and Answers (2026) | Latest Test Bank with
Verified Solutions | Grade A+
A nurse in a provider's office is documenting his findings following an examination he
performed for a client new to the practice. Which of the following parameters should he
include as part of the general survey? (Select all that apply.)
A. Posture
B. Skin lesions
C. Speech
D. Allergies.
E. immunization status Answer: A, B, C
Rationale:
A. Posture is part of the body structure or general appearance portion of the general
survey.
B. Skin lesions are part of the body structure or general appearance portion of the
general survey.
C. Speech is part of the behavior portion of the general survey
A nurse is collecting data for a client's comprehensive physical examination. after the
nurse inspects the client's abdomen, which of the following skills of the physical
examination process should she perform next?
A.olfaction
B.auscultation
C.Palpation
D.Percussion Answer: B
Rationale:
B. Because palpation and percussion can alter the frequency and intensity of bowel
sounds, the nurse should auscultate the abdomen next and before using those two
techniques
A nurse is performing a comprehensive physical examination of an older adult client.
Which of the following interventions should the nurse use in consideration of the client's
age? (Select all that apply.)
a.Collect the data in one continuous session.
B.Plan to allow plenty of time for position changes.
C.Make sure the client has any essential sensory aids in place.
, D. tell the client to take her time answering questions.
E. invite the client to use the bathroom before beginning the examination Answer: B, C,
D, E
Rationale:
B. Because many older adults have mobility challenges, the nurse should plan to allow
extra time for position changes.
C. the nurse should make sure clients who use sensory aids have them available for
use. the client has to be able to hear the nurse and see well enough to avoid injury.
D. Some older clients need more time to collect their thoughts and answer questions,
but most are reliable historians. Feeling rushed can hinder communication.
E. This is a courtesy for all clients, to avoid discomfort during palpation of the lower
abdomen for example, but this is especially important for older clients who have a
smaller bladder capacity.
A nurse in a family practice clinic is performing a physical examination of an adult client.
Which part of her hands should she use during palpation for optimal assessment of skin
temperature?
A.Palmar surface
B.Fingertips
C.Dorsal surface
D.Base of the fingers Answer: C
Rationale:
C. The dorsal surface of the hand is the most sensitive to temperature.
A nurse is caring for an 82-year-old client in the emergency department who has an oral
body temperature of 38.3° C (101° F), pulse rate 114/min, and respiratory rate 22/min.
He is restless and his skin is warm. Which of the following interventions should the
nurse take? (Select all that apply.)
A.Obtain culture specimens before initiating antimicrobials.
B.Restrict the client's oral fluid intake.
C.Encourage the client to rest and limit activity.
D. allow the client to shiver to dispel excess heat.
E. assist the client with oral hygiene frequently Answer: A, C, E
Rationale:
A. he provider can prescribe cultures to identify any infectious organisms causing the
fever. the nurse should obtain culture specimens before antimicrobial therapy to prevent
interference with the detection of the infection.