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NURS 190 PHYSICAL ASSESSMENT MIDTERM EXAM,
KIM HEIN. WEST COAST UNIVERSITY ACTUAL EXAM
ALL 200 QUESTIONS AND CORRECT ANSWERS
AGRADE
RATED
The nurse notices the client has on torn clothing and is walking with a walker when entering the examination room. Which one of the following components should also be included in the general survey?
health patterns
biographical data
medical history
behavior behavior The client enters the emergency room with shortness of breath and a high fever. The nurse counts 26 respirations over a minute period. The clients breathing is rapid and shallow. The
nurse documents:
hyperventilation
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2 tachycardia
tachypnea
bradypnea tachypnea The nurse is palpating the client's temporal artery. Which of the following is a normal, expected finding in a healthy adult client?
no bruits
elastic, non tender, smooth
inflammation
tenderness elastic, non tender, smooth State two (2) items the nurse would assess in a head to toe assessment on a client complaining ofdizziness. State a normal or abnormal finding for each. (Write 1-2 sentences) ...Which of the following clients is most at risk for developing a deep-vein thrombosis?
A 30 year old client with is 1 week post delivery of a baby
A 60 year old client who is on anticoagulant medications 2 / 4
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A 45 year old client on oral contraceptives and smokes
A 40 year old female with underwent laser eye surgery A 45 year old client on oral contraceptives and smokes The nurse educator is working with a nursing student in the clinical setting. Which one of the following actions by the student needs additional instruction by the nurse educator in regard to assessment and documentation of capillary refill?
the student compresses the client's entire nail bed
the student presses on the edge of the nail bed
the student documents cap refill of 2 seconds after assessing normal findings
the student checks the left hand nail bed and then afterwards the right hand nail bed the student compresses the client's entire nail bed Prior to auscultating the carotid arteries, what instruction does the nurse give the client?
hold your breath
take a deep breath
report pain and I will stop the assessment
swallow 3 / 4
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4 hold your breath Which part of the stethoscope does the nurse use to assess the mitral heart rate?
diaphragm
bell bell The nurse hears soft, low pitched sounds on auscultation of the lung fields. The nurse
documents these sounds as:
bronchovesicular
tracheal
bronchial
vesicular vesicular The client reports during the interview that they see a physician for medical care and say a nightly prayer to improve health. The nurse documents this data as which of the following?
health patterns
medical history
health beliefs
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