Exam 31: Health Assessment and Physical Examination

A nurse is assessing a group of patients. Match the assessment finding the nurse observed to its condition. -Arterial problems

A parent calls the school nurse with questions regarding the recent school vision screening. Snellen chart examination revealed 20/60 for both eyes. Which response by the nurse is the best regarding the eye examination results?

During a routine physical examination of a 70-year-old patient, a blowing sound is auscultated over the carotid artery. Which assessment finding will the nurse report to the health care provider?

The nurse completed assessments on several patients. Which assessment finding will the nurse record as normal?

The nurse considers several new female patients to receive additional teaching on the need for more frequent Pap test and gynecological examinations. Which assessment findings reveal the patient at highest risk for cervical cancer and having the greatest need for patient education?

The nurse is preparing for a rectal examination of a nonambulatory male patient. In which position will the nurse place the patient?

A school nurse recognizes a belt buckle-shaped ecchymosis on a 7-year-old student. When privately asked about how the injury occurred, the student described falling on the playground. Which action will the nurse take next?

A nurse is preparing to perform a lung assessment on a patient and discovers through the nursing history the patient smokes. The nurse figures the pack-years for this patient who has smoked two and a half (2 1/2) packs a day for 20 years. Which value will the nurse record in the patient's medical record? Record answer as a whole number. _________ pack-years

During a genitourinary examination of a 30-year-old male patient, the nurse identifies a small amount of a white, thick substance on the patient's uncircumcised glans penis. What is the nurse's next step?

A nurse is assessing a group of patients. Match the assessment finding the nurse observed to its condition. -Lordosis

The nurse is assessing skin turgor. Which technique will the nurse use?

Having misplaced a stethoscope, a nurse borrows a colleague's stethoscope. The nurse next enters the patient's room and identifies self, washes hands with soap, and states the purpose of the visit. The nurse performs proper identification of the patient before auscultating the patient's lungs. Which critical health assessment step should the nurse have performed?

A nurse is conducting Weber's test. Which action will the nurse take?

An advanced practice nurse is preparing to assess the external genitalia of a 25-year-old American woman of Chinese descent. Which action will the nurse do first?

Upon assessment, the patient is breathing normally and has normal vesicular lung sounds. Which expected inspiratory-to-expiratory breath sounds will the nurse hear?

A febrile preschool-aged child presents to the after-hours clinic. Varicella (chickenpox) is diagnosed on the basis of the illness history and the presence of small, circumscribed skin lesions filled with serous fluid. Which type of skin lesion will the nurse report?

A nurse identifies lice during a child's scalp assessment. The nurse teaches the parents about hair care. Which information from the parents indicates the nurse needs to follow up?

A nurse is assessing a group of patients. Match the assessment finding the nurse observed to its condition. -Jugular vein distention

The nurse is examining a female with vaginal discharge. Which position will the nurse place the patient for proper examination?

A nurse is assessing several patients. Which assessment findings will cause the nurse to follow up? (Select all that apply.)