HESI EXIT EXAM-comprehensive with verified answers and rationales
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HESI EXIT EXAM-comprehensive with verified answers and rationales University of Northern Colorado . 1.ID: 9477077870 . A nurse performing a physical assessment of a client gathers both subjec... tive and objective data. Which finding would the nurse document as subjective data? 1. The client appears anxious. 2. Blood pressure is 170/80 mm Hg. Incorrect 3. The client states that he has a rash. Correct 4. 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 0.0 points out of 1.0 possible points. . 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? 1. The client is allergic to strawberries. 2. The last menstrual period was 30 days ago. 3. The client takes acetaminophen (Tylenol) for headaches. 4. A 1 × 2-inch (5 cm) scar is present on the lower right portion of the abdomen. 5. Correct CONTINUED........... [Show More]
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