ATI Nur3010 Health Assessment (Ichs College) Proctored Exam

When documenting assessment findings in a patient's medical record, which of the following is the most important principle to follow?

A nurse is obtaining a skin assessment history from a client. Which of the following findings represents subjective data?

Which of the following best describes the purpose of using the SBAR communication tool in nursing practice?

What is the typical range for normal pupil size in adults under normal lighting conditions?

The nurse selects a blood pressure cuff that is too small for the patient's arm. Which of the following outcomes is most likely?

When checking a client's capillary refill, the nurse finds that the color returns in 5 seconds. The nurse should understand that this finding indicates which of the following?

Which client is at greatest risk for developing a pressure injury?

When palpating the carotid artery, which of the following techniques is considered safe and appropriate?

A nurse is teaching a class about the function of cells in the epidermis. The nurse should include that which of the following cells determine skin color?

Which of the following is the correct order for auscultating heart sounds during a physical examination?

During a skin assessment, which finding should the nurse report immediately?

A nurse is caring for a client who has a cloudy, opaque area over the lens of one eye. The nurse should identify that this is a manifestation of which of the following visual impairments?

A nurse is caring for a client who has a rectal temperature of 35° C (95° F). Which of the following actions should the nurse take?

A nurse is assessing a client with a suspected thyroid disorder. Which assessment finding would the nurse most strongly associate with hyperthyroidism?

After completing an initial assessment of a patient, the nurse has documented that the respirations are 16 and his pulse is 68 beats per minute. What type of assessment data is this?

The nurse is conducting an interview. Which of these statements is true regarding open-ended questions? (Select All that Apply.)

A nurse is caring for a client in the outpatient cardiologist's office. The nurse is reviewing the client's assessment findings. Which of the following findings indicates that the client's condition h

A nurse is assessing a client who is receiving opioid pain medication. Which respiratory rate finding requires the nurse's immediate intervention?

Where is the dorsalis pedis pulse located on the human body?

A nurse is preparing to administer diphenhydramine 30 mg IM stat to a client who is having an allergic reaction. Available is diphenhydramine 50 mg/1 mL. How many mL should the nurse administer? (Roun

A nurse chooses to measure a client's temperature using a tympanic thermometer. Which advantage of this method should the nurse consider?

A nurse is assessing a client's peripheral circulation. In which of the following locations should the nurse palpate to assess the posterior tibial pulse? (Selectable areas, or "Hot Spots," are outlin

A nurse is caring for a client. For each finding at 1100, click to specify if the finding indicates that the client's condition has improved, worsened, or is unchanged.

Which elements should the nurse include when documenting a breast mass? (Select all that apply.)

During an assessment, the nurse notes clubbing of the client's fingernails. Which condition should the nurse suspect?