NUR 112; Health Assessment Exam 1,2 & 3 All answers 100% correct, Summer 2020/21

NUR 112; Health Assessment Exam 1,2 & 3 All answers 100% correct, Summer 2020/21-1. A nurse is assessing…. Effective when it is used to assess Heart murmurs 2. When assessing a client’s swollen ankles, which of these assessment to the client should a nurse use to gather more date regarding this observations? Palpation 3. When a client states I am very anxious about my physical exam, the nurse would be to a. Appear unhurried and confident when examining the client 4. When performing a physical assessment the first technique implementing is a. Inspection 5. When examining a draining ulceration on a client’s lower leg which is most important for a nurse to take a. Wash hands put on gloves and continue with the examination of the leg ulceration 6. A nurse is assessing a client and is beginning auscultation. What should the nurse employ when using the stethoscope tool? a. Use the diaphragm to listen for high pitched sounds 7. A nurse is describing the order of the physical assessment to explains the examination of most body systems is best conducted by a. Inspection, palpation, percussion, auscultation 8. A newly admitted client is in acute pain has not been sleeping and difficulty breathing. Which of these is the priority order for a nurse a. Breathing, pain, sleep 9. A nurse is explaining the use of the stethoscope to the nursing student. Which of these statements should the nurse include in this explanation? Answer: The stethoscope does not magnify sound but does block out extraneous room noise. 10. A well client visits the clinic for a routine check-up and physical assessment. Following a health history that yielded insignificant results, a health care examiner begins by inspecting the: Answer: Skin 11. A nurse understands nosocomial infections have become a major threat to health in hospitalized clients. The nurse should wash hands (SELECT ALL THAT APPLY) Answers: A. Before and after physical exam contact with each client in any setting B. After Inadvertent contact with blood or body fluids in any setting C. After contact with any equipment in contact with body fluids or blood Wrong: unless gloves have been worn 12. When assessing a skin temperature, a nurse uses which of these parts of the hands? Answer: Dorsal Surface 13. A nurse is acusultating a client’s breath sounds, and is unsure about a sound that is auscultated. Which of these actions should the nurse take next? Answer: Validate data by asking a coworker to listen to the breath sounds 14. During assessment, it is often appropriate to perform some brief teaching about the client’s body or assessment findings. Which information should a nurse give the client? Answer: Your pulse is 80 beats per minute. This is within normal range. 15. When assessing a radial pulse of a client, a nurse notes it is irregular. Which of these further assessment should the nurse make? Assess the Answer: apical pulse for 1 minute 16. A nurse is volunteering at a health fair at a local mall. When taking blood pressure on variety of people, the nurse understands Answer: a black adult Blood pressure is usually higher than that of whites of the same age