Question 1

The nurse is assessing a postpartum teen mother. What considerations does the nurse have for conducting this exam? (Select all that apply.)

Accepted Answer

A)  Allow the teen to voice any concerns or fears related to the exam. 
B)  Assess the teen's knowledge of the normal postpartum state. 
C)  To get the best data, palpate the fundus when the patient's bladder is full. 
D)  Assess the teen's immunization status and update vaccinations. 
E)  Use the sides of the hands to palpate the fundus. 
A)  Allow the teen to voice any concerns or fears related to the exam. 
B)  Assess the teen's knowledge of the normal postpartum state. 
C)  To get the best data, palpate the fundus when the patient's bladder is full. 
D)  Assess the teen's immunization status and update vaccinations. 
E)  Use the sides of the hands to palpate the fundus.

Question 2

The student nurse brings a client a cup of coffee. The client states "Oh, that smells so good!" What cranial nerve has the student just gotten data about?

Accepted Answer

A)  I 
B)  III 
C)  V 
D)  VII 
A)  I 
B)  III 
C)  V 
D)  VII

Question 3

What does the nurse understand about this finding, seen in a hospitalized client?

Accepted Answer

A)  This is normal for an older client. 
B)  This demonstrates jugular venous distention. 
C)  This shows a carotid bruit. 
D)  This demonstrates a deviated trachea. 
A)  This is normal for an older client. 
B)  This demonstrates jugular venous distention. 
C)  This shows a carotid bruit. 
D)  This demonstrates a deviated trachea.

Question 4

The nurse places the stethoscope on location D. What is the nurse assessing?

Accepted Answer

A)  Point of maximal impulse 
B)  The aortic valve 
C)  The tricuspid valve 
D)  The pulmonic valve 
A)  Point of maximal impulse 
B)  The aortic valve 
C)  The tricuspid valve 
D)  The pulmonic valve

Question 5

A nurse is performing a rapid head-to-toe assessment. What is the most important advantage of this assessment technique compared to a more comprehensive physical assessment?

Accepted Answer

A)  It can be done faster. 
B)  It allows prioritization. 
C)  It is less intrusive. 
D)  Interpreters are not needed. 
A)  It can be done faster. 
B)  It allows prioritization. 
C)  It is less intrusive. 
D)  Interpreters are not needed.

The nurse is assessing a postpartum teen mother. What considerations does the nurse have for conducting this exam? (Select all that apply.)

The student nurse brings a client a cup of coffee. The client states "Oh, that smells so good!" What cranial nerve has the student just gotten data about?

What does the nurse understand about this finding, seen in a hospitalized client?

The nurse places the stethoscope on location D. What is the nurse assessing?

A nurse is performing a rapid head-to-toe assessment. What is the most important advantage of this assessment technique compared to a more comprehensive physical assessment?

Foundations of Safe Client Care

Personal Care and Hygiene

Vital Signs and Vital Measurements

Nutrition and Gastrointestinal Tube Therapy

Supporting Mobility and Immobilization

Comfort Care

End-Of-Life Care

Airway and Breathing

Sterile Technique

Medication Administration

Venous Access

Central Venous Access

Bowel Management

Urinary Elimination

Wound Care

Perioperative Care

Advanced Respiratory Management

Advanced Cardiovascular Care

Advanced Neurologic Care

Filters

Exam 4: Performing an Assessment

The nurse is assessing a postpartum teen mother. What considerations does the nurse have for conducting this exam? (Select all that apply.)

The student nurse brings a client a cup of coffee. The client states "Oh, that smells so good!" What cranial nerve has the student just gotten data about?

What does the nurse understand about this finding, seen in a hospitalized client?

The nurse places the stethoscope on location D. What is the nurse assessing?

A nurse is performing a rapid head-to-toe assessment. What is the most important advantage of this assessment technique compared to a more comprehensive physical assessment?

Foundations of Safe Client Care

Personal Care and Hygiene

Vital Signs and Vital Measurements

Nutrition and Gastrointestinal Tube Therapy

Supporting Mobility and Immobilization

Comfort Care

End-Of-Life Care

Airway and Breathing

Sterile Technique

Medication Administration

Venous Access

Central Venous Access

Bowel Management

Urinary Elimination

Wound Care

Perioperative Care

Advanced Respiratory Management

Advanced Cardiovascular Care

Advanced Neurologic Care

Filters