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A client with a diagnosis of asthma is admitted to the hospital with respiratory distress. Which type of
adventitious lung sounds should the nurse expect to note documented in the health record when
collecting data related to the respiratory system for this client? - Answer -Wheezing
A client's vision is tested with a Snellen chart. The results of the test are documented as 20/60. How
should the nurse interpret this result? - Answer -The client can read at a distance of 20 feet what a
client with normal vision can read at 60 feet.
A nursing student enrolled in a physical assessment course is asked to describe the probable signs of
pregnancy. Which are probable signs indicating possible pregnancy? Select all that apply. -
Answer -McDonald's, Chadwick's, Hegar's
examination. The initial step should be which? - Answer -inspection
The clinic nurse is assisting to perform a focused data collection process on a client who is complaining of
symptoms of a cold, a cough, and lung congestion. Which should the nurse include for this type of data
collection? Select all that apply. - Answer -Auscultating lung sounds, Obtaining the client's
temperature, Obtaining information about the client's respirations
The nurse employed in the emergency department is collecting data on a 7-year-old child with a
fractured arm. The child is hesitant to answer questions that the nurse is asking and consistently looks at
the parents in a fearful manner. The nurse suspects physical abuse and continues with the data
collection procedures. Which finding would most likely assist in verifying the suspicion? - Answer -
Bald spots on the scalp
The nurse is asked to test the visual acuity of a client using a Snellen chart. The nurse prepares to
perform the test, knowing that which identifies the accurate procedure for this visual acuity test? -
Answer -The right eye is tested, followed by the left eye, and then both eyes are tested.
The nurse is auscultating bowel sounds. Which are appropriate data collection methods? Select all that
apply. - Answer -1.
Divide the abdomen into four quadrants at the umbilicus.