Bates' Guide to Physical Examination and History
Taking: Test Bank for 13th Edition
objective - ANSWER-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:
Subjective - ANSWER-A patient tells the nurse that he is very nervous, is nauseated, and feels hot.
These types of data would be:
Data base - ANSWER-The patients record, laboratory studies, objective data, and subjective data
combine to form the
Validate the data by asking a coworker to listen to the breath sounds - ANSWER-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 set of rules - ANSWER-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:
Intuition - ANSWER-Expert nurses learn to attend to a pattern of assessment data and act without
consciously labeling it. These responses are referred to as:
The nurse is reviewing information about evidence-based practice (EBP). Which statement best
reflects EBP - ANSWER-The nurse is reviewing information about evidence-based practice (EBP).
Which statement best reflects EBP
Weakness, especially if localized in a neuroanatomical pattern suggests _________. - ANSWER-
neuropathy or myopathy
Recurrent shaking chills suggest ________. - ANSWER-extreme swings in temperature and systemic
bacteremia
What does rapid change of weight in a few days suggest? - ANSWER-change in body fluids; NOT
tissues
Edema from extravascular fluid retention is visible in conditions like: - ANSWER-heart failure,
nephrotic syndrome and liver failure
Weight loss with a high food intake suggests what? - ANSWER-DM, hyperthyroidism, malabsorption
or bulimia
What should you consider when evaluating cardiac or respiratory distress? - ANSWER-clutching of the
chest, pallor, diaphoresis, labored breathing, wheezing, coughing
What would be visual indicators of pain? - ANSWER-wincing, sweating, protectiveness of painful area,
facial grimacing, unusual posture
What would be visual indicators of anxiety or depression? - ANSWER-anxious facial expressions,
fidgety, cold/moist palms, flat affect, poor eye contact, psychomotor slowing
What should the skin be evaluated for? - ANSWER-pallor, cyanosis, jaundice, rashes, bruises
, What may excess clothing reflect? - ANSWER-cold intolerance (hypothyroidism), skin rashes, needle
marks, anorexia
Cut out holes in shoes or slippers may indicate what? - ANSWER-gout, bunions, edema or other
painful foot conditions
What are copper bracelets sometimes worn for? - ANSWER-arthritis
Chewed fingernails may reflect _______. - ANSWER-Stress
Unkempt appearance often seen in what? - ANSWER-depression and dementia; the patient's
appearance must be compared with their probable norm
Hyperthyroid facial expression: - ANSWER-stare
Parkinsonism facial expression: - ANSWER-immobile face
Depression facial expression: - ANSWER-flat/sad affect, decreased eye contact
Breath odors can indicate the presence of what? - ANSWER-alcohol, diabetes, pulmonary infections,
uremia or liver failure
Left sided heart failure patients prefer to sit in which way? - ANSWER-Upright
COPD patients prefer to sit in which way? - ANSWER-Leaning forward with arms braced
Short stature is associated with: - ANSWER-Turner's syndrome, childhood renal failure,
achondroplastic and hypopituitary dwarfism
Long arms in proportion to the trunk is associated with: - ANSWER-hypogonadism and Marfan's
syndrome
Height loss may indicate what? - ANSWER-Osteoporosis and vertebral compression fractures
Truncal fat is common in which conditions? - ANSWER-Cushing's syndrome and metabolic syndrome
If the BP cuff is too small/narrow what will the BP read? - ANSWER-High
If the BP cuff is too large/wide, what will the BP read? - ANSWER-low on a small arm and high on a
large arm
If the brachial artery is 7 to 8 cm below heart level what will the BP read? - ANSWER-6 cm higher
If the brachial artery is 6 to 7 cm higher, what will the BP read? - ANSWER-5 cm lower
What problems with the BP cuff will cause a falsely high reading? - ANSWER-a loose cuff or bladder
that balloons outside the cuff
What is the ausculatory gap? - ANSWER-silent interval between systolic and diastolic pressures;
associated with arterial stiffness and atherosclerotic disease
At what rate should the cuff be deflated? - ANSWER-2 to 3 mmHg per second
Venous congestion caused by slow or repetitive inflations of the cuff may cause what? - ANSWER-Less
audible korotkoff sounds; then leads to artificially low systolic and diastolic pressures
Taking: Test Bank for 13th Edition
objective - ANSWER-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:
Subjective - ANSWER-A patient tells the nurse that he is very nervous, is nauseated, and feels hot.
These types of data would be:
Data base - ANSWER-The patients record, laboratory studies, objective data, and subjective data
combine to form the
Validate the data by asking a coworker to listen to the breath sounds - ANSWER-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 set of rules - ANSWER-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:
Intuition - ANSWER-Expert nurses learn to attend to a pattern of assessment data and act without
consciously labeling it. These responses are referred to as:
The nurse is reviewing information about evidence-based practice (EBP). Which statement best
reflects EBP - ANSWER-The nurse is reviewing information about evidence-based practice (EBP).
Which statement best reflects EBP
Weakness, especially if localized in a neuroanatomical pattern suggests _________. - ANSWER-
neuropathy or myopathy
Recurrent shaking chills suggest ________. - ANSWER-extreme swings in temperature and systemic
bacteremia
What does rapid change of weight in a few days suggest? - ANSWER-change in body fluids; NOT
tissues
Edema from extravascular fluid retention is visible in conditions like: - ANSWER-heart failure,
nephrotic syndrome and liver failure
Weight loss with a high food intake suggests what? - ANSWER-DM, hyperthyroidism, malabsorption
or bulimia
What should you consider when evaluating cardiac or respiratory distress? - ANSWER-clutching of the
chest, pallor, diaphoresis, labored breathing, wheezing, coughing
What would be visual indicators of pain? - ANSWER-wincing, sweating, protectiveness of painful area,
facial grimacing, unusual posture
What would be visual indicators of anxiety or depression? - ANSWER-anxious facial expressions,
fidgety, cold/moist palms, flat affect, poor eye contact, psychomotor slowing
What should the skin be evaluated for? - ANSWER-pallor, cyanosis, jaundice, rashes, bruises
, What may excess clothing reflect? - ANSWER-cold intolerance (hypothyroidism), skin rashes, needle
marks, anorexia
Cut out holes in shoes or slippers may indicate what? - ANSWER-gout, bunions, edema or other
painful foot conditions
What are copper bracelets sometimes worn for? - ANSWER-arthritis
Chewed fingernails may reflect _______. - ANSWER-Stress
Unkempt appearance often seen in what? - ANSWER-depression and dementia; the patient's
appearance must be compared with their probable norm
Hyperthyroid facial expression: - ANSWER-stare
Parkinsonism facial expression: - ANSWER-immobile face
Depression facial expression: - ANSWER-flat/sad affect, decreased eye contact
Breath odors can indicate the presence of what? - ANSWER-alcohol, diabetes, pulmonary infections,
uremia or liver failure
Left sided heart failure patients prefer to sit in which way? - ANSWER-Upright
COPD patients prefer to sit in which way? - ANSWER-Leaning forward with arms braced
Short stature is associated with: - ANSWER-Turner's syndrome, childhood renal failure,
achondroplastic and hypopituitary dwarfism
Long arms in proportion to the trunk is associated with: - ANSWER-hypogonadism and Marfan's
syndrome
Height loss may indicate what? - ANSWER-Osteoporosis and vertebral compression fractures
Truncal fat is common in which conditions? - ANSWER-Cushing's syndrome and metabolic syndrome
If the BP cuff is too small/narrow what will the BP read? - ANSWER-High
If the BP cuff is too large/wide, what will the BP read? - ANSWER-low on a small arm and high on a
large arm
If the brachial artery is 7 to 8 cm below heart level what will the BP read? - ANSWER-6 cm higher
If the brachial artery is 6 to 7 cm higher, what will the BP read? - ANSWER-5 cm lower
What problems with the BP cuff will cause a falsely high reading? - ANSWER-a loose cuff or bladder
that balloons outside the cuff
What is the ausculatory gap? - ANSWER-silent interval between systolic and diastolic pressures;
associated with arterial stiffness and atherosclerotic disease
At what rate should the cuff be deflated? - ANSWER-2 to 3 mmHg per second
Venous congestion caused by slow or repetitive inflations of the cuff may cause what? - ANSWER-Less
audible korotkoff sounds; then leads to artificially low systolic and diastolic pressures
