ATI Nur3010 Health Assessment (Ichs College) Proctored Exam

During an assessment of a client exposed to cold temperatures, which finding would the nurse recognize as an early manifestation of hypothermia?

A nurse is assessing a client who reports a severe headache. Which of the following findings should the nurse recognize as red flag symptoms requiring immediate evaluation? (Select All that Apply.)

When assessing the apical pulse, which of the following techniques is most accurate for obtaining the pulse rate?

A patient presents with a respiratory rate of 28 breaths per minute. How would the nurse document this finding?

A nurse is assessing a client who has a stage 2 pressure injury. Which of the following findings should the nurse expect?

During a general survey, which assessment finding would be the nurse's highest priority to address?

Which of the following is the correct procedure for measuring an adult's blood pressure using a manual sphygmomanometer?

A nurse is caring for a client who has an oxygen saturation of 88%. Which of the following actions should the nurse take?

A nurse plans to assess a client for orthostatic hypotension after the client reports dizziness when standing. Which action should the nurse take first?

During a physical examination, the nurse observes spoon-shaped nails (koilonychia). Which condition should the nurse suspect?

A nurse is obtaining a breast health history. Which findings represent subjective data? (Select all that apply.)

Which of the following is the correct procedure for measuring a patient's blood pressure using a manual sphygmomanometer?

A nurse is assessing an infant during a routine health examination. The nurse notes that the infant's anterior fontanel is sunken. How should the nurse interpret this finding?

During a skin assessment, the nurse notes a 1.5 cm irregularly shaped dark lesion with uneven borders and color variation. What should be the nurse's priority action?

When assessing lymph nodes associated with the breast, which findings should the nurse consider abnormal? (Select all that apply.)

During a cardiac assessment, a patient begins to express concern about experiencing shortness of breath and chest pain. The patient says, "I'm so scared that something is really wrong with my heart."