ATI Health Assess 2.0 Head to toe Assessment
Learning Module Test Questions Verified A+
A nurse is assessing a client's radial pulse rate. Which of the following information should the nurse
collect while performing this action? (Select all that apply.)
Depth of pedal pitting edema
Regularity of the pulse
Presence of a murmur
Presence of a bruit
Strength of the pulse - Answer Regularity of the pulse
Strength of the pulse
A nurse is assessing a client's posterior and lateral chest. Which of the following actions should the nurse
take?
Position the client in prone position.
Observe for the use of accessory muscles during inspiration.
Begin auscultating at the level of C4.
Reposition the stethoscope downward at 4 inch (10 cm) intervals. - Answer Observe for the use of
accessory muscles during inspiration.
A nurse in an outpatient setting is performing a head-to-toe assessment on a client. Which of the
following should be nurse inspect when performing a general survey of the client? (Select all that apply.)
Nutritional status
Hygiene
Lung expansion
Posture
Range-of-motion - Answer Nutritional status
Hygiene
, Posture
A nurse is preparing to assess the status of a client's upper extremities. Which of the following actions
should the nurse take? (Select all that apply.)
Inspect the condition of each fingernail.
Apply a pulse oximeter to a finger.
Compare the amplitude of the radial pulses bilaterally.
Evaluate blood pressure in an upper extremity.
Palpate the shoulder, elbow, wrist, and finger joints. - Answer Inspect the condition of each fingernail.
Compare the amplitude of the radial pulses bilaterally.
Palpate the shoulder, elbow, wrist, and finger joints.
A nurse is inspecting the anterior chest of a client. Which of the following findings should the nurse
report to the provider?
Distended veins in one breast
Costal margin of 85°
PMI located to the left of the midclavicular line at the 4th intercostal space
Symmetrical chest expansion during the inspiratory phase - Answer Distended veins in one breast
A nurse is preparing to perform a head-to-toe assessment on a client. Which of the following tools
should the nurse plan to gather? (Select all that apply.)
Blood glucose meter
Penlight
Stethoscope
Sphygmomanometer
Sterile gloves - Answer Penlight
Learning Module Test Questions Verified A+
A nurse is assessing a client's radial pulse rate. Which of the following information should the nurse
collect while performing this action? (Select all that apply.)
Depth of pedal pitting edema
Regularity of the pulse
Presence of a murmur
Presence of a bruit
Strength of the pulse - Answer Regularity of the pulse
Strength of the pulse
A nurse is assessing a client's posterior and lateral chest. Which of the following actions should the nurse
take?
Position the client in prone position.
Observe for the use of accessory muscles during inspiration.
Begin auscultating at the level of C4.
Reposition the stethoscope downward at 4 inch (10 cm) intervals. - Answer Observe for the use of
accessory muscles during inspiration.
A nurse in an outpatient setting is performing a head-to-toe assessment on a client. Which of the
following should be nurse inspect when performing a general survey of the client? (Select all that apply.)
Nutritional status
Hygiene
Lung expansion
Posture
Range-of-motion - Answer Nutritional status
Hygiene
, Posture
A nurse is preparing to assess the status of a client's upper extremities. Which of the following actions
should the nurse take? (Select all that apply.)
Inspect the condition of each fingernail.
Apply a pulse oximeter to a finger.
Compare the amplitude of the radial pulses bilaterally.
Evaluate blood pressure in an upper extremity.
Palpate the shoulder, elbow, wrist, and finger joints. - Answer Inspect the condition of each fingernail.
Compare the amplitude of the radial pulses bilaterally.
Palpate the shoulder, elbow, wrist, and finger joints.
A nurse is inspecting the anterior chest of a client. Which of the following findings should the nurse
report to the provider?
Distended veins in one breast
Costal margin of 85°
PMI located to the left of the midclavicular line at the 4th intercostal space
Symmetrical chest expansion during the inspiratory phase - Answer Distended veins in one breast
A nurse is preparing to perform a head-to-toe assessment on a client. Which of the following tools
should the nurse plan to gather? (Select all that apply.)
Blood glucose meter
Penlight
Stethoscope
Sphygmomanometer
Sterile gloves - Answer Penlight
