ATI Comprehensive Physical Assess.
of an Adult (pretest)
A nurse is getting ready to carry out a comprehensive physical evaluation on a consumer.
Which of the subsequent actions should the nurse plan to take first? - ANSDEVELOP PLAN
OF CARE
- The first actions the nurse have to take the use of nursing process is to assess the client
and broaden a plan of care. The nursing method follows The steps of assessment,
evaluation, planning, implementation and assessment
A nurse is coaching a newly licensed nurse about using a stethoscope. Which of the
subsequent instructions need to the nurse include? - ANS"INSERT THE EARPIECE AT A
DOWNWARD ANGLE TOWARD YOUR NOSE"
- The nurse need to insert the earpieces at a downward angle closer to their nose because it
allows ensure that sounds are correctly transmitted to their eardrums.
A nurse is performing exam of the spine for an older person purchaser. The nurse ought to
discover that which of the following findings is common with age? - ANSKYPHOSIS
- Kyphosis - "hunchback" curvature of the spine is an abnormal angulation of the posterior
curve of the thoracic backbone - usually resulting in osteoporosis. Most common in older
adults and will increase with age.
A nurse is palpating a soft region of a patron's abdomen. The nurse slowly applies pressure
over the location with their hands, then quickly releases it. The customer reports elevated
ache on the discharge of pressure. Which of the following findings have to the nurse file? -
ANSREBOUND TENDERNESS
- The nurse should report that the customer is experiencing rebound tenderness. Which is
an increase in ache while deep palpation over a smooth place is released. Rebound
tenderness inside the proper decrease quadrant at McBurney's factor (one 1/3 the space
from the anterior iliac crest to the umbilicus)is a sign of acute appendicitis.
A nurse is acting practise to behavior a Romberg check on a purchaser. The nurse ought to
provide an explanation for to the patron that the Romberg check is used to assess which of
the subsequent traits? - ANSBALANCE
- Nurse must provide an explanation for that the Romberg take a look at is the maximum not
unusual check of balance
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