A client with vital signs as follows: 97.9 - 106 - 20 -130/84 would be noted as having? - correct
answer ✔✔tachycardia
Which of the following vital signs is within normal range for an adult?
-102.0 F Temperature
-102 Pulse
-148/96 BP
-18 Respirations - correct answer ✔✔18 respirations
The client's chief complaint is abdominal pain. While conducting a symptom analysis, you ask
the client, "Do you have nausea, vomiting, or diarrhea?" What part of the analysis are you
obtaining: - correct answer ✔✔related symptoms
Which datum below does the nurse document in the history component of the health
assessment?
-vital signs
-facial symmetry
-perspiration on the client's forehead
-smoking habits - correct answer ✔✔smoking habits
While being interviewed by you, the client begins to cry. What would be your best response? -
correct answer ✔✔"I see that you are upset. Is there something you'd like to discuss?"
Which of the following communication techniques diminish the nurse's ability to collect data? -
correct answer ✔✔"Why did you stop taking your pain medication?"
, A new resident is being admitted to a long term care facility. The appropriate type of health
assessment that should be conducted is a - correct answer ✔✔comprehensive assessment
The nurse detects a possible irregularity in the rhythm of the client's radial pulse and will -
correct answer ✔✔count the client's apical pulse for a full minute
The nurse documents which finding as a symptom?
-client's temperature of 100.1 F
-client is scratching his arm
-client complains of itching
-client's skin feels warm to touch - correct answer ✔✔client complains of itching
Which component of the health history is conducted to inquire about past and present health
of each body system? - correct answer ✔✔review of systems
When assessing the temperature of skin, the nurse should what part of the hand? - correct
answer ✔✔dorsal surface of the hands
Skin turgor is assessed by picking up a fold of skin on the forearm or under the clavicle. When a
client displays poor skin turgor, this is called: - correct answer ✔✔tenting
You examine nail beds for clubbing. The normal angle between the nail base and the nail is: -
correct answer ✔✔160 degrees
Repeating a sentence or phrase to confirm the interpretation of what was said by the client is
known as: - correct answer ✔✔restatement