ANSWERS
A client tells the nurse that he is concerned because his provider told him he has a
heart murmur how should the nurse explain to murmur correct answer Indicates
turbulent blood flow through a valve
A clinic nurse is performing a physical assessment on a client who has systemic
lupus which of the following findings correct answer A dry red rash across the
bridge of the nose and on the cheeks
A nurse in an ophthalmology clinic is interviewing a client who was referred by his
primary care provider for suspicion of cataracts. The nurse should expect the
client to report correct answer Having a decrease ability to perceive colors
A nurse in the outpatient clinic is assessing a client who has psoriasis. The nurse
should expect which of the following findings correct answer Silvery white scales
A nurse is assessing a client circulatory system which of the following policies
should the nurse avoid assessing bilaterally at the same time correct answer
Carotid
A nurse is assessing a client who has a wrist restraint applied for which of the
following findings should the nurse loosen the restraints correct answer The
clients hand is cool and pale
A nurse is assessing a client who has Bell's palsy which of the following findings
should the nurse expect correct answer Muscle distortion
Pain behind the ear
, Impaired taste
A nurse is assessing a client who has COPD the nurse should expect back the
clients chest to be which of the following shapes correct answer Barrel
A nurse is assessing a client who has left-sided heart failure which of the following
findings should the nurse expect correct answer Hacking cough
A nurse is auscultating a clients heart sounds and here's an extra heart sound
before what should be considered the first heart sound S one. The nurse should
document this as what correct answer The fourth heart sound S4
A nurse is caring for a client who has herpes zoster which of the following findings
should the nurse expect correct answer Painful lesions following a nerve pathway
A nurse is caring for a client who is unconscious and has a breathing pattern
characterized by alternating periods of hyperventilation and apnea. The nurse
should document that the client has which of the following respiratory alterations
correct answer Cheyenne Stokes respirations
A nurse is completing the initial admission assessment in history for a client which
of the following is the priority action for the nurse to take correct answer
Document the clients allergies in the electronic medical record
A nurse is instructing a group of caregivers about variations in hearts rate in
adults the nurse correctly states that the appropriate term for a heart rate is 105
in an adult is correct answer Tachycardia