NURS 190 / NURS190 PHYSICAL ASSESSMENT KIM HEIN FINAL EXAM. QUESTIONS WITH VERIFIED ANSWERS.

95. The nurse is using inspection to assess the breasts of a female client. Which of the following findings might the nurse obtain using the assessment technique? A. skin thickening B. tenderness C. hard nodules D. symmetry 96. The nurse is admitting a newly admitted client and notes skin vitiligo, which is highly visible even from a distance. The client asks you to put a no visitors sign on the door and has called the family to tell them not to visit. Which of the following nursing diagnosis would the nurse identify as a positional problem? A. defensive coping B. deficient knowledge C. disturbed body image D. risk for loneliness 97. The nurse is performing a neurological assessment and needs to assess for vibration, as well as sharp and full sensation. The nurse would use which of the following objects to elicit this information? (Select all). A. paper clip B. safety pin C. cotton ball D. tuning fork 98. The nurse notes a grating sound when examining the knee joint. The nurse would correctly document which of the following choices? A. limited motion B. knee deformity C. crepitus 99. The nurse is assessing a client’s ambulation abilities and notes a stooped posture with short, stuff steps. The nurse would document this gait as which of the following? A. festination B. steppage C. ataxic D. scissors 100. The nurse is interviewing a client and notes that the left eyelid is drooping. The nurse would correctly chart which of the following conditions? A. nystagmus B. ptosis C. strabismus D. myopia