Extra Credit HESI Module 2 – Health Promotion and Disease Prevention
1. Questions
1. 1.ID: 9477077870
A nurse performing a physical assessment of a
... [Show More] client gathers both subjective
and objective data. Which finding would the nurse document as subjective
data?
A. The client appears anxious.
B. Blood pressure is 170/80 mm Hg.
C. The client states that he has a rash. Correct
D. The client has diminished reflexes in the legs.
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 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 options that are comparable or alike 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.
Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Communication and Documentation
Content Area: Health Assessment/Physical Exam
Priority Concepts: Clinical Judgment, Evidence
HESI Concepts: Clinical Decision-Making/Clinical Judgment, Evidence-Based
Practice/Evidence
Awarded 1.0 points out of 1.0 possible points.
2. 2.ID: 9477073956
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?
A. The client is allergic to strawberries.
B. The last menstrual period was 30 days ago.
C. The client takes acetaminophen (Tylenol) for headaches.
D. A 1 × 2-inch (5 cm) scar is present on the lower right portion of
the abdomen.
Correct
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 [Show Less]