ATI Health Assessment Proctored Exam

Cranial nerves involved in eye movements are:

The nurse is assessing a client's cardiovascular status within the comprehensive health history. What should the nurse include in this section of the assessment? (Select all that apply.)

When performing a head-to-toe assessment, during which part would the nurse evaluate cranial nerve (CN) IX, X, and XII?

Before completing the physical examination, the nurse determines that the client is awake, alert, and oriented. This information would be important for which part of the general survey?

The nurse is assessing a client's cardiovascular status within the comprehensive health history. What should the nurse include in this section of the assessment? (Select all that apply.)

The nurse is planning to inspect a client's apical heart impulses. What should the nurse do to ensure an accurate assessment of this organ?

A patient is unable to taste in the 2/3 anterior of his tongue. Which cranial nerve is affected?

Cranial nerves involved in eye movements are:

Data collection occurs where in the nursing process?

What eye function is the nurse preparing to assess when the client is asked to stand 20 feet from a specific chart that is mounted on the examination room wall?

During a health class, the nurse is emphasizing exercise and healthy eating. The level of prevention being utilized by the nurse is

While inspecting the external eye of a client, the nurse notes that the client's right eyelid droops. Which term would the nurse use to document this finding?

Use of tobacco products and excessive alcohol consumption are principal risk factors for oral carcinoma.

Which individual typically would be responsible for collecting the subjective data on a client during the initial comprehensive assessment?

The nurse refers an older adult client for further evaluation after the nurse assesses warm skin and brown pigmentation around the ankles. The nurse suspects which of the following?

When the nurse collects objective data, which finding requires immediate follow-up?

The nurse is using the finger pads of the hand to palpate a body part. The nurse would best be able to detect which finding?

A nurse provides prevention strategies to a group of clients who are identified as at risk for hypertension. Which strategies should the nurse include? (Select all that apply.)

A client asks the nurse about the function that the lymph system plays in the body. Which of the following would be most appropriate for the nurse to include when responding to the client?

A nurse is performing a head-to-toe assessment and is preparing to examine the client's ears. Which equipment would the nurse need to have readily available?

Which type of assessment includes a health history and physical assessment?

The nurse hears high-pitched swooshing sounds over the carotid artery on the right side. What is this sound indicative of?

A positive Murphy's sign is indicative of?

During chest auscultation, the nurse hears a quiet murmur immediately upon placing the stethoscope on the client's chest. The nurse interprets this as which grade?

A senior patient is being admitted due to lobar pneumonia to the med-surgical floor. When auscultating, the nurse would expect to listen to which of the following adventitious breath sounds?