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HESI 101 Module 2 Exam Complete Solutions
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2021 Module 2 Exam: HESI VN TXGRP 1912COHORT(VNE 39)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.
Co
orrrecct! 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 datathat 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 DocumentationContent 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
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,2021 Module 2 Exam: HESI VN TXGRP 1912COHORT(VNE 39)
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.
Co
orrrecct!
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, whatthe 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 datathat 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?
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,2021 Module 2 Exam: HESI VN TXGRP 1912COHORT(VNE 39)
Episodic
Follow-up
Emergency
Co
orrrecct! Complete
Rationale: A complete database includes a complete health
history and a full physical examination. It describesthe 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 practiceclinic; an independent or group
private practice; a collegehealth service; a women’s health care
agency; a visiting nurse agency; or a community health agency.
An episodicdatabase 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. Anemergency
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 thedifferent types of
databases if you had difficulty with thisquestion.
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 complaining of chest congestion
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, 2021 Module 2 Exam: HESI VN TXGRP 1912COHORT(VNE 39)
and cough. The nurse should assist with the data collection by
collecting which information?
Data related to follow-up care
A complete (total health) database
Co
orrrecct! Data related to the respiratory system
Data related to the treatment for the cold
Rationale: An episodic database is compiled for a limited or
short-term problem and is focused mainly on one problem or
body system. The history and examination willbe focused
primarily on the respiratory system in this client. 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. A follow-up database is used to evaluate an
identified problem at regular and appropriate intervals.
Test-Taking Strategy: Use the process of elimination. Focusing
on the data in the question and noting the words―now
complaining of chest congestion and cough‖ will direct you to
the correct option. Review the different typesof 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 5 pts
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?
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