Exam 29: Complete Health Assessment

The nurse is providing care to an adolescent female who seeks care due to experiencing a change in vaginal discharge. The client is not sexually active, but states, "There is white stuff in my panties that looks like cottage cheese." Based on this data, which condition does the nurse suspect?

The nurse is preparing to perform an interview to obtain information about the client. Which are classified as secondary sources of information?

The nurse is interviewing the client. Which interaction could lead to a communication breakdown between the nurse and client?

The nurse is discussing the results of recent laboratory tests with a female client, who tested positive for a sexually transmitted infection. Which statement by the nurse is the most therapeutic?

The nurse is assessing the client's cardiovascular system during the physical assessment. Which location will the nurse use to palpate the point of maximal impulse/apical pulse?

The nurse is performing an assessment of the female client's genitalia. The nurse has inserted a speculum and notices that the client has a frothy greenish-yellowish discharge present within the vagina. Based on this data, which condition does the nurse suspect?

The nurse percusses the client's abdomen. Which piece of information accurately reflects that tympany is present?

When conducting a health history for a pediatric client, which action by the nurse is appropriate?

The nurse is performing a physical assessment of a male client. The nurse must assess the client's sacrococcygeal area. Which position will allow the nurse to assess this area adequately?

The nurse is performing a physical assessment of the client. Which is the location for the costovertebral angle?

The nurse is performing a physical assessment on a client in an outpatient clinic. The nurse is inspecting and palpating the client's face, skin folds, axillae, palms, and soles of the feet. The nurse determines the client is diaphoretic. Which client statement supports this finding?

The student nurse is preparing to assess the client while the more experienced nurse assists. Prior to the physical assessment, the client complains of left lower quadrant abdominal pain. Which statement by the student nurse indicates that the student nurse requires further education prior to performing this part of the assessment?

The nurse holds the tuning fork by the handle and gently strikes the fork on the palm of the hand. Then, the nurse places the base of the fork on the client's mastoid process. The nurse requests that the client indicate when the sound can no longer be heard. Which test is the nurse performing?

The nurse is interviewing the client and learns that the client has an open leg wound that has been draining a moderate amount of yellowish drainage over the last 3 days. Prior to assessing the client's wound, which piece of personal protective equipment is most important for the nurse to wear based on the principles of standard precautions?

The nurse is assessing the function of the client's cranial nerve XII (hypoglossal). Which activity will allow the nurse to assess this nerve during the client's physical assessment?

The nurse is performing a physical assessment for the client and identifies a venous hum while auscultating the client's abdomen. Which statement by the nurse is the most consistent with this type of vascular sound?

The student nurse is preparing to insert the otoscope into the adult client's ear. Which statement by the student nurse indicates the need for further education?

The nurse has palpated an abnormal mass within the client's scrotum. Which assessment activity is appropriate for the nurse to perform next?

The nurse is assessing the client's cardiovascular system. The nurse is preparing to assess the client for the presence of a lift or heave. Which directions should the nurse provide for the client?

Which location w