The nurse is evaluating the client's assessment within their electronic health record. For each finding, click to specify whether the assessment finding was collected as part of the health history interview or the physical exam.
Covid-19 vaccine received in 2020
Cholecystectomy in 2017
Nausea after meals
Skin color is appropriate to ethnicity with pink undertones
Headache, rated as a 4 on a 0-10 scale
Blood pressure 112/76 mmHg
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"B"}}
• Covid-19 vaccine received in 2020: Vaccination history is obtained through interview questions about past immunizations. It cannot be observed or measured during the physical exam, making it part of the health history.
• Cholecystectomy in 2017: Surgical history is collected via client interview. The nurse relies on the client’s report or medical records rather than physical observation for this information.
• Nausea after meals: Nausea is a subjective symptom experienced by the client and must be reported during the health history. It cannot be directly observed during the physical exam.
• Headache, rated as a 4 on a 0-10 scale: Pain intensity is subjective and gathered from the client during the history interview. Numeric pain ratings reflect personal experience, not objective measurements.
• Skin color is appropriate to ethnicity with pink undertones: Skin color is observed directly during the physical assessment. Visual inspection allows the nurse to evaluate for pallor, cyanosis, or other abnormalities.
• Blood pressure 112/76 mmHg: Blood pressure is an objective measurement obtained using a sphygmomanometer during the physical exam. It reflects the client’s current physiological status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A client with a "sprained ankle from playing tennis": A sprained ankle is generally a minor musculoskeletal injury and is not life-threatening. While it requires care for pain and mobility, it is lower priority compared to conditions that may indicate acute or serious illness.
B. A client with "stomach pain after eating oatmeal": Mild stomach discomfort is typically non-urgent unless accompanied by severe or alarming symptoms. This condition is lower priority compared with clients exhibiting potential acute neurological or cardiovascular issues.
C. A client with a "cough and fever for two days": While fever and cough may indicate infection, the short duration without severe distress usually does not require immediate life-saving interventions. This client is important but is less urgent than acute neurological concerns.
D. A client with a "headache and anxiety for an hour": Sudden-onset headache can signal serious conditions such as intracranial hemorrhage or stroke, particularly if accompanied by anxiety or neurological changes. This client requires immediate assessment to rule out life-threatening causes, making it the highest priority.
Correct Answer is C
Explanation
A. Maintain a checklist of common client concerns to refer to during conversations: Using a checklist may help ensure important topics are covered, but it can make interactions feel mechanical and reduce genuine listening. It does not actively develop listening skills or enhance engagement with clients.
B. Limit client interactions to focus on efficiency and prioritize time management: Restricting interactions may improve efficiency but hinders the opportunity to practice and improve active listening. Quality communication requires sufficient time to understand and respond to client needs.
C. Attend training sessions on active engagement and communication strategies: Formal training provides structured learning and practical techniques to enhance active listening. It allows the nurse to practice, receive feedback, and develop skills that improve client rapport and understanding.
D. Ask coworkers for reassurance on communication and listening skill level: Seeking reassurance may provide subjective feedback but does not systematically build active listening skills. Active skill development requires intentional practice and evidence-based strategies rather than validation alone.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
