HEALTH ASSESSMENT AT I EXAM

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HEALTH ASSESSMENT AT I EXAM

1 CORRECTLY ANSWERED

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Question :A nurse is introducing herself to a client as the

first step of a comprehensive physical examination.Which of the following strategies should the nurse use with this client? (select all that apply)

• Address the client with the appropriate title and her

last name.

• Use a mix of open- and close-ended questions.
• Reduce environmental noise.
• Have the client complete a health history form.
• Perform the general survey before the examination.

Correct answer:B, C, E

Question :A nurse in a provider's office is documenting

his findings following an examination he performed for a client new to the practice. Which of the following

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parameters should he include as part of the general survey? (Select all that apply.)

• Posture
• Skin lesions
• Speech
• Allergies.
• immunization status

Correct answer:A, B, C

Question :A nurse is collecting data for a client's

comprehensive physical examination. after the nurse inspects the client's abdomen, which of the following skills of the physical examination process should she perform next?

A.olfaction B.auscultation C.Palpation D.Percussion

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Correct answer:B

Question :A nurse is performing a comprehensive

physical examination of an older adult client. Which of the following interventions should the nurse use in consideration of the client's age? (Select all that apply.)

a.Collect the data in one continuous session.B.Plan to allow plenty of time for position changes.C.Make sure the client has any essential sensory aids in place.

• tell the client to take her time answering questions.
• invite the client to use the bathroom before beginning

the examination

Correct answer:B, C, D, E

Question :A nurse in a family practice clinic is

performing a physical examination of an adult client.Which part of her hands should she use during palpation for optimal assessment of skin temperature?

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A.Palmar surface B.Fingertips C.Dorsal surface D.Base of the fingers

Correct answer:C

Question :A nurse is caring for an 82‑year‑old client in

the emergency department who has an oral body temperature of 38.3° C (101° F), pulse rate 114/min, and respiratory rate 22/min. He is restless and his skin is warm. Which of the following interventions should the nurse take? (Select all that apply.)

A.Obtain culture specimens before initiating antimicrobials.B.Restrict the client's oral fluid intake.C.Encourage the client to rest and limit activity.

• allow the client to shiver to dispel excess heat.
• assist the client with oral hygiene frequently