Comprehensive physical assessment of an adult

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 Rhomberg test on a client the nurse should explain to the client at the Rhomberg test is used to assess which of the following characteristics?

Balance

A nurse is performing a respiratory assessment on a client. The nurse auscultates a wet, popping sound upon inspiration of the clients breathing. The nurse should identify the 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 assessing a clients peripheral vascular status of the lower extremities. The nurse should place your finger tips on the top of the clients foot, between the tendons of the great toe in those of the tone next to it, in order to palpate which of the following pulses?

Dorsalis pedis

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

Insert the earpieces at a downward angle toward your nose

A nurse is performing a complete, headed to physical examination of a client. Which of the following physical assessment techniques should the nurse perform first

Inspection

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

Kyphosis

A nurse is palpating a tender area of the clients abdomen. The nurse Lilly applies pressure over the area with their fingertips, then quickly releases 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 clients abdomen should the nurse attempt auscultate active bowel sounds first?

Right lower quadrant

A nurse is assessing a client cranial nerves. Which of the following client actions is an indication that the cranial nerve one is intact

The client can identify minty scent

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

The client has a BMI within the expected reference range