When assessing a 2-3 year old child, what is important to consider?
Answers: Assess least invasive to most invasive.
Start with examining the ears and
... [Show More] mouth.
Make sure to examine the child lying on the exam table.
It’s easier to examine the child if the parent is not in the room.
Question 2
0 out of 1.5 points
The nurse notes an audible, crunching/grating sound on the client’s
knee while climbing the stairs. Choose the best term.
Answers
:
Crepitus
Bulge sign
Ballottemen
t
Inversion
Question 3
1.5 out of 1.5 points
The nurse palpates the left upper quadrant of abdomen with the knowledge that which organs
are located in that area?
Answers
:
Liver and gallbladder.
Pancreas and spleen
Large intestine and liver
Left ureter and
gallbladder
Question 4
1.5 out of 1.5 points
Identify which reflex is being tested in this picture.
Answers
:
Plantar
Patellar
Triceps
Achille’s
Question 5
1.5 out of 1.5 points
The clinic nurse assesses the skin of a white client with a diagnosis of psoriasis. The nurse
understands that which characteristic is associated with this skin disorder?
Answers
:
Clear, thin nail beds
Red-purple raised areas
Oily skin and no episodes of pruritus
Silvery-white scaly patches on the scalp, elbows, knees, and sacral regions
Question 6
1.5 out of 1.5 points
"When testing stool for occult blood, the nurse is aware that a false-positive result may occur
with:"
Answers
:
a large amount of red meat within the last 3 days.
absent bile
increased fat content
increased ingestion of fruit
Question 7
1.5 out of 1.5 points
The nurse is preparing to complete a musculoskeletal examination on a client. Which two
assessment techniques would the nurse plan to use during this exam?
Answers
:
Inspection and percussion
Percussion and palpation
Auscultation and percussion
Inspection and palpation
Question 8
1.5 out of 1.5 points
While assessing edema on a client’s lower leg, the nurse notices a deep imprint of his fingers
where the leg was palpated which takes several minutes to resolve. How would the nurse
document this finding?
Answers
:
No edema
1+ edema
3+ edema
4+ edema
Question 9
1.5 out of 1.5 points
The nurse is performing an assessment on an older client having difficulty sleeping at night.
Which statement indicates that teaching about improving sleep is necessary?
Answers: "I drink hot chocolate before bed"
"I swim three times a week"
"I have stopped smoking cigars"
"I read for 40 minutes before bed"
Question 10
1.5 out of 1.5 points
"After completing a comprehensive health assessment of a client, which of the following
statement is subjective data?"
Answers
:
The client complains of itching
The client s skin feels warm to the touch
The client is scratching his arm
The client s temperature is 100°F [Show Less]