When discovering subjective data, recognize that they relate to:

signs

objective cues

symptoms

observable data

Answer and Explanation

The Correct Answer is C

A. Signs: Signs are objective findings (e.g., fever, rash), observed by the nurse.

B. Objective cues: Objective cues are measurable and observable, whereas subjective data is based on the patient’s self-report.

C. Symptoms: Symptoms (e.g., pain, nausea, dizziness) are subjective because they cannot be measured directly and are reported by the patient.

D. Observable data: Observable data includes measurable signs, making it objective, not subjective.

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Correct Answer is C

Explanation

A. Signs of fluid overload: Fluid overload presents with edema, crackles in lungs, and increased blood pressure, not dry skin and mucous membranes.

B. Symptoms: Symptoms are subjective (e.g., pain, nausea), while the given findings are observable signs.

C. Data clustering: The nurse groups related signs (flushed skin, dry mucous membranes, elevated temperature) to identify a pattern suggesting dehydration or fever.

D. Urinary retention: Urinary retention is associated with bladder distention and reduced urine output, not dry skin and mucous membranes.

A. a head-to-toe assessment B. subjective data collection C. objective data collection D. Maslow's Hierarchy of Needs E. Coughed up 5 mL yellow sputum

Correct Answer is A

Explanation

A. A head-to-toe assessment: A head-to-toe assessment is the most systematic approach to a complete physical exam, ensuring no body system is overlooked.

B. Subjective data collection: While subjective data is part of the process, it is not a structured approach to an entire physical exam.

C. Objective data collection: Objective data is collected during the exam, but the question asks about the approach to organizing the exam, not the data type.

D. Maslow’s Hierarchy of Needs: Maslow’s hierarchy helps prioritize care but is not a method for performing a physical assessment.

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When discovering subjective data, recognize that they relate to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a physical examination, the nurse discovers that the patient demonstrates signs of flushed, dry, hot skin, dry mucous membranes and temperature elevation. The nurse realizes grouping this data represents:

Correct Answer is C

Explanation

Subjective data provided by the patient included complaints of intermittent chest pain upon exertion. When performing a complete physical examination, the nurse might use an organized approach such as:

Correct Answer is A

Explanation

Show that documentation of patient care by the nurse is very important by selecting from the following: (select all that apply)

Clarify the primary purpose of nursing orders:

Understanding that health care personnel must respect the confidentiality of patients' records, the nurse:

Which of the following assists the nurse in the identification of nursing diagnoses?

Who should document care in the patient record?

To what does objective data refer when assessing a patient?

Which of the following statements is correct about abbreviations?