NURS 714/724 Midterm
Study online at https://quizlet.com/_b015l2
1. Subjective This type of data refers to information that
is spontaneously shared with you by the
client or is in response to questions that
you ask the client.
Examples:
- The client states, "I have had a rash on
my ankle and leg for the last two weeks."
- The parent states, "My eight-month-old
son is having trouble breathing."
- The client's reason for seeking care is
"diarrhea for 10 days."
- The client types, "I feel sick to my stom-
ach."
2. Objective This type of data refers to information that
you collect when performing a physical
exam.
Examples:
- You observe that a client has a bright
red rash on the dorsal side of the foot, the
lateral malleolus, and anterior and lateral
side of the lower leg.
- You observe the client sitting upright,
leaning forward, breathing fast with eyes
wide open.
- You take the client's blood pressure and
report it as 112/84 mm Hg and pulse at 84
beats per minute.
- Lab test results: K+ 4.0 mmol/L, fasting
glucose 4.8 mmol/L.
3. A 6-year-old child presents with D) Acute otitis media
complaints of unilateral ear
pain, fever, sore throat. The clin- Acute otitis media (AOM) involves infec-
ician should recognize that this tion of the fluid in the middle ear space.
is most commonly due to: The three bacterial organisms most often
associated with AOM include Streptococ-
, NURS 714/724 Midterm
Study online at https://quizlet.com/_b015l2
A) Otitis externa cal pneumoniae, Haemophilus influenzae,
B) Sinusitis and Moraxella catarrhalis. The patient of-
C) Foreign body in the ear canal ten complains of unilateral ear pain, which
D) Otitis media may radiate to the neck or jaw. There is
commonly a current or recent history of
symptoms consistent with an upper respi-
ratory infection.
4. A sudden, painless unilateral vi- C) Retinal detachment
sion loss may be caused by
which of the following? Retinal detachment is generally painless,
as is chronic glaucoma. Corneal ulcer,
A) Acute glaucoma acute glaucoma, and uveitis are almost
B) Retinal detachment always accompanied by pain.
C) Corneal ulcer
D) Uveitis
5. A college student presents with D) Posterior cervical
a sore throat, fever, and fatigue
for several days. You notice ex- The group of nodes posterior to the ster-
udates on her enlarged ton- nocleidomastoid muscle is the posteri-
sils. You do a careful lymphat- or cervical chain. These are common in
ic examination and notice some mononucleosis.
scattered small, mobile lymph
nodes just behind her stern-
ocleidomastoid muscles bilat-
erally. What group of nodes is
this?
A) Submandibular
B) Tonsillar
C) Occipital
D) Posterior cervical
6. An 86-year-old patient who A) Cerumen impaction
wears a hearing aid complains
of poor hearing in the affected Elderly clients frequently present with
ear. In addition to possible hear- complaints of hardened cerumen (earwax)
ing aid malfunction, this condi- and decreased hearing resulting from
, NURS 714/724 Midterm
Study online at https://quizlet.com/_b015l2
tion is often due to: cerumen impaction aggravated by hearing
aid wear.
A) Cerumen impaction
B) Ménière's disease
C) Acoustic neuroma
D) Otitis media
7. You are palpating a thyroid C) Listen for a bruit over thyroid lobes
gland and note that it is en-
larged bilaterally. What is your
next step in the examination
process?
A) Check for a deviated trachea
B) Listen for a bruit over the
carotids
C) Listen for a bruit over the thy-
roid lobes
D) Examine the patient for en-
larged lymph nodes
8. The following information is D) ROS
recorded in the health his-
tory: "Patient denies chest Review of systems documents the pres-
pain, palpitations, orthopnea, ence or absence of common symptoms
and paroxysmal nocturnal dys- related to each major body system. The
pnea." Which category does it absence of cardiac symptoms is listed in
belong to? the above example.
A) Chief complaint
B) Personal and social history
C) History of present illness
D) Review of systems
9. The following information is A) Personal and social history
recorded in the health histo-
ry: "The patient completed 8th Personal and social history information in-
grade. He currently lives with cludes educational level, family of origin,
his wife and two children. He current household status, personal inter-
Study online at https://quizlet.com/_b015l2
1. Subjective This type of data refers to information that
is spontaneously shared with you by the
client or is in response to questions that
you ask the client.
Examples:
- The client states, "I have had a rash on
my ankle and leg for the last two weeks."
- The parent states, "My eight-month-old
son is having trouble breathing."
- The client's reason for seeking care is
"diarrhea for 10 days."
- The client types, "I feel sick to my stom-
ach."
2. Objective This type of data refers to information that
you collect when performing a physical
exam.
Examples:
- You observe that a client has a bright
red rash on the dorsal side of the foot, the
lateral malleolus, and anterior and lateral
side of the lower leg.
- You observe the client sitting upright,
leaning forward, breathing fast with eyes
wide open.
- You take the client's blood pressure and
report it as 112/84 mm Hg and pulse at 84
beats per minute.
- Lab test results: K+ 4.0 mmol/L, fasting
glucose 4.8 mmol/L.
3. A 6-year-old child presents with D) Acute otitis media
complaints of unilateral ear
pain, fever, sore throat. The clin- Acute otitis media (AOM) involves infec-
ician should recognize that this tion of the fluid in the middle ear space.
is most commonly due to: The three bacterial organisms most often
associated with AOM include Streptococ-
, NURS 714/724 Midterm
Study online at https://quizlet.com/_b015l2
A) Otitis externa cal pneumoniae, Haemophilus influenzae,
B) Sinusitis and Moraxella catarrhalis. The patient of-
C) Foreign body in the ear canal ten complains of unilateral ear pain, which
D) Otitis media may radiate to the neck or jaw. There is
commonly a current or recent history of
symptoms consistent with an upper respi-
ratory infection.
4. A sudden, painless unilateral vi- C) Retinal detachment
sion loss may be caused by
which of the following? Retinal detachment is generally painless,
as is chronic glaucoma. Corneal ulcer,
A) Acute glaucoma acute glaucoma, and uveitis are almost
B) Retinal detachment always accompanied by pain.
C) Corneal ulcer
D) Uveitis
5. A college student presents with D) Posterior cervical
a sore throat, fever, and fatigue
for several days. You notice ex- The group of nodes posterior to the ster-
udates on her enlarged ton- nocleidomastoid muscle is the posteri-
sils. You do a careful lymphat- or cervical chain. These are common in
ic examination and notice some mononucleosis.
scattered small, mobile lymph
nodes just behind her stern-
ocleidomastoid muscles bilat-
erally. What group of nodes is
this?
A) Submandibular
B) Tonsillar
C) Occipital
D) Posterior cervical
6. An 86-year-old patient who A) Cerumen impaction
wears a hearing aid complains
of poor hearing in the affected Elderly clients frequently present with
ear. In addition to possible hear- complaints of hardened cerumen (earwax)
ing aid malfunction, this condi- and decreased hearing resulting from
, NURS 714/724 Midterm
Study online at https://quizlet.com/_b015l2
tion is often due to: cerumen impaction aggravated by hearing
aid wear.
A) Cerumen impaction
B) Ménière's disease
C) Acoustic neuroma
D) Otitis media
7. You are palpating a thyroid C) Listen for a bruit over thyroid lobes
gland and note that it is en-
larged bilaterally. What is your
next step in the examination
process?
A) Check for a deviated trachea
B) Listen for a bruit over the
carotids
C) Listen for a bruit over the thy-
roid lobes
D) Examine the patient for en-
larged lymph nodes
8. The following information is D) ROS
recorded in the health his-
tory: "Patient denies chest Review of systems documents the pres-
pain, palpitations, orthopnea, ence or absence of common symptoms
and paroxysmal nocturnal dys- related to each major body system. The
pnea." Which category does it absence of cardiac symptoms is listed in
belong to? the above example.
A) Chief complaint
B) Personal and social history
C) History of present illness
D) Review of systems
9. The following information is A) Personal and social history
recorded in the health histo-
ry: "The patient completed 8th Personal and social history information in-
grade. He currently lives with cludes educational level, family of origin,
his wife and two children. He current household status, personal inter-
