A nurse is assessing a client cranial nerve. which of the
following client actions is an indication that cranial nerves I is
intact? Correct Answers The client can Identify a minty scent.
A nurse is assessing a client's peripheral vascular status of the
lower extremities. The nurse should place their fingertips on the
top of the client's foot, between the tendons of the great toe and
those of the toe next to it, in order to palpate which of the
following pulses? Correct Answers Dorsalis Pedis
A nurse is palpating a tender area of a client's abdomen. The
nurse slowly applies pressure over the area with their fingertips,
then quickly releases it. The client increased pain the release of
pressure. which of the following findings should the nurse
document. Correct Answers Rebound Tenderness
A nurse is performing a complete, head-to-toe assessment for a
client. which of the following physical assessment techniques
should the nurse perform first? Correct Answers Inspection
A nurse is performing a general client survey and finds that the
client has a body mass index of 23. which of the following
should the nurse document? Correct Answers The client has a
BMI within the expected reference range.
A Nurse is performing a respiratory assessment on a client. The
nurse auscultates a wet, popping sound upon inspiration of the
clients breathing. The nurse should identify this observation as
which of the following findings? Correct Answers Crackles
, A nurse is performing an abdominal assessment on a client.
which of the following areas of the client's abdomen should the
nurse attempt to auscultate active bowel sounds first Correct
Answers Right Lower quadrant
A nurse is preparing to conduct a Romberg test on a client. the
nurse should explain to the client that the Romberg test is used
to assess which of the following characteristics. Correct
Answers Balance
A nurse is preparing to perform a comprehensive physical
assessment on a client. Which of the following actions should
the nurse plan to take first? Correct Answers Develop a plan of
care.
A Nurse is teaching a newly licensed nurse about using a
stethoscope. Which of the following instructions should the
nurse include? Correct Answers Insert the earpieces at a
downward angle toward your nose.
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