Exam 4: Performing an Assessment

How many pairs of lymph nodes does the nurse palpate during a physical assessment?

The nurse has completed a rapid head-to-toe assessment. What action does the nurse take next?

Where would the nurse place a stethoscope to assess the Point of Maximal Impulse (PMI)?

A client is in the emergency department reporting severe abdominal pain and is being evaluated for an aneurysm. When performing the abdominal exam, which assessment technique would the nurse avoid?

The nurse is interviewing a client with poor English skills. What action by the nurse is most appropriate?

The student nurse is preparing to weigh a client. What actions by the student are most appropriate? (Select all that apply.)

The nurse needs to auscultate an infant's lungs. What technique is best?

The nurse is interviewing an older patient. The client is very slow to answer questions. What action by the nurse is best?

On assessment, the nurse notes the patient's fingernails appear as shown. What statement by the nurse is correct?

The nurse notices that a client's facial features have become asymmetrical. What cranial nerve appears to have a problem?

A nurse makes this finding when assessing a patient. What does the nurse understand about this assessment?

The nurse is assessing a client. Which assessment techniques are correctly matched with a possible finding? (Select all that apply.)

The nurse reviews charting from the last shift on a client. The chart states that the adult client's Babinski reflex is positive. What does the nurse understand from this documentation? (Select all that apply.)

The nursing student learns that which term is matched with the correct definition?

The nurse assessing a toddler would incorporate which information into the exam?

Which assessment technique assesses cranial nerve II?

A nurse is preparing to interview a client just admitted to the hospital. What actions by the nurse are most appropriate? (Select all that apply.)

What is the best source of subjective data?

The nurse receives report from the nurse going off shift who relates that one client has 4+ pitting pedal edema. On assessment, what does the incoming nurse expect to find? (Select all that apply.)

A student watches a nurse interact with a client. After shaking the client's hand, the nurse and client converse about the weather outside and the news on the television. After the interaction, the nurse asks the student how much assessment data was collected. What are correct answers by the student? (Select all that apply.)