What is the primary purpose of assessing capillary refill time during a head to toe assessment?

Which of the following is the correct sequence for auscultating heart sounds?

Which respiratory sound is most commonly associated with asthma?

Which of the following best describes the normal appearance of healthy hair during a head to toe assessment?

A patient’s blood pressure is measured at $$140/90$$ mmHg. According to standard guidelines, how would this be classified?

If a patient presents with clubbing of the fingers, which underlying condition should you consider?

A patient’s respiratory rate is 28 breaths per minute. What is the most appropriate initial action?

A patient reports sudden onset of unilateral leg weakness. Which assessment finding would most strongly support a diagnosis of stroke?

You notice a patient has a new systolic murmur during cardiac auscultation. What is the most appropriate next step?

A patient presents with shortness of breath, crackles on lung auscultation, and peripheral edema. What is the most likely underlying cause?

During a musculoskeletal assessment, a patient complains of pain and swelling in the right knee after a fall. What should be your priority action?

A nurse is assessing a patient’s neck with the patient seated. Which of the following is considered an unexpected finding?

What is the normal range for heart rate in adults?

What is the purpose of inspecting the skin during a physical examination?

What is the normal range for respiratory rate in adults?

Charlotte, an EMT, is assessing a patient’s pupils during a call. Which tool is she most likely to use for this assessment?

Which question assesses orientation to person?

What assessment technique si used to evaluate muscle tenderness?

Which pulse should ALWAYS be palpated individually?

Which of the following is an unexpected finding in a healthy adult?

How should an assessment be completed to improve efficiency?

Pt states "I feel nauseous."

pain 5/10

BP 152/88

tearful

What is the first step in head to toe assessment?

What technique is used to symmetry of the face?

When was your last bowel movement and urinary frequency questions are importment during assessments to??

Patients should have the call light within reach at all times to

Presence of edema in lower extremities indicates

One should auscultate before palpating the abdomen

Unequal hand grasp most likely indicates

What mnemonic is used to help remember life-threatening issues first

Which of the following is documentation of an unexpected finding?

Which documentation is appropriate for an expected finding during a lung assessment?

Which is an expected finding for inspection of the abdomen?

Expected capillary refill time is

Which documentation indicates dehydration?

Which assessment tools is used to evaluate heart sounds

Unexpected finding during ear assessment?

Where is the posterior tibial pusle located?

Which is an expected finding?

What location should one first auscultate bowel sounds?

Which of the following is an unexpected finding?

A nurse initiates a brief interview with a patient who has come to the medical clinic because of self-reported hoarseness, sore throat, and chest congestion. The nurse observes that the patient has a slumped posture and is using intercostal muscles to breathe. The nurse auscultates the patient’s lungs and hears crackles in the left lower lobe. The patient’s respiratory rate is 20 per minute compared with an average of 16 per minute during previous clinic visits. The patient tells the nurse, “It is hard for me to get a breath.” Which of the following data sets are examples of subjective data? (Select all that apply.)

A nurse is assessing a patient’s neck with the patient seated. Which of the following is considered an unexpected finding?

A nurse is inspecting the patient’s ears with an otoscope. Which of the following findings would be considered normal?

In which arteries are bruits considered normal?

Why is it important to have equipment and supplies organized before the exam?

In which order should the abdomen be assessed?

What is the purpose of auscultating the abdomen before palpation and percussion?

What is the normal size range for pupils?

When assessing the patient's pupils, the nurse notes that both pupils constrict equally in response to light. What is the appropriate term for this finding?