EXAM) QUESTIONS AND VERIFIED ANSWERS (NIGHTINGALE
COLLEGE)
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Terms in this set (197)
The nurse is performing a Barrel chest
thoracic assessment on a client
with chronic asthma and
hyperinflation of the lungs.
Which finding should be
expected for this client?
The nurse is assessing bowel Note the character and frequency of bowel
sounds for a hospitalized client. sounds
The nurse has heard bowel
sounds in the right
upper quadrant. What action
should the nurse take next?
During inspection of a client's Document an intact gag reflex.
mouth and pharynx, the nurse
places a tongue blade on the
back of the tongue which
causes the client to gag. After
removing the tongue blade,
,what action should the nurse
take?
, When teaching a client how to Upper outer quadrant.
perform a monthly breast self-
assessment, the nurse should
tell the client that it is most
important to assess which part
of the breast more closely for
changes?
The nurse is assessing a A waist circumference is greater than 35
postmenopausal client who has a inches in women puts you at higher risk for
BMI of 32. The client has a type 2 diabetes and heart disease."
chest measurement of 42
inches, waist measurement of 45
inches, and hip
measurement of 50 inches. What
important message
should the nurse explain to the
client to promote health
promotion?
The nurse performs a physical Height reduction of 1.5 inches.
assessment on an older
female client. Which change
from the prior exam may be an
indication of osteoporosis?