N5451 Skills Lab > Video Quizzes > Module 3. Assessment Test with
Complete Solutions 100% Pass!!
1. The nurse is begin- Does the person's body structure match the stated
ning a general sur- age? Are there any tubes, lines, or drains? Does
vey on a client who is the client appear to be alert? Is the client's color
being admitted to the appropriate for ethnicity? After identifying the client,
hospital for abdominal a general survey is completed by observing general
pain. After identifying appearance including whether the client is wearing
the client, which com- oxygen, has an IV or other lines, the demeanor and
ponents would the behavior, body structure, BMI, and vital signs. This
nurse include in the is then followed by a brief, generalized assessment
general survey? Se- from head to toe with the addition of in depth targeted
lect all that apply. assessments as needed, based on the client.
2. When performing a Request the client states his or her name. Query
general survey as- about today's date and season. Question where the
sessment, how would client is now. When assessing for the client's orien-
the nurse assess the tation, the nurse should assess the client for person,
client's orientation? place, time, and situation. Asking about allergies and
Select all that apply. medications are not included in orientation.
3. A nurse is preparing to Sphygmomanometer Stethoscope Tape measure
perform a general sur- Standing scale The general survey should include
vey of a client. What vital signs, which require a sphygmomanometer, as
equipment would the well as a height, weight, and BMI, which require a
nurse require to per- standing scale and a tape measure. A glucometer
form this assess- is not necessary to perform a general survey, it but
ment? Select all that could be used later during the physical assessment.
apply. A Doppler is not indicated unless the nurse was
unable to palpate a pulse in a normal manner.
4. The nurse is per- Ask client for today's date and time Observe the
forming a general client's gait Assess the client's vital signs The gener-
survey on a client al survey is a precursor to any in depth focused phys
who is being ad- ical assessment. The general survey provides initial
mitted to the med- information about the client's overall demeanor, ori-
ical unit with abdom- entation, vital signs, appearance, gait, and behavior
inal pain. Which com- and can indicate the need for further targeted as-
ponents would the sessments. Evaluating the client's bowel pattern and
nurse assess during palpating the entire abdomen would fall under the
targeted abdominal assessment.
, N5451 Skills Lab > Video Quizzes > Module 3. Assessment Test with
Complete Solutions 100% Pass!!
the general survey?
Select all that apply.
5. The nurse is caring for Use gentle pressure, a circular manner, and palpate
a client who is report- with bilateral finger pads to compare both sides.
ing throat pain, fever, The nurse should use the finger pads, in slow cir-
and difficulty swallow- cular motions, comparing both sides to feel for any
ing. Which technique enlargement, tenderness, and mobility. The nurse
should the nurse use should never use firm pressure nor pinch each node,
to palpate the client's because these cause discomfort to the client. The
lymph nodes for en- nurse should always compare both sides to look for
largement or tender- asymmetry or differences.
ness?
6. The nurse is complet- Obvious turbulence upon auscultation of the bilateral
ing head and neck carotid arteries New, mild, left sided facial droop
assessments on four upon inspection of the client's face Right pupil that is
different older adult slightly misshapen and is not constricting with light
clients in a long term Obvious turbulence upon auscultation indicates a
care facility. Which bilateral bruit and carotid stenosis. New one sided
findings would the facial droop may indicate a recent cerebrovascu-
nurse promptly report lar accident, and a right pupil that is slightly mis-
to the health care shapen and is not constricting with light may indicate
provider for further a cataract or other neurological issue. All require
testing? Select all that further testing. A small, nontender, soft, moveable
apply. node on the right the neck upon palpation as well as
a symmetrical and mobile skull with no nodules or
enlargement on palpation are normal findings.
7. The nurse is perform- Woman, 62, with chronic bronchitis Man, 67, with as-
ing morning assess- piration pneumonia Lymph nodes are usually palpa-
ments on the medical b-le due to acute or frequent infection. Lymph nodes
surgical unit. Which are not usually palpable with disease or pathology
clients are most like- like dehydration, heart failure, or anemia.
ly to have palpable
lymph nodes in the
neck? Select all that
apply.
8.
Complete Solutions 100% Pass!!
1. The nurse is begin- Does the person's body structure match the stated
ning a general sur- age? Are there any tubes, lines, or drains? Does
vey on a client who is the client appear to be alert? Is the client's color
being admitted to the appropriate for ethnicity? After identifying the client,
hospital for abdominal a general survey is completed by observing general
pain. After identifying appearance including whether the client is wearing
the client, which com- oxygen, has an IV or other lines, the demeanor and
ponents would the behavior, body structure, BMI, and vital signs. This
nurse include in the is then followed by a brief, generalized assessment
general survey? Se- from head to toe with the addition of in depth targeted
lect all that apply. assessments as needed, based on the client.
2. When performing a Request the client states his or her name. Query
general survey as- about today's date and season. Question where the
sessment, how would client is now. When assessing for the client's orien-
the nurse assess the tation, the nurse should assess the client for person,
client's orientation? place, time, and situation. Asking about allergies and
Select all that apply. medications are not included in orientation.
3. A nurse is preparing to Sphygmomanometer Stethoscope Tape measure
perform a general sur- Standing scale The general survey should include
vey of a client. What vital signs, which require a sphygmomanometer, as
equipment would the well as a height, weight, and BMI, which require a
nurse require to per- standing scale and a tape measure. A glucometer
form this assess- is not necessary to perform a general survey, it but
ment? Select all that could be used later during the physical assessment.
apply. A Doppler is not indicated unless the nurse was
unable to palpate a pulse in a normal manner.
4. The nurse is per- Ask client for today's date and time Observe the
forming a general client's gait Assess the client's vital signs The gener-
survey on a client al survey is a precursor to any in depth focused phys
who is being ad- ical assessment. The general survey provides initial
mitted to the med- information about the client's overall demeanor, ori-
ical unit with abdom- entation, vital signs, appearance, gait, and behavior
inal pain. Which com- and can indicate the need for further targeted as-
ponents would the sessments. Evaluating the client's bowel pattern and
nurse assess during palpating the entire abdomen would fall under the
targeted abdominal assessment.
, N5451 Skills Lab > Video Quizzes > Module 3. Assessment Test with
Complete Solutions 100% Pass!!
the general survey?
Select all that apply.
5. The nurse is caring for Use gentle pressure, a circular manner, and palpate
a client who is report- with bilateral finger pads to compare both sides.
ing throat pain, fever, The nurse should use the finger pads, in slow cir-
and difficulty swallow- cular motions, comparing both sides to feel for any
ing. Which technique enlargement, tenderness, and mobility. The nurse
should the nurse use should never use firm pressure nor pinch each node,
to palpate the client's because these cause discomfort to the client. The
lymph nodes for en- nurse should always compare both sides to look for
largement or tender- asymmetry or differences.
ness?
6. The nurse is complet- Obvious turbulence upon auscultation of the bilateral
ing head and neck carotid arteries New, mild, left sided facial droop
assessments on four upon inspection of the client's face Right pupil that is
different older adult slightly misshapen and is not constricting with light
clients in a long term Obvious turbulence upon auscultation indicates a
care facility. Which bilateral bruit and carotid stenosis. New one sided
findings would the facial droop may indicate a recent cerebrovascu-
nurse promptly report lar accident, and a right pupil that is slightly mis-
to the health care shapen and is not constricting with light may indicate
provider for further a cataract or other neurological issue. All require
testing? Select all that further testing. A small, nontender, soft, moveable
apply. node on the right the neck upon palpation as well as
a symmetrical and mobile skull with no nodules or
enlargement on palpation are normal findings.
7. The nurse is perform- Woman, 62, with chronic bronchitis Man, 67, with as-
ing morning assess- piration pneumonia Lymph nodes are usually palpa-
ments on the medical b-le due to acute or frequent infection. Lymph nodes
surgical unit. Which are not usually palpable with disease or pathology
clients are most like- like dehydration, heart failure, or anemia.
ly to have palpable
lymph nodes in the
neck? Select all that
apply.
8.
