A nurse is performing a pre-admission assessment on a client and employs the use of nonverbal and verbal communication. Which of the following actions demonstrates the use of a nonverbal communication technique by the nurse?
A. Asking the client to clarify a statement
B. Asking the client open-en...
NURS 307: Health and Physical Assessment Exam 1
questions with correct answers
A nurse is performing a pre-admission assessment on a client and
employs the use of nonverbal and verbal communication. Which of the
following actions demonstrates the use of a nonverbal communication
technique by the nurse?
A. Asking the client to clarify a statement
B. Asking the client open-ended questions
C. Maintaining an arm's length between self and client
D. Stating name and providing credentials upon entering the client's
room Correct Answer-Maintaining an arm's length between self and
client
A nurse is preparing to irrigate a client's leg wound. Which of the
following pieces of PPE should the nurse wear while performing this
task? (Select All that Apply)
Gown
Gloves
Goggles
N95 Mask
Surgical Cap Correct Answer-Gown, Gloves, Goggles
A nurse has performed preoperative care on a client and is transferring
the client to the surgical holding area when the client states, "I have
changed my mind. I do not want to have this surgery." Which of the
following ethical principles is the client using?
,A. Nonmaleficence
B. Autonomy
C. Justice
D. Fidelity Correct Answer-Autonomy
A nurse is preparing to perform a physical examination on a client.
Which of the following interventions should the nurse perform to ensure
client privacy?
A. Close the examination room door but do not pull the curtain in the
examination room
B. Remain in the client's room while the client is getting undressed
C. Ask the client if they would like to empty their bladder and bowel
before the physical examination begins
D. Do not expose any more of the client's body than required at a time
Correct Answer-Do not expose any more of the client's body than
required at a time
A nurse is assisting a client with ambulating around the nurses' station.
Which of the following steps of the nursing process is the nurse
performing?
A. Implementation
B. Evaluation
C. Analysis
D. Planning Correct Answer-Implementation
,A nurse is documenting their assessment and documents that the client
states, "I have a dry cough every morning when I wake up." Which of
the following types of data is the nurse documenting?
A. Subjective
B. Social determinants of health
C. Objective
D. Olfactory Correct Answer-Subjective
A nurse is caring for a client who is crying and appears upset after
receiving news that they will need to have a surgical procedure. Which
of the following actions should the nurse take to display empathy
towards the client?
A. Tell the client that everything will be fine
B. Change the subject while the client is discussing their feelings
C. Show interest in the client's feelings by acknowledging that they are
upset
D. Tell the client that it is wrong to be crying over this situation Correct
Answer-Show interest in the client's feelings by acknowledging that they
are upset
A nurse is preparing to assess a newly admitted client. Which of the
following pieces of equipment does the nurse need to begin the
inspection part of the physical examination? (Select All That Apply).
Electrocardiogram monitor
Doppler
Penlight
A nurse is performing auscultation during a client's physical assessment.
Which of the following tools should the nurse use for this part of the
assessment?
A. Tongue Depressor
B. Penlight
C. Reflex Hammer
D. Stethoscope Correct Answer-Stethoscope
A nurse in the emergency department has received report on a child who
has a laceration to the right calf. Which of the following steps of the
nursing process should the nurse perform first?
A. Assessment
B. Analysis
C. Evaluation
D. Planning Correct Answer-Assessment
A nurse is preparing to perform palpation on a client during a physical
assessment. Which of the following findings is the nurse assessing
during palpation?
A. Unexpected sounds made by tapping on the client's skin
B. Skin temperature, moisture, or unexpected findings
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