ACCUTARE SPRING-SUMMER QUARTER 100%
ACCURATE (WCU)
What are the basic techniques of physical assessments? - ✔✔ANSW✔✔Inspection,
auscultation, percussion, and palpation
What is the assessment technique for swollen extremities? - ✔✔ANSW✔✔Palpation
Assessment technique for physical assessment of the abdomen of a client that
complains of abdominal pain? - ✔✔ANSW✔✔Palpate the abdominal area last
Equipment used during the physical assessment on a client if unable to palpate the
pedal pulses - ✔✔ANSW✔✔Doppler
Assessment of skin on lower extremities with several scabs present, what is the most
appropriate response by the nurse? - ✔✔ANSW✔✔Ask, "Can you tell me what caused
the scabs on your legs?"
Assessment of clients upper back show multiple areas of ecchymosis, what should the
nurse ask? - ✔✔ANSW✔✔"I see some bruising on your back can you tell me about
this?"
Assessment of an area of inflammation due to localized infection, what is this finding? -
✔✔ANSW✔✔Erythema
Nurse notices client has extremely dry and brittle hair, which question would be most
appropriate to ask? - ✔✔ANSW✔✔"How do you care for your hair?"
Physical assessment of an obese client is required to place in supine position. What
should the nurse monitor for this client? - ✔✔ANSW✔✔Respiratory distress
Performing physical assessment on a client who is diaphoretic, what does the nurse
observe? - ✔✔ANSW✔✔Perfuse sweating
Client presents with pain upper in right chest, side, and back. Rash forms a straight line
over the upper right chest, side, and back. How would you describe the rash? -
✔✔ANSW✔✔Zosteriform
, Conducting assessment of client's hair, skin, and nails. Steps of the examination in
order are...? - ✔✔ANSW✔✔Explain the purpose of the exam, obtain permission to
perform, inspect skin, palpate the skin. Inspect and palpate hair and nails.
Expectation of lymph nodes in healthy adults - ✔✔ANSW✔✔Lymph nodes are not
palpable
Assessment of trachea and thyroid gland; first step - ✔✔ANSW✔✔Locate the hyoid
bone
Physical assessment of the neck, which pulse point is the nurse assessing? -
✔✔ANSW✔✔Carotid pulse
During the focused interview, the client was asked have you noticed any lumps or
swelling on your neck. What is the nurse assessing for? - ✔✔ANSW✔✔Symptoms
Deviation on the head on one side - ✔✔ANSW✔✔Torticollis
Five phases of the nursing process in the appropriate sequence -
✔✔ANSW✔✔Assessment, diagnosis, planning, implementation, and evaluation
Phase of the nursing process that identify the health care needs of the client -
✔✔ANSW✔✔Nursing diagnosis
Which category would a client's blood pressure 180/110 belong to? -
✔✔ANSW✔✔Objective data`
Client's mother informs the nurse that her daughter has no been sleeping due to
headache and stomach pain. Which category of data would this belong to? -
✔✔ANSW✔✔Subjective data
Tapping the body's surface to produce vibration and sound - ✔✔ANSW✔✔Percussion
What is the 5th vital sign? - ✔✔ANSW✔✔pain
During a focused interview with a nurse and client it is important to... -
✔✔ANSW✔✔Interact easily
Explain to a client that will receive corrective lenses for myopia... - ✔✔ANSW✔✔The
lenses will help to see objects in the distance
Function of cranial nerve III and how do you know if it isn't functioning properly? -
✔✔ANSW✔✔muscle of eye movement. No consensual response- not functioning