Assessment Form A questions and answers
2025\2026 A+ Grade
A nurse is assisting a provider with the removal of a chest tube. Which of the following actions should
the nurse take?
a. Instruct the client to lie prone with arms by the sides
b. Complete a surgical checklist on the client
c. Remind the client that there is minimal discomfort during the removal process
d. Place an occlusive dressing over the site once the tube is removed
- correct answer d. Place an occlusive dressing over the site once the tube is removed
Observe the site for drainage.
A nurse is caring for a client who is scheduled for a thoracentesis. Which of the following supplies should
the nurse ensure are in the clients room? SATA
a. Oxygen equipment
b. Incentive spirometer
c. Pulse oximeter
d. Sterile dressing
e. Suture removal kit
- correct answer a, c, d
a. Oxygen equipment for SOB
b. Pulse ox to monitor ox sat during procedure
d. Sterile dressing to apply to the puncture site
, Associated manifestation of Hypokalemia
- correct answer Hypoactive bowel sounds
The nurse is assessing the client for Chvostek's sign. Which of the following actions should the nurse
take?
a. Apply a BP cuff to the client's arm
b. Place a stethoscope bell over the client's carotid artery
c. Ask the client to lower their chin to their chest
d. Tap lightly on the client's cheek
- correct answer d. Tap lightly on the client's cheek
Tap over the facial nerve just below and anterior to the ear to elicit Chvostek's sign.
A positive sign = Facial twitching on the side of the face
The nurse is assessing the client who reports nausea, vomiting, and weakness. Which of the following
findings are manifestations of hypocalcemia? SATA
a. Tingling in fingers
b. Poor skin turgor
c. Abdominal pain
d. Elevated temperature
e. Muscle twitching
- correct answer a, c, e
Numbness and tingling in fingers and toes, abdominal cramps and diarrhea, and muscle twitching are
manifestations of hypocalcemia.
Associated manifestation of Hypocalcemia
- correct answer Positive Trousseau's sign
Respiratory Diagnostic Procedures: Planning Care for a Client Who Is Scheduled for a Thoracentesis
- correct answer Preprocedure: