When a nurse examining the head of a newborn, the most important…

When a nurse examining the head of a newborn, the most important… When a nurse examining the head of a newborn, the most important aspect is the inspection of. symmetry. size. hair distribution. shape 2. A nurse in a well-baby clinic has completed the assessment of several children. Which child should the nurse follow up first?A.. A child who is 3 months old and does not have a social smileB. A child who is 5 months old and does not hold own bottleC. A child who is 7 months old and does not crawlD. A child who is 9 months old and does release objects at will 3. A premenopausal woman is given instructions about breast self-examination. Which of these comments, if made by the woman, indicates that she understood the instructions?A .” I will examine my breasts three days before my menstrual period starts”B . “I will examine my breasts about one week after my menstrual period starts”C . “I will examine my breasts ten days after my menstrual period”D. “I will examine my breasts on the first day of my menstrual period” 4.A young adult woman comes to the clinic for a pelvic examination. The nurse who performs the examination allows the client to observe with a mirror. The purpose of using a mirror is to  a. Allow the client to see the adnexa structuresb. Decrease the amount of time needed for explanationsC. Facilitate health teaching and client learningD. Distract the client as the examination is done 5. A 17- year -old female client comes to the out-client clinic reporting abdominal pain. The nurse prepares the client for an abdominal examination.Which of these measures would most likely help to relax the client’s abdomen?Reassuring the client that the pain is not serious.Placing a small pillow under the client’s headAsking the client to place her arms above her headAllowing the client to partially undress6. In assessing the lymph nodes of a 6-year-old child, which of these findings should the nurse refer to a physician a. Small and sensitive tonsillar nodes.b. Soft and tender submaxillary nodes.c. Large and mobile cervical nodesd. Hard and non-tender axillary nodes 7. When performing a musculoskeletal examination of an infant, the nurse should include which of these age-appropriate assessment measures?a. Brudzinski’s signB. Ankylosis detectionC. Ortolani testD. Scoliosis screening 8. To increase the possibility of eliciting a client’s deep tendon reflexes, the nurse should instruct the client toa. Contract the muscle of the limb being assessedb. Keep the eyes closed during the procedurec. Observe the nurse hitting the tendond. Relax the muscle of the limb being assessed 9. .   In assessing the thorax of a client, a nurse should expect to percuss hyperresonance when a.  a solid mass is present in the lungsb. air moves unobstructed within the lungsb. too much air is trapped in the lungsd. air is escaping into the surrounding lung tissue 10. In assessing facial symmetry, the nurse should ask the client to A. stick out the tongueB. squeeze the eyes shutC. smile cheerfullyC. cough forcefully 11. During a routine physical examination, a 65-year-old woman reports to the nurse that she had never had a mammography. The nurse should encourage the woman to haveA. a baseline computed tomography (CT) of the breastsB. a mammogram nowC. a professional breast examination every other yearD. a mammogram every year 12. To accurately assess a client’s cerebellar function, the nurse should instruct the client toa.  Raise one arm over the head and touch the nose with the other finger b.  Walk forward using a wide based gait c. Stand with the feet together and eyes closed d. Sit with the ankle of one foot resting on the opposite knee 13. In inspecting the fingernails of a healthy person, which of these nail angels should the nurse expect to observe?a. 90 degreesb. 120 degreesc. 160 degreesd, 180 degrees 14. A client reports hoarseness and difficulty swallowing. After inspecting the throat, which of these actions should the nurse take before referring the client?a. Test the client’s gag reflex.b Test cranial nerve ii.c.  Test the client’s sinuses for obstruction.d. Test the vibratory integrity of the vocal cords. 15. When performing a physical assessment of a client a nurse has graded the client’s deep tendon reflexes as 2+. The nurse should recognize thata. This is a normal findingb. The reflexes are hyperactivec. The reflexes are nonfunctioningd. The client should be further assessed for clonus Health Science Science Nursing NURS 3320 Share QuestionEmailCopy link Comments (0)

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