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Davis Advantage: Ch. 22 Health Assessment Exam 2025/2026 Questions With Completed & Verified Solutions.
Davis Advantage: Ch. 22 Health Assessment Exam 2025/2026 Questions With Completed & Verified Solutions.
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Davis Advantage: Ch. 22 HealthAssessment
A client is brought in to the emergency room from a motor vehicle accident. The
client reports a headache and some dizziness, but no mental status deficits. The
client is admitted for observation and four hours later, the nurse notes the client
is lethargic and restless. Based on these findings, what should the nurse assess
next?
a. Pupillary response
b. Level of orientation
c. Spontaneous speech
d. Count backwards by "7s" - ANS - a. Pupillary response
\A client presents to the emergency room and is diagnosed with an exacerbation
of chronic obstructive pulmonary disease and is in distress. Which is the best
type of assessment for the nurse perform for this client?
a. Ongoing assessment
b. System-specific assessment
c. Focused-physical assessment
d. Comprehensive physical examination - ANS - c. Focused-physical assessment
\A student nurse enters the room of a client and begins the assessment while the
registered nurse observes. Which action made by the student nurse requires
correction by the registered nurse?
a. Ask any visitors to leave the room.
b. Turn on the lights in the client's room.
c. Leave the door open to allow lighting.
d. Gather all supplies prior to entering the room. - ANS - c. Leave the door open to
allow lighting.
\As the nurse prepares for a physical assessment, what should be considered?
Select all that apply.
a. Preparing the environment
b. Preparing the paperwork
c. Infection control
d. Preparing the equipment
, e. Preparing the client - ANS - a. Preparing the environment
c. Infection control
d. Preparing the equipment
e. Preparing the client
\Bronchovesicular breath sounds are best heard over which area?
a. Fourth intercostal space in the midclavicular line
b. Midline over the trachea just below the larynx
c. At the base of the lungs near the diaphragm
d. First and second intercostal spaces next to the sternum - ANS - d. First and
second intercostal spaces next to the sternum
\How should the nurse perform the assessment of the posterior lung sounds? -
ANS - bilaterally from top to bottom
\In which order should the nurse perform an abdominal assessment for a client
with a suspected bowel obstruction? - ANS - 1. Inspection
2. Auscultation of major bowel sounds
3. Auscultation of major arteries
4. Percussion
5. Palpation
\That nurse is performing a general survey for a newly admitted client. What
should be included in this evaluation? Select all that apply.
a. Mental state
b. Appearance and behavior
c. Vital signs
d. Speech
e. Dress, grooming, and hygiene - ANS - a. Mental state
b. Appearance and behavior
c. Vital signs
d. Speech
e. Dress, grooming, and hygiene
\The nurse documents in the medical record of a client the absence of bowel
sounds. How long should the nurse listen to the abdomen prior to documenting
this finding?
a. 1 full minute
b. 3 full minutes
c. 5 full minutes
d. 10 full minutes - ANS - c. 5 full minutes
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