive health history
is appropriate.
2. The components of the health history include all of the following except which one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items
Ans: B
Chapter: 01
Feedback: The thorax and lungs are part of the physical examination, not part of the health history. The others
answers are all part of a complete health history.
3. Is the following information subjective or objective?
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity and relieved by
rest.
A) Subjective
B) Objective
Ans: A
Chapter: 01
4. Is the following information subjective or objective? Mr. M. has a respiratory rate of 32 and a pulse
rate of 120.
A) Subjective
B) Objective
, lOMoAR cPSD | 11700591
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3
Testbank
claudication.
5. B) An Theaortic widthinformation
following of 2.5 cm is abnormal.
is recorded in the health history: ―The patient has had abdominal pain for
C) Bruits are commonly benign findings.
1 week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7 to 9 on a scale of 1 to 10.
D)accompanied
It is Orthostaticbyblood
nauseapressure and pulse
and vomiting. It is are not useful
located in this
in the mid- epigastric area.‖
population.
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Ans: B
Chapter: 01
Feedback: This information describes the problem of abdominal pain, which is the present illness. The
interviewer has obtained the location, timing, severity, and associated manifestations of the pain. The
interviewer will still need to obtain information concerning the quality of the pain, the setting in which it
occurred, and the factors that aggravate and alleviate the pain. You will notice that it does include portions of
the pertinent review of systems, but because it relates directly to the complaint, it is included in the history of
present illness.
6. The following information is recorded in the health history: ―The patient completed 8th grade. He
currently lives with his wife and two children. He works on old cars on the weekend. He works in a glass
factory during the week.‖
Ans: C
Chapter: 01
Feedback: Personal and social history information includes educational level, family of origin, current
household status, personal interests, employment, religious beliefs, military history, and lifestyle (including
diet and exercise habits; use of alcohol, tobacco, and/or drugs; and sexual preferences and history). All of this
information is documented in this example.
7. The following information is recorded in the health history: ―I feel really tired. ‖ Which category does
it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
8. The following information is recorded in the health history: ―Patient denies chest pain, palpitations,
orthopnea, and paroxysmal nocturnal dyspnea.‖
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Ans: D
Chapter: 01
, lOMoAR cPSD | 11700591
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3
Testbank
claudication.
Feedback: Review of systems documents the presence or absence of common symptoms related
9. B) An aortic
The widthinformation
following of 2.5 cm is abnormal.
is best placed in which category?
C) Bruits are commonly benign findings.
―The patient has had three cesarean sections.‖
A)D) Orthostatic blood pressure and pulse are not useful in this
Adult illnesses
B)population.
Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: B
Chapter: 01
Feedback: A cesarean section is a surgical procedure. Approximate dates or the age of the patient at the time
of the surgery should also be recorded.
10. The following information is best placed in which category?
―The patient had a stent placed in the left anterior descending artery (LAD) in 1999.‖
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: A
Chapter: 01
Feedback: The adult illnesses category is reserved for chronic illnesses, significant hospitalizations, significant
injuries, and significant procedures. A stent is a major procedure but does not involve a surgeon.
lOMoAR cPSD| 11700591
11. The following information is best placed in which category?
―The patient was treated for an asthma exacerbation in the hospital last year; the patient has never been
intubated.‖
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
placing this information in the present illness section, because it relates to the chief complaint at that visit.
Chapter 2 Critical Thinking in Health Assessment
MULTIPLE CHOICE
1. When performing a physical assessment, the first technique the nurse will always use is:
a. Palpation.
b. Inspection.
c. Percussion.
, lOMoAR cPSD | 11700591
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3
Testbank
d. claudication.
Auscultation.
B) An aortic width of 2.5 cm is abnormal.
C) Bruits are commonly benign findings.
D) BOrthostatic blood pressure and pulse are not useful in this
ANS:
population.
The skills requisite for the physical examination are inspection, palpation, percussion, and auscultation. The
skills are performed one at a time and in this order (with the exception of the abdominal assessment, during
which auscultation takes place before palpation and percussion). The assessment of each body system begins
with inspection. A focused inspection takes time and yields a surprising amount of information.
2. The nurse is preparing to perform a physical assessment. Which statement is true about the physical
assessment? The inspection phase:
a. Usually yields little information.
b. Takes time and reveals a surprising amount of information.
c. May be somewhat uncomfortable for the expert practitioner.
A focused inspection takes time and yields a surprising amount of information. Initially, the examiner may feel
uncomfortable, staring at the person without also doing something. A focused assessment is significantly more
than a quick glance.
3. The nurse is assessing a patients skin during an office visit. What part of the hand and technique
should be used to best assess the patients skin temperature?
a. Fingertips; they are more sensitive to small changes in temperature.
b. Dorsal surface of the hand; the skin is thinner on this surface than on the palms.
c. Ulnar portion of the hand; increased blood supply in this area enhances temperature sensitivity.
d. Palmar surface of the hand; this surface is the most sensitive to temperature variations because of its
increased nerve supply in this area.
ANS: B
The dorsa (backs) of the hands and fingers are best for determining temperature because the skin is thinner on
the dorsal surfaces than on the palms. Fingertips are best for fine, tactile discrimination. The other responses
are not useful for palpation.
4. Which of these techniques uses the sense of touch to assess texture, temperature, moisture, and
swelling when the nurse is assessing a patient?
a. Palpation
b. Inspection
c. Percussion
d. Auscultation
ANS: A
5. The nurse is preparing to assess a patients abdomen by palpation. How should the nurse proceed?
a. Palpation of reportedly tender areas are avoided because palpation in these areas may cause pain.
b. Palpating a tender area is quickly performed to avoid any discomfort that the patient may experience.
c. The assessment begins with deep palpation, while encouraging the patient to relax and to take deep
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