"canvas" review questions

4. In an effort to provide a comfortable environment for a client during a physical assessment, the nurse should take which action? a. Drape the client prior to beginning the examination b. Urge the client to have all abnormal findings treated promptly c. Avoid wearing gloves when assessing an open wound d. Obtain a signed consent to perform a physical assessment

A

3. As the student nurse prepares to conduct a nutritional assessment, the student is reminded that the nutritional assessment includes which of the following? (Select all that apply) a. Height b. Weight c. Body mass index d. Symmetric expansion of the lungs e. Respirations

A, B, C

2. During breast assessment, the student nurse palpates a lump in the client's right breast. What characteristics about the lump should the student nurse assess? (Select all that apply) a. Location b. Size c. Shape d. Consistency e. Moveable

A, B, C, D, E

1. The nurse has assessed central venous pressure (CVP) in a client. What is the appropriate documentation of this objective finding? a. No bruit medial to the sternomastoid muscle in the neck b. No jugular vein distention or pulsations above 45 degrees c. Pulsations at the fourth or fifth intercostal space d. blowing sound located over Erb's point

B

5. Prior to conducting a respiratory assessment, the student nurse observes which of the following? (Select all that apply) a. The position of the client b. The client's skin color c. The condition of the client's skin d. Facial expression e. Shape and configuration of the chest wall

A, B, C, D, E

1. Prior to beginning a physical examination of a client, the nurse should carry out which activities? (Select all that apply) a.Wash hands b. Provide for privacy of the client c. Obtain a healthcare provider's order d. Explain the procedure to the client e. Position the client comfortably

A, B, D, E

4. Swelling of the lymphatic system can represent what conditions? (Select all that apply) a. Malignancies b. Atherosclerosis c. Coronary Artery Disease d. Infection e. Immunological disorders

A, D, E

A client is admitted with upper gastrointestinal symptoms. The student nurse will document which statement(s) as subjective data? (Select all that apply) a. I have a headache. b. I feel nauseated after eating. c. Bowel sounds present in all quadrants. d. My bowels moved eight times today. E. Abdominal contour flat.

Answers: A, B, D

2. The student nurse enters a client's room and conducts a general survey. Which of the following is an appropriate finding during a general survey? a. Pulse is present and palpable bilaterally b. Client appears calm c. Lungs are clear to auscultation d. Respirations are 16

B

3. The student nurse completed teaching a client about diabetes. What step should the nurse take next? a. Thank him for his time and leave the room. b. Check for the client's understanding and acceptance of the information. d. Discuss how his stay has been so far. e. Elevate his legs on a pillow.

B

3. When assessing a client's lungs, the nurse recalls that the right lung: a. is larger than the left lung. b. has three lobes. c. is shaped like a rectangle. d. provides better oxygenation than the left lung.

B

5. The nurse is completing a cardiovascular exam on a client who has congestive heart disease. What is an expected finding? a. Unilateral swelling the right calf b. +2 bilateral pitting edema c. Heart disease d. Left ankle sprain

B

5. The student nurse has taken a client's vital signs. Which of the following shows proper documentation of vital signs? a. Temperature 98.6, pulse 80, respirations 16, hemoglobin 20 b. Temperature 98.6, pulse 80, respirations 16, blood pressure 120/80 c. Temperature 98.6, pulses palpable bilaterally, lungs clear to auscultation d. Temperature 98.6, pulse 80, respirations 16, skin is warm to touch

B

4. When assessing a client that reports a cough, it is essential the nurse evaluate the cough by asking the client which of the following questions? (Select all that apply) a. "How long will you be able to tolerate this cough?" b. "How long have you been coughing?" c. "Can you describe your cough?" d. "Are you coughing anything up?" e. "Do you have any pain when you cough?"

B, C, D, E

5. When conducting a mental status assessment, which findings are cognitive functions? (Select all that apply) a. Facial expression is relaxed b. Oriented to person, place, and time c. Sitting up in bed d. Able to describe past health history e. Remembers the nurse's name

B, D, E

1. The student nurse is preparing to conduct a breast assessment on a young adult client. When inspecting the breasts, which of the following will the student nurse expect to find? a. Breasts symmetrical in size b. Breasts flat and sagging c. Breasts move asymmetrically d. Redness and swelling

C

2. The student nurse has completed a health assessment on her client and needs to document the findings. Which statement represents objective data? a. Eats three meals a day. b. Denies headaches. c. Respirations are 14 d. Chest pain

C

3. The nurse has just assessed a diastolic murmur in a client. What education should the nurse provide to the client regarding this finding? a. Diastolic murmurs are associated with normal or diseased hearts b. Diastolic murmurs are usually innocent of functional c. Diastolic murmurs will require additional cardiac testing d. Diastolic murmurs are only concerning when they present with symptoms

C

4. A client states she is concerned about her MRI results. The nurse replies that she should not worry. What type of response did the nurse provide? a. Empathy b. Facilitation c. Using professional jargon d. Providing false assurance or reassurance

D