Question 1Question 2Question 3Question 4Question 5Question 6Question 7Question 8Question 9Question 10Question 11Question 12Question 13Question 14Question 15Question 16Question 17Question 18Question 19Question 20Question 21Question 22Question 23Question 24Question 25Question 26Question 27Question 28Question 29Question 30Question 31Question 32Question 33Question 34Question 35Question 36Question 37Question 38Question 39Question 40Question 41Question 42Question 43Question 44Question 45Question 46Question 47Question 48Question 49Question 50Question 51Question 52Question 53Question 54Question 55Question 56Question 57Question 58Question 59Question 60Question 61Question 62Question 63Question 64Question 65Question 66Question 67Question 68Question 69Question 70Question 71Question 72Question 73Question 74Question 75Question 1Question 2Question 3Question 4Question 5Question 6Question 7Question 8Question 9Question 10Question 11Question 12Question 13Question 14Question 15Question 16Question 17Question 18Question 19Question 20Question 21Question 22Question 23Question 24Question 25Question 26Question 27Question 28Question 29Question 30Question 31Question 32Question 33Question 34Question 35Question 36Question 37Question 38Question 39Question 40Question 41Question 42Question 43Question 44Question 45Question 46Question 47Question 48Question 49Question 50Question 51Question 52Question 53Question 54Question 55Question 56Question 57Question 58Question 59Question 60Question 61Question 62Question 63Question 64Question 65Question 66Question 67Question 68Question 69Question 70Question 71Question 72Question 73Question 74Question 75Question 1Question 2Question 3Question 4Question 5Question 6Question 7Question 8Question 9Question 10Question 11Question 12Question 13Question 14Question 15Question 16Question 17Question 18Question 19Question 20Question 21Question 22Question 23Question 24Question 25Question 26Question 27Question 28Question 29Question 30Question 31Question 32Question 33Question 34Question 35Question 36Question 37Question 38Question 39Question 40Question 41Question 42Question 43Question 44Question 45Question 46Question 47Question 48Question 49Question 50Question 51Question 52Question 53Question 54Question 55Question 56Question 57Question 58Question 59Question 60Question 61Question 62Question 63Question 64Question 65Question 66Question 67Question 68Question 69Question 70Question 71Question 72Question 73Question 74Question 75- Question 11 out of 1 points When performing an assessment, the nurse identifies the following signs and symptoms: impaired coordination, decreased muscle strength, limitedrange of motion and reluctance to move. These signs and symptoms indicate which nursing diagnosis?AnswerSelected Answer: Mobility impairment- Question 21 out of 1 points After a cerebral vascular accident (CVA), a patient develops aphasia. Which assessment finding is most typical with asphasia?AnswerSelected Answer: Inability to speak clearly- Question 31 out of 1 points A client has experienced pulmonary embolism. A nurse assesses for whichsymptom, which is most commonly reported:AnswerSelected Answer: Chest pain that occurs suddenly- Question 40 out of 1 points The nurse is taking the health history of an 85-year-old client. Which information will be the most useful in planning care for this client?AnswerSelected Answer: General health for the past 10 years- Question 50 out of 1 points The nurse in a well-child clinic is assessing children for scoliosis. Which of the following children is at most risk for scoliosis?AnswerSelected Answer: 6-year-old girl- Question 61 out of 1 points A client, age 75 years, has been admitted to the facility. Because of the client's age, the nurse should modify the assessment by:AnswerSelected Answer: allowing extra time for the assessment.- Question 71 out of 1 points During a breast examination, which finding most strongly suggests that the patient has breast cancer?AnswerSelected Answer: A fixed nodular mass with dimpling of the overlying skin- Question 81 out of 1 points The nurse is assessing the client for being at risk for falls. The nurse should collect:AnswerSelected Answer: gait and balance information- Question 91 out of 1 points During a routine check-up, the nurse evaluates a client with rheumatoid arthritis. To assess for the most obvious disease manifestations, the nursechecks for:AnswerSelected Answer: joint abnormalities- Question 101 out of 1 points A 13-year-old girl visits the school nurse because she is experiencing backpain, fatigue and dypsnea. The nurse suspects that the child may have scoliosis. The nurse should first:AnswerSelected Answer: inspect the child for uneven shoulder height or hip height.- Question 111 out of 1 pointsThe nurse is planning to asses an adult patient for the first time when the nurse observes that the patient is leaning forward and bracing himself while sitting on the examination talbe. The nurse suspects tha the patient may be suffering from:AnswerSelected Answer: chronic pulmonary disease.- Question 121 out of 1 points To help assess the client's cerebral function, the nurse should ask:AnswerSelected Answer: "Have you noticed a change in your memory?"- Question 131 out of 1 points The nurse is assessing the client for possible osteoarthritis. The most significant risk factor for osteoarthritis is:AnswerSelected Answer: age- Question 141 out of 1 points The four areas in the body where lymph nodes are accessible are the:AnswerSelected Answer: head and neck, arms, inguinal area, and axillae- Question 150 out of 1 points The nurse knows that the best time to assess a woman's blood pressure during an initial prenatal visit is:AnswerSelected Answer: at the beginning of the interview as a nonthreatening methodof gaining rapport.- Question 161 out of 1 points The nurse is preparing to assess an older adult and discovers that the older adult is in severe pain. Which statement about pain and the older adult is true?AnswerSelected Answer: Alleviating pain should be a priority over other aspects of the assessment.- Question 171 out of 1 points During as assessment of a newly admitted 92-year-old woman, the nurse notes that her son does not want to leave the room. In addition, the woman has signs of old bruises and healed cuts that happened "last week", according to the son. Which action by the nurse is appropriate?AnswerSelected Answer: Recognize that these findings do not necessarily indicate that