Exam 22: Health Assessment

The nurse asks the patient to spread the fingers and then bring them together again. Which type of movement is the nurse testing when asking the patient to bring the fingers together?

The nurse is caring for a patient who underwent abdominal surgery 24 hours ago and has a nasogastric tube for intermittent suction. How should the nurse proceed when performing an abdominal assessment on this patient?

Bronchovesicular breath sounds are best heard over which area?

An older adult's fingernails appear concave and spoon shaped. The nurse associates this observation with which condition?

The nurse finds a small pulsation at the patient's fifth intercostal space midclavicular line. This should be documented as a:

Which principles apply when performing a focused assessment of the abdomen? Select all that apply.

The nurse notes ptosis in a patient who just arrived in the emergency department. The nurse quickly triages the patient because the nurse knows that this finding, along with other symptoms, might suggest the patient is experiencing which condition?

A father brings his 18-month-old child to the pediatric clinic for a well-baby checkup. The father tells the nurse that he is concerned because the child's legs are bowed. Which response by the nurse is appropriate?

The nurse on a medical unit notes fluid accumulation in the feet and ankles of a 75-year-old patient. What are the rationales for the nurse performing a physical examination? Select all that apply.

The nurse is performing a vision examination. In assessing for color blindness, the nurse applies which knowledge? Select all that apply.

Based on developmental stage, how should the nurse modify the comprehensive physical examination of an older adult?

An 85-year-old patient is brought to the emergency department with lethargy and hypotension. As the nurse assesses the patient's tongue, it appears dry and furry. Which condition would the nurse suspect the patient is experiencing?

Which information describes the nurse's general survey? Select all that apply.

The nurse is bathing a newborn infant in the nursery and notices scaly white patches over the infant's scalp. What is the most appropriate action by the nurse?

When testing near vision, the nurse should position printed text how many inches away from the patient?

Which statements describe the proper technique for auscultating heart sounds? Select all that apply.

Abdominal palpation should be avoided in a child who has which disorder?

When performing a skin assessment, the nurse notices a mole on the patient's upper back. Which actions would the nurse take to further investigate the mole? Select all that apply.

Which skin assessment finding would cause the nurse to suspect dehydration in a middle-aged patient admitted to the hospital with traveler's diarrhea?

While palpating the anterior chest, the nurse notes crackling in the skin around the patient's chest tube insertion site. Which term would the nurse use to document this finding?