Bates’ Guide To Physical Examination and History Taking 13th Edition Bickley Test Bank
CHAPTER 1 Foundations for Clinical Proficiency MULTIPLE
... [Show More] 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.
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.
.
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.
.
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.
.
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.
.
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.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 4 MSC: Client Needs: General
7. The nurse is reviewing information about evidence-based practice (EBP). Which statement
best reflects EBP?
a
. EBP relies on tradition for support of best practices.
b
. EBP is simply the use of best practice techniques for the treatment of patients.
c
. EBP emphasizes the use of best evidence with the clinicians experience.
d
. The patients own preferences are not important with EBP.
DIF: Cognitive Level: Applying (Application) REF: p. 5
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example of a first-level priority problem?
a
. Patient with postoperative pain
b
. Newly diagnosed patient with diabetes who needs diabetic teaching
c
. Individual with a small laceration on the sole of the foot
d
. Individual with shortness of breath and respiratory distress
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 4
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
9. When considering priority setting of problems, the nurse keeps in mind that second-level priority problems include which of these aspects?
a
. Low self-esteem
b
. Lack of knowledge
c
. Abnormal laboratory values
d
. Severely abnormal vital signs
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 4
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
10. Which critical thinking skill helps the nurse see relationships among the data?
a
. Validation
b
. Clustering related cues
c
. Identifying gaps in data
d
. Distinguishing relevant from irrelevant
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
11. The nurse knows that developing appropriate nursing interventions for a patient relies on the appropriateness of the diagnosis.
a Nursing
.
b Medical
.
c Admission
.
d Collaborative
.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 6
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
12. The nursing process is a sequential method of problem solving that nurses use and includes which steps?
a Assessment, treatment, planning, evaluation, discharge, and follow-up
.
b Admission, assessment, diagnosis, treatment, and discharge planning
.
c Admission, diagnosis, treatment, evaluation, and discharge planning
.
d Assessment, diagnosis, outcome identification, planning, implementation, and
. evaluation
.................................................................................continued............................................................................... [Show Less]