Health Assessment Quiz Evolve

Health Assessment Quiz Evolve A client comes to the clinic with a report of fever and a recent exposure to someone who was diagnosed with meningitis. Which nursing assessment should be completed during the initial examination of this client?

• Level of consciousness.
• Gait characteristics.
• Presence of trauma.
• Bladder control ability.

(ANS-

• Level of consciousness

The nurse is assessing the posterior pharynx during a physical examination. Which technique should the nurse use?

• Press the tongue down one side at a time with a tongue depressor.
• Ask the client to open the mouth and say "ah."
• Listen for hoarseness after asking the client to speak.
• Palpate the neck and ask the client to swallow.

(ANS-

• Press the tongue down one side at a time with a tongue depressor.

Which findings can the nurse determine by palpating a client's skin? (Select all that apply.)

• Pruritus.
• Diaphoresis.
• Pallor.
• Jaundice.
• Scaling.

(ANS-

• Diaphoresis.
• Scaling.

The nurse is completing a physical assessment of a client who feel from a tree. The client's abdomen is soft with hyperactive bowel sounds in all four quadrants. 1 / 2

Which assessment technique should the nurse implement when evaluating the client's spleen?

• Elevate head of bed 30 degrees to percuss the spleen.
• Palpate the splenic borders before percussing.
• Percuss the splenic area as the client takes a deep breath.
• Place client in a Trendelenburg position to isolate the spleen.

(ANS-

• Percuss the splenic area as the client takes a deep breath

Which information should the nurse obtain to identify the client's self-perception of health status?

• Vital signs.
• Health history.
• Informed consent.
• Genetic predisposition.

(ANS-

• Health history.

Which action should the registered nurse (RN) implement to complete an assessment for a client while using an interpreter?

• Ask closed-ended questions with the assistance of the interpreter.
• Maintain eye contact with the client while listening to the translation.
• Instruct interpreter to answer questions from interpreter's point of view.
• Protect the client's privacy by asking a limited number of questions.

(ANS-

• Maintain eye contact with the client while listening to the translation.

When performing range of motion exercises on the joints of an older adult client, the nurse notes that joint range is greater with passive ranging than with active ranging. A goniometer indicates that this difference is as much as 15% in some joints. How should this finding be documented?

• Normal.
• Expected in older adults.
• Minor deviation.
• Abnormal.
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