(2026/2027) WITH CORRECT/ACCURATE
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The nurse is performing a thoracic assessment on a client
with chronic asthma and hyperinflation of the lungs. Which
finding should be expected for this client? - ANSWER-
Barrel chest
The nurse is assessing bowel sounds for a hospitalized
client. The nurse has heard bowel sounds in the right
upper quadrant. What action should the nurse take next? -
ANSWER-Note the character and frequency of bowel
sounds
,During inspection of a client's mouth and pharynx, the
nurse places a tongue blade on the back of the tongue
which causes the client to gag. After removing the tongue
blade, what action should the nurse take? - ANSWER-
Document an intact gag reflex.
When teaching a client how to perform a monthly breast
self-assessment, the nurse should tell the client that it is
most important to assess which part of the breast more
closely for changes? - ANSWER-Upper outer quadrant.
The nurse is assessing a postmenopausal client who has
a BMI of 32. The client has a chest measurement of 42
inches, waist measurement of 45 inches, and hip
,measurement of 50 inches. What important message
should the nurse explain to the client to promote health
promotion? - ANSWER-A waist circumference is greater
than 35 inches in women puts you at higher risk for type 2
diabetes and heart disease."
The nurse performs a physical assessment on an older
female client. Which change from the prior exam may be
an indication of osteoporosis? - ANSWER-Height
reduction of 1.5 inches.
While conducting an interview to obtain a health history,
the nurse notices that the client pauses frequently and
looks at the nurse expectantly. Which response is best for
, the nurse to provide? - ANSWER-Sit quietly to allow the
client to respond comfortably.
A client is in the clinical for a yearly physical examination.
Which action should the nurse take when preparing to
examine the client's abdomen? - ANSWER-Ask the client
to urinate before beginning the examination.
Which respiratory condition should the nurse document
after measuring a respiratory rate of 8 breaths/minute? -
ANSWER-Bradypnea.