Exam 12: Physical Assessment

During a neurologic assessment, the nurse notes a patient has a unilateral, dilated, and nonreactive pupil. This is a sign that the patient is experiencing pressure on which cranial nerve?

During a physical assessment, the patient complains of difficulty in passing stools. What should the nurse document that the patient is experiencing?

Which are infectious diseases? (Select all that apply.)

A nurse is gathering subjective data when admitting a patient. Which assessment finding reported by the patient is considered subjective data?

Various techniques are used by the nurse when performing a physical assessment. One of these techniques is percussion. What is percussion used to determine?

During a physical assessment, the nurse notes a patient has a loss of strength and energy. What should the nurse document that the patient is experiencing?

A physician documents that a patient is having purulent drainage from a wound. What does the nurse understand is most likely the cause?

During a physical assessment, the nurse notes a patient has profuse secretions of sweat. What should the nurse document that the patient is experiencing?

There are four categories of factors that increase an individual's vulnerability to develop a disease: genetic, physiological, age, and lifestyle. What is the term for these factors?

Arrange these assessment techniques in correct order of a standard physical examination. Put a comma and space between each answer choice (A, B, C, D, etc.). A) Auscultation B) Percussion C) Inspection D) Palpation

A nurse is gathering objective data when admitting a patient. Which assessment finding is considered objective data?

When admitting a patient to the hospital, the nurse notes the patient has mild sunburn. How should the nurse document this finding?

When assessing a patient, the nurse notes that the patient has an unnatural paleness of color to the skin. How should the nurse document this finding?

A patient has discoloration of an area of their mucous membrane caused by extravasation of blood into the subcutaneous tissue. What should the nurse document that the patient has?

When assessing a patient with hepatitis, the nurse notes a yellow tinge to the patient's skin. What does the nurse understand as the most likely cause of the jaundice?

A physician needs to assess extension of a patient's hip joint. In what position should the nurse place the patient?

The nurse uses a systematic method for collecting data on all body systems, including normal functioning and any noted changes. What is this method?

What is the suggested sequence for a systematic approach to begin auscultating the thorax?

The nurse is assessing a patient for collection of subjective and objective data. What will this data provide the basis for making?

The nurse notes that a patient has difficulty breathing in the supine position, and the patient admits that he sleeps in a recliner at home. These are cardinal signs of ____________ disease.