Skills Module 3.0: Comprehensive Physical Assessment of an Adult Posttest

A nurse is teaching a newly licensed nurse about using a stethoscope. Which of the following instructions should the nurse include?

"Insert the earpieces at a downward angle towards your nose"

A nurse is performing a cardiovascular assessment on a client. Which of the following findings should the nurse expect?

A brief thump felt near the fourth or fifth intercostal space near the left midclavicular line.

A nurse is performing preparing to conduct a Romberg test on a client. The nurse should explain to the client that the Romberg test is used to assess which of the following characteristics?

Balance

A nurse is performing a respiratory on a client. The nurse auscultates a wet, popping sound upon inspiration of the client's breathing. The nurse should identify this observation as which of the following findings?

Crackles

A nurse is preparing to perform a comprehensive physical assessment on a client. Which of the following actions should the nurse plan to take first?

Develop a plan of care

A nurse is performing a physical examination of the spin for an older client. The nurse should identify that which of the following findings is common with aging?

Kyphosis

A nurse is assessing a client's peripheral vascular status of the lower extremities. The nurse should place their fingertips on the top of the client's foot, between the tendons of the great toe and those of the toe next to it, in order to palpate which of the following pulses?

Dorsalis pedis

A nurse is performing a complete, head-to-toe physical examination for a client. Which of the following physical assessment techniques should the nurse perform first?

Inspection

A nurse is palpating a tender area of the client's abdomen. The nurse slowly applies pressure over the area with their fingertips, then quickly release it. The client reports increased pain on the release of pressure. Which of the following findings should the nurse document?

Rebound tenderness

A nurse is performing an abdominal assessment on a client. Over which of the following areas of the client's abdomen should the nurse attempt to auscultate active bowel sounds first

Right Lower Quadrant

A nurse is assessing a client's cranial nerves. Which of the following client actions is an indication that cranial nerve I is intact?

The client can identify a minty scent.

A nurse is performing a gerneral client survey and finds that the client has a body mass index (BMI) of 23. Which of the following the nurse document?

The client has a BMI within the expected reference range