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MED SURG 2-Session 4 Exam 2 - Health Promotion and Disease Prevention

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MED SURG 2-Session 4 Exam 2 - Health Promotion and Disease Prevention

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12/30/21, 7:47 PM Session 4 Exam 2 - Health Promotion and Disease Prevention: NCLEX Remediation Course Nov 2021


Session 4 Exam 2 - Health Promotion and Disease
Prevention
Due Dec 29 at 11:59pm Points 99 Questions 99
Available Dec 23 at 12am - Jan 4, 2022 at 11:59pm 13 days Time Limit 150 Minutes




Attempt History
Attempt Time Score
LATEST Attempt 1 140 minutes 97 out of 99



Score for this quiz: 97 out of 99
Submitted Dec 28 at 8pm
This attempt took 140 minutes.


Question 1 pts


A nurse performing a physical assessment of a client gathers both subjective and
objective data. Which finding would the nurse document as subjective data?


Correct! The client states that he has a rash.


The client appears anxious.


Blood pressure is 170/80 mm Hg.


The client has diminished reflexes in the legs.




https://jerseycollege.instructure.com/courses/2491/quizzes/27601 1/103

,12/30/21, 7:47 PM Session 4 Exam 2 - Health Promotion and Disease Prevention: NCLEX Remediation Course Nov 2021




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




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 takes acetaminophen (Tylenol) for headaches.

Correct! A 1 × 2-inch (5 cm) scar is present on the lower right portion of the abdomen.


The client is allergic to strawberries.


The last menstrual period was 30 days ago.




https://jerseycollege.instructure.com/courses/2491/quizzes/27601 2/103

,12/30/21, 7:47 PM Session 4 Exam 2 - Health Promotion and Disease Prevention: NCLEX Remediation Course Nov 2021




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: 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




Question 3 pts


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?


Emergency

Correct!
Complete


Follow-up


Episodic




https://jerseycollege.instructure.com/courses/2491/quizzes/27601 3/103

, 12/30/21, 7:47 PM Session 4 Exam 2 - Health Promotion and Disease Prevention: NCLEX Remediation Course Nov 2021




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
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




Question 4 pts


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 complete (total health) database

Correct!
Data related to the respiratory system


Data related to follow-up care


Data related to the treatment for the cold




https://jerseycollege.instructure.com/courses/2491/quizzes/27601 4/103

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