NR302: Nursing Skill: Head-to-Chest
Assessment
The nurse is admitting a client with an infected left ear cyst. As part of the admission, a head-to-chest
assessment is indicated. Before examining the client, it is important the nurse completes which nursing
actions? Select all that apply. - correct answer ✔✔Sanitize the stethoscope endpiece with an alcohol
swab
Observe the client's face and body language for signs of pain or distress
Ask the client to empty their bladder
Organize supplies to avoid interruptions
Perform hand hygiene
A client-centered health assessment yields both subjective and objective data. The nurse would ask
questions to elicit _______ data and would auscultate heart sounds to elicit ______ data. - correct
answer ✔✔Subjective
Objective
The nurse is inspecting the client's neck. Which three (3) health assessment inspection steps will the
nurse take during the neck examination? - correct answer ✔✔Observe for symmetry and midline
alignment of the trachea
Observe for masses on the neck
Observe for full range of motion of the neck
Based on the notes and orders received, the nurse prepares to complete a cardiovascular exam on the
client. Which of these components should be included in the examination? Select all that apply. - correct
answer ✔✔Palpate pulses
Auscultate carotid arteries
In the table below, choose which supplies are indicated or not indicated for the preparation for or
performance of a head-to-chest assessment. - correct answer ✔✔Indicated: Clean gloves
Tongue blades
Assessment
The nurse is admitting a client with an infected left ear cyst. As part of the admission, a head-to-chest
assessment is indicated. Before examining the client, it is important the nurse completes which nursing
actions? Select all that apply. - correct answer ✔✔Sanitize the stethoscope endpiece with an alcohol
swab
Observe the client's face and body language for signs of pain or distress
Ask the client to empty their bladder
Organize supplies to avoid interruptions
Perform hand hygiene
A client-centered health assessment yields both subjective and objective data. The nurse would ask
questions to elicit _______ data and would auscultate heart sounds to elicit ______ data. - correct
answer ✔✔Subjective
Objective
The nurse is inspecting the client's neck. Which three (3) health assessment inspection steps will the
nurse take during the neck examination? - correct answer ✔✔Observe for symmetry and midline
alignment of the trachea
Observe for masses on the neck
Observe for full range of motion of the neck
Based on the notes and orders received, the nurse prepares to complete a cardiovascular exam on the
client. Which of these components should be included in the examination? Select all that apply. - correct
answer ✔✔Palpate pulses
Auscultate carotid arteries
In the table below, choose which supplies are indicated or not indicated for the preparation for or
performance of a head-to-chest assessment. - correct answer ✔✔Indicated: Clean gloves
Tongue blades
