lOMoAR cPSD| 47061011
lOMoAR cPSD| 47061011
Module 2 Exam - Module 2 Exam -NUR2811 - 1-
Nursing Capstone
Due May 5 at 11:59pm
Points 99
Questions 99
Available until May 5 at 11:59pm
Time Limit None
Allowed Attempts Unlimited
This quiz was locked May 5 at 11:59pm.
Attempt History
Attempt Time Score
LATEST Attem pt 1 67 minutes 98 out of 99
Submitted Feb 15 at 1:51pm
Question 1
pts
A nurse performing a physical assessment of a client gathers both subjective and objective
data. Which finding would the nurse document as subjective data?
The client appears anxious.
The client has diminished reflexes in the legs.
Correct!
The client states that he has a rash.
Blood pressure is 170/80 mm Hg.
Rationale: The purpose of a physical assessment is to collect both subjective and objective
data. Subjective data, collected during the health history, consist of information that the
, lOMoAR cPSD| 47061011
client gives about himself or herself. Objective data are obtained through physical
examination and vital signs measurements, what the nurse observes, and laboratory study
and diagnostic test results.
Test-Taking Strategy: Eliminate the comparable or alike options and include data that
the nurse would obtain during the physical examination.
Review: the difference between subjective and objective data .
Reference: Jarvis, C. (2008). Physical examination and health assessment (5th ed., pp. 2,
55). St. Louis: Saunders.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Communication and Documentation
Content Area: Health Assessment/Physical Exam
Giddens Concepts: Clinical Judgment, Tissue Integrity
HESI Concepts: Assessment, Tissue Integrity
Question 2
pts
A nurse is reviewing the findings of a physical examination that have been documented in a
client’s record. Which piece of information does the nurse recognize as objective data?
The client takes acetaminophen for headaches.
The last menstrual period was 30 days ago.
The client is allergic to strawberries.
Correct!
A 1 × 2-inch (5 cm) scar is present on the lower right portion of the abdomen.
Rationale: Subjective data, collected during the health history, consist of information that
the client gives about himself or herself. Objective data are obtained through physical
examination and vital signs measurements, what the nurse observes, and laboratory study
and diagnostic test results. Allergies, the date of the client s last menstrual period, and the
reported use of medication for headaches are all subjective data.
Test-Taking Strategy: Eliminate the comparable or alike options and include data that
the nurse would obtain from the client during the health history.
Review: the difference between subjective and objective data .
, lOMoAR cPSD| 47061011
Reference: Jarvis, C. (2008). Physical examination and health assessment (5th ed., pp. 2,
55). St. Louis: Saunders.
Level of Cognitive Ability:
Understanding
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process/Assessment
Content Area: Health Assessment/Physical Exam
Giddens Concepts: Clinical Judgment, Tissue Integrity
HESI Concepts: Assessment, Tissue Integrity
Question 3
pts
A nurse is making an initial home visit to a client with chronic obstructive pulmonary disease
who was recently discharged from the hospital. Which type of database does the nurse use
to obtain information from the client? Correct!
Complete
Follow-up
Episodic
Emergency
Rationale: A complete database includes a complete health history and a full physical
examination. It describes the client s current and past state of health and forms a baseline
against which all future changes can be measured. The complete database is collected in a
primary care setting such as a pediatric or family practice clinic, an independent or group
private practice, a college health service, a women s healthcare agency, a visiting nurse
agency, or a community health agency. An episodic database is compiled for a limited or
short-term problem and is focused mainly on one problem or one body system. A follow-up
database is used to evaluate an identified problem at regular and appropriate intervals. An
emergency database involves the rapid collection of the data that are often compiled as
lifesaving measures are being performed.
Test-Taking Strategy: Noting the strategic word initial in the phrase initial home visit will
direct you to the correct option.
Review: the different types of databases .
, lOMoAR cPSD| 47061011
Reference: Jarvis, C. (2008). Physical examination and health assessment (5th ed., p.8).
St. Louis: Saunders.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process/Assessment
Content Area: Health Assessment/Physical Exam
Giddens Concepts: Clinical Judgment, Gas Exchange
HESI Concepts: Assessment, Oxygenation-Gas Exchange
Question 4
pts
A nurse is examining a 25-year-old client who was seen in the clinic 2 weeks ago for
symptoms of a cold and is now complaining of chest congestion and cough. The nurse
should proceed with the examination by collecting which? Correct!
Data related to the respiratory system
Data related to the treatment for the cold
A complete (total health) database
Data related to follow-up care
Rationale: An episodic database is compiled for a limited or short-term problem and is
focused mainly on one problem or body system. The history and examination will be
focused primarily on the respiratory system in this client. A complete database includes a
complete health history and a full physical examination. It describes the client s current and
past state of health and forms a baseline against which all future changes can be measured.
A follow-up database is used to evaluate an identified problem at regular and appropriate
intervals. Test-Taking Strategy: Focusing on the data in the question and noting the
words now complaining of chest congestion and cough will direct you to the correct option.
Review: the different types of databases .
Reference: Jarvis, C. (2008). Physical examination and health assessment (5th ed., p. 8).
St. Louis: Saunders.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process/Assessment
Content Area: Health Assessment/Physical Exam
lOMoAR cPSD| 47061011
Module 2 Exam - Module 2 Exam -NUR2811 - 1-
Nursing Capstone
Due May 5 at 11:59pm
Points 99
Questions 99
Available until May 5 at 11:59pm
Time Limit None
Allowed Attempts Unlimited
This quiz was locked May 5 at 11:59pm.
Attempt History
Attempt Time Score
LATEST Attem pt 1 67 minutes 98 out of 99
Submitted Feb 15 at 1:51pm
Question 1
pts
A nurse performing a physical assessment of a client gathers both subjective and objective
data. Which finding would the nurse document as subjective data?
The client appears anxious.
The client has diminished reflexes in the legs.
Correct!
The client states that he has a rash.
Blood pressure is 170/80 mm Hg.
Rationale: The purpose of a physical assessment is to collect both subjective and objective
data. Subjective data, collected during the health history, consist of information that the
, lOMoAR cPSD| 47061011
client gives about himself or herself. Objective data are obtained through physical
examination and vital signs measurements, what the nurse observes, and laboratory study
and diagnostic test results.
Test-Taking Strategy: Eliminate the comparable or alike options and include data that
the nurse would obtain during the physical examination.
Review: the difference between subjective and objective data .
Reference: Jarvis, C. (2008). Physical examination and health assessment (5th ed., pp. 2,
55). St. Louis: Saunders.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Communication and Documentation
Content Area: Health Assessment/Physical Exam
Giddens Concepts: Clinical Judgment, Tissue Integrity
HESI Concepts: Assessment, Tissue Integrity
Question 2
pts
A nurse is reviewing the findings of a physical examination that have been documented in a
client’s record. Which piece of information does the nurse recognize as objective data?
The client takes acetaminophen for headaches.
The last menstrual period was 30 days ago.
The client is allergic to strawberries.
Correct!
A 1 × 2-inch (5 cm) scar is present on the lower right portion of the abdomen.
Rationale: Subjective data, collected during the health history, consist of information that
the client gives about himself or herself. Objective data are obtained through physical
examination and vital signs measurements, what the nurse observes, and laboratory study
and diagnostic test results. Allergies, the date of the client s last menstrual period, and the
reported use of medication for headaches are all subjective data.
Test-Taking Strategy: Eliminate the comparable or alike options and include data that
the nurse would obtain from the client during the health history.
Review: the difference between subjective and objective data .
, lOMoAR cPSD| 47061011
Reference: Jarvis, C. (2008). Physical examination and health assessment (5th ed., pp. 2,
55). St. Louis: Saunders.
Level of Cognitive Ability:
Understanding
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process/Assessment
Content Area: Health Assessment/Physical Exam
Giddens Concepts: Clinical Judgment, Tissue Integrity
HESI Concepts: Assessment, Tissue Integrity
Question 3
pts
A nurse is making an initial home visit to a client with chronic obstructive pulmonary disease
who was recently discharged from the hospital. Which type of database does the nurse use
to obtain information from the client? Correct!
Complete
Follow-up
Episodic
Emergency
Rationale: A complete database includes a complete health history and a full physical
examination. It describes the client s current and past state of health and forms a baseline
against which all future changes can be measured. The complete database is collected in a
primary care setting such as a pediatric or family practice clinic, an independent or group
private practice, a college health service, a women s healthcare agency, a visiting nurse
agency, or a community health agency. An episodic database is compiled for a limited or
short-term problem and is focused mainly on one problem or one body system. A follow-up
database is used to evaluate an identified problem at regular and appropriate intervals. An
emergency database involves the rapid collection of the data that are often compiled as
lifesaving measures are being performed.
Test-Taking Strategy: Noting the strategic word initial in the phrase initial home visit will
direct you to the correct option.
Review: the different types of databases .
, lOMoAR cPSD| 47061011
Reference: Jarvis, C. (2008). Physical examination and health assessment (5th ed., p.8).
St. Louis: Saunders.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process/Assessment
Content Area: Health Assessment/Physical Exam
Giddens Concepts: Clinical Judgment, Gas Exchange
HESI Concepts: Assessment, Oxygenation-Gas Exchange
Question 4
pts
A nurse is examining a 25-year-old client who was seen in the clinic 2 weeks ago for
symptoms of a cold and is now complaining of chest congestion and cough. The nurse
should proceed with the examination by collecting which? Correct!
Data related to the respiratory system
Data related to the treatment for the cold
A complete (total health) database
Data related to follow-up care
Rationale: An episodic database is compiled for a limited or short-term problem and is
focused mainly on one problem or body system. The history and examination will be
focused primarily on the respiratory system in this client. A complete database includes a
complete health history and a full physical examination. It describes the client s current and
past state of health and forms a baseline against which all future changes can be measured.
A follow-up database is used to evaluate an identified problem at regular and appropriate
intervals. Test-Taking Strategy: Focusing on the data in the question and noting the
words now complaining of chest congestion and cough will direct you to the correct option.
Review: the different types of databases .
Reference: Jarvis, C. (2008). Physical examination and health assessment (5th ed., p. 8).
St. Louis: Saunders.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process/Assessment
Content Area: Health Assessment/Physical Exam
