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 B

Explanation

thoroughly. The patient may not have verbalized pain but could still be experiencing it.

B. The patient states, "It feels like a knife stabbing me.": This documents subjective data verbatim using the patient’s exact words, which is best practice for accuracy and clarity.

C. "Lump diminished.": This lacks specificity—the exact size, texture, or other changes should be documented using precise measurements (e.g., “Lump decreased from 3 cm to 2 cm”).

D. "Patient's condition much better today than yesterday.": This is too vague and lacks measurable indicators of improvement (e.g., vital signs, pain level, mobility).

A. as difficult to maintain B. as a risk factor C. as a nursing responsibility D. as contributing to the patient's recovery

Correct Answer is B

Explanation

A. As difficult to maintain: This is a subjective statement and not a proper nursing diagnosis.

B. As a risk factor: Bed rest increases the risk of complications such as pressure ulcers, deep vein thrombosis (DVT), and muscle atrophy.

C. As a nursing responsibility: While nurses help manage bed rest, it is not classified as a responsibility but as an intervention.

D. As contributing to the patient's recovery: Although bed rest may be necessary, prolonged immobility can have negative effects, making this statement incomplete.

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When discovering subjective data, recognize that they relate to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is an example of good charting?

Correct Answer is B

Explanation

The patient is confined to bed rest. This contributes to immobility of the patient. How should bed rest be indicated on the nursing care plan?

Correct Answer is B

Explanation

Clarify the primary purpose of nursing orders:

The patient with a urinary tract infection is being assessed using a critical pathway. When a projected outcome is not met by a predetermined date it is determined that a/an:

One benefit of computerized charting is that:

The nurse administered the stat insulin dose as ordered, in the presence of the nurse's aide and the dietary aide, however, the nurse failed to chart the medication on the MAR. During a legal deposition regarding charges of professional malpractice, it was determined that:

The patient with a nursing diagnosis of airway clearance, ineffective, might have a desired patient outcome of:

A patient with edema has a problem of fluid overload. The nurse is developing a care plan and selecting interventions that will assist the patient in reducing the fluid. An important consideration when developing the care plan is to:

During the shift, the nurse charts only additional treatments done or withheld, changes in patient condition, and new concerns. Charting these factors demonstrates which of the following type of charting?

Compare an actual nursing diagnosis with a risk for nursing diagnosis, recognizing that in the case of the actual nursing diagnosis