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Exam 12: Physical Assessment

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Question 1

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During a head-to-toe assessment,the nurse assesses the patient's perineal area.Which area should the nurse assess next?

A) Chest
B) Arms
C) Abdomen
D) Legs and feet

E) A) and D)
F) A) and C)

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Question 2

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A nursing assessment is a process of collecting data to establish a database.The information contained in the database is a basis for:

A) a complete physical examination.
B) a medical assessment.
C) an individualized plan of care.
D) writing nursing orders.

E) A) and C)
F) A) and D)

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Question 3

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An abnormal condition in which a person must sit or stand to breathe deeply or comfortably is known as ___________________.

Various techniques are used by the nurse when performing a physical assessment.One of these techniques is percussion.What is percussion used to determine?

During a physical assessment,the nurse notes a patient has a loss of strength and energy.What should the nurse document that the patient is experiencing?

The nurse is collecting data during an initial assessment.What can be seen,heard,measured,or felt and is objective?

An abnormally rapid rate of breathing that is seen in many disease conditions is known as ___________________.

What type of disease results in a structural change in an organ that interferes with its functioning?

The nurse is developing a nursing care plan for a newly admitted patient.What is the first step the nurse will take in developing this care plan?

An older adult patient is being assessed for skin turgor.The nurse identifies decreased skin turgor demonstrated by slow return of the skin to the previous position after being grasped and raised.What can the nurse conclude is responsible for this assessment?

During a physical assessment,the nurse notes a patient passes frequent loose liquid stools.What should the nurse document that the patient is experiencing?

Signs that are perceived by an examiner and can be seen,heard,measured,or felt are known as ___________ _________.

During a physical assessment,the nurse listens for adventitious lung sounds.Crackles are classified as fine,medium,or coarse.When are these sounds most often auscultated?

A physician documents that a patient has a scleral icterus.How does the nurse describe the color of the patient's sclera?

The nurse is obtaining a history of a patient's present illness.The PQRST system is used for the interview.What does the R stand for in this system?

During the nursing interview,several histories are taken.What is the history that involves data concerning habits and lifestyle patterns?

During a physical assessment,the nurse notes a patient has a bluish discoloration of the skin and mucous membranes.How should the nurse document this finding?

When performing a physical examination of a patient,the nurse uses a technique that is particularly useful in identifying areas of tenderness or masses of the abdomen.What is this technique?

The nurse observes that an older adult patient has no hair on the lower legs.The nurse should assess further for the sufficiency of _________ ________.

When performing a nursing physical assessment,the nurse uses a head-to-toe approach.Where will the nurse begin when using this method?