Exam 3: Health Assessment

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The nurse is performing a head-to-toe assessment.Organize the areas that need to be assessed into the order in which the nurse would examine them.

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B,D,A,C,E

Which definitions appropriately identify the four examination techniques used by nurses during the assessment process?

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C

When examining an older adult client's sense of smell,which finding would the nurse anticipate?

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C

The nurse is performing a health history,and the client relates a history of drug abuse,saying he has been drug free for 15 years.Which action by the nurse is the most appropriate?

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The nurse performing an assessment of the client's abdomen uses which of the four techniques of examination in order to collect data?

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The nurse is explaining to the client the need to do a more detailed assessment.This type of assessment involves obtaining which type of information?

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Which assessment skills could the nurse safely delegate to the unlicensed assistive personnel (UAP)?

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The nurse is caring for a client in chronic renal failure who is admitted to the hospital to begin peritoneal dialysis.Which manifestation would the nurse need to report to the health care provider immediately?

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The nurse is going to perform light palpation.Which statement regarding light palpation is true?

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Which action by the nurse is appropriate when examining an infant's neck?

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The nurse is explaining to the client that part of the assessment includes inspection.The nurse would know that the client understands inspection when the client makes which statement?

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The nurse admits a client to the oncology unit diagnosed with metastatic breast cancer.Why does the nurse )the client about social history?

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The nurse is observing a student nurse performing a respiratory assessment on a client.Which statement indicates that the student nurse is performing the assessment correctly?

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Which client would normally have a rounded abdomen?

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The nurse is performing an assessment of the skin.Which statements regarding this assessment are correct?

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The nurse is assessing the client's cardiorespiratory system.Which tool will the nurse require to perform these examinations?

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The nurse is assessing an infant's nose and sinuses.Which tool will the nurse require to complete this exam?

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The nurse percusses a client's lung and hears a dull sound throughout the left lung.What does the nurse suspect based on this assessment finding?

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The nurse is examining the client's eyes and vision,and notes the client is unable to see items clearly that are close up.Which term will the nurse use when documenting this finding?

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After completing a health assessment of the client,which information would the nurse need to document in the progress notes as opposed to on the assessment form?

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