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NUR 304 ATI Health Assessment Exam 1, 2 and final| Montgomery College
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NUR 304 ATI Health Assessment Exam 1, 2 and final/NUR 304 ATI Health Assessment Exam 1, 2 and final.
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A nurse is introducing herself to a client as the first step of acomprehensive physical examination. Which of the following
strategies should the nurse use with this client? (select all that
apply)
A. Address the client with the appropriate title and her last
name.
B. Use a mix of open- and close-ended questions.
C. Reduce environmental noise.
D. Have the client complete a health history form.
E. Perform the general survey before the examination.
B, C, E
Rationale:
B. Open-ended questions help the client tell her story in her
own way. Closed-ended questions are useful for clarifying and
verifying information the nurse gathers from the client's story
C. quiet, comfortable environment eliminates distractions and
helps the client focus on the important aspects of the interview.
E. The general survey is noninvasive and, along with the health
,history and vital sign measurement, can help put the client at
ease before the more sensitive parts of the process, such as the
examination
A nurse in a provider's office is documenting his findings
following an examination he performed for a client new to the
practice. Which of the following parameters should he include
as part of the general survey? (Select all that apply.)
A. Posture
B. Skin lesions
C. Speech
D. Allergies.
E. immunization status
A, B, C
Rationale:
A. Posture is part of the body structure or general appearance
portion of the general survey.
B. Skin lesions are part of the body structure or general
appearance portion of the general survey.
C. Speech is part of the behavior portion of the general survey
A nurse is collecting data for a client's comprehensive physical
examination. after the nurse inspects the client's abdomen,
which of the following skills of the physical examination process
should she perform next?
, A.olfaction
B.auscultation
C.Palpation
D.Percussion
B
Rationale:
B. Because palpation and percussion can alter the frequency
and intensity of bowel sounds, the nurse should auscultate the
abdomen next and before using those two techniques
A nurse is performing a comprehensive physical examination of
an older adult client. Which of the following interventions
should the nurse use in consideration of the client's age? (Select
all that apply.)
a.Collect the data in one continuous session.
B.Plan to allow plenty of time for position changes.
C.Make sure the client has any essential sensory aids in place.
D. tell the client to take her time answering questions.
E. invite the client to use the bathroom before beginning the
examination
B, C, D, E
Rationale:
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