Question 1

The nurse is preparing to interview the older adult client and perform a head-to-toe assessment. Which actions by the nurse are appropriate?

Accepted Answer

A)  The nurse has requested that the client put on a cotton gown prior to the interview. 
B)  The nurse seats the client so that the light from the window faces the client with the nurse's back to the window. 
C)  The nurse addresses the client by her first name. 
D)  The nurse maintains eye contact; both nurse and client are seated. 
E)  During the interview, the nurse asks if the client is currently experiencing any pain or anxiety before proceeding further. 
A)  The nurse has requested that the client put on a cotton gown prior to the interview. 
B)  The nurse seats the client so that the light from the window faces the client with the nurse's back to the window. 
C)  The nurse addresses the client by her first name. 
D)  The nurse maintains eye contact; both nurse and client are seated. 
E)  During the interview, the nurse asks if the client is currently experiencing any pain or anxiety before proceeding further.

Question 2

The nurse is performing an assessment of the hospitalized client. After speaking with the client, the nurse believes that the client is demonstrating altered thought processes. Which statements by the client validate the nurse's conclusion?

Accepted Answer

A)  "When I was little I had four cats. Can I wear a dress instead of this hospital gown?" 
B)  "I wish that my grandmother's daughter would visit me more often." 
C)  "I have never had so much pain. I just don't feel like speaking with you right now." 
D)  "My doctor has only been to visit me once during the last three days. I'm starting to feel angry that she hasn't come to see if I'm doing better." 
E)  "Red squirrels dance on the divine divide." 
A)  "When I was little I had four cats. Can I wear a dress instead of this hospital gown?" 
B)  "I wish that my grandmother's daughter would visit me more often." 
C)  "I have never had so much pain. I just don't feel like speaking with you right now." 
D)  "My doctor has only been to visit me once during the last three days. I'm starting to feel angry that she hasn't come to see if I'm doing better." 
E)  "Red squirrels dance on the divine divide."

Question 3

The nurse is performing a head-to-toe assessment on an older adult client who was admitted to the hospital with dehydration. Which findings are consistent with this condition?

Accepted Answer

A)  Tenting noted on dorsal aspect of client's hand when skin turgor was assessed. 
B)  Client has produced 175 milliliters of urine over the last 8 hours. 
C)  Dentures are loose, small sores noted in oral mucosa. 
D)  Healthcare provider notes client is exhibiting xerostomia. 
E)  Client's apical heart rate is 82 beats per minute. 
A)  Tenting noted on dorsal aspect of client's hand when skin turgor was assessed. 
B)  Client has produced 175 milliliters of urine over the last 8 hours. 
C)  Dentures are loose, small sores noted in oral mucosa. 
D)  Healthcare provider notes client is exhibiting xerostomia. 
E)  Client's apical heart rate is 82 beats per minute.

Question 4

The nurse is performing routine assessments on five hospitalized clients. Which clients does the nurse expect to exhibit poor skin turgor?

Accepted Answer

A)  The client had an open appendectomy 2 days ago. 
B)  The client was admitted with severe nausea and vomiting. 
C)  The client has lost 16 pounds during the last 30 days. 
D)  The client has had a high fever during the last four days and was admitted through the Emergency Department last night. 
E)  The client was admitted this morning with a severe migraine. 
A)  The client had an open appendectomy 2 days ago. 
B)  The client was admitted with severe nausea and vomiting. 
C)  The client has lost 16 pounds during the last 30 days. 
D)  The client has had a high fever during the last four days and was admitted through the Emergency Department last night. 
E)  The client was admitted this morning with a severe migraine.

Question 5

The nurse performs an assessment on four hospitalized pediatric clients. After reviewing each client's admitting diagnosis, which pediatric client may have an enlarged spleen?

Accepted Answer

A)  14-year-old admitted with acute gastroenteritis. 
B)  17-year-old admitted with an acute exacerbation of asthma. 
C)  11-year-old admitted with an umbilical hernia. 
D)  9-year-old admitted with a sickle cell crisis. 
A)  14-year-old admitted with acute gastroenteritis. 
B)  17-year-old admitted with an acute exacerbation of asthma. 
C)  11-year-old admitted with an umbilical hernia. 
D)  9-year-old admitted with a sickle cell crisis.

The nurse is preparing to interview the older adult client and perform a head-to-toe assessment. Which actions by the nurse are appropriate?

The nurse is performing an assessment of the hospitalized client. After speaking with the client, the nurse believes that the client is demonstrating altered thought processes. Which statements by the client validate the nurse's conclusion?

The nurse is performing a head-to-toe assessment on an older adult client who was admitted to the hospital with dehydration. Which findings are consistent with this condition?

The nurse is performing routine assessments on five hospitalized clients. Which clients does the nurse expect to exhibit poor skin turgor?

The nurse performs an assessment on four hospitalized pediatric clients. After reviewing each client's admitting diagnosis, which pediatric client may have an enlarged spleen?

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

Complete Health Assessment

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Exam 28: Hospitalized Patient

The nurse is preparing to interview the older adult client and perform a head-to-toe assessment. Which actions by the nurse are appropriate?

The nurse is performing an assessment of the hospitalized client. After speaking with the client, the nurse believes that the client is demonstrating altered thought processes. Which statements by the client validate the nurse's conclusion?

The nurse is performing a head-to-toe assessment on an older adult client who was admitted to the hospital with dehydration. Which findings are consistent with this condition?

The nurse is performing routine assessments on five hospitalized clients. Which clients does the nurse expect to exhibit poor skin turgor?

The nurse performs an assessment on four hospitalized pediatric clients. After reviewing each client's admitting diagnosis, which pediatric client may have an enlarged spleen?

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

Complete Health Assessment

Filters