When assessing a 2-3 year old child, what is important to consider?
Answers: Assess least invasive to most invasive.
Start with examining the ears and mouth.
Make sure to examine the child lying on the exam table.
It’s easier to examine the child if the parent is not in the room.
Question 2
0 out of 1.5 points
The nurse notes an audible, crunching/grating sound on the client’s
knee while climbing the stairs. Choose the best term.
Answers Crepitus
:
Bulge sign
Ballottemen
t
Inversion
1 / 4
Question 3
1.5 out of 1.5 points
The nurse palpates the left upper quadrant of abdomen with the knowledge that which
organs are located in that area?
Answers Liver and gallbladder.
:
Pancreas and spleen
Large intestine and liver
Left ureter and
gallbladder
Question 4
1.5 out of 1.5 points
Identify which reflex is being tested in this picture.
Answers Plantar
:
2 / 4
Patellar
Triceps
Achille’s
Question 5
1.5 out of 1.5 points
The clinic nurse assesses the skin of a white client with a diagnosis of psoriasis. The nurse
understands that which characteristic is associated with this skin disorder?
Answers Clear, thin nail beds
:
Red-purple raised areas
Oily skin and no episodes of pruritus
Silvery-white scaly patches on the scalp, elbows, knees, and sacral regions
Question 6
1.5 out of 1.5 points
“When testing stool for occult blood, the nurse is aware that a false-positive result may
occur with:”
Answers a large amount of red meat within the last 3 days.
:
absent bile increased fat
content increased
ingestion of fruit
3 / 4
Question 7
1.5 out of 1.5 points
The nurse is preparing to complete a musculoskeletal examination on a client. Which two
assessment techniques would the nurse plan to use during this exam?
Answers Inspection and percussion
:
Percussion and palpation
Auscultation and percussion
Inspection and palpation
Question 8
1.5 out of 1.5 points
While assessing edema on a client’s lower leg, the nurse notices a deep imprint of his
fingers where the leg was palpated which takes several minutes to resolve. How would the
nurse document this finding?
Answers No edema
:
1+ edema
3+ edema
4+ edema
Question 9
1.5 out of 1.5 points