,Question 1
pts
A nurse assisting with data collection of a client gathers both subjective and objective data.
Which finding would the nurse document as subjective data?
The client appears anxious.
Blood pressure is 170/80 mm Hg.
Correct!
The client states that he has a rash.
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: Use the process of elimination. Eliminate the comparable or alike options
that include data that the nurse would obtain during the physical examination. Review the
difference between subjective and objective data if you had difficulty with this question.
Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Communication and Documentation
Content Area: Health Assessment/Physical Exam
Question 2
pts
,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?
The client is allergic to strawberries.
The last menstrual period was 30 days ago.
The client takes acetaminophen (Tylenol) for headaches.
Correct!
A 1 × 2-inch scar is present on the lower right portion of the abdomen.
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 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: Use the process of elimination. Eliminate the comparable or alike options
that include data that the nurse would obtain from the client during the health history. Review
the difference between subjective and objective data if you had difficulty with this question.
Cognitive Ability: Understanding
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process/Data Collection
Content Area: Health Assessment/Physical Exam
Question 3
pts
A nurse is reading the report from the registered nurse for an initial home visit to a client with
chronic obstructive pulmonary disease. The client was recently discharged from the hospital.
Which type of database does the nurse read that contains this information from the client?
, Episodic
Follow-up
Emergency
Correct!
Complete
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 health care 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: Use the process of elimination. Noting the strategic words “initial home
visit” in the question will direct you to the correct option. Review the different types of
databases if you had difficulty with this question.
Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process/Data Collection
Content Area: Health Assessment/Physical Exam
Question 4
pts
A 25-year-old client was seen in the clinic 2 weeks ago for symptoms of a cold and is now