PN NCLEX Health assessment/physical exam Test Questions with Answers

PN NCLEX Health assessment/physical exam Test Questions with Answers the nurse is auscultating bowel sounds. Which are appropriate data collection methods - ️️ -divide the abdomen into four quadrants at the umbilicus do not feed the client if no sounds are audible in 5 minutes listen and each quadrant for gurgling sounds indicating movement the nurse is checking the apical heart rate of a client with a complaint of angina. The nurse places the stethoscope in which anatomical area - ️️ -4 the nurse notes documentation that a client is exhibiting Cheyenne Stokes respirations. On data collection of the client, the nurse expects to note which finding - ️️ - Rhythmic respirations with periods of apnea a client with a diagnosis of asthma is admitted to the hospital with respiratory distress. Which type of adventititious lung sounds should the nurse expect to note documented in the health record when collecting data related to the respiratory system for this client - ️️ -wheezes the nurse is preparing the client for eye testing, and the examiner is planning to test the eyes using the confrontational method. What should the nurse tell the client about the purpose of the test - ️️ -examines visual fields or peripheral vision the nurse is preparing to auscultate a client's abdomen for bowel sounds. The nurse listens for bowel sounds in which abdominal quadrant first - ️️ -3 the nurse is preparing to perform an abdominal examination. The initial step should be which - ️️ -inspection the nurse is preparing to assist the healthcare provider to test the extraocular movements in a client for muscle weakness in the eyes. The nurse anticipates that which physical assessment technique will be done to assess for muscle weakness in the eye - ️️ -testing the six cardinal positions of gaze upon palpation of the fontanelle of a three month old newborn, the nurse notes that the anterior fontanelle has not closed and is soft and flat. Which action should the nurse take - ️️ -document the findings a nursing student enrolled in a physical assessment courses asked to describe the probable signs of pregnancy. Which are probable signs indicating possible pregnancy - ️️ -hager's Chadwicks McDonald's the nurse is collecting medication information from a client, and the client states that she is taking garlic as an herbal supplement. The nurse understands that the client is most likely treating which condition - ️️ -hyperlipidemia while collecting data related to the cardiac system on a client diagnosed with an incompetent heart valve, the nurse auscultate say murmur. Which best describes the sound of a heart murmur - ️️ -gentle, blowing or swishing noise to assess for the presence of the posterior tibialis pulse the nurse should palpate which area - ️️ -in the groove behind the medial malleolus and the Achilles tendon the nurse notes documentation that a client has conductive hearing loss. The nurse understands that which is a cause of this type of hearing loss - ️️ -a physical obstruction to the transmission of sound waves when collecting physical assessment data, the nurse understands that the spleen is located in which abdominal quadrant - ️️ -2 the nurse is preparing to perform an abdominal assessment on a client. The nurse places the client in which best position to perform the assessment - ️️ -2 the nurse provides information to a client regarding breast self-examination. Which client statement indicates a need for further teaching - ️️ -I don't need to do that, I'm too old for that which observation indicates that the nurse is performing a whispered voice hearing assessment test procedure correctly - ️️ -ask the client to block one ear at a time the nurse is preparing to collect data by examining the abdomen. The nurse should begin the assessment by performing