Holistic Assessment Exam Questions with Complete Solutions (Latest 2025) A nurse is assessing a patient for possible fluid overload.Which assessment finding is most consistent with this diagnosis -Boggy eyeball -Moist, plump tongue -Distended neck veins w/ head elevated at 45 degrees -venous filling of 3 second - Correct Answers ✅Distended neck veins w/ head elevated at 45 degrees The nurse is preparing to perform a physical examination on a female patient who has been transferred to the medical unit from the emergency department. The nurse should begin the collection of objective data with which examination?-Head and neck examination.-Palpation of lymph nodes.-Vital signs.-Breast examination - Correct Answers ✅-Vital signs.The nurse is assessing an older adult patient's mental status.Consistently, the patient pauses after the nurse poses a question, but then provides a response that is correct or appropriate. How should the nurse best interpret this characteristic of the patient? 1 / 4
Holistic Assessment Exam Questions with Complete Solutions (Latest 2025) -The patient is displaying a sign of early Alzheimer disease.-Slight delays in mental processing are normal in older adults.-The patient may be trying to anticipate the nurse's desired response.-The patient may be experiencing an early sign of delirium. - Correct Answers ✅-Slight delays in mental processing are normal in older adults.After teaching a group of students about the external and internal structures of the eye, the instructor determines that the teaching was successful when the students identify which of the following as external structures? SELECT ALL THAT APPLY -Lacrimal apparatus -Conjunctiva -Lens -Iris -Sclera -Caruncle - Correct Answers ✅-conjunctiva -lens -iris 2 / 4
Holistic Assessment Exam Questions with Complete Solutions (Latest 2025) The nurse has completed the comprehensive health assessment of a patient who has been admitted for the treatment of community-acquired pneumonia. Following the completion of this assessment, the nurse periodically performs a partial assessment primarily for which reason?-Provide information for the client's record.-Address areas previously omitted.-To determine the need for crisis intervention.-To reassess previously detected problems. - Correct Answers ✅-To reassess previously detected problems.A nurse is reviewing the four basic physical examination techniques and their sequence prior to receiving a new patient from post-anesthetic recovery. The nurse should plan to perform which technique first?-Inspection -Palpation -Percussion -Auscultation - Correct Answers ✅-Inspection The nurse collects vital signs on a hospital patient who has recently been experiencing pain. Which finding would indicate the patient is currently experiencing pain? 3 / 4
Holistic Assessment Exam Questions with Complete Solutions (Latest 2025) -Respiratory rate of 18 breaths/min.-Temperature of 37.3°C (99.1°F).-Heart rate of 110 beats/min.-Blood pressure of 115/65 mm Hg - Correct Answers ✅- Heart rate of 110 beats/min.The nurse has identified abnormal findings when reviewing a young adult patient's health history. Within Kohlberg theory of moral development, what behavioral characteristic is the nurse most likely to observe?-The patient is easily manipulated by others.-The patient is unable to weigh options when presented with a dilemma.-The patient has difficulty trusting others.-The patient makes decisions without considering the impact on others. - Correct Answers ✅-The patient makes decisions without considering the impact on others.The nurse is percussing the area over the patient's lungs and hears a loud, low-pitched, hollow sound. The nurse documents this finding as which of the following?-Tympany
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