Health Promotion and Disease Prevention Exam 2023 with
complete solution
A nurse performing a physical assessment of a client gathers both subjective and
objective data. Which of the following findings would the nurse document as
subjective data?
The client states that he has a rash.
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 1 x 2-inch scar is present on the lower right portion of the abdomen.
A nurse is making an initial home visit to a client with chronic obstructive disease
who was recently discharged from the hospital. Which type of database dose the
nurse use to obtain information from the client?
Complete
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:
Data related to the respiratory system.
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?
Ask health history questions while performing the examination and initiating emergency
measures.
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?
Follow-up.
A Mexican-American client with epilepsy is being seen at the clinic for an initial
examination. The nurse understands that the primary purpose of including
cultural information in the health assessment is to:
Determine what the client believes has caused the epilepsy.
A nurse performing a skin assessment uses the back of the hand of feel the
client's skin on both arms and notes that the skin is warm. The nurse determines
that:
The skin temperature is normal.
A nurse performing a skin assessment notes that the client's skin is very dry. The
nurse documents this finding as:
Xerosis.
A nurse is preparing the perform a skin examination with the use of a Wood light.
In preparing for this diagnostic test, the nurse should:
Darken the room.
A nurse performing an assessment of a client with kidney failure notes that the
client has the appearance of generalized edema over the entire body. The nurse
documents this finding as:
, Anasarca.
A nurse reviewing the medical record of a client with the diagnosis of heart failure
notes documentation indicating that the client has deep pitting edema, that the
indentation remains for a short time, and that the leg looks swollen. How does the
nurse document this finding?
3+ edema.
A client complains that her skin is redder than normal. The nurse assesses the
client's skin, documents hypermedia, and explains to the client that this condition
is caused by:
Excess blood in the dilated superficial capillaries.
A clinic nurse about to meet a new client plans to gather subjective data
regarding the client's health history. Which of the following actions does the
nurse take to help ensure the success of the interview?
Ensuring that the room is private.
A nurse conducting an interview with a client collects subjective data. During the
interview, the nurse:
Take minimal notes to avoid observation of the client's nonverbal behaviors.
A nurse is preparing to screen a client's vision with the use of a Snellen chart.
The nurse:
Tests the right eye, then tests the left eye, and finally tests both eyes together.
A nurse reviewing a client's record notes that the result of the client's latest
Snellen chart vision test was 20/80. The nurse interprets this to mean that the
client:
Can read at a distance of 20 feet with a client with normal vision can read at 80 feet.
A nurse is examining the peripheral vision of a client using the confrontation test.
To carry out this procedure, the nurse:
Sits at eye level with the client, covers one eye, and has the client cover the eye directly
opposite the nurse's, after which each stares at the other's uncovered eye and the
nurse brings a small object into the visual field.
A nurse performing an eye examination uses an opthalmoscope to best visualize
which of the following areas?
Optic disc.
A nurse notes that a client's physical examination record states that the client's
eyes moved normally through the six cardinal fields of gaze. The nurse interprets
this to mean that the client has normal:
Ocular movements.
A nurse conducting an eye examination notes that the client exhibits rapid,
involuntary oscillating movements of the eyeball when looking at the nurse. The
nurse documents this finding as:
Nystagmus.
A nurse assessing a client's eyes notes that the pupils get larger when the client
looks at an object in the distance and become smaller when the client looks at a
nearby object. How does the nurse document this finding?
Accommodation.
complete solution
A nurse performing a physical assessment of a client gathers both subjective and
objective data. Which of the following findings would the nurse document as
subjective data?
The client states that he has a rash.
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 1 x 2-inch scar is present on the lower right portion of the abdomen.
A nurse is making an initial home visit to a client with chronic obstructive disease
who was recently discharged from the hospital. Which type of database dose the
nurse use to obtain information from the client?
Complete
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:
Data related to the respiratory system.
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?
Ask health history questions while performing the examination and initiating emergency
measures.
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?
Follow-up.
A Mexican-American client with epilepsy is being seen at the clinic for an initial
examination. The nurse understands that the primary purpose of including
cultural information in the health assessment is to:
Determine what the client believes has caused the epilepsy.
A nurse performing a skin assessment uses the back of the hand of feel the
client's skin on both arms and notes that the skin is warm. The nurse determines
that:
The skin temperature is normal.
A nurse performing a skin assessment notes that the client's skin is very dry. The
nurse documents this finding as:
Xerosis.
A nurse is preparing the perform a skin examination with the use of a Wood light.
In preparing for this diagnostic test, the nurse should:
Darken the room.
A nurse performing an assessment of a client with kidney failure notes that the
client has the appearance of generalized edema over the entire body. The nurse
documents this finding as:
, Anasarca.
A nurse reviewing the medical record of a client with the diagnosis of heart failure
notes documentation indicating that the client has deep pitting edema, that the
indentation remains for a short time, and that the leg looks swollen. How does the
nurse document this finding?
3+ edema.
A client complains that her skin is redder than normal. The nurse assesses the
client's skin, documents hypermedia, and explains to the client that this condition
is caused by:
Excess blood in the dilated superficial capillaries.
A clinic nurse about to meet a new client plans to gather subjective data
regarding the client's health history. Which of the following actions does the
nurse take to help ensure the success of the interview?
Ensuring that the room is private.
A nurse conducting an interview with a client collects subjective data. During the
interview, the nurse:
Take minimal notes to avoid observation of the client's nonverbal behaviors.
A nurse is preparing to screen a client's vision with the use of a Snellen chart.
The nurse:
Tests the right eye, then tests the left eye, and finally tests both eyes together.
A nurse reviewing a client's record notes that the result of the client's latest
Snellen chart vision test was 20/80. The nurse interprets this to mean that the
client:
Can read at a distance of 20 feet with a client with normal vision can read at 80 feet.
A nurse is examining the peripheral vision of a client using the confrontation test.
To carry out this procedure, the nurse:
Sits at eye level with the client, covers one eye, and has the client cover the eye directly
opposite the nurse's, after which each stares at the other's uncovered eye and the
nurse brings a small object into the visual field.
A nurse performing an eye examination uses an opthalmoscope to best visualize
which of the following areas?
Optic disc.
A nurse notes that a client's physical examination record states that the client's
eyes moved normally through the six cardinal fields of gaze. The nurse interprets
this to mean that the client has normal:
Ocular movements.
A nurse conducting an eye examination notes that the client exhibits rapid,
involuntary oscillating movements of the eyeball when looking at the nurse. The
nurse documents this finding as:
Nystagmus.
A nurse assessing a client's eyes notes that the pupils get larger when the client
looks at an object in the distance and become smaller when the client looks at a
nearby object. How does the nurse document this finding?
Accommodation.
