Exam 78: Health Assessment and Physical Examination

The nurse is urgently called to the gymnasium regarding an injured student.The student is crying in severe pain with a malformed fractured lower leg.The proper sequence for the nurse's initial assessment is

Having misplaced his stethoscope,a nurse borrows a colleague's stethoscope.He next enters the patient's room and identifies himself,washes his hands with soap,and states the purpose of his visit.He performs proper identification of the patient before he auscultates her lungs.Which critical health assessment step was not performed?

During a school physical examination,the nurse reviews the patient's current medical history.With a positive medical history of asthma,eczema,and allergic rhinitis,the nurse expects which physical finding on nasal examination?

The school nurse is assessing the tympanic membranes of a 3-year-old child.Which of the following demonstrates proper technique?

The patient presents to the clinic with dysuria and hematuria.How does the nurse proceed to assess for kidney inflammation?

Objective physical data describe air moving through small airways over the lung's periphery.The expected inspiratory-to-expiratory phase of this normal vesicular breath sound is which of the following?

In preparation for a rectal examination of a nonambulatory male patient,the patient is informed of the need to be placed in which position?

During a routine physical examination of a 70-year-old patient,a blowing sound is auscultated over the carotid artery.The nurse notifies the medical provider of the unexpected physical finding known as

The patient is a 54-year-old male with a medium frame.He weighs 148 pounds and is 5 feet 8 inches tall.The nurse realizes that this patient is

While assessing the skin of an 82-year-old male patient,a nurse discovers nonpainful ruby red papules on the patient's trunk.What is the nurse's next action?

Asking an adult what the statement "A stitch in time saves nine" means to him is a mental status examination technique used to assess

A nurse is assessing a patient's hearing.Which of the following items does the nurse gather before conducting the assessment?

On admission,a patient weighs 250 pounds.The weight is recorded as 256 pounds on the second inpatient day.The nurse should evaluate the patient for

A nurse suspects an abnormal thyroid shape during the physical examination.The nurse offers the patient a glass of water and observes her drinking to

The nurse is caring for a female victim of rape.To perform the proper evaluation,the nurse should place the patient in which of the following positions?

During an annual gynecological examination,a college student discusses her upcoming college break at a tropical location.After the student receives an oral contraceptive prescription,the nurse identifies the importance of skin cancer prevention education by discussing which evidence-based prevention health topic?

The advanced practice nurse is conducting a comprehensive eye examination on an 80-year-old African American woman.Which of the following findings requires the nurse to contact the patient's physician for further examination?

The best term for breath sounds created by air moving through large lung airways is

Which is the best examination position for a complete geriatric physical examination on a weak patient with bilateral basilar pneumonia?

A patient in the emergency department is complaining of left lower abdominal pain.The comprehensive abdominal examination would include,in proper order,which of the following?