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NURS 3234 Exam II PrepU Questions with Answers (100% Correct Answers)

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NURS 3234 Exam II PrepU Questions with Answers (100% Correct Answers)

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NURS 3234 Exam II PrepU Questions with Answers
(100% Correct Answers)

A client is being prepared for cardiac catheterization. The nurse

performs an initial assessment and records the vital signs. Which data

collected can be classified as subjective data? Answer: Nausea

The nurse is performing an assessment on a newly admitted client. The

client states, "I feel really nervous." This is an example of which type of

data? Answer: Subjective

A nurse has just taken vital signs on a newly admitted client. Vital

signs would be entered on the client record as which type of data?

Answer: Objective

A client comes to the emergency department with flulike symptoms.

The nurse records the vital signs and listens to the client's lung sounds.

Vital signs and lung sounds are examples of which type of data?

Answer: Objective

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,2



At the end of the shift, the nurse documents that the client has voided

475 mL during the shift via an indwelling urinary catheter. What type

of data has the nurse documented? Answer: Objective

Which is an example of objective data? Answer: The skin of a client

who has liver failure has a yellowish tint.

Which assessment data cue does the nurse recognize as subjective

data? Answer: A pain rating of 7

The nurse is caring for a client who is suspected of having a kidney

infection. Which scenario involves the use of subjective data from the

primary source? Answer: The client tells the nurse that there is a

burning sensation when voiding.

The nurse is assessing the client's abdominal wound and notes yellow-

green purulent wound drainage. The nurse recognizes that the

drainage is an example of: Answer: objective data




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,3



Which are subjective client data gathered during assessment? Answer:

nausea, abdominal pain

A nurse is performing an assessment on a client. Which should the

nurse record as subjective data? Select all that apply. Answer: "My leg

hurts when I move."

"I am so afraid of what my diagnosis is."

"I am always anxious.

The nurse is performing an admission assessment on a young client

admitted to the unit. Which are considered objective data? Select all

that apply. Answer: 38-year-old man

Height: 6 ft (1.82 m)

Weight: 195 lb (89 kg)

The nurse is using an assessment guide that includes a hierarchy of

five life requirements universal to all persons. Which model for


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organizing assessment data is the nurse using? Answer: Human

Needs (Maslow) model

When performing an assessment on an older adult client, the nurse

discovers that the client needs a cane when walking and has problems

seeing in the night. Under which stage of Maslow's Hierarchy of

Needs Theory should the nurse cluster this data? Answer: Safety and

security

After collecting data from a client with respiratory distress, the nurse

prioritizes the client interventions to provide oxygen to the client first.

This is an example of which model for organizing data? Answer:

Hierarchy of Human Needs

A nurse is performing an assessment on a client in which the nurse

categorizes the data according to various categories of functions.

Which assessment model is the nurse using? Answer: Gordon's

functional health patterns




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