Which are reasons for a nurse to perform a nursing assessment of a client? Select all that apply.
To obtain baseline information
To develop a plan for nursing care
To evaluate effectiveness of interventions
To receive reimbursement for services provided
To determine the presence of disease and its pathology - CORRECT ANSWER✅✅-To obtain baseline
information
-To develop a plan for nursing care
-To evaluate effectiveness of interventions
The nurse is assessing the lungs of a client and notes rhonchi as well as regular breath sounds in both
lung fields. The client appears to be in no respiratory distress and has an oxygen saturation of 98% on
room air. What should be the nurse's first intervention?
Have the client cough and listen again.
Notify the primary healthcare provider.
Administer a nebulizer breathing treatment.
Document the findings in the medical record.
Next - CORRECT ANSWER✅✅Have the client cough and listen again
Parents and their toddler come to the clinic for a well-child checkup. Which differences would the nurse
incorporate into the assessment since the client is a child? Select all that apply.
Allow the toddler to make choices.
Let the child play with the equipment.
Administer needed immunizations last.
Hold the toddler against the parent's chest.
, Promote and support the child's independence. - CORRECT ANSWER✅✅-Allow the toddler to make
choices
-Administer needed immunizations last
In which order should the nurse perform an abdominal assessment for a client with a suspected bowel
obstruction? - CORRECT ANSWER✅✅1. Inspection
2. Auscultation of major bowel sounds
3. Auscultation of major arteries
4. Percussion
5. Palpation
The nurse is assessing the cardiovascular status of a client, including pulses. Which action made by the
nurse can place the client at risk for a stroke?
Auscultate the carotids for bruits.
Have the client lie on their left side.
Locate and feel pulses with the thumbs.
Palpate the carotid arteries simultaneously. - CORRECT ANSWER✅✅Palpate the carotid arteries
simultaneously.
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 to perform for
this client?
Ongoing assessment
System-specific assessment
Focused-physical assessment
Comprehensive physical examination - CORRECT ANSWER✅✅Focused-physical assessment
A nurse enters the room of a client and begins an assessment. Which actions are correct? Select all that
apply.