What is PERRLA?
pupils equal round reactive to light and accommodation
What term refers to a higher- than- normal respiratory rate in an adult
What is Tachypnea?
After assessing the throat, the nurse documents the client's tonsils as 4+
What is Touching each other ?
What Cranial nerve assess the client’s ability to hear the spoken word?
What is cranial nerve VIII- vestibulocochlear
What is the number of minutes bowel sounds are considered absent?
What is 5 minutes?
As part of the examination, the nurse will be assessing the client's balance. The test that should be administered is the
What is Romberg test.
S 1 is considered
What is Systole
A Nurse is preparing to examine an adult client's eyes, using a Snellen chart. What should the nurse do?
What is position the client 20 feet away from the chart
What evaluates the patient's response to verbal, motor and sensory stimuli ?
What is Glasgow Coma Scale?
The nurse plans to assess a client's abdomen as they palpate deeply while quickly releasing pressure.
What is rebound tenderness?
What Measurement of the client's ability to differentiate between sharp and dull sensations over the forehead tests which cranial nerve?
What is Trigeminal - Cranial Nerve V (5)
What position enhances apical pulsation and displaces heart toward chest?
What is left lateral supine position
What is the normal tympanic membrane color?
What is translucent pearl gray?