ATI NURS 190/191 Physical Assessment Proctored Exam

The nurse is collecting a medical history on a 34-year old client. The client reports: "I take oral antibiotics whenever she gets a sore throat, because she cannot afford to lose any time at work". Wh

While conducting a focused neurological assessment, the nurse includes testing the function of cranial nerve XI in a client. What assessment findings indicate the nerve is intact and functioning?

The nurse performs an admission assessment on a client admitted with chest pain. The nurse knows that using the bell of the stethoscope is appropriate to auscultate for which type of sounds?

You are examining a client with respiratory distress. Which physical assessment would best determine if the client has acute hypoxemia?

A nurse is preparing to administer amoxicillin 100 mg PO every 8 hr to a toddler who weighs 20 kg. The recommended dosage range is 20 to 25 mg/kg/day. Which action by the nurse is appropriate?

What physical assessment technique would the nurse use to obtain a pulse on a client?

A nurse has been assigned four patients of which one of the patients is completely immobile. Which complication should the nurse expect as a result of immobility? (Select all that apply.)

A nurse in the outpatient clinic is caring for a client with a serum calcium level of 7.5 mg/dL (8.5-10.2 mg/dL). What nursing intervention is most important when providing care for this client? (Sele

The nurse in the trauma unit has received a report on a client who has multiple injuries as a result of a motor vehicle crash. Which action should the nurse plan to take first?

The nurse is caring for a client who is admitted to the medical-surgical unit for gastrointestinal disorders. While conducting a focused assessment, the nurse prepares to lightly palpate the client's

The nurse is admitting a client to the medical-surgical unit and notes the skin breakdown shown in the diagram. How should the nurse document the finding?

A nurse in the urgent care facility is assessing a client who reports frequent vomiting and diarrhea for the past 3 days. Which objective findings should the nurse expect? (Select three options that a

The nurse is caring for a client who was admitted two days ago and diagnosed with influenza and acute otitis media. Admitting diagnosis Influenza Acute otitis media Complete the sentence by using the

The nurse is preparing to assess the sinuses of an adult client using direct percussion. Which technique is the most appropriate for this assessment?

In caring for a quadriplegic client which action would the nurse implement to prevent skin breakdown?

The nurse reviews the arterial blood gas (ABG) results of a client and notes the results: pH 7.46 pH units, [normal range: 7.35-7.45] Paco2 of 30 mm Hg (30 mmol/L), [normal range: 35-45] HCO3- of 20 m

While checking the client's medication administration record, it was determined the client received the wrong medication. Which action should the nurse implement first?

The nurse receives four clients in the emergency department from triage at the same time. Which client requires the nurse's immediate attention?

A client with an inability to read billboards while driving, arrives to the clinic for an eye examination. Which piece of equipment would the nurse use to evaluate the client's distant vision?

A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hr. The client weighs 198 lb. How many mg should the nurse administer with each dose? (Round the answer to the neare

The nurse is caring for a group of clients in the outpatient facility. Which clients are at risk for developing skin cancer? Select three options that place a client at risk for skin cancer

A nurse is obtaining a health history from a client that has a serum potassium level of 3.2 mEq (3.5-5.0 mEq). What statements made by the client indicate a potential cause of this clinical manifestat

A client is to receive enoxaparin 30 mg subcutaneously. Available is enoxaparin 40 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it appl

A client is receiving the diuretic hydrochlorothiazide. When evaluating the client's response to hydrochlorothiazide, which common nontherapeutic response is important for the nurse to monitor?

While completing a comprehensive assessment of a client who is admitted with chronic obstructive pulmonary disorder, the objective data revealed the client's nails appear convexed and wide with an ang