1. After visiting with the client, the nurse documents the assessment data. Both objective
and subjective information has been obtained during the assessment. Which of the
following is classified as objective data?
a. Pain in the left leg
b. Elevated blood pressure
c. Fear of impending surgery
d. Discomfort upon breathing
2. A nursing term used to describe activities usually performed in the course of a normal
day, including ambulation, eating, dressing, bathing, brushing the teeth, and grooming?
a. Activities of daily living
b. Day-to-day activities
c. Instrumental activities of daily living
d. Life-related activities
3. An 84-year-old client with diabetes is admitted for insulin regulation. Which of the
following blood pressure, pulse, and respiration measurements, respectively, is
considered to be within the expected limits for this client?
a. BP = 138/84 mm Hg, P = 68 beats/min, R = 16 breaths/min
b. BP = 104/52 mm Hg, P = 68 beats/min, R = 30 breaths/min
c. BP = 108/80 mm Hg, P = 112 beats/min, R = 15 breaths/min
d. BP = 132/74 mm Hg, P = 90 beats/min, R = 26 breaths/min
4. The position that maximizes the nurse’s ability to assess the client’s lungs is?
a. Sitting
b. Supine
c. Prone
d. Dorsal recumbent
5. A client with cardiopulmonary disease receives a physical examination performed by a
nurse. Knowing the client history, the nurse is attentive when checking the nails for the
presence of?
a. Clubbing
b. Paronychia
c. Beau’s lines
d. Splinter hemorrhages
6. The nurse recognizes that which of the following clients should be thoroughly assessed
for their ability to be safely placed in the supine position?
a. An 18-year-old who suffered a fractured elbow playing football
b. A 20-year-old with abdominal pain to rule out an appendicitis
c. A 74-year-old client who requires 3 L of continuous oxygen via nasal
cannula
d. A 37-year-old reporting complaints of vaginal bleeding between menstrual
periods
7. In a small rural hospital they work with a wide variety of clients. Of this afternoon clients
admitted, the nurse acknowledges the client with the highest susceptibility to infection is
the individual with?
a. Burns
b. Diabetes
c. Pulmonary emphysema
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