Question 1

The nurse is assessing a client's musculoskeletal system. Which action will the nurse perform first?

Accepted Answer

A)  Assist the client to a standing position. 
B)  Assess the skin on the posterior legs. 
C)  Perform the Romberg. 
D)  Test range of motion and strength in the hips, knees, ankles, and feet. 
A)  Assist the client to a standing position. 
B)  Assess the skin on the posterior legs. 
C)  Perform the Romberg. 
D)  Test range of motion and strength in the hips, knees, ankles, and feet.

Question 2

During the physical assessment of the client, the nurse notes that the client is able to shrug the shoulders bilaterally. Based on this data, which nerve is intact?

Accepted Answer

A)  Cranial nerve I (olfactory). 
B)  Cranial nerve II (optic). 
C)  Cranial nerve VII (facial). 
D)  Cranial nerve XI (spinal accessory). 
A)  Cranial nerve I (olfactory). 
B)  Cranial nerve II (optic). 
C)  Cranial nerve VII (facial). 
D)  Cranial nerve XI (spinal accessory).

Question 3

The nurse is assessing the client's neurologic system. The nurse tests the client's ability to perform stereognosis. Which activity will accurately test this?

Accepted Answer

A)  The nurse places a vibrating tuning fork over the client's ankle and asks the client to indicate when the vibration can no longer be felt. 
B)  The nurse asks the client to close her eyes and writes the number '7' in the client's palm with the base of the nurse's pen. The nurse asks the client to identify what was written. 
C)  The nurse asks the client to close her eyes and places a pen in the client's hand. The nurse asks the client to name the object in her hand. 
D)  The nurse asks the client to close her eyes and indicate where the nurse is touching the client. 
A)  The nurse places a vibrating tuning fork over the client's ankle and asks the client to indicate when the vibration can no longer be felt. 
B)  The nurse asks the client to close her eyes and writes the number '7' in the client's palm with the base of the nurse's pen. The nurse asks the client to identify what was written. 
C)  The nurse asks the client to close her eyes and places a pen in the client's hand. The nurse asks the client to name the object in her hand. 
D)  The nurse asks the client to close her eyes and indicate where the nurse is touching the client.

Question 4

The nurse is auscultating the client's lungs and is able to auscultate bronchovesicular sounds over the client's left lung. Which location would the nurse use when auscultating this type of lung sound?

Accepted Answer

A)  A. 
B)  B. 
C)  C. 
D)  D. 
A)  A. 
B)  B. 
C)  C. 
D)  D.

Question 5

The nurse is preparing to conduct an abdominal assessment for a client who is denying abdominal pain. Which assessment will the nurse perform first?

Accepted Answer

A)  Auscultate the abdomen for bowel sounds. 
B)  Palpate the abdomen for masses or tenderness. 
C)  Palpate for hernias. 
D)  Percuss the abdomen in all quadrants. 
A)  Auscultate the abdomen for bowel sounds. 
B)  Palpate the abdomen for masses or tenderness. 
C)  Palpate for hernias. 
D)  Percuss the abdomen in all quadrants.

Question 6

Which action is appropriate for the nurse to include in the client's health history portion of the nursing assessment?

Accepted Answer

A)  Monitoring blood pressure. 
B)  Assessing lung sounds. 
C)  Discussing cultural traditions. 
D)  Monitoring temperature. 
A)  Monitoring blood pressure. 
B)  Assessing lung sounds. 
C)  Discussing cultural traditions. 
D)  Monitoring temperature.

The nurse is assessing a client's musculoskeletal system. Which action will the nurse perform first?

During the physical assessment of the client, the nurse notes that the client is able to shrug the shoulders bilaterally. Based on this data, which nerve is intact?

The nurse is assessing the client's neurologic system. The nurse tests the client's ability to perform stereognosis. Which activity will accurately test this?

The nurse is auscultating the client's lungs and is able to auscultate bronchovesicular sounds over the client's left lung. Which location would the nurse use when auscultating this type of lung sound?

The nurse is preparing to conduct an abdominal assessment for a client who is denying abdominal pain. Which assessment will the nurse perform first?

Which action is appropriate for the nurse to include in the client's health history portion of the nursing assessment?

Health Assessment

Human Development Across the Lifespan

Wellness and Health Promotion

Cultural Considerations

Psychosocial Assessment

Assessment of Vulnerable Populations

Interviewing and Communication Techniques

The Health History

Techniques and Equipment

General Survey

Pain Assessment

Nutritional Assessment

Skin, Hair, Nails

Head, Neck, and Related Lymphatics

Eye

Ears, Nose, Mouth, and Throat

Respiratory System

Breasts and Axillae

Cardiovascular System

Peripheral Vascular System

Abdomen

Urinary System

Male Reproduction System

Female Reproduction System

Musculoskeletal System

Neurologic System

Pregnant Females

Hospitalized Patient

Filters

Exam 29: Complete Health Assessment

The nurse is assessing a client's musculoskeletal system. Which action will the nurse perform first?

During the physical assessment of the client, the nurse notes that the client is able to shrug the shoulders bilaterally. Based on this data, which nerve is intact?

The nurse is assessing the client's neurologic system. The nurse tests the client's ability to perform stereognosis. Which activity will accurately test this?

The nurse is auscultating the client's lungs and is able to auscultate bronchovesicular sounds over the client's left lung. Which location would the nurse use when auscultating this type of lung sound?

The nurse is preparing to conduct an abdominal assessment for a client who is denying abdominal pain. Which assessment will the nurse perform first?

Which action is appropriate for the nurse to include in the client's health history portion of the nursing assessment?

Health Assessment

Human Development Across the Lifespan

Wellness and Health Promotion

Cultural Considerations

Psychosocial Assessment

Assessment of Vulnerable Populations

Interviewing and Communication Techniques

The Health History

Techniques and Equipment

General Survey

Pain Assessment

Nutritional Assessment

Skin, Hair, Nails

Head, Neck, and Related Lymphatics

Eye

Ears, Nose, Mouth, and Throat

Respiratory System

Breasts and Axillae

Cardiovascular System

Peripheral Vascular System

Abdomen

Urinary System

Male Reproduction System

Female Reproduction System

Musculoskeletal System

Neurologic System

Pregnant Females

Hospitalized Patient

Filters