Nurs 251 Final – Questions With A+ Solutions
A nurse is introducing herself to a client as the first step of a comprehensive
physical exam. Which of the following strategies should the nurse use with
this client Correct Answer - -Use a mix of open and close ended question
-reduce environmental noise
-perform the general survey before the exam
a nurse in a providers office is documenting his findings following an exam he
performed for a client new to the practice. which if the following parameters
should he include as part of the general survey Correct Answer - -
posture
-skin lesions
-speech
a nurse is performing an exam on an older adult client. which of the following
interventions should the nurse use in consideration of the client's age
Correct Answer - -plan to allow plenty of time for position changes
-make sure the client has any essential sensory aids in place
-tell the client to take her time answering questions
-invite the client to use the bathroom before the exam
a nurse in a family practice clinic is performing a physcial exam on an adult
client. which part of her hands should she use during palpation for optimal
assessment of skin temperature Correct Answer - dorsal surface
a nurse is caring got an 83 y/o client in the ED who has an oral body temp of
101F, pulse 114, resp 22. He is restless and his skin is warm. which
interventions should the nurse take Correct Answer - -obtain culture
specimens before initiating antimicrobials
-encourage the client to rest and limit activity
-assist the client with oral hygiene frequently
a nurse is instructing a group of nursing students in measuring a client's resp
rate. which of the following guidelines should the nurse include Correct
Answer - -place the client in a semi-Fowlers position
-have the client rest an arm across the abdomen
-observe one full resp cycle before counting the rate
, a nurse who is admitting a client who has a fractured femur obtains a BP
reading of 140/94. client denies history of hypertension. which of the
following actions should the nurse take first Correct Answer - -ask the
client if she is having pain
a nurse in a providers office is preparing to test a client's cranial nerve
function. Which of the following directions should she include when testing
cranial nerve 5 Correct Answer - -clench your teeth
-tell me when you feel a touch
nurse is assessing a client's thyroid gland as part of exam..which findings
should the nurse expect Correct Answer - -palpating thyroid in the lower
half of the neck
-feeling the thyroid ascend as the client swallows
-finding symmetric extension off the trachea on both sides of the midline
nurse is assessing an adult client's internal ear canals with an otoscope as aprt
of head and neck exam..which actions should the nurse take Correct Answer
- -insert the speculum slightly down adn forward
-make sure the speculum does not touch ear canal
-use light to visualize tympanic membrane in a cone shape
a nurse caring for a client who asks what her Snellen eye test results
mean..client is 20/30 Correct Answer - -your eyes see at 20 ft what
visually unimpaired eyes see at 30ft
nurse is performing a head and neck exam for older adult client..which age
related findings should nurse expect Correct Answer - -tooth loss
-glare intolerance
-thickened eardrums
a nurse is preparing to perform a breast exam for an older adult client who is
postmenopausal. which of the following should the nurse expect Correct
Answer - -smaller nipples
-more pendulous
-nipple inversion
A nurse is introducing herself to a client as the first step of a comprehensive
physical exam. Which of the following strategies should the nurse use with
this client Correct Answer - -Use a mix of open and close ended question
-reduce environmental noise
-perform the general survey before the exam
a nurse in a providers office is documenting his findings following an exam he
performed for a client new to the practice. which if the following parameters
should he include as part of the general survey Correct Answer - -
posture
-skin lesions
-speech
a nurse is performing an exam on an older adult client. which of the following
interventions should the nurse use in consideration of the client's age
Correct Answer - -plan to allow plenty of time for position changes
-make sure the client has any essential sensory aids in place
-tell the client to take her time answering questions
-invite the client to use the bathroom before the exam
a nurse in a family practice clinic is performing a physcial exam on an adult
client. which part of her hands should she use during palpation for optimal
assessment of skin temperature Correct Answer - dorsal surface
a nurse is caring got an 83 y/o client in the ED who has an oral body temp of
101F, pulse 114, resp 22. He is restless and his skin is warm. which
interventions should the nurse take Correct Answer - -obtain culture
specimens before initiating antimicrobials
-encourage the client to rest and limit activity
-assist the client with oral hygiene frequently
a nurse is instructing a group of nursing students in measuring a client's resp
rate. which of the following guidelines should the nurse include Correct
Answer - -place the client in a semi-Fowlers position
-have the client rest an arm across the abdomen
-observe one full resp cycle before counting the rate
, a nurse who is admitting a client who has a fractured femur obtains a BP
reading of 140/94. client denies history of hypertension. which of the
following actions should the nurse take first Correct Answer - -ask the
client if she is having pain
a nurse in a providers office is preparing to test a client's cranial nerve
function. Which of the following directions should she include when testing
cranial nerve 5 Correct Answer - -clench your teeth
-tell me when you feel a touch
nurse is assessing a client's thyroid gland as part of exam..which findings
should the nurse expect Correct Answer - -palpating thyroid in the lower
half of the neck
-feeling the thyroid ascend as the client swallows
-finding symmetric extension off the trachea on both sides of the midline
nurse is assessing an adult client's internal ear canals with an otoscope as aprt
of head and neck exam..which actions should the nurse take Correct Answer
- -insert the speculum slightly down adn forward
-make sure the speculum does not touch ear canal
-use light to visualize tympanic membrane in a cone shape
a nurse caring for a client who asks what her Snellen eye test results
mean..client is 20/30 Correct Answer - -your eyes see at 20 ft what
visually unimpaired eyes see at 30ft
nurse is performing a head and neck exam for older adult client..which age
related findings should nurse expect Correct Answer - -tooth loss
-glare intolerance
-thickened eardrums
a nurse is preparing to perform a breast exam for an older adult client who is
postmenopausal. which of the following should the nurse expect Correct
Answer - -smaller nipples
-more pendulous
-nipple inversion
