BSN 225 - Sherpath - Adult Head-to-Toe Examination

The assessment of financial resources and health insurance is included in which element of the functional examination? Social situation Review of systems Physical examination Activities of daily living

Social situation

On which elements should the nurse focus when performing the physical examination component of the functional assessment? Select all that apply. Determining caregiver's abilities Evaluating coordination and gait Assessing for dyspnea with exertion Asking about use of a cane or walker Measuring blood pressure while the patient is seated and standing

Evaluating coordination and gait Assessing for dyspnea with exertion Measuring blood pressure while the patient is seated and standing

Observing the patient's gait and testing balance are included in which element of the adult head-to-toe examination with patient standing? Spinal Abdominal Neurologic Musculoskeletal

Neurologic

Which element is performed after inspection and palpation of the patient's spine while the patient is standing? Test abdominal reflexes Palpate axillary lymph nodes Assess radial and brachial pulses Observe the patient walk heel to toe

Observe the patient walk heel to toe

Place the examination components in order for the adult patient who is supine.

1. Auscultate heart 2. Inspect abdomen 3. Percuss liver border 4. Palpate for pedal edema

Which element of the assessment should be performed after assessment of the patient's back, posterior chest, and lungs? Weber test Palpation of apical pulse Palpation of posterior chest Inspection of spine and scapula

Palpation of apical pulse

Which examination component should be performed while the adult patient is supine with the legs exposed? Palpation of breast tissue Palpation of popliteal pulse Palpation for inguinal hernia Palpation for aortic pulsation

Palpation of popliteal pulse

Which element of the assessment should be performed with the patient seated and wearing a gown? Percussion of the posterior chest Inspection of facial symmetry Auscultation of heart and lungs Palpation of axillary lymph nodes

Inspection of facial symmetry

The healthcare provider palpates the prostate gland and seminal vesicles with the patient standing as part of which element of the examination? Spinal Rectal Neurologic Abdominal/Genital

Abdominal/Genital

Which elements should be performed after light palpation of all quadrants of the abdomen in the adult patient? Percussion of all quadrants Auscultation for bowel sounds Deep palpation of all quadrants Inspection of abdominal contour

Deep palpation of all quadrants

Palpation of the thyroid and cervical lymph nodes is included in examination of which part of the body? Eyes Neck Mouth Pharynx

Neck

Which element of the functional assessment should be included during the review of systems? Blood pressure Ability to bathe Neurologic function Signs of dementia

Signs of dementia