ATI NUR 347 Holistic Assessment Proctored Exam

During a physical examination, a client demonstrates difficulty swallowing. Which cranial nerve should the nurse consider assessing for dysfunction?

A client is assessed for sensory deficits. Which part of the nervous system is primarily responsible for carrying sensory information from the periphery to the central nervous system?

A nurse is caring for a client who has a moderate vision impairment. Which of the following actions should the nurse take?

When auscultating Erb’s point using a systematic Z-pattern approach, where should the nurse place the stethoscope?

A nurse is teaching a client about managing opioid-induced constipation. Which statement by the client indicates a correct understanding of the role of dietary fiber?

While auscultating a client's heart sounds, the nurse hears turbulence between the S1 and S2 heart sounds. The nurse should document this finding as which of the following?

A nurse is preparing to palpate a client's abdomen. Which of the following findings is an expected abdominal characteristic?

A nurse is assessing a client who has pneumonia. Which of the following findings should the nurse expect?

A nurse is caring for a client who has constipation and is bearing down to have a bowel movement. The nurse should monitor the client for which of the following?

Which chamber of the heart receives oxygenated blood from the pulmonary veins?

A nurse is caring for a client who has an oxygen saturation of 88%. Which of the following actions should the nurse take?

During a respiratory assessment, which breath sound would you expect to hear that is soft and low-pitched, resembling the sound of wind blowing through trees?

Which of the following layers of the heart is most involved in the pumping action?

A nurse is assessing a client and notes that the spine is straight and the movement upon inspiration is symmetrical. Which location best describes where the nurse is documenting these findings?

A nurse is caring for a client who recently had a stroke. The client requires assistance with strengthening the affected side. Which of the following referrals should the nurse anticipate the provider

A 70-year-old male presents to the emergency department with confusion and shortness of breath. Upon assessment, the nurse notes decreased breath sounds on auscultation. What is the most appropriate f

Which auscultation site is best located at the fifth intercostal space along the left midclavicular line?

A nurse is teaching a client about maintaining taste and smell. Which of the following statements should the nurse make?

During an assessment, a pediatric client displays scoliosis symptoms. Which anatomical structure is primarily implicated in scoliosis?

When assessing a pediatric client with suspected pneumonia, the nurse notes wheezing and retractions. Which physiological explanation correlates with these findings?

When assessing a pediatric client with suspected pneumonia, the nurse notes wheezing and retractions. Which physiological explanation correlates with these findings?

Which stethoscope component is appropriate for auscultating high-pitched heart sounds such as S1, S2, and some murmurs?

When assessing a patient with suspected gastric ulcers, which symptom is most indicative of this diagnosis?

The endocardium is the innermost layer of the heart. What is its primary function?

A nurse is assessing a patient post-stroke for unexpected ROM findings. Which observation requires immediate intervention?