RNSG 2231 / HESI Extra Credit Module 2 Exam
1. Questions
1. 1.ID: 9477077870
A nurse performing a physical assessment of a 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 ofthe
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
, Extra Credit HESI Module 2 – Health Promotion and Disease Prevention
nurse observes, and laboratory study and diagnostic test results. Allergies, the
date of the client’s last menstrual period, and the reported use of medication for
headaches are all subjective data.
Test-Taking Strategy: Eliminate the options that are comparable or alike and
include data that the nurse would obtain from the client during the health
history. 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: Understanding
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process/Assessment
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.
3. 3.ID: 9477071188
A nurse is making an initial home visit to a client with chronic obstructive
pulmonary disease who was recently discharged from the hospital. Which type
of database does the nurse use to obtain information from the client?
A. Episodic
B. Follow-up
C. Emergency
D. Complete Correct
Rationale: A complete database includes a complete health history and a full
physical examination. It describes the client’s current and past state of health
and forms a baseline against which all future changes can be measured. The
complete database is collected in a primary care setting such as a pediatric or
family practice clinic, an independent or group private practice, a college health
service, a women’s healthcare agency, a visiting nurse agency, or a community
health agency. An episodic database is compiled for a limited or short-term
problem and is focused mainly on one problem or one body system. A follow-up
database is used to evaluate an identified problem at regular and appropriate
intervals. An emergency database involves the rapid collection of the data that
are often compiled as lifesaving measures are being performed.
Test-Taking Strategy: Noting the words “initial home visit” in the question will
direct you to the correct option. Review: the different types of databases .
Reference: Jarvis, C. (2008). Physical examination and health assessment (5th
ed., p.8). St. Louis: Saunders.
Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
, Extra Credit HESI Module 2 – Health Promotion and Disease Prevention
Integrated Process: Nursing Process/Assessment
Content Area: Health Assessment/Physical Exam
Priority Concepts: Evidence, Technology and Informatics
HESI Concepts: Evidence-Based Practice/Evidence, Informatics/Technology
Awarded 1.0 points out of 1.0 possible points.
4. 4.ID: 9477071128
A nurse is examining a 25-year-old client who was seen in the clinic 2 weeks
ago for symptoms of a cold and is now complaining of chest congestion and
cough. The nurse should proceed with the examination by collecting which?
A. Data related to follow-up care
B. A complete (total health) database Incorrect
C. Data related to the respiratory system Correct
D. Data related to the treatment for the cold
Rationale: An episodic database is compiled for a limited or short-term problem
and is focused mainly on one problem or body system. The history and
examination will be focused primarily on the respiratory system in this client. A
complete database includes a complete health history and a full physical
examination. It describes the client’s current and past state of health and forms
a baseline against which all future changes can be measured. A follow-up
database is used to evaluate an identified problem at regular and appropriate
intervals.
Test-Taking Strategy: Focusing on the data in the question and noting the
words “now complaining of chest congestion and cough” will direct you to the
correct option. Review: the different types of databases .
Reference: Jarvis, C. (2008). Physical examination and health assessment (5th
ed., p. 8). St. Louis: Saunders.
Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process/Assessment
Content Area: Health Assessment/Physical Exam
Priority Concepts: Evidence, Gas Exchange
HESI Concepts: Evidence-Based Practice/Evidence, Oxygenation/Gas
Exchange
Awarded 0.0 points out of 1.0 possible points.
5. 5.ID: 9477071111
A client is brought to the emergency department after a motor vehicle accident.
The client is alert and cooperative but has sustained multiple fractures of the
legs. How should the nurse proceed with data collection?
A. Collect health history information first, then perform the
physical examination
, Extra Credit HESI Module 2 – Health Promotion and Disease Prevention
B. Ask health history questions while performing the examination
and initiating emergency measures Correct
C. Collect all information requested on the history form, including
social support, strengths, and coping patterns
D. Perform emergency measures and not ask any health history
questions until the client's fractures have been treated in the
operating room
Rationale: If the client is alert and cooperative and if the situation is not life-
threatening, the nurse should attempt to obtain as much subjective and
objective data as possible while caring for the client. Collecting health history
information and then performing the physical examination does not address the
priority, which is treating the client. Collecting all data requested on the history
does not specifically address the client’s immediate problems. Performing
emergency measures and not asking any health history questions does not
address data collection before treatment.
Test-Taking Strategy: Focus on the data in the question and note the words
“alert and cooperative.” Noting that the client has not sustained life-threatening
injuries will direct you to the correct option. Review: the different types of
databases .
Reference: Jarvis, C. (2008). Physical examination and health assessment (5th
ed., p. 8). St. Louis: Saunders.
Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process/Assessment
Content Area: Health Assessment/Physical Exam
Priority Concepts: Evidence, Health Care Quality
HESI Concepts: Evidence-Based Practice/Evidence, Health Policy/Systems—
Health Care Quality
Awarded 1.0 points out of 1.0 possible points.
6. 6.ID: 9477073919
A client who was given a diagnosis of hypertension 3 months ago is at the clinic
for a checkup. Which type of database does the nurse use in performing an
assessment?
A. Emergency
B. Follow-up Correct
C. Complete (total)
D. Problem-centered
Rationale: A follow-up database is compiled to evaluate the status of an
identified problem at regular and appropriate intervals. An emergency database
calls for rapid collection of the data, often at the same time lifesaving measures
are being performed. A complete database includes a complete health history
1. Questions
1. 1.ID: 9477077870
A nurse performing a physical assessment of a 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 ofthe
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
, Extra Credit HESI Module 2 – Health Promotion and Disease Prevention
nurse observes, and laboratory study and diagnostic test results. Allergies, the
date of the client’s last menstrual period, and the reported use of medication for
headaches are all subjective data.
Test-Taking Strategy: Eliminate the options that are comparable or alike and
include data that the nurse would obtain from the client during the health
history. 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: Understanding
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process/Assessment
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.
3. 3.ID: 9477071188
A nurse is making an initial home visit to a client with chronic obstructive
pulmonary disease who was recently discharged from the hospital. Which type
of database does the nurse use to obtain information from the client?
A. Episodic
B. Follow-up
C. Emergency
D. Complete Correct
Rationale: A complete database includes a complete health history and a full
physical examination. It describes the client’s current and past state of health
and forms a baseline against which all future changes can be measured. The
complete database is collected in a primary care setting such as a pediatric or
family practice clinic, an independent or group private practice, a college health
service, a women’s healthcare agency, a visiting nurse agency, or a community
health agency. An episodic database is compiled for a limited or short-term
problem and is focused mainly on one problem or one body system. A follow-up
database is used to evaluate an identified problem at regular and appropriate
intervals. An emergency database involves the rapid collection of the data that
are often compiled as lifesaving measures are being performed.
Test-Taking Strategy: Noting the words “initial home visit” in the question will
direct you to the correct option. Review: the different types of databases .
Reference: Jarvis, C. (2008). Physical examination and health assessment (5th
ed., p.8). St. Louis: Saunders.
Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
, Extra Credit HESI Module 2 – Health Promotion and Disease Prevention
Integrated Process: Nursing Process/Assessment
Content Area: Health Assessment/Physical Exam
Priority Concepts: Evidence, Technology and Informatics
HESI Concepts: Evidence-Based Practice/Evidence, Informatics/Technology
Awarded 1.0 points out of 1.0 possible points.
4. 4.ID: 9477071128
A nurse is examining a 25-year-old client who was seen in the clinic 2 weeks
ago for symptoms of a cold and is now complaining of chest congestion and
cough. The nurse should proceed with the examination by collecting which?
A. Data related to follow-up care
B. A complete (total health) database Incorrect
C. Data related to the respiratory system Correct
D. Data related to the treatment for the cold
Rationale: An episodic database is compiled for a limited or short-term problem
and is focused mainly on one problem or body system. The history and
examination will be focused primarily on the respiratory system in this client. A
complete database includes a complete health history and a full physical
examination. It describes the client’s current and past state of health and forms
a baseline against which all future changes can be measured. A follow-up
database is used to evaluate an identified problem at regular and appropriate
intervals.
Test-Taking Strategy: Focusing on the data in the question and noting the
words “now complaining of chest congestion and cough” will direct you to the
correct option. Review: the different types of databases .
Reference: Jarvis, C. (2008). Physical examination and health assessment (5th
ed., p. 8). St. Louis: Saunders.
Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process/Assessment
Content Area: Health Assessment/Physical Exam
Priority Concepts: Evidence, Gas Exchange
HESI Concepts: Evidence-Based Practice/Evidence, Oxygenation/Gas
Exchange
Awarded 0.0 points out of 1.0 possible points.
5. 5.ID: 9477071111
A client is brought to the emergency department after a motor vehicle accident.
The client is alert and cooperative but has sustained multiple fractures of the
legs. How should the nurse proceed with data collection?
A. Collect health history information first, then perform the
physical examination
, Extra Credit HESI Module 2 – Health Promotion and Disease Prevention
B. Ask health history questions while performing the examination
and initiating emergency measures Correct
C. Collect all information requested on the history form, including
social support, strengths, and coping patterns
D. Perform emergency measures and not ask any health history
questions until the client's fractures have been treated in the
operating room
Rationale: If the client is alert and cooperative and if the situation is not life-
threatening, the nurse should attempt to obtain as much subjective and
objective data as possible while caring for the client. Collecting health history
information and then performing the physical examination does not address the
priority, which is treating the client. Collecting all data requested on the history
does not specifically address the client’s immediate problems. Performing
emergency measures and not asking any health history questions does not
address data collection before treatment.
Test-Taking Strategy: Focus on the data in the question and note the words
“alert and cooperative.” Noting that the client has not sustained life-threatening
injuries will direct you to the correct option. Review: the different types of
databases .
Reference: Jarvis, C. (2008). Physical examination and health assessment (5th
ed., p. 8). St. Louis: Saunders.
Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process/Assessment
Content Area: Health Assessment/Physical Exam
Priority Concepts: Evidence, Health Care Quality
HESI Concepts: Evidence-Based Practice/Evidence, Health Policy/Systems—
Health Care Quality
Awarded 1.0 points out of 1.0 possible points.
6. 6.ID: 9477073919
A client who was given a diagnosis of hypertension 3 months ago is at the clinic
for a checkup. Which type of database does the nurse use in performing an
assessment?
A. Emergency
B. Follow-up Correct
C. Complete (total)
D. Problem-centered
Rationale: A follow-up database is compiled to evaluate the status of an
identified problem at regular and appropriate intervals. An emergency database
calls for rapid collection of the data, often at the same time lifesaving measures
are being performed. A complete database includes a complete health history
