Physical Assessment Fundamentals of Nursing CH 30 NCLEX Type Questions And Answers New Update 2023 A+

Physical Assessment Fundamentals of Nursing CH 30 NCLEX Type Questions And Answers New Update 2023 A+ A nurse is obtaining a patient's radial pulse and iden- tifies that its rhythm is irregular. What should the nurse do next? 1. Notify the patient's primary health-care provider. 2. Obtain the patient's blood pressure. 3. Take the pulse in the other arm. 4. Assess the apical pulse. - ANS-4 Which patient should the nurse perform a focused assessment on first? 1. A patient with obstructive pulmonary disease who is using pursed lip breathing 2. A patient returning from a walk down the hall who is exhibiting nasal flaring 3. A patient with dyspnea who abruptly assumes the orthopneic position 4. A patient with asthma who is wheezing - ANS-3 A nurse is taking a patient's temperature using a tympanic membrane thermometer. Which action is important when using this thermometer? 1. Clean the probe before and after use. 2. Use a new probe cover for each patient. 3. Slide the probe medially to laterally across the forehead to the temple. 4. Pull the pinna of the ear upward when inserting the probe into the ear of an infant. - ANS-2 A nurse identifies that a patient's abdomen is distended. What assessment should the nurse perform next? 1. Weigh the patient. 2. Obtain the vital signs. 3. Measure the girth of the abdomen. 4. Inspect the characteristics of the next stool. - ANS-3 A nurse is performing a breast examination as part of a patient's physical assessment. What technique should the nurse employ during this examination? 1. Use the finger pads to palpate breast tissue. 2. Assess the nipples before palpating the breasts. 3. Inspect the breasts while the patient is in the supine position. 4. Follow only a circular sequence of palpation of a breast from the nipples outward. - ANS-1 A nurse analyzes data collected about a patient, including temperature, 101°F; apical pulse, 104 beats/ minute; radial pulse, 72 beats/minute; respirations, 22 breaths/minute; pulse oximetry, 95 percent; and blood pressure, 138/72 mm Hg. What is the patient's pulse deficit? - ANS- CONTINUES...