The nurse checks the carotid pulses in a client. The nurse knows to check the carotid pulse one side at a time:

The nurse observes white patches and ulcerations in a client’s oral cavity. The client tells the nurse the sores developed during chemotherapy treatment even though the client performed oral care regularly. The nurse suspects which complication?

The nurse notices that a client is jaundiced upon physical assessment. The nurse also notes darkcolored urine in the client’s Foley bag. The nurse suspects the client has:

The nurse cares for a client who is complaining of nausea, vomiting, and back pain. Upon assessment, the nurse notices a pulsation left of midline in the upper abdomen. The nurse auscultates a bruit at this same site. Which illness does the nurse suspect?

The nurse cares for a client with chronic kidney disease. The client has an arteriovenous fistula that is being used for dialysis. As part of the assessment, the nurse should:

The nurse examines the client’s extraocular muscle movements (cranial nerve VI). Which equipment is used for this examination?

The nurse examines a client’s external auditory canal and tympanic membrane with an otoscope. Which is the best way to position the ear for the examination?

The nurse finds a client to have increased tactile fremitus. Which condition is associated with increased tactile fremitus?

The nurse cares for a client diagnosed with bronchial obstruction. Which assessment finding should the nurse expect to find?

The nurse assesses his client’s dorsalis pedis and posterior tibial pulses. The nurse understands that this assessment is an important part of the physical exam because:

The nurse assesses for cyanosis in a dark-skinned client. Which is the best site to assess for cyanosis in this client?

The nurse monitors a client who receives treatment for an asthma attack. The nurse knows the client’s respiratory status has worsened if which occurs?

The nurse auscultates breath sounds in a client. The nurse knows an incorrect method for auscultation is:

The nurse performs an assessment on an elderly client. The nurse notes the client performs pill movement of the hand. The nurse suspects which disorder?

A transjugular intrahepatic portosystemic shunt (TIPS) is performed for which condition?

A client returns from surgery after having a transurethral prostatic resection (TURP) due to benign prostatic hyperplasia. The client has an indwelling urinary catheter in place. Which type of drainage should the nurse expect to see during the immediate postoperative period?

Which landmarks are used to obtain an apical pulse?

A heart murmur is heard at the second left intercostal space along the left sternal border. Which heart valve is found in this area?

Jugular vein distension (JVD) is most prominent in:

Which best describes Babinski’s reflex?

A client is suspected of having an abdominal aortic aneurysm. Which would the nurse expect to hear while auscultating the middle lower abdomen to the left of midline?

The nurse cares for client who is status post lung transplant. The client has a double thoracotomy incision. Which drug may impair healing of the incision?

A client completes a course of chemotherapy. During this time of nadir, which assessment finding may the nurse encounter?

The nurse cares for a client who is status post right above-knee amputation. The client complains of severe pain below the level of the amputation. The nurse realizes that the client is experiencing:

A client is status post-thyroidectomy. The client complains of paresthesia and leg cramps. The nurse reviews the client’s lab results and notes hypocalcemia. The nurse realizes the reason for the hypocalcemia is:

A client is diagnosed with iron-deficiency anemia. The nurse expects which complaint from the client?

A percutaneous transluminal coronary angioplasty (PTCA) is performed on the client with a myocardial infarction to:

A client has pinpoint, pink-to-purple, nonblanching macular lesions 1 to 3 mm in diameter. Which term best describes the lesions?

The nurse cares for a client with a history of diabetes mellitus. The nurse notes that the client’s skin is cool and clammy and that the client is difficult to arouse. Which action should the nurse take first?

A client is postoperative day one after a thoracotomy. The client complains of incisional pain.Vital signs are: temperature 100.9F (38.3C), heart rate 94 beats/minute, blood pressure 138/90 mm Hg, and respirations 22 breaths/minute. Physical assessment reveals shallow respirations and rhonchi at the bases. Which intervention should the nurse perform first?