Nuas 130 Adult Health Nursing 1 (Examplify) Proctored Exam

The nurse is assessing an older client's skin for turgor. What body area is best for this assessment?

An 76 year-old patient in no acute distress reports being less able to taste and smell. What is the nurse's best response to this information?

A client has a hemovac tube in place after a surgical repair of a hip fracture. The client asks the nurse the purpose of the drain. What is the nurse's best response?

A nurse is documenting the administration of pain medication for a client during night shift. The medication was given at 2100. What time would this reflect (in 12 hour format)?

A nurse is preparing to complete a neurological assessment on a newly admitted patient. Which action should the nurse prioritize first?

While assessing a client's wound, the nurse observes that the Jackson Pratt drain has lost suction, What action should the nurse take next?

A patient, recovering from a leg fracture after a fall, reports having dull pain in the affected leg and rates it as a 7 on a 0 to 10 scale. The patient is not able to ambulate in the room with crutch

A student nurse is observing a patient with cataracts sitting very close to the television. What alteration would the student nurse suspect that is causing this patient's behavior?

A nurse is performing a physical assessment on a client. The nurse finds the following on the client's left lower extremity

A client comes to the emergency room complaining of pain in their right ankle following a fall. The nurse notes the client has swelling and pain at the site. She provides the client with an ice pack t

A nurse is preparing to obtain a wound culture on a newly admitted client. What technique demonstrates proper collection of a wound culture?

Which nursing observation indicates a patient is at risk for pressure injury (PI) formation?

A hospital is initiating protocol on hospital acquired pressure injury prevention. Which intervention should the nurse question as incorrect?

What will the nurse instruct nursing assistive personnel (NAP) to do regarding the management of a patient's pain?

A nurse is assessing cranial nerve XI (11) on a client. What method is appropriate for examining cranial nerve XI (11)?

A nurse is assessing a newly admitted client. The nurse discovers the following upon turning the client on their side: How will the nurse document this finding?

A nursing home client exhibits the following symptoms: boredom, restlessness, and depression. Based on this data, the nurse identifies a potential problem of:

A nurse exchanges information with the oncoming nurse about a patient's care. Which action did the nurse complete?

A nurse is caring for a patient with chronic pain from arthritis. What action should the nurse take?

A nurse is assessing a postoperative patient's surgical wound. Which assessment finding would indicate a wound infection?

A nurse is performing a skin assessment on a client during the A.M. shift. What components should the nurse include in the assessment?

A nurse is caring for an 77 year-old. Which sensory change will the nurse identify as normal during the assessment?

Which assessment question should the nurse ask to best understand how visual alterations are affecting the patient's self-care ability?

A nurse is caring for an 86-year-old patient with advanced dementia who cannot verbally communicate. Which assessment approach is most appropriate for identifying pain in this patient?

The nurse is assessing a client for a Stage III (Stage 3) Pressure injury. The nurse knows that which of the following are characteristics of a Stage 3 pressure injury? SELECT ALL THAT APPLY