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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