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Basic Physical Assessment NCLEX 3000 test(107 questions with verified solutions).
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Basic PhysicalAssessment
NCLEX 3000
test(107
questions with
verified
solutions)
The nurse plans to obtain client information
from a primary source. Which of the following
is a primary information source? - answer 3.
The client
An adolescent client seeks medical attention
because of a sore throat and probable
,mononucleosis. The nurse palpates the
client's submandibular lymph nodes for
enlargement. Identify the area where the
nurse should palpate to best feel these
nodes. - answer The submandibular lymph
nodes are located beneath the mandible, or
lower jaw, halfway to the chin. These nodes
may be enlarged in a client with a throat
infection or mononucleosis.
To help assess a client's cerebral function,
the nurse should ask: - answer 1. "Have you
noticed a change in your memory?"
The nurse is assessing an elderly client.
When performing the assessment, the nurse
should consider that one normal age-related
change is: - answer 3. diminished reflexes.
A client complains of lower abdominal
pressure. The nurse notes a firm mass
extending above the symphysis pubis. Which
condition is the most likely cause of these
findings? - answer 4. Distended bladder
, Which reaction is a normal response to a
corneal sensitivity test? - answer 2. Blinking
To evaluate a client's posterior tibial pulse,
where should the nurse palpate? - answer 3.
On the inner aspect of the ankle, below the
medial malleolus
When an emergency department nurse
enters the room, the client complains that
she's spitting up blood when she coughs. The
nurse performs a quick review of the client's
pertinent health history, which should
include: - answer 2. the history of the
present problem, allergies, medications, and
recent major operations.
A newly hired licensed practical nurse (LPN)
is helping the charge nurse admit a client.
The charge nurse asks the LPN if she
understands the facility's rules of ethical
conduct. Which statement by the LPN
indicates the need for further teaching? -
answer 4. "I don't discuss advance directives
unless the client initiates the conversation."
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