NR302 Nursing Skill Head-to-Chest Assessment.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/NR302%20Nurs
NR302 Nursing Skill Head-to-Chest
Assessment Questions & Answers
1. 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.
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
2. A client-centered health assessment yields both subjective and objective
data. The nurse would ask questions to elicit data and would auscul-
tate heart sounds to elicit data.
Answer Subjective
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,NR302 Nursing Skill Head-to-Chest Assessment.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/NR302%20Nurs
Objective
3. The nurse is inspecting the client's neck.Which three (3) health assessment
inspection steps will the nurse take during the neck examination?
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
4. 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.
Answer Palpate pulses
Auscultate carotid arteries
5. In the table below, choose which supplies are indicated or not indicated for
the preparation for or performance of a head-to-chest assessment.
Answer Indicated Clean gloves
Tongue blades
Soap or alcohol-based hand rub Stethoscope
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NR302 Nursing Skill Head-to-Chest
Assessment Questions & Answers
1. 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.
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
2. A client-centered health assessment yields both subjective and objective
data. The nurse would ask questions to elicit data and would auscul-
tate heart sounds to elicit data.
Answer Subjective
1/8
1 of 8 11/8/2024, 7:22
,NR302 Nursing Skill Head-to-Chest Assessment.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/NR302%20Nurs
Objective
3. The nurse is inspecting the client's neck.Which three (3) health assessment
inspection steps will the nurse take during the neck examination?
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
4. 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.
Answer Palpate pulses
Auscultate carotid arteries
5. In the table below, choose which supplies are indicated or not indicated for
the preparation for or performance of a head-to-chest assessment.
Answer Indicated Clean gloves
Tongue blades
Soap or alcohol-based hand rub Stethoscope
2/8
2 of 8 11/8/2024, 7:22
