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concepts of nursing
Adult Head-to-Toe Examination
| Question | Answer |
|---|---|
| Palpation of the thyroid and cervical lymph nodes is included in examination of which part of the body? | Neck |
| Which element of the assessment should be performed with the patient seated and wearing a gown? | Inspection of facial symmetry |
| Which element of the assessment should be performed after assessment of the patient’s back, posterior chest, and lungs? | Palpation of apical pulse |
| Which elements should be performed after light palpation of all quadrants of the abdomen in the adult patient? | Deep palpation of all quadrants |
| Which examination component should be performed while the adult patient is supine with the legs exposed? | Palpation of popliteal pulse |
| Place the examination components in order for the adult patient who is supine. | Auscultate heart Inspect abdomen Percuss liver border Palpate for pedal edema |
| The healthcare provider palpates the prostate gland and seminal vesicles with the patient standing as part of which element of the examination? | Abdominal/Genital |
| Which element is performed after inspection and palpation of the patient’s spine while the patient is standing? | Observe the patient walk heel to toe |
| Observing the patient’s gait and testing balance are included in which element of the adult head-to-toe examination with patient standing? | Neurologic |
| The assessment of financial resources and health insurance is included in which element of the functional examination? | Social situation |
| Which element of the functional assessment should be included during the review of systems? | Signs of dementia |
| On which elements should the nurse focus when performing the physical examination component of the functional assessment? | Evaluating coordination and gait Assessing for dyspnea with exertion Measuring blood pressure while the patient is seated and standing |