Exam 22: Health Assessment

Small hemorrhages are noted under the nailbed of a patient with a history of intravenous drug abuse. This finding is associated with which condition?

Which assessment question helps assess immediate memory?

High-pitched breath sounds produced by airway narrowing are known as:

The mother of a 1-month-old infant states to the examining nurse, "There is something wrong with my baby's eyes. She seems to be cross-eyed." What is the most appropriate response by the nurse?

The nurse applies resistance to the top of a male client's foot and asks him to pull his toes toward his knee. The nurse observes active motion against some resistance, but not against full resistance. How should the nurse document this finding?

A 6-week-old infant is brought to the pediatrician's office for a well-baby checkup. The nurse notes flattening of the skull. Flattening of the skull in the infant might suggest which finding?

The nurse notes an S₃ heart sound while performing an assessment on a patient admitted with an acute myocardial infarction. The nurse notifies the physician of the finding, which most likely suggests:

Which assessment should the nurse perform if the patient has a palpable thyroid gland?

Which test should the patient undergo when the Weber test result is positive?

Which documentation about a patient's level of consciousness is best?

Which situation indicates that the nurse is conducting a focused assessment?

A 48-year-old patient comes to the physician's office complaining of diminished near vision, which the nurse confirms with testing. The nurse should document this finding using which term?

The nurse is concerned that an African American client is experiencing cyanosis. Which sign of cyanosis would the nurse look for in this client?

An older adult comes to the clinic reporting pain in the left foot. While assessing the client, the nurse notes smooth, shiny skin with no hair on the client's lower legs. Which condition does this finding suggest?

The left pupil of a patient fails to accommodate. This finding may reflect an abnormality in which cranial nerve (CN)?

A client has noticed a decrease in taste sensation. Which cranial nerve (CN) is most likely involved?

Which disorders might limit a patient's visual field? Select all that apply.

The nurse is working in an outpatient clinic in the community. Late in the afternoon, three clients come in with suspected pediculosis. Which assessment will the nurse perform?

The nurse has completed an external genital examination on several female clients in the women's health clinic. Which clients would require an internal genital examination? Select all that apply.

An adult admitted to the hospital after a stroke does not respond to verbal stimuli. What should the nurse do next to try to provoke a response?