f2024/2025 fUPDATE fACTUAL fEXAM
fQUESTIONS fWITH fVERIFIED fANSWERS fA+
fGRADED f||100% fGUARANTEED fPASS
The fnurse fis fperforming fa fthoracic fassessment fon fa fclient fwith fchronic fasthma fand
fhyperinflation fof fthe flungs. fWhich ffinding fshould fbe fexpected ffor fthis fclient? f-
fanswersBarrel fchest
The fnurse fis fassessing fbowel fsounds ffor fa fhospitalized fclient. fThe fnurse fhas fheard
fbowel fsounds fin fthe fright fupper fquadrant. fWhat faction fshould fthe fnurse ftake fnext? f-
fanswersNote fthe fcharacter fand ffrequency fof fbowel fsounds
During finspection fof fa fclient's fmouth fand fpharynx, fthe fnurse fplaces fa ftongue fblade
fon fthe fback fof fthe ftongue fwhich fcauses fthe fclient fto fgag. fAfter fremoving fthe ftongue
fblade, fwhat faction fshould fthe fnurse ftake? f- fanswersDocument fan fintact fgag freflex.
When fteaching fa fclient fhow fto fperform fa fmonthly fbreast fself-assessment, fthe fnurse
fshould ftell fthe fclient fthat fit fis fmost fimportant fto fassess fwhich fpart fof fthe fbreast fmore
fclosely ffor fchanges? f- fanswersUpper fouter fquadrant.
The fnurse fis fassessing fa fpostmenopausal fclient fwho fhas fa fBMI fof f32. fThe fclient fhas
fa fchest fmeasurement fof f42 finches, fwaist fmeasurement fof f45 finches, fand fhip
fmeasurement fof f50 finches. fWhat fimportant fmessage fshould fthe fnurse fexplain fto fthe
fclient fto fpromote fhealth fpromotion? f- fanswersA fwaist fcircumference fis fgreater fthan
f35 finches fin fwomen fputs fyou fat fhigher frisk ffor ftype f2 fdiabetes fand fheart fdisease."
The fnurse fperforms fa fphysical fassessment fon fan folder ffemale fclient. fWhich fchange
ffrom fthe fprior fexam fmay fbe fan findication fof fosteoporosis? f- fanswersHeight freduction
fof f1.5 finches.
While fconducting fan finterview fto fobtain fa fhealth fhistory, fthe fnurse fnotices fthat fthe
fclient fpauses ffrequently fand flooks fat fthe fnurse fexpectantly. fWhich fresponse fis fbest
ffor fthe fnurse fto fprovide? f- fanswersSit fquietly fto fallow fthe fclient fto frespond
fcomfortably.
A fclient fis fin fthe fclinical ffor fa fyearly fphysical fexamination. fWhich faction fshould fthe
fnurse ftake fwhen fpreparing fto fexamine fthe fclient's fabdomen? f- fanswersAsk fthe fclient
fto furinate fbefore fbeginning fthe fexamination.
Which frespiratory fcondition fshould fthe fnurse fdocument fafter fmeasuring fa frespiratory
frate fof f8 fbreaths/minute? f- fanswersBradypnea.
, Which fprocedure fshould fthe fnurse fuse fto fassessfor fa fpulse fdeficit? f-
fanswersMeasure fthe fapical fpulse fand fcompare fit fto fthe fperipheral fpulse.
*A fpulse fdeficit fis fa fpalpable fdifference fbetween fthe fapical fpulse fat fthe fpoint fof
fmaximal fimpulse fand fthe fradial fpulse fpalpated fat fthe fwrist.
A fclient fhas fbeen fdiagnosed fwith fbilateral flower flobe fatelectasis. fWhat fpercussion
fsound fshould fthe fnurse fexpect fto fhear fwhen fpercussing fover fthe fclient's flower
flobes? f- fanswersDull, fthud-like.
A fclient fis fbeing fassessed fupon fadmission fto fthe fmedical-surgical funit. fThe fnurse fis
fpreparing fto fcomplete fa fhead-to-toe fassessment fand fwill fbegin fat fthe fhead fof fthe
fclient. fWhich ftechnique fshould fthe fnurse fuse fto fbegin fthe fassessment? f-
fanswersInspect fthe fhair fand fskin.
The fnurse fis fassessing fa fhealthy fyoung fadult fduring fan fannual fphysical fexamination.
fWhich fassessment ftechnique fshould fthe fnurse fimplement fwhen fpalpating fthe
fabdominal faorta? f- fanswersDeep fpalpation fabove fand fto fthe fleft fof fthe fumbilicus.
The fnurse fis fconducting fa ffamily fhistory fas fpart fof fthe fassessment finterview. fWhich
faction fshould fthe fnurse ftake fto fensure fthat fsufficient finformation fabout fthe fclient's
fblood frelatives fis fobtained? f- fanswersDocument fat fleast f3 fgenerations fof fthe fclient's
ffamily fmedical fhistory.
The fnurse fis ftesting fthe fclient's fshoulders ffor frange fof fmotion. fWhat fshould fthe fnurse
fdocument fto frecord fnormal finternal frotation? f- fanswersRange fof f90 fdegrees fwhen
fthe fhands fare fplaced fat fthe fsmall fof fthe fback.
A fclient fpresents fwith fa frash falong fthe foccipital farea fof fthe fhairline fand freports
fintense fitching. fHow fshould fthe fnurse fbegin fthe fobjective fpart fof fthe fexamination? f-
fanswersInspect fthe fscalp flooking ffor fnits.
The fnurse fis fassessing fa fclient's frange fof fmotion fas fthe fclient fbends fthe fright fknee
fup fto fthe fchest fwhile fkeeping fthe fleft fleg fstraight, fbut fis funable fto fkeep fthe fleft fthigh
fon fthe ftable. fThe fassessment fis frepeated ffor fthe fleft fknee, fand fthe fclient fis funable
fto fkeep fthe fright fthigh fon fthe ftable. fHow fshould fthe fnurse fdocument fthis ffinding? f-
fanswersA fflexion fdeformity freferred fto fas fa fpositive fThomas ftest.
During fa fskin fasssessment, fthe fnurse fnotes, fround fand fdiscrete flesions fthat fare fdark
fred fin fcolor fand fwill fnot fblanch. fThe flesions frange ffrom f1 fto f3 fmm fin fsize. fWhat fis
fthe ffirst fquestion fthe fnurse fshould fask fthe fclient? f- fanswersHave fyou fnotice fany
firregular fbleeding
A fclient fwith fprogressive fhearing floss fappears fdistressed fwhen fthe fregistered fnurse
f(RN) fasks fopen-ended fquestions fabout fthe fclient's fhealth fhistory. fWhich fforms fof