Take full exam for free

A nurse is performing a pain assessment for an alert client. Which measure should the nurse recognize as the most reliable indicator of pain?

Which technique would the nurse use to perform scoliosis screening in a school-age child?

A patient with a history of duodenal ulcer is admitted to the emergency department with reports of pain. The nurse should assess for this pain by palpating in which abdominal quadrant?

A client who is found unresponsive has arterial blood gases drawn, and the results indicate the following:

- pH is 7.12 (normal range: 7.35-7.45)

- PaCO2 is 90 mm Hg (normal range: 35-45)

- HCO3- is 22 mEq/L (normal range: 22-26)

The nurse interprets the results as indicating which condition?

A nurse is assessing a client's cranial nerves. Which method should the nurse use to assess cranial nerve I?

When hearing is evaluated, which cranial nerve is being tested?

A nurse is caring for a client who has contact dermatitis of the neck and upper chest. Which assessment data is an expected finding?

A nurse is providing teaching for a client who has a new diagnosis of gastroesophageal reflux disease (GERD). The client asks about foods that should be avoided. Which food should the nurse encourage the client to avoid?

A nurse is caring for a client who recently had a stroke. Which alteration in neurologic function should the nurse expect?

A nurse in an emergency department is caring for a client who has abdominal pain.

Nurses' Notes 

0800: Client reports abdominal pain that began the previous evening. Client is two weeks postoperative from a right knee replacement. Reports taking 3 to 4 hydrocodone tablets daily for postoperative pain. Has not had bowel movement in 4 days. Reports not drinking many fluids to avoid having "to get up and go to the bathroom so often because it hurts to walk."

0830: Client taken for abdominal x-ray. Partner reports that client has not been following physical therapist's exercise regimen of walking several times daily.

0915: Fecal mass of hard, dry stool removed digitally from client per provider's order.

1015: Provided teaching to client and partner about constipation and methods to avoid further impaction.

Diagnostic Results

0900:

Abdominal x-ray: Large amount of fecal material throughout the colon with rectal impaction. No evidence of small bowel obstruction.

A nurse is providing teaching to a client who has constipation. Which information should the nurse include? (Select all that apply.)

A nurse is assessing a client's cranial nerves as part of a neurological examination. Which action should the nurse take to assess cranial nerve III?