HESI EXIT EXAM MODULE 2. QUESTIONS & ANSWERS. WITH RATIONALE

1.
ID: 3
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.
ID: 7
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 scar is present on the lower right portion of the 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 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.
ID: 9
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