"I feel like I can't catch my breath" is an example of Correct
Answers subjective data
5 A's of smoking Correct Answers Ask, advice, assess, assist,
and arrange
A 13-year-old boy is brought to the emergency department with
an injury to his left ankle after a skateboard accident. Diagnostic
films show a fracture across the epiphyses. The doctor explains
that the patient may not have full ROM and that his left leg may
be shorter than his right leg. The parents ask why one leg may
be shorter than the other. What would be the nurse's best
answer? Correct Answers The fracture crosses the part of the
bone where the bone lengthens
A 15-year-old patient has come to the walk-in clinic for a sports
physical. The nurse percusses the chest, expecting to find which
of the following? Correct Answers Resonance
A 23-year-old female athlete presents at the clinic with pain in
her tibiotalar joint. It is a hinge joint limited to flexion and
extension. The terms used to describe these movements are
what? Correct Answers Dorsiflexion and plantar flexion
A client is obese and the nurse takes the blood pressure with a
standard cuff which is too small. How will this affect the
reading? Correct Answers Reading will be high
,A clinical instructor is discussing with a clinical group how to
take a history of the patient's present illness. A student asks how
to best guide the interview. What would be the instructor's most
appropriate answer? Correct Answers Follow the cues of the
patient during the interview
A community organization sponsors a health fair to increase
awareness of colon cancer. At the health fair, colorectal cancer
screening kits are distributed, and healthcare professionals
answer questions, take blood pressure, and distribute literature.
These activities are examples of _____ prevention. Correct
Answers Secondary
A male patient is very talkative and shares much information
that is not relevant to his history or the reason for his admission.
Which action by the nurse improves data collection in this
situation? Correct Answers Use close ended questions
A nurse asks a patient to say "ninety-nine" as the nurse palpates
the posterior thorax. The nurse is assessing which of the
following? Correct Answers Fremitus
A nurse has just finished assessing a patient's spine and neck
muscles. How would the nurse document normal findings?
Correct Answers Neck assessment WNL
A nurse is assessing a patient and collecting only the most
important information. What type of assessment is the nurse
doing? Correct Answers Focused
, A nurse is assessing a patient's peripheral circulation. Which
finding indicates venous insufficiency of this patient's legs?
Correct Answers Edema is worse at the end of the day
A nurse is checking the vital signs of a 92-year-old client. The
radial pulse has an irregular beat about every fifth or sixth beat.
The rate is 92/min. The client is not having any symptoms. The
nurse's next step should be to Correct Answers Check an apical
pulse for 60 seconds and note any pulse deficits
A nurse is having difficulty eliciting a patellar reflex. Which of
the following would be most appropriate for the nurse to have
the patient do? Correct Answers Interlock hands
A nurse is preparing a teaching plan for a patient newly
diagnosed with peripheral arterial disease. The nurse knows to
address in this teaching plan the most modifiable risk factors.
What risk factors would the nurse include? (Mark all that apply.)
Correct Answers High-fat diet, smoking, activity level
A nurse is preparing to assess a patient's cerebellar function.
Which of the following would the nurse expect to test? Correct
Answers Balance
A nurse is preparing to assess the cranial nerves of a patient. The
nurse is about to test CN I. Which of the following would the
nurse do? Correct Answers Ask client to identify scents
A nurse is teaching a group of middle adults about health
promotion. What statement by one of the participants indicates