ATI NURS 220 Health Assessment Proctored Exam

The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example of a first level priority problem?

During a cardiovascular assessment of an 80-year-old adult, a nurse should consider which of the following as expected findings?

A nurse is interviewing a client in order to obtain a comprehensive health history. The purpose of a review of systems in the health history is to

A 30-year-old woman tells the nurse that she has been very unsteady and has had difficulty in maintaining her balance. Which area of the brain that is related to these findings would concern the nurse

The nurse should use which test to check for large amounts of fluid around the patella?

A nurse is assessing a client's cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess cranial nerve 11?

The nurse is testing the function of CN XI. Which statement best describes the response the nurse should expect if this nerve is intact? The patient.

A nurse is assessing a client's cardiovascular system. To palpate for unexpected pulsations in the pulmonic area, at which anatomical location should the nurse place her fingers?

A nurse assesses four clients. Which client assessment will require the nurse to perform an immediate focused assessment?

A nurse is interviewing a male client who has a hearing impairment. What techniques would be most beneficial in communicating with this client?

When assessing muscle strength, the nurse observes that a patient has complete range of motion against gravity with full resistance. What grade of muscle strength should the nurse record using a 0- to

The nurse is preparing to perform a functional assessment of an older patient. What is an appropriate approach for the nurse to take?

A nurse needs to obtain anthropometric measures of an 80-year-old client. Which of the following statements is true regarding this situation?

A nurse is admitting a client from a long-term care facility. The nurse should use closed-ended questions when assessing which of the following factors?

A charge nurse is observing a nurse auscultating a client's bowel sounds. Which of the following actions requires intervention by the charge nurse?

During an assessment of the CNs, the nurse finds the following: asymmetry when the patient smiles or frowns, uneven lifting of the eyebrows, sagging of the lower eyelids, and escape of air when the nu

The movement of the leg laterally then medially, with knee straight is referred to as:

An adult client is admitted to the nursing unit with a medical diagnosis of Acute Stroke. The client does not respond to verbal stimuli. In this situation, what is the best action by the nurse to prov

Renee is a 43-year-old female who presents to her gynecology office to follow up on a breast lump she discovered while performing a self-exam two days ago. Renee explains she has a family history of b

A nurse in a clinic is assessing a client. Which of the following findings should the nurse identify as a risk factor for osteoporosis?

The nurse is teaching a class on preventing osteoporosis to a group of perimenopausal women. Which of these actions is the best way to prevent or delay bone loss in this group?

Which of the following would be considered an expected finding when assessing accommodation in an adult client?

The nurse stands behind the client and whispers "5-B-6." This technique is used to assess which of the following Cranial Nerves?

A newly admitted patient is having generalized anxiety, headache with pain level 4/10, and shortness of breath at rest. How should the nurse prioritize these problems?