ANSWERS| REAL EXAM QNA | 2025 LATEST UPDATED 100% RATED
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1. Heart sounds are loudest for S1 at the _______ and for S2 at the________.
Base of the heart
Right side of the heart
Center of the heart
Left side of the heart
Apex of the heart: Apex of the heart
Base of the heart
2. When preparing a female client for an abdominal examination, the nurse
should provide her with which instruction?
A. Empty your bladder just prior to the examination
B. refrain from eating or drinking for at least thirty minutes
C. Lie in a prone position with slightly flexed knees
,D. Exhale slowly through your mouth then hold your breath: Empty your
bladder just prior to examination
3. The nurse learns in report that a client is stuporous. Which assessment
should the nurse perform to confirm this report?
A. Observe for facial asymmetry
B. Determine the response to stimuli
C. Assess for a positive Romberg sign
D Check the pupillary response to light: Assess for positive Romberg Sign 4.
The nurse begins a clients musculoskeletal assessment. While using the
technique of inspection, the nurse assesses for which possible findings?
Select all that apply
A. Atrophy
B. Crepitus
C. Kyphosis
D. Osteopenia
E. Contracture: A. Atrophy
C. Kyphosis
E. Contracture
, 5. An older client comes to the healthcare provider's office for a routine
follow-up exam for high blood pressure, osteoarthritis, constipation, and
chronic sinusitis. The client recently had a cataract removed from the left eye,
Which is the MOST important for the nurse to assess when obtaining the
clients health history.
A. Obtain a medication history including prescription and non prescription
drugs.
B. Conduct an assessment of functional capacity and environmental
hazards.
C. Emphasize the need to place advance directives in the medical record.
D. Distinguish between symptoms caused by disease and those due to
aging.-: A. Obtain a medication history including prescription and non
prescription drugs. 6. The nurse is assessing a client who has a history of
kidney stones and returns to the clinic with flank pain. Which intervention
should the nurse implement first?
A. Collect a urine sample and strain for granules or calculi.
B. Use a standard pain assessment questionnaire and scale.
C. Observe for nonverbal signs to measure pain intensity.