Health Assessment Proctored Exam( Texas University)

The nurse has received hand-off report on a client that is being admitted to the unit from the post-anesthesia care unit (PACU). Which is the priority action for the nurse to take when the client arri

The following arterial blood gas (ABG) results indicates? pH-7.19 PaCO2-65.8 mmHg Pa02-75 mmHg HCO3-26.2 mEq/L BE-(+1.6) 02 Sat - 90%

The nurse is caring for a client that was admitted with nausea/vomiting, restlessness, dry oral mucosa, and extreme thirst. The nurse understands that the client has which electrolyte imbalance?

A nurse is caring for several clients with wounds. Which of the following clients is at the highest risk for delayed wound healing?

The nurse is performing a complete bed bath for a comatose client. What action best communicates caring to this client?

The nurse is collaborating with the dietitian about a client with a stage 3 pressure ulcer. After the collaboration the nurse orders a meal plan that includes increased

The nurse is reviewing the labs for a client. The calcium level is 7.5 mg/dL. The nurse knows this value represents hypocalcemia. What symptoms would the nurse expect to find in this client? Select al

When documenting, what guidelines should be followed? Select all that apply.

Which is an unintended effect of elderspeak?

The nurse notes an oozing, shallow, irregularly shaped ulcer on a client's lower leg. The surrounding tissue is bruise-like in appearance. The nurse correctly documents this as:

With appropriate instruction, which tasks are appropriate to delegate to an unlicensed assistive personnel (UAP)? Select all that apply.

The nurse comes onto shift. Which client should be assessed first?

The nurse is caring for a client that has had a nasogastric tube to low wall suction for 5 days. Which acid/base imbalance would the nurse expect to see in this client?

When evaluating a plan of care, the nurse reviews the expected outcomes for the client. Which expected outcome is realistic for a client with a pelvic fracture on ordered bed rest?

Which statement is the best example of critical thinking as taught by a nurse educator to a nursing student?

A client with a suspected pneumonia presents to the emergency department. Which diagnostic test does the nurse anticipate being ordered for this client?

The charge nurse prepares for client care by making assignments. They have two RN's and one LVN on the shift. Which client should the charge nurse assign to the LVN?

During the initial home visit, the nurse informs the client that the visits are expected to last for 6 weeks. Which phase of the helping relationship is the nurse in with this client?

The nurse is administering 0.45% NaCl (sodium chloride) intravenously to a client. What effect will this have on the client's body?

The nurse notices the client's nares have become dry after receiving 4 liters of oxygen via nasal cannula. What is an appropriate intervention?

Identify each assessment finding that is an example of subjective data. Select all that apply.

The nurse enters the room of a client who has fallen out of bed and is on the floor. The provider is notified and it is determined that the client was not injured. What is the best way to document thi

A Venturi mask is unique from other oxygen delivery methods because it:

A client reports a new onset of abdominal discomfort to the nurse. What is the most appropriate intervention at this time?

A nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who is receiving oxygen via nasal cannula at 2 L/min. During morning rounds, the client reports feeling more short of b