(LATEST 2025/ 2026 UPDATE) QUESTIONS AND
VERIFIED ANSWERS |100% CORRECT| GRADE
A- NIGHTINGALE
The mknurse mkis mkperforming mka mkthoracic mkassessment mkon mka mkclient mkwith mkchronic mkasthma mkand
mkhyperinflation mkof mkthe mklungs. mkWhich mkfinding mkshould mkbe mkexpected mkfor mkthis mkclient? mk- mkCORRECT
mkANSWER mk-Barrel mkchest
The mknurse mkis mkassessing mkbowel mksounds mkfor mka mkhospitalized mkclient. mkThe mknurse mkhas mkheard mkbowel
mksounds mkin mkthe mkr mkight mkupper mkquadrant. mkWhat mkaction mkshould mkthe mknurse mktake mknext? mk-
mkCORRECT mkANSWER mk-
Note mkthe mkcharacter mkand mkfrequency mkof mkbowel mksounds
During mkinspection mkof mka mkclient's mkmouth mkand mkpharynx, mkthe mknurse mkplaces mka mktongue mkblade mkon
mkthe mkback mkof mkthe mkt mkongue mkwhich mkcauses mkthe mkclient mkto mkgag. mkAfter mkremoving mkthe mktongue
mkblade, mkwhat mkaction mkshould mkthe mknurse mkta mkke? mk- mkCORRECT mkANSWER mk-Document mkan mkintact
mkgag mkreflex.
When mkteaching mka mkclient mkhow mkto mkperform mka mkmonthly mkbreast mkself-
assessment, mkthe mknurse mkshould mktell mkthe mkclient mkthat mkit mkis mkmost mkimportant mkto mkassess mkwhich
mkpart mkof mkthe mkbreast mkmore mkclosely mkfor mkchanges? mk- mkCORRECT mkANSWER mk-Upper mkouter
mkquadrant.
The mknurse mkis mkassessing mka mkpostmenopausal mkclient mkwho mkhas mka mkBMI mkof mk32. mkThe mkclient mkhas mka
mkchest mkmeasureme mknt mkof mk42 mkinches, mkwaist mkmeasurement mkof mk45 mkinches, mkand mkhip
mkmeasurement mkof mk50 mkinches. mkWhat mkimportant mkm mkessage mkshould mkthe mknurse mkexplain mkto mkthe
mkclient mkto mkpromote mkhealth mkpromotion? mk- mkCORRECT mkANSWER mk-
A mkwaist mkcircumference mkis mkgreater mkthan mk35 mkinches mkin mkwomen mkputs mkyou mkat mkhigher mkrisk mkfor
mktype mk2 mkdiabetes mkan mkd mkheart mkdisease."
The mknurse mkperforms mka mkphysical mkassessment mkon mkan mkolder mkfemale mkclient. mkWhich mkchange mkfrom
mkthe mkprior mkexam mkmay mkbe mkan mkindication mkof mkosteoporosis? mk- mkCORRECT mkANSWER mk-Height
mkreduction mkof mk1.5 mkinches.
While mkconducting mkan mkinterview mkto mkobtain mka mkhealth mkhistory, mkthe mknurse mknotices mkthat mkthe mkclient
mkpauses mkfreque mkntly mkand mklooks mkat mkthe mknurse mkexpectantly. mkWhich mkresponse mkis mkbest mkfor mkthe
, nurse mkto mkprovide? mk-
mk
CORRECT mkANSWER mk-Sit mkquietly mkto mkallow mkthe mkclient mkto mkrespond mkcomfortably.
, ABclient mkis mkin mkthe mkclinical mkfor mka mkyearly mkphysical mkexamination. mkWhich mkaction mkshould mkthe mknurse
mktake mkwhen mkpre mkparing mkto mkexamine mkthe mkclient's mkabdomen? mk- mkCORRECT mkANSWER mk-
Ask mkthe mkclient mkto mkurinate mkbefore mkbeginning mkthe mkexamination.
Which mkrespiratory mkcondition mkshould mkthe mknurse mkdocument mkafter mkmeasuring mka mkrespiratory mkrate mkof mk8
mkbreaths/ mkminute? mk- mkCORRECT mkANSWER mk-Bradypnea.
Which mkprocedure mkshould mkthe mknurse mkuse mkto mkassessfor mka mkpulse mkdeficit? mk- mkCORRECT
mkANSWER mk- mkMeasure mkthe mkapical mkpulse mkand mkcompare mkit mkto mkthe mkperipheral mkpulse.
*A mkpulse mkdeficit mkis mka mkpalpable mkdifference mkbetween mkthe mkapical mkpulse mkat mkthe mkpoint mkof
mkmaximal mkimpulse mkand mkth mke mkradial mkpulse mkpalpated mkat mkthe mkwrist.
A mkclient mkhas mkbeen mkdiagnosed mkwith mkbilateral mklower mklobe mkatelectasis. mkWhat mkpercussion mksound
mkshould mkthe mknur mkse mkexpect mkto mkhear mkwhen mkpercussing mkover mkthe mkclient's mklower mklobes? mk-
mkCORRECT mkANSWER mk-Dull, mkthud-like.
ABclient mkis mkbeing mkassessed mkupon mkadmission mkto mkthe mkmedical-
surgical mkunit. mkThe mknurse mkis mkpreparing mkto mkcomplete mka mkhead-to-
toe mkassessment mkand mkwill mkbegin mkat mkthe mkhead mkof mkthe mkclient. mkWhich mktechnique mkshould mkthe
mknurse mkuse mkto mkbegin mkthe mkassessment? mk- mkCORRECT mkANSWER mk-Inspect mkthe mkhair mkand mkskin.
The mknurse mkis mkassessing mka mkhealthy mkyoung mkadult mkduring mkan mkannual mkphysical mkexamination. mkWhich
mkassessment mkt mkechnique mkshould mkthe mknurse mkimplement mkwhen mkpalpating mkthe mkabdominal mkaorta? mk-
mkCORRECT mkANSWER mk-
Deep mkpalpation mkabove mkand mkto mkthe mkleft mkof mkthe mkumbilicus.
The mknurse mkis mkconducting mka mkfamily mkhistory mkas mkpart mkof mkthe mkassessment mkinterview. mkWhich
mkaction mkshould mkthe mknu mkrse mktake mkto mkensure mkthat mksufficient mkinformation mkabout mkthe mkclient's
mkblood mkrelatives mkis mkobtained? mk-
CORRECT mkANSWER mk-Document mkat mkleast mk3 mkgenerations mkof mkthe mkclient's mkfamily mkmedical mkhistory.
The mknurse mkis mktesting mkthe mkclient's mkshoulders mkfor mkrange mkof mkmotion. mkWhat mkshould mkthe mknurse
mkdocument mkto mkreco mkrd mknormal mkinternal mkrotation? mk- mkCORRECT mkANSWER mk-
Range mkof mk90 mkdegrees mkwhen mkthe mkhands mkare mkplaced mkat mkthe mksmall mkof mkthe mkback.