Exam 22: Health Assessment

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

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A

Which of the following statements describe the nurse's general survey? Select all that apply.

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A,B,C

Assuming that all are accurate,which documentation about a patient's level of consciousness is best?

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B

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

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

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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?

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

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

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The nurse notes a small pulsation at the fifth intercostal space midclavicular line.This should be documented as a:

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

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

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

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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?

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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 his child's legs are bowed.Which response by the nurse is appropriate?

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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:

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The nurse is performing a comprehensive health assessment on several clients in the community clinic.Which clients are most at risk for developing hemorrhoids? Select all that apply.

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A client has noticed a decrease in taste sensation.Which of the following cranial nerves are most likely involved?

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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?

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

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

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