Question 1 1.5 out of 1.5 points When assessing a 2–3-year-old child, what is important to consider?
Answers: Assess least invasive to most
... [Show More] invasive.
Start with examining the ears and mouth.
Make sure to examine the child lying on the exam table.
It is easier to examine the child if the parent is not in the room.
Question 2 1.5 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 Ballottement 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 region
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]