Neuro
If a nurse assesses a clients's balance what area of the brain is being tested?
What is cerebellar function
When assessing a patient's muscle strength a normal strength would be documented as
What is 5/5?
A patient complains of right ear pain that started 3 days ago. The nurse should document this pain as
A client with a history of Human Papillomavirus (HPV) is at high risk of developing what type of cancer?
What is cervical cancer?
The main difference between the right and left lung is that the right lung has ____ lobes
What is 3?
An emergency department nurse is caring for a teenage client who has severe pain in the lower abdomen. Documentation shows that the client exhibits “Psoas sign.” What medical diagnosis is associated with the assessment finding?
What is appendicitis?
During a health history interview, a nurse asks a client about childhood illnesses, past surgeries, and allergies. The nurse knows that this information will be charted in what section of the initial comprehensive assessment database?
What is personal health history
When the nurse is assessing the motor function of cranial nerve VII as part of the neurological examination, what should the nurse instruct the client to do?
What is smile?
Loss of bone density that occurs with greatest frequency in postmenopausal women is called?
What is osteoporosis?
The nurse is aware that one of the highest risk factors for developing cataracts is
What is not wearing sunglasses outside?
A male client presents to the office stating that he palpated a mass in his testes. The nurse is aware that this was likely noticed during the client's monthly self exam known as
What is a testicular self exam (TSE)
A client in the ED tells the nurse that she is having difficulty breathing at rest. What term would the nurse use in documenting this finding?
What is dyspnea
What commonly prescribed vitamin is known to cause constipation?
What is Iron?
Of the following individuals, who can best determine the experience of pain?
What is the client
The nurse is assessing the neurological status of an unconscious client. The nurse should use which assessment scale?
What is the Glasgow Coma Scale?
A community health nurse is providing education to help reduce musculoskeletal injuries in older adults.The nurse should make sure to education on the risk of
What are falls?
When preparing to examine a client's sclera and conjunctiva during an eye examination, the nurse should instruct the client to move both eyes to look in which direction?
What is up
On examination the nurse documents that the client has a blue tinge to their cervix. The nurse is aware this is normal finding in which client?
This is known as the “silent killer” in older adult patients
What is pneumonia?
During an abdominal assessment the patient winces in pain when the nurse releases their pressure from palpation in the RLQ. The nurse documents this finding as
What is rebound tenderness?
When interviewing a client who complains of abdominal pain the nurse asks if the pain is a stabbing, cramping, dull, or sharp pain Which verbal communication technique is the nurse using here?
The nurse is assessing a client's ability to shrug her shoulders against resistance. The nurse is assessing which cranial nerve?
What is Cranial Nerve XI
On inspection of the spine of a 79-year-old man, the nurse might expect to find what?
What is a Kyphosis (increased thoracic curve)
Infants/young children's eustachian is _________ which makes them more susceptible to otitis media.
What is wider, shorter, and more horizontal?
On examination the nurse notes discharge that is thin, and greyish in color. The nurse is aware the patient likely has what type of vaginitis?
What is bacterial vaginitis?
On auscultation there is decreased air movement and a high pitched whistling on expiration in all lobes.This adventitious lung sound would be documented as
What is wheezing?
These assessment findings are common causes of abdominal distention
What are the 6 F's
- Fetus
- Fat
- Feces
- Fibroid
- Flatus
- Fluid
While performing an assessment the nurse presses the client's arm with the tip of her thumb, holds for a few seconds and releases. The nurse observes the client as shown. What is the nurse assessing?
What is pitting edema?
The nurse is planning a presentation to a group of adults on the topic of strokes.The nurse should include education on high cholesterol and what other risk factor?
What is smoking
When testing the range of motion of the cervical spine, the nurse notes impaired range of motion and neck pain. A review of the client's history reveals fever, chills, and headache. What would the nurse suspect?
What is meningitis?
A gradual loss of hearing in both ears seen in older adults is called
What is Presbycusis?
A 30 year old female client complains of hot flashes and insomnia after having a total hysterectomy. Based on these symptoms the nurse is aware the client is likely experiencing what?
What is artificial menopause
During a respiratory assessment the nurse asks the client to say "ninety-nine" while their hands are on the client's chest. What is the nurse palpating for?
What is fremitus?
A purplish/blue discoloration around the umbilicus that can indicate intra abdominal bleeding would be documented as
What is Cullen sign
While assessing the peripheral vascular system of an adult client, the nurse detects cold clammy skin and loss of hair on the client’s legs. The nurse suspects that the client may be experiencing
What is arterial insufficiency?
When assessing deep tendon reflexes in an elderly client what finding would the nurse anticipate?
What is decreased reaction time ?
When performing a hip assessment on an infant the nurse feels a clunk/pop in the hip joint. The infant likely has
What is hip dysplasia?
A 30-year-old client arrives at the community healthcare center complaining of dizziness and a feeling of the room spinning. Based on the client's symptoms, which condition best describes what the client most likely experiencing?
What is objective vertigo?
The nurse asks the female client to bear down and notices bulging of the anterior vaginal wall. The nurse would document this as
What is a cystocele?
When percussing the anterior chest for tone, a nurse should anticipate what tone over the majority of the lung fields?
What is resonance?
A 72-year-old smoker comes to the clinic for a follow-up visit for hypertension. With palpation a pulsatile mass about 4 cm in diameter is palpable.The nurse suspects this could be what?
What is an abdominal aortic aneurysm ?
The nurse palpates the top of the client's foot on the side of the great toe. Which artery is the nurse palpating?
What is Dorsalis pedis?