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Test bank for Nursing Fundamentals - Head to Toe Assessment Questions answered. 100% solved

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Test bank for Nursing Fundamentals - Head to Toe Assessment Questions answered. 100% solved

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Head To Toe Assessment
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Institución
Head to Toe Assessment
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Head to Toe Assessment

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Subido en
27 de octubre de 2024
Número de páginas
36
Escrito en
2024/2025
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Examen
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Test bank for Nursing Fundamentals - Head to Toe Assessment Questions answered. 100% solved


Test bank for Nursing Fundamentals - Head to Toe Assessment Questions answered. 100% solved




Test bank for Nursing
Fundamentals - Head to Toe
Assessment Questions correctly
answered. 100% solved



The very first thing a nurse will assess when doing a head to toe
examination is what?


A. head
B. eyes
C. ears
D. general appearance - answer ✅✅D. general appearance

,When assessing a clients physical appearance a nurse will note which
of the following? (select all that apply)


A. clients age
B. clients gender
C. clients speech
D.Palpate maxillary and facial sinuses - answer ✅✅a,b,c


When it comes to assessing the clients physical appearance which of
the following lists what a nurse would look for?


A. gender,age, ethnicity, dress, speech, level of conciousness
B.religion,age, ethnicity, dress, speech, level of conciousness
C. age, gender, ethnicity, dress, diet, speech, level of conciousness
D.gender,age, ethnicity, marital status, dress, speech, level of
conciousness - answer ✅✅A. gender,age, ethnicity, dress, speech,
level of conciousness


Nurse Becky has her client come in and looks at the way he is dressed
what is she looking for?


A. that her client has a good fashion sense
B. that her client feels comfortable with her
C. that her client's dress is appropriate for his gender, age, and time of
the year

,D. that her client's dress is appropriate for his gender, societal status,
and marital status - answer ✅✅C. that her client's dress is appropriate
for his gender, age, and time of the year


What could the nurse assess based soley on the way the client walks
into the room?


A. gender and age
B. dress and signs of illness
C. signs of illness, well nourished
D. gait and posture - answer ✅✅D. gait and posture


Nurse Dave has his client come in and proceeds to ask him his name,
his date of birth, if he knows where he is, and what day of the week it
is. In doing this Dave is testing his clients what?


A. intelligence coeffient
B. level of conciousness
C. social and cognitive skills
D. physical and mental development - answer ✅✅B. level of
conciousness


A nurse should assess a client's level of conciousness to ensure they are
oriented how? (select all that apply)


A. oriented to time

, B. oriented to place
C. oriented to person
D. understands and responds to questions appropriately
E. all of the above - answer ✅✅E. all of the above


Which of the following would be considered normal observations
regarding a client's speech?


A. that it is rushed and garbbled
B. it is articulate and easy to understand
C. it is articulate but spoken in a language other than English
D. it is hapazard and sing-song like - answer ✅✅b,c


Nurse George has just assessed his client's articulation, language, and
other aspects of his speech. In doing this which cranial nerves has he
just assessed?


A. cranial nerves 4 and 5
B. cranial nerves 6 and 12
C. cranial nerves 9 and 12
D. cranial nerves 10 and 12 - answer ✅✅D. cranial nerves 10 and 12


What is the very first thing a nurse should do at the begining of a head
to toe assessment?
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