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transition test 1
| Answer | |
|---|---|
| Which of the following indicates a normal finding on auscultation of the lungs | Resonance over the left upper lobe |
| The nurse positions the client sitting upright during palpation of which of the following areas? | Head and neck |
| After auscultating the abdomen, the nurse should report which of the following to the primary care provider? | Bruit over the aorta |
| If unable to locate the client’s popliteal pulse during a routine examination, the nurse should perform which of the following next? | Check for a pedal pulse |
| Which of the following is an expected finding during assessment of the older adult? | Decreased peripheral, color, and night vision |
| List five aspects of the skin that the nurse assesses during a routine examination. | Temperature, moisture, turgor, odor, edema, color |
| If the client reports loss of short-term memory, the nurse would assess this using which one of the following? | Ask the client to describe how he or she arrived at this location |
| In order to palpate lymph nodes, the nurse uses which of the following techniques? | Use the pads of two fingers in a circular motion |
| For a client whose assessment of the musculoskeletal system is normal, the nurse checks which of the following on the medical record? atrophied contractured crepitation Equal firm flaccid hypertrophied spastic symmetrical tremor | Equal, Firm, Symmetrical |
| The nurse assesses the cardiac status of a patient and identifies an increased pulse pressure. Pulse pressure can best be described as which of the following? | The difference between systolic and diastolic blood pressure readings |
| After receiving report, the nurse assesses a patient who is having Cheyne-Stokes respirations. What is the BEST description of the breathing pattern the nurse should expect to see? | Irregular patterns of rapid waking and waning breathing alternating with periods of apnea |
| When performing a physical assessment, the home health nurse notes that the eyes of the client involuntarily move rapidly from side to side. Which of the following terms should the nurse use in charting to describe this observation? | Nystagmus |
Created by:
kikimoy
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