Exam 27: The Complete Health Assessment: Putting It All Together

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When the nurse flexes the patient's knee and gently compresses the gastrocnemius muscle anteriorly against the tibia,the patient indicates that he is having calf pain.The nurse should document _____ sign.

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C

The nurse has just recorded a positive obturator test on a patient who has abdominal pain.This test is used to confirm a(n):

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C

The nurse documents that a patient has coarse,thickened skin and brown discoloration over the lower legs.Pulses are present.This finding is probably the result of:

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D

The nurse is performing a vision examination.Which of these charts is most widely used for vision examinations?

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During an examination,a patient has just successfully completed the finger-to-nose and the rapid-alternating-movements tests and is able to run each heel down the opposite shin.The nurse will conclude that the patient's ____ function is intact.

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Which of these actions is most appropriate to perform on a 9-month-old infant at a well-child checkup?

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During a complete health assessment,how would the nurse test the patient's hearing?

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Which of these is included in assessment of general appearance?

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During the examination of a patient,the nurse notices that the patient has several small,flat macules on the posterior portion of her thorax.These macules are less than 1 cm wide.Another name for these macules is:

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After the health history has been obtained,and before beginning the physical examination,the nurse should ask the patient to first:

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For the abdominal assessment,place these assessment techniques in the correct order,with A being performed first and E being performed last. A)Deep palpation, all quadrants B)Light palpation, all quadrants C)Auscultate bowel sounds D)Inspect abdomen for contour, skin characteristics, and pulsations E)Percuss all quadrants

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A female patient tells the nurse that she has four children and has had three pregnancies.How should the nurse document this?

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While recording in a patient's medical record,the nurse notices that a patient's Hematest results are positive.This means that there:

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A patient tells the nurse that "sometimes I wake up at night and I have real trouble breathing.I have to sit up in bed to get a good breath." When documenting this information,the nurse would note:

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The nurse should wear gloves for which of these examinations?

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During inspection of the posterior chest,the nurse should assess for:

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A patient is unable to shrug her shoulders against the nurse's resistant hands.What cranial nerve is involved with successful shoulder shrugging?

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While examining a 48-year-old patient's eyes,the nurse notices that he had to move the handheld vision screener farther away from his face.The nurse would suspect:

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A patient states,"Whenever I open my mouth real wide,I feel this popping sensation in front of my ears." To further examine this,the nurse would:

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After the examination of an infant,the nurse documents opisthotonos.The nurse recognizes that this finding often occurs with:

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