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

A. Block: Block charting documents everything over a set period (e.g., entire shift), rather than only changes.

B. By exception: Charting by exception (CBE) means only documenting significant changes in condition or treatment rather than routine care.

C. Focused: Focused charting documents care related to a specific problem, not just exceptions.

D. SOAP: SOAP (Subject

A. Teaching deep breathing and relaxation techniques as needed B. Inserting a nasogastric tube (NG) to relieve gastric distention C. Placing the nurse call button within reach at all times D. Giving hand massages daily E. Repositioning the patient every 2 hours to reduce pressure injury risk F. Giving acetaminophen (Tylenol) 650 mg orally every 4 hours as needed

Correct Answer is ["A","C","D","E"]

Explanation

A. Teaching deep breathing and relaxation techniques as needed: Teaching non-pharmacological pain relief (such as deep breathing) is an independent nursing action that does not require a physician’s order.

B. Inserting a nasogastric tube (NG) to relieve gastric distention: NG tube insertion requires a physician's order, making it not independent.

C. Placing the nurse call button within reach at all times: Ensuring the patient’s call button is within reach is an independent nursing action to promote safety and communication.

D. Giving hand massages daily: Nurses can provide non-invasive comfort measures such as hand massages without a physician's order.

E. Repositioning the patient every 2 hours to reduce pressure injury risk: Repositioning is an independent intervention that prevents skin breakdown and pressure injuries.

F. Giving acetaminophen (Tylenol) 650 mg orally every 4 hours as needed: Medication administration requires a physician’s order, making it a dependent nursing action.

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When discovering subjective data, recognize that they relate to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

The nurse is reviewing the patient's plan of care and ordered treatments. Which of the following is (are) independent nursing interventions? (select all that apply)

Correct Answer is ["A","C","D","E"]

Explanation

The nurse is documenting patient data. Which of the following should the nurse document under objective data? (select all that apply)

Which of the following is an example of good charting?

Patient health care records are:

The primary source of assessment information is:

A nurse is receiving a provider's prescription by telephone for morphine for a patient who is reporting moderate to severe pain. Which of the following nursing actions should the nurse take? (Select all that apply)

A focused assessment should be done by the nurse in all of the following situations EXCEPT:

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:

Clarify the primary purpose of nursing orders: