NURS 246 ACTUAL EXAM 2 |140 COMPLETE
QUESTIONS WITH ACCURATE SOLUTIONS |
2026 NEWEST VERSION | GET AN A+ GRADE
The nurse is performing a thoracic assessment on a client with chronic asthma and
hyperinflation of the lungs. Which finding should be expected for this client? - answer-
Barrel chest
The nurse is assessing bowel sounds for a hospitalized client. The nurse has heard
bowel sounds in the right upper quadrant. What action should the nurse take next? -
answer-Note the character and frequency of bowel sounds
During inspection of a client's mouth and pharynx, the nurse places a tongue blade on
the back of the tongue which causes the client to gag. After removing the tongue blade,
what action should the nurse take? - answer-Document an intact gag reflex.
When teaching a client how to perform a monthly breast self-assessment, the nurse
should tell the client that it is most important to assess which part of the breast more
closely for changes? - answer-Upper outer quadrant.
The nurse is assessing a postmenopausal client who has a BMI of 32. The client has a
chest measurement of 42 inches, waist measurement of 45 inches, and hip
measurement of 50 inches. What important message should the nurse explain to the
client to promote health promotion? - answer-A waist circumference is greater than 35
inches in women puts you at higher risk for type 2 diabetes and heart disease."
The nurse performs a physical assessment on an older female client. Which change
from the prior exam may be an indication of osteoporosis? - answer-Height reduction of
1.5 inches.
While conducting an interview to obtain a health history, the nurse notices that the
client pauses frequently and looks at the nurse expectantly. Which response is best for
the nurse to provide? - answer-Sit quietly to allow the client to respond comfortably.
, A client is in the clinical for a yearly physical examination. Which action should the
nurse take when preparing to examine the client's abdomen? - answer-Ask the client to
urinate before beginning the examination.
Which respiratory condition should the nurse document after measuring a respiratory
rate of 8 breaths/minute? - answer-Bradypnea.
Which procedure should the nurse use to assessfor a pulse deficit? - answer-Measure
the apical pulse and compare it to the peripheral pulse.
*A pulse deficit is a palpable difference between the apical pulse at the point of
maximal impulse and the radial pulse palpated at the wrist.
A client has been diagnosed with bilateral lower lobe atelectasis. What percussion
sound should the nurse expect to hear when percussing over the client's lower lobes? -
answer-Dull, thud-like.
A client is being assessed upon admission to the medical-surgical unit. The nurse is
preparing to complete a head-to-toe assessment and will begin at the head of the
client. Which technique should the nurse use to begin the assessment? - answer-
Inspect the hair and skin.
The nurse is assessing a healthy young adult during an annual physical examination.
Which assessment technique should the nurse implement when palpating the
abdominal aorta? - answer-Deep palpation above and to the left of the umbilicus.
The nurse is conducting a family history as part of the assessment interview. Which
action should the nurse take to ensure that sufficient information about the client's
blood relatives is obtained? - answer-Document at least 3 generations of the client's
family medical history.
QUESTIONS WITH ACCURATE SOLUTIONS |
2026 NEWEST VERSION | GET AN A+ GRADE
The nurse is performing a thoracic assessment on a client with chronic asthma and
hyperinflation of the lungs. Which finding should be expected for this client? - answer-
Barrel chest
The nurse is assessing bowel sounds for a hospitalized client. The nurse has heard
bowel sounds in the right upper quadrant. What action should the nurse take next? -
answer-Note the character and frequency of bowel sounds
During inspection of a client's mouth and pharynx, the nurse places a tongue blade on
the back of the tongue which causes the client to gag. After removing the tongue blade,
what action should the nurse take? - answer-Document an intact gag reflex.
When teaching a client how to perform a monthly breast self-assessment, the nurse
should tell the client that it is most important to assess which part of the breast more
closely for changes? - answer-Upper outer quadrant.
The nurse is assessing a postmenopausal client who has a BMI of 32. The client has a
chest measurement of 42 inches, waist measurement of 45 inches, and hip
measurement of 50 inches. What important message should the nurse explain to the
client to promote health promotion? - answer-A waist circumference is greater than 35
inches in women puts you at higher risk for type 2 diabetes and heart disease."
The nurse performs a physical assessment on an older female client. Which change
from the prior exam may be an indication of osteoporosis? - answer-Height reduction of
1.5 inches.
While conducting an interview to obtain a health history, the nurse notices that the
client pauses frequently and looks at the nurse expectantly. Which response is best for
the nurse to provide? - answer-Sit quietly to allow the client to respond comfortably.
, A client is in the clinical for a yearly physical examination. Which action should the
nurse take when preparing to examine the client's abdomen? - answer-Ask the client to
urinate before beginning the examination.
Which respiratory condition should the nurse document after measuring a respiratory
rate of 8 breaths/minute? - answer-Bradypnea.
Which procedure should the nurse use to assessfor a pulse deficit? - answer-Measure
the apical pulse and compare it to the peripheral pulse.
*A pulse deficit is a palpable difference between the apical pulse at the point of
maximal impulse and the radial pulse palpated at the wrist.
A client has been diagnosed with bilateral lower lobe atelectasis. What percussion
sound should the nurse expect to hear when percussing over the client's lower lobes? -
answer-Dull, thud-like.
A client is being assessed upon admission to the medical-surgical unit. The nurse is
preparing to complete a head-to-toe assessment and will begin at the head of the
client. Which technique should the nurse use to begin the assessment? - answer-
Inspect the hair and skin.
The nurse is assessing a healthy young adult during an annual physical examination.
Which assessment technique should the nurse implement when palpating the
abdominal aorta? - answer-Deep palpation above and to the left of the umbilicus.
The nurse is conducting a family history as part of the assessment interview. Which
action should the nurse take to ensure that sufficient information about the client's
blood relatives is obtained? - answer-Document at least 3 generations of the client's
family medical history.
