Nightingale College – 2025/2026 – 200 Verified
Questions with 100% Correct Answers – A+ Rated
The nurse is interviewing a client who reports having a persistent, productive cough during the
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winter caused by bronchitis. Which additional finding should the nurse assess for bronchitis?
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Phlegm production and wheezing.
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The nurse is assessing the posterior pharynx during a physical examination. Which technique
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should the nurse use?
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Press the tongue down one side at a time with a tongue depressor.
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The nurse is assessing a client who has a history of mitral stenosis. How should the nurse assess
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this client with a stethoscope to listen for this condition?
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Place the bell on the 5th intercostal space, lef t midclavicular line.
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Which statement is accurate about assessing the spleen?
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It must be enlarged at least three times normal size for it to be palpable.
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,During an external examination of the eyes, the nurse gently palpates the eyes while the client's
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eyelids are closed. The eyes are both very firm and resist movement back into the orbit. How
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should the nurse document this finding?
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Abnormal finding. M
Which tool should the nurse use when assessing the neurological status of a client with
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traumatic brain injury?
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Glasgow Coma Scale. M M
The nurse is assessing a client with liver disease who is jaundice and exhibits scleral edema.
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During the health assessment, the nurse should implement which technique to determine
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evidence of hepatomegaly?
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Use a bouncing motion to tap the middle finger placed within boundaries of the liver.
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What is the best nursing response to an older client who has not mentioned incontinence
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during a genitourinary assessment?
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Ask the client specifically about any leakage of urine.
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,The registered nurse (RN) is caring for an Asian client who refuses to make eye contact during
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conversations. How should the RN assess this client's response?
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The client is treating the nurse with respect.
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The nurse is assessing a client for a hip flexion contracture. Which finding indicates a negative
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Thomas test when the client's right knee is brought toward the chest?
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The left leg remains on the table
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*The Thomas test is performed by having the client bring one knee toward the chest while
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the other leg remains extended on the table. A positive Thomas test is elicited when the
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extended leg rises off the table when the opposite leg's knee is brought up to the client's
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chest, indicating hip flexor contracture. If the extended leg (the left leg, in this example)
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remains on the table, the test is negative.
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The nurse is assessing a client who has a history of aortic regurgitation. Where should the nurse
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place the stethoscope diaphragm to listen for this condition?
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2nd intercostal space along the right sternal border.
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The nurse is assessing a client who has experienced a sudden onset of hearing loss in the right
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ear. Which finding should alert the nurse to a potentially serious medical condition that
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requires further evaluation?
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There is no sign of associated infection.
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, Which information should the nurse obtain to identify the client's self-perception of health
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status?
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During the initial assessment, the nurse notes that a client has blurred vision with cloudy
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lenses. Which condition should the nurse document?
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Cataracts.
Which condition is indicated by a fluorescent, yellow-green color when the nurse uses a Wood's
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lamp toexamine a client's skin lesions?
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Fungal infection.
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A client with dark skin is reporting a painful and itching area on the lower left leg. What should
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the nurse look for when assessing this client's skin for inflammation?
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Change in consistency.
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