Exam 22: Health Assessment

The 4-year-old child's vision is not 20/20. What does this result indicate?

While the nurse assesses a newborn of African American descent, the mother points out a blue-black Mongolian spot on the newborn's back and asks, "What's that? Is something wrong with my baby?" Which response by the nurse is best?

The nurse is planning a breast examination class for a group of women at a community health fair. In planning the class, what is most important for the nurse to consider in preparation for the class?

A female patient has excessive facial hair. The nurse should document this finding using which term?

The admission assessment form indicates that the patient has pedal pulses that are rated 1 in amplitude. This documentation indicates that the patient's pulses are:

The nurse obtains vital signs for a 56-year-old patient who underwent surgery yesterday. Which findings require further assessment? Select all that apply.

A patient's jugular venous pressure measures 5 cm. What should this finding indicate to the nurse?

The nurse is performing an otoscopic examination on the patient. In assessing the tympanic membrane, the nurse assesses for which normal findings in appearance? Select all that apply.

Which statement best describes the procedure used to assess capillary refill?

The nurse is performing an otoscopic examination on an adult patient. The nurse has the patient tilt head to the side not being examined. Which step should the nurse perform next?

Which abnormal capillary refill finding would the nurse report?

A mother brings her 6-month-old infant to the clinic for a well-baby checkup. How should the nurse proceed when weighing the infant?

Which statements regarding common neurological changes in older adults are true? Select all that apply.

Which length of time accurately describes when the infant's anterior fontanel (soft spot) typically fuses?

Which abnormal laboratory value is associated with an icteric sclera?