QUESTIONS AND ANSWERS | 2025/2026 UPDATE |
100% CORRECT
Which are reasons for a nurse to perform a nursing assessment of a client?
Select all that apply.
To obtain baseline information
To develop a plan for nursing care
To evaluate effectiveness of interventions
To receive reimbursement for services provided
To determine the presence of disease and its pathology Answer - -To obtain
baseline information
-To develop a plan for nursing care
-To evaluate effectiveness of interventions
The nurse is assessing the lungs of a client and notes rhonchi as well as regular
breath sounds in both lung fields. The client appears to be in no respiratory
distress and has an oxygen saturation of 98% on room air. What should be the
nurse's first intervention?
Have the client cough and listen again.
Notify the primary healthcare provider.
Administer a nebulizer breathing treatment.
Document the findings in the medical record.
, Next Answer - Have the client cough and listen again
Parents and their toddler come to the clinic for a well-child checkup. Which
differences would the nurse incorporate into the assessment since the client is
a child? Select all that apply.
Allow the toddler to make choices.
Let the child play with the equipment.
Administer needed immunizations last.
Hold the toddler against the parent's chest.
Promote and support the child's independence. Answer - -Allow the toddler to
make choices
-Administer needed immunizations last
In which order should the nurse perform an abdominal assessment for a client
with a suspected bowel obstruction? Answer - 1. Inspection
2. Auscultation of major bowel sounds
3. Auscultation of major arteries
4. Percussion
5. Palpation
The nurse is assessing the cardiovascular status of a client, including pulses.
Which action made by the nurse can place the client at risk for a stroke?
Auscultate the carotids for bruits.
Have the client lie on their left side.
Locate and feel pulses with the thumbs.