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NUR2811 MODULE 2 EXAM: COMPREHENSIVE PRACTICE QUESTION BANK

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NUR2811 MODULE 2 EXAM: COMPREHENSIVE PRACTICE QUESTION BANK

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NUR2811 MODULE 2 EXAM: COMPREHENSIVE PRACTICE
QUESTION BANK
Section Domain Approx. Page Reference
Questions
I. Health Subjective vs. 20 Jarvis, C. (2008).
Assessment & Objective Data Physical
Data examination and
Collection health assessment
(5th ed., pp. 2,
55).
II. Health Types of Databases 15 Jarvis, C. (2008).
Assessment & (Complete, Episodic, Physical
Data Follow-up, examination and
Collection Emergency) health assessment
(5th ed., p. 8).
III. Health Documentation, 15 Jarvis, C. (2008).
Assessment & Clinical Judgment, Physical
Physical Exam and Tissue Integrity examination and
health assessment
(5th ed.).


SECTION I: Subjective vs. Objective Data
Question 1: A nurse is performing a physical assessment on a client who
was just admitted to the medical unit. Which finding would the nurse
document as subjective data?

,A) The client appears anxious and restless.
B) The client has diminished deep tendon reflexes in the lower
extremities.
C) The client states, "I have a throbbing headache right behind my
eyes."
D) Blood pressure is 170/80 mm Hg.
Correct Answer: C
Rationale: Subjective data are collected during the health history and
consist of information the client gives about themselves, such as
symptoms, feelings, and perceptions. The nurse observing anxiety,
assessing reflexes, and measuring blood pressure are all objective
findings obtained through physical examination and vital sign
measurement.
Question 2: A nurse is reviewing the findings documented in a client's
medical record. Which piece of information does the nurse recognize as
objective data?
A) The client reports a history of asthma.
B) The client states he is allergic to penicillin.
C) The client complains of nausea after eating.
D) A 2 cm scar is present on the lower right quadrant of the abdomen.
Correct Answer: D
Rationale: Objective data are obtained through physical examination,
vital signs measurements, what the nurse observes, and laboratory or
diagnostic test results. A visible scar is an observation made by the
nurse during the physical exam. Allergies, medical history, and
complaints of nausea are subjective data provided by the client.

, Question 3: During a health history interview, a client tells the nurse, "I
feel like my heart is racing and I am short of breath." The nurse notes
the client's respiratory rate is 26 breaths per minute. Which of these
findings is subjective?
A) The client's statement about feeling short of breath.
B) The client's respiratory rate of 26 breaths per minute.
C) The nurse's observation of the client's breathing pattern.
D) The client's oxygen saturation reading of 92%.
Correct Answer: A
Rationale: Subjective data includes the client's verbal descriptions of
their health status. The statement "I feel short of breath" is the client's
perception. The respiratory rate, observation of breathing pattern, and
oxygen saturation are objective measurements obtained by the nurse.
Question 4: A nurse is assessing a client who is experiencing pain.
Which statement by the nurse demonstrates the collection of subjective
data?
A) "I am going to press on your abdomen to check for tenderness."
B) "Your heart rate is elevated at 110 beats per minute."
C) "Can you describe the pain you are feeling right now?"
D) "I notice you are guarding your incision site."
Correct Answer: C
Rationale: Asking the client to describe their pain elicits subjective data
because it relies on the client's self-report. Palpating the abdomen,
measuring heart rate, and observing guarding behaviors are methods of
collecting objective data.
Question 5: A nurse is documenting a client's health assessment. Which
entry by the nurse indicates subjective data?

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