7/19/2021 Module i2 iExam: iHESI iVN iTXGRP i1912COHORT(VNE
i39)
Question 1 i
pts
i i i
A inurse iassisting iwith idata icollection iof ia iclient igathers iboth
isubjective iand iobjective idata. iWhich ifinding iwould ithe inurse
idocument ias isubjective idata?
The iclient iappears ianxious.
Blood ipressure iis i170/80 imm iHg.
Co
orrrec
ct! The iclient istates ithat ihe ihas ia irash.
The iclient ihas idiminished ireflexes iin ithe ilegs.
Rationale: iThe ipurpose iof ia iphysical iassessment iis ito
icollect iboth isubjective iand iobjective idata. iSubjective idata,
icollected iduring ithe ihealth ihistory, iconsist iof iinformation
ithat ithe iclient igives iabout ihimself ior iherself. iObjective idata
iare iobtained ithrough iphysical iexamination iand ivital isigns
imeasurements, iwhat ithe inurse iobserves, iand ilaboratory
istudy iand idiagnostic itest iresults.
Test-Taking iStrategy: iUse ithe iprocess iof ielimination.
iEliminate ithe icomparable ior ialike ioptions ithat iinclude idata
ithat ithe inurse iwould iobtain iduring ithe iphysical
iexamination. iReview ithe idifference ibetween isubjective iand
iobjective idata iif iyou ihad idifficulty iwith ithis iquestion.
Cognitive iAbility: iApplying
Client iNeeds: iHealth iPromotion iand iMaintenance
i Integrated iProcess: iCommunication iand iDocumentation
Content iArea: iHealth iAssessment/Physical iExam
i
Question 2 i
pts
i i i
A inurse iis ireviewing ithe ifindings iof ia iphysical iexamination ithat
ihave ibeen idocumented iin ia iclient’s irecord. iWhich ipiece iof
https://concorde.instructure.com/courses/18612/quizzes/83895?module_item_id=1519718 1/106
,7/19/2021 Module i2 iExam: iHESI iVN iTXGRP i1912COHORT(VNE
i39)
information idoes ithe inurse irecognize ias iobjective idata?
The iclient iis iallergic ito istrawberries.
The ilast imenstrual iperiod iwas i30 idays iago.
The iclient itakes iacetaminophen i(Tylenol) ifor iheadaches.
Co
orrrec
ct!
A i1 i× i2-inch iscar iis ipresent ion ithe ilower iright iportion iof ithe
iabdomen.
Rationale: iSubjective idata, icollected iduring ithe ihealth
ihistory, iconsist iof iinformation ithat ithe iclient igives iabout
ihimself ior iherself. iObjective idata iare iobtained ithrough
iphysical iexamination iand ivital isigns imeasurements, i what
ithe inurse iobserves, iand ilaboratory istudy iand idiagnostic
itest iresults. iAllergies, ithe idate iof ithe iclient’s ilast imenstrual
iperiod, iand ithe ireported iuse iof imedication ifor iheadaches
iare iall isubjective idata.
Test-Taking iStrategy: iUse ithe iprocess iof ielimination.
iEliminate ithe icomparable ior ialike ioptions ithat iinclude idata
ithat ithe inurse iwould iobtain ifrom ithe iclient iduring ithe ihealth
ihistory. iReview ithe idifference ibetween isubjective iand
iobjective idata iif iyou ihad idifficulty iwith ithis iquestion.
Cognitive iAbility: iUnderstanding
Client iNeeds: iHealth iPromotion iand iMaintenance
i Integrated iProcess: iNursing iProcess/Data iCollection
Content iArea: iHealth iAssessment/Physical iExam
i
Question 3 i
pts
i i i
A inurse iis ireading ithe ireport ifrom ithe iregistered inurse ifor ian
iinitial ihome ivisit ito ia iclient iwith ichronic iobstructive ipulmonary
idisease. iThe iclient iwas irecently idischarged ifrom ithe ihospital.
iW hich itype iof idatabase idoes ithe inurse iread ithat icontains ithis
ii nformation ifrom ithe iclient?
https://concorde.instructure.com/courses/18612/quizzes/83895?module_item_id=1519718 2/106
,7/19/2021 Module i2 iExam: iHESI iVN iTXGRP i1912COHORT(VNE
i39)
Episodic
Follow-up
Emergency
Co
orrrec
ct! Complete
Rationale: iA icomplete idatabase iincludes ia icomplete
ihealth ihistory iand ia ifull iphysical iexamination. iIt idescribes
ithe iclient’s icurrent iand ipast istate iof ihealth iand iforms ia
ibaseline iagainst iwhich iall ifuture ichanges ican ibe
imeasured. iThe icomplete idatabase iis icollected iin ia
iprimary icare isetting, isuch ias ia ipediatric ior ifamily ipractice
iclinic; ian iindependent ior igroup iprivate ipractice; ia icollege
ihealth iservice; ia iwomen’s ihealth icare iagency; ia ivisiting
inurse iagency; ior ia icommunity ihealth iagency. iAn iepisodic
idatabase iis icompiled ifor ia ilimited ior ishort-term iproblem
iand iis ifocused imainly ion ione iproblem ior ione ibody isystem.
iA ifollow-up idatabase iis iused ito ievaluate ian iidentified
iproblem iat iregular iand iappropriate iintervals. iAn
iemergency idatabase iinvolves ithe irapid icollection iof ithe
idata ithat iare ioften icompiled ias ilifesaving imeasures iare
ibeing iperformed.
Test-Taking iStrategy: iUse ithe iprocess iof ielimination.
iNoting ithe istrategic iwords i“initial ihome ivisit” iin ithe
iquestion iwill idirect iyou ito ithe icorrect ioption. iReview ithe
idifferent itypes iof idatabases iif iyou ihad idifficulty iwith ithis
iquestion.
Cognitive iAbility: iApplying
Client iNeeds: iHealth iPromotion iand iMaintenance
i Integrated iProcess: iNursing iProcess/Data iCollection
Content iArea: iHealth iAssessment/Physical iExam
i
Question 4 i
pts
i i i
A i25-year-old iclient iwas iseen iin ithe iclinic i2 iweeks iago ifor
isymptoms iof ia icold iand iis inow icomplaining iof ichest icongestion
https://concorde.instructure.com/courses/18612/quizzes/83895?module_item_id=1519718 3/106
, 7/19/2021 Module i2 iExam: iHESI iVN iTXGRP i1912COHORT(VNE
i39)
and icough. iThe inurse ishould iassist iwith ithe idata icollection iby
icollecting iwhich iinformation?
Data irelated ito ifollow-up icare
A icomplete i(total ihealth) idatabase
Co
orrrec
ct! Data irelated ito ithe irespiratory isystem
Data irelated ito ithe itreatment ifor ithe icold
Rationale: iAn iepisodic idatabase iis icompiled ifor ia ilimited
ior ishort-term iproblem iand iis ifocused imainly ion ione
iproblem ior ibody isystem. iThe ihistory iand iexamination iwill
ibe ifocused iprimarily ion ithe irespiratory isystem iin ithis
iclient. iA icomplete idatabase iincludes ia icomplete ihealth
ihistory iand ia ifull iphysical iexamination. iIt idescribes ithe
iclient's icurrent iand ipast istate iof ihealth iand iforms ia
ibaseline iagainst iwhich iall ifuture ichanges ican ibe
imeasured. iA ifollow-up idatabase iis iused ito ievaluate ian
iidentified iproblem iat iregular iand iappropriate iintervals.
Test-Taking iStrategy: iUse ithe iprocess iof ielimination.
iFocusing ion ithe idata iin ithe iquestion iand inoting ithe iwords
i“now icomplaining iof ichest icongestion iand icough” iwill
idirect iyou ito ithe icorrect ioption. iReview ithe idifferent itypes
iof idatabases iif iyou ihad idifficulty iwith ithis iquestion.
Cognitive iAbility: iApplying
Client iNeeds: iHealth iPromotion iand iMaintenance
i Integrated iProcess: iNursing iProcess/Data iCollection
Content iArea: iHealth iAssessment/Physical iExam
i
Question 5 i
pts
i i i
A iclient iis ibrought ito ithe iemergency idepartment iafter ia imotor
ivehicle iaccident. iThe iclient iis ialert iand icooperative ibut ihas
isustained imultiple ifractures iof ithe ilegs. iHow ishould ithe inurse
iproceed iwith idata icollection?
https://concorde.instructure.com/courses/18612/quizzes/83895?module_item_id=1519718 4/106
i39)
Question 1 i
pts
i i i
A inurse iassisting iwith idata icollection iof ia iclient igathers iboth
isubjective iand iobjective idata. iWhich ifinding iwould ithe inurse
idocument ias isubjective idata?
The iclient iappears ianxious.
Blood ipressure iis i170/80 imm iHg.
Co
orrrec
ct! The iclient istates ithat ihe ihas ia irash.
The iclient ihas idiminished ireflexes iin ithe ilegs.
Rationale: iThe ipurpose iof ia iphysical iassessment iis ito
icollect iboth isubjective iand iobjective idata. iSubjective idata,
icollected iduring ithe ihealth ihistory, iconsist iof iinformation
ithat ithe iclient igives iabout ihimself ior iherself. iObjective idata
iare iobtained ithrough iphysical iexamination iand ivital isigns
imeasurements, iwhat ithe inurse iobserves, iand ilaboratory
istudy iand idiagnostic itest iresults.
Test-Taking iStrategy: iUse ithe iprocess iof ielimination.
iEliminate ithe icomparable ior ialike ioptions ithat iinclude idata
ithat ithe inurse iwould iobtain iduring ithe iphysical
iexamination. iReview ithe idifference ibetween isubjective iand
iobjective idata iif iyou ihad idifficulty iwith ithis iquestion.
Cognitive iAbility: iApplying
Client iNeeds: iHealth iPromotion iand iMaintenance
i Integrated iProcess: iCommunication iand iDocumentation
Content iArea: iHealth iAssessment/Physical iExam
i
Question 2 i
pts
i i i
A inurse iis ireviewing ithe ifindings iof ia iphysical iexamination ithat
ihave ibeen idocumented iin ia iclient’s irecord. iWhich ipiece iof
https://concorde.instructure.com/courses/18612/quizzes/83895?module_item_id=1519718 1/106
,7/19/2021 Module i2 iExam: iHESI iVN iTXGRP i1912COHORT(VNE
i39)
information idoes ithe inurse irecognize ias iobjective idata?
The iclient iis iallergic ito istrawberries.
The ilast imenstrual iperiod iwas i30 idays iago.
The iclient itakes iacetaminophen i(Tylenol) ifor iheadaches.
Co
orrrec
ct!
A i1 i× i2-inch iscar iis ipresent ion ithe ilower iright iportion iof ithe
iabdomen.
Rationale: iSubjective idata, icollected iduring ithe ihealth
ihistory, iconsist iof iinformation ithat ithe iclient igives iabout
ihimself ior iherself. iObjective idata iare iobtained ithrough
iphysical iexamination iand ivital isigns imeasurements, i what
ithe inurse iobserves, iand ilaboratory istudy iand idiagnostic
itest iresults. iAllergies, ithe idate iof ithe iclient’s ilast imenstrual
iperiod, iand ithe ireported iuse iof imedication ifor iheadaches
iare iall isubjective idata.
Test-Taking iStrategy: iUse ithe iprocess iof ielimination.
iEliminate ithe icomparable ior ialike ioptions ithat iinclude idata
ithat ithe inurse iwould iobtain ifrom ithe iclient iduring ithe ihealth
ihistory. iReview ithe idifference ibetween isubjective iand
iobjective idata iif iyou ihad idifficulty iwith ithis iquestion.
Cognitive iAbility: iUnderstanding
Client iNeeds: iHealth iPromotion iand iMaintenance
i Integrated iProcess: iNursing iProcess/Data iCollection
Content iArea: iHealth iAssessment/Physical iExam
i
Question 3 i
pts
i i i
A inurse iis ireading ithe ireport ifrom ithe iregistered inurse ifor ian
iinitial ihome ivisit ito ia iclient iwith ichronic iobstructive ipulmonary
idisease. iThe iclient iwas irecently idischarged ifrom ithe ihospital.
iW hich itype iof idatabase idoes ithe inurse iread ithat icontains ithis
ii nformation ifrom ithe iclient?
https://concorde.instructure.com/courses/18612/quizzes/83895?module_item_id=1519718 2/106
,7/19/2021 Module i2 iExam: iHESI iVN iTXGRP i1912COHORT(VNE
i39)
Episodic
Follow-up
Emergency
Co
orrrec
ct! Complete
Rationale: iA icomplete idatabase iincludes ia icomplete
ihealth ihistory iand ia ifull iphysical iexamination. iIt idescribes
ithe iclient’s icurrent iand ipast istate iof ihealth iand iforms ia
ibaseline iagainst iwhich iall ifuture ichanges ican ibe
imeasured. iThe icomplete idatabase iis icollected iin ia
iprimary icare isetting, isuch ias ia ipediatric ior ifamily ipractice
iclinic; ian iindependent ior igroup iprivate ipractice; ia icollege
ihealth iservice; ia iwomen’s ihealth icare iagency; ia ivisiting
inurse iagency; ior ia icommunity ihealth iagency. iAn iepisodic
idatabase iis icompiled ifor ia ilimited ior ishort-term iproblem
iand iis ifocused imainly ion ione iproblem ior ione ibody isystem.
iA ifollow-up idatabase iis iused ito ievaluate ian iidentified
iproblem iat iregular iand iappropriate iintervals. iAn
iemergency idatabase iinvolves ithe irapid icollection iof ithe
idata ithat iare ioften icompiled ias ilifesaving imeasures iare
ibeing iperformed.
Test-Taking iStrategy: iUse ithe iprocess iof ielimination.
iNoting ithe istrategic iwords i“initial ihome ivisit” iin ithe
iquestion iwill idirect iyou ito ithe icorrect ioption. iReview ithe
idifferent itypes iof idatabases iif iyou ihad idifficulty iwith ithis
iquestion.
Cognitive iAbility: iApplying
Client iNeeds: iHealth iPromotion iand iMaintenance
i Integrated iProcess: iNursing iProcess/Data iCollection
Content iArea: iHealth iAssessment/Physical iExam
i
Question 4 i
pts
i i i
A i25-year-old iclient iwas iseen iin ithe iclinic i2 iweeks iago ifor
isymptoms iof ia icold iand iis inow icomplaining iof ichest icongestion
https://concorde.instructure.com/courses/18612/quizzes/83895?module_item_id=1519718 3/106
, 7/19/2021 Module i2 iExam: iHESI iVN iTXGRP i1912COHORT(VNE
i39)
and icough. iThe inurse ishould iassist iwith ithe idata icollection iby
icollecting iwhich iinformation?
Data irelated ito ifollow-up icare
A icomplete i(total ihealth) idatabase
Co
orrrec
ct! Data irelated ito ithe irespiratory isystem
Data irelated ito ithe itreatment ifor ithe icold
Rationale: iAn iepisodic idatabase iis icompiled ifor ia ilimited
ior ishort-term iproblem iand iis ifocused imainly ion ione
iproblem ior ibody isystem. iThe ihistory iand iexamination iwill
ibe ifocused iprimarily ion ithe irespiratory isystem iin ithis
iclient. iA icomplete idatabase iincludes ia icomplete ihealth
ihistory iand ia ifull iphysical iexamination. iIt idescribes ithe
iclient's icurrent iand ipast istate iof ihealth iand iforms ia
ibaseline iagainst iwhich iall ifuture ichanges ican ibe
imeasured. iA ifollow-up idatabase iis iused ito ievaluate ian
iidentified iproblem iat iregular iand iappropriate iintervals.
Test-Taking iStrategy: iUse ithe iprocess iof ielimination.
iFocusing ion ithe idata iin ithe iquestion iand inoting ithe iwords
i“now icomplaining iof ichest icongestion iand icough” iwill
idirect iyou ito ithe icorrect ioption. iReview ithe idifferent itypes
iof idatabases iif iyou ihad idifficulty iwith ithis iquestion.
Cognitive iAbility: iApplying
Client iNeeds: iHealth iPromotion iand iMaintenance
i Integrated iProcess: iNursing iProcess/Data iCollection
Content iArea: iHealth iAssessment/Physical iExam
i
Question 5 i
pts
i i i
A iclient iis ibrought ito ithe iemergency idepartment iafter ia imotor
ivehicle iaccident. iThe iclient iis ialert iand icooperative ibut ihas
isustained imultiple ifractures iof ithe ilegs. iHow ishould ithe inurse
iproceed iwith idata icollection?
https://concorde.instructure.com/courses/18612/quizzes/83895?module_item_id=1519718 4/106
