A nurse is completing an admission assessment of a client who
has pancreatitis. What should the nurse expect? Correct Answer
Epigastric pain radiating to the left shoulder
A patient is having trouble swallowing food following an acute
stroke. How should the nurse document his in the EHR
(electronic health record)? Correct Answer Dysphagia
Allens Tests is for Correct Answer Efficiency of the radial and
ulnar arteries
Cause of unsymmetrical chest expansion? Correct Answer
Pneumothorax
Egophony with consolidation is determined by? Correct Answer
Patient saying "ee-ee-ee" during auscultation, and hearing "aa-
aa-aa"
Fluid wave tests for? Correct Answer Ascites
How do you assess the abdomen? Correct Answer Inspect,
Auscultate, Percuss, Palpate
How do you assess the lungs? Correct Answer Side to side
(bilaterally)
How to chart a respiration rate of 26 in an adult? Correct
Answer Tachypnea
,How would you chart lung sounds heard in the peripheral lung
field? Correct Answer adventitious lung sounds
How would you grade tonsils touching eachother? Correct
Answer 4+
Is tactile fremitus normal or abnormal? Correct Answer
Abnormal
Lung sound that is a medical emergency? Correct Answer
Strider
Lung sound with high pitched musical tone? Correct Answer
wheezing
Predictor of interperitoneally bleeding? Correct Answer
Collens sign
The client reports that she has noticed a white coating on her
tongue. What assessment should the nurse initially complete?
Correct Answer Gently scrape the white area of the tongue
The client tells a nurse that he has pain in his LUQ. What
quadrant should the nurse palpate first? Correct Answer RLQ
The nurse hears crackles when auscultating the lungs. What
should the nurse assess (3)? Correct Answer Pulse oximetry
(check O2 sat)
Temperature (could have pneumonia)
Posture (tripod, laying down, breathing)
, What can cause hypoactive bowel sounds? Correct Answer -
Necrosis of the bowel
-Narcotics
-Anesthesia
-Abdominal Infection
What contributes to mouth cancer? Correct Answer Alcohol
and Tobacco use
What is the relationship of the anteroposterior diameter in a
healthy person? Correct Answer AP<T
Anteroposterior diameter less than Transverse
What is the term to refer to healthy lung sounds? Correct
Answer Resonance
Which is a sign of PAD and movement? Correct Answer
Intermittent Claudication
Which is a sign of PAD? Correct Answer light pulses
Which is a sign of PVD? Correct Answer Edema
6 essential "rights" to accurate medication administration
Correct Answer 1. Right Medication
2. Right Client
3. Right Dose
4.Right Time
5. Right Route
6.Right Documentation
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