Question 1 A client is asked “what brings you to the clinic today? Which of… 1 A client is asked “what brings you to the clinic today? Which of these responses by the client would indicate that the client does not understand the intent of the question?My daughter brought me to the clinic My urine sugar has been high for three days My Doctor told me to come I haven’t felt myself for a while 2A nurse is assessing clients in a wellness center. When obtaining the health history the nurse should determine if a 29-year old client who had a previous abnormal Papanicolaou smear has been tested for human papillomavirus (HPV)40-year old client has had a prostate-specificICAL antigen test16-year old client who is not sexually active has had a Papanicolaou smear36-year old client who has just weaned her infant from breastfeeding has had a baseline mammography 3A nurse has been informed that a person who is being admitted to the hospital has a hearing deficit. Based on this information, which of these actions should the nurse take during the admission interview? Face the client squarely under good lightening Use exaggerated lip movementsSpeak loudly to the client when asking questionsWrite communication on a notepad. 4A nurse completes the history and physical examination on a client, using the SOAPIE method of documentation. Which of these statements about SOAPIE documentation is accurate?It follows every health care institution’s guideline It provides a clear method of recording client dataIt allows each health care provider to document data in a separate section of the recordIt omits the steps of the nursing process. 5A client has reported an allergy to seafood. Which of these questions would it be most important for a nurse to ask?When was the last time you ate seafood?What type of reaction do you have to seafood?Who else in your family has an allergy to seafood?What treatment have you received for your allergy to seafood?  6A nurse consider a client’s cultural background during the interviewing process for which of these reasons?Culture may affect how the nurse documents in the client’s record.Culture may influence what information is shared with the client.Culture may affect the client’s health maintenance.Culture may influence the standard by which care is delivered to the client.. When documenting a client’s physical examination findings, which of these statements meets the standard guidelines for recording?The client states she felt no pain on palpationThe skin is pink, smooth, moist and without lesionsAll body systems are within normal limits Using the otoscope, I found no abnormalities of the eyes. 7 A nurse is performing a physical assessment on a client who is immunocompromised. Which of these measures should the nurse include?Palpating the lymph nodes Measuring the abdominal girthDetermining the borders of the liverInspecting the soft and hard palates 8.A client reports that her hands are always cold and never seem to get warm. The nurse begins the assessment by palpating the pulses and inspecting the nail beds. Which of these findings would indicate the need for additional assessment?. Capillary refill time that is greater than 3 seconds. A radial pulse located at the medial and ventral aspect of the wrist. A nail bed angle that is 150 degrees. Nails that have a slightly convex profile  9.Which of these guidelines should the clinic nurse follow for all infants regarding head circumference measurements?. Use the measurement at six months to determine the growth rate of the head. Schedule follow-up head assessments monthly. Measure the head size on each visit until age two. Document the head measurement in inches  10 When a nurse is assessing a client’s nose, which of these findings would require FUTHER evaluation?. Red nasal mucosa lining.. Marked nasal flaring.. Clear, watery nasal discharge.. Hairs in the nasal mucosal lining. 11 A nurse in the pediatric clinic examines the ears of a 2-year -old child.In performing the otoscopic examination correctly, the nurse should take which of these actions?. Have the child’s head turned towards the opposite shoulder.. Hold the otoscope handle downward and brace it against the child’s neck.. Pull the pinna up and back to straighten the canal.. Insert the otoscope horizontally using the eyebrow as a landmark. .12The nurse assesses a client’s thorax for tactile fremitus. Which of these techniques is part of the procedure?a. Begin palpating as the client takes a deep breathb. Complete the examination of one side of the chest before examining the opposite side.c. Have the client repeat words to initiate vibrationsd. Begin palpating over the scapulae and move downward.3. You should feel the vibrations transmitted through the airways to the lung. 4. Increased tactile fremitus suggests consolidation of the underlying lung tissues. ) 13 A nurse assesses the chest of a newborn infant. Which of these findings should the nurse consider normal?a. Anteroposterior chest diameter is ¼ that of the transverseb. Chest circumference is greater than that of the head.c. Chest circumference is ½ that of the head the transversed. Chest circumference is smaller than that of the head.  14 A 45-year-old client has been admitted to the cardiac unit for observation. In assessing the client’s heart., The nurse should remember that       a. Four heart sounds are normal and easily heard        b. auscultation sites are not directly over the heart valves.        c. the first heart sound is heard at the beginning of diastole       d. extraneous noises are screened out by the stethoscope.  15 In assessing whether a client has a positive Homans’ sign, the nurse should  a. flex the client’s knees, hold thumbs on the client’s inner midthights, and rotate externally.b. flex the client’s knees, then sharply dorsiflex the client’s foot against the calfc. firmly squeeze the client’s calf muscles simultaneously, then release quickly.d. flex the client’s hip so that the thigh rests on the abdomen, then extend the knee Health Science Science Nursing NURS 5220 Share QuestionEmailCopy link Comments (0)