(BOOST YOUR GRADES FOR 2024 EXAMS). WGU C492 Physical Assessment Remediation, Exam Questions and answers, 100% Accurate. VERIFIED. A nurse is performing an abdominal assessment on a newly admitted client. Which action should the nurse take first? A. A

WGU C492 Physical Assessment Remediation, Exam Questions and answers, 100% Accurate. VERIFIED. A nurse is performing an abdominal assessment on a newly admitted client. Which action should the nurse take first? A. Assess painful areas reported by client B. Auscultate for five minutes over each quadrant C. Percuss the liver and measure the liver boarder D. Palpate the spleen firmly for enlargement - -Auscultate for 5 minutes over each quadrant A nurse is examining the deep tendon reflexes of an adult client. Which is an unexpected finding? A. Toe flexion when the sole of the foot is stroked from heel to toe B. The toes fan out and draw back when the lateral aspect of the sole of the client's foot is stroked. C. Dorsiflexion of the foot and striking the Achilles tendon elicits a plantar flexion response. D. Contraction of the quadriceps and knee extension with patellar tendon stimulation. - -The toes fan out and draw back when the lateral aspect of the sole of the client's foot is stroked A nurse will be conducting an assessment of a client with a three day history of vomiting and diarrhea. Which should be an expected finding of a focused assessment for dehydration? A. Respiratory rate: 30 breaths per minute B. Pulse rate: 120 beats per minute C. Capillary refill less than 2 seconds D. Poor skin turgor - -Poor skin turgor The nurse will be performing focused cardiac assessment. Which is the best location to evaluate the pulse? A. Pulmonic area B. Aortic area C. Point of maximum intensity D. Tricuspid area - -point of maximum intensity A nurse is evaluating head control in a five-month-old infant. Which of the following findings is expected? A. Spontaneously lifts head off a surface when supine B. Demonstrate no head lag C. Lifts head when about to be pulled to a standing position D. Sits erect momentarily - -Demonstrates no head lag Which functional change should be considered an expected finding when a nurse assesses an older adult? A. Decreased cardiac output B. Increased sinoatrial node rate C. Increased cardiac output D. Increased heart rate during exercise - -decreased cardiac output When assessing a client with intermittent claudication, which assessment finding should a nurse document? A. Pain at rest in lower extremities B. Chest pain during exercise C. Finger pain in cold weather D. Pain in lower extremities during ambulation - -Pain at rest in lower extremities At a 6-month check up for an infant, a parent states, " I used to touch my baby's cheek and her head would turn towards my touch and she would open her mouth. I have noticed that does not happen anymore." Which response is most appropriate for a nurse to make? A. I will document your concern so the care provider can evaluate further. B. The rooting reflex normally disappears by 3-4 months. C. The baby should return to doing this in the next 2-3 months. D. The startle reflex disappears by 3 months, so I wouldn't worry. - -The rooting reflex normally disappers by 3-4 months A nurse obtains a blood pressure reading of 108/88 for a 10-year old client. Which of the following nursing actions is most appropriate? A. Document findings as assessed B. Re-take the blood pressure in 15 minutes C. Notify the nurse practitioner on call D. Inquire about previous activities before visit - -Document findings as assessed Which of these directions should a nurse give the client to assess the client for facial asymmetry? A. Hold your tongue out B. Shrug your shoulders C. Turn your head side to side D. Raise both eyebrows - -Raise both eyebrows A nurse has completed the physical assessment of a 6-month-old infant. The results of the assessment include: closed posterior fontanel, absent femoral pulses, tonic neck reflex absent, and doubling of the birth weight. Which finding should be reported