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Ati nur 190/191 physical assessment final exam

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Total Questions : 79

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Question 1:

The nurse is teaching a group of unlicensed assistive personnel about the stethoscope. Which statements about the stethoscope are appropriate for the nurse to include in the teaching session? (Select all that apply.)

Answer and Explanation

A
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Question 2:

A nurse is performing an admission assessment on a client. Which finding should the nurse identify as an indication that the client is dehydrated?

Answer and Explanation

A
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Question 3:

A nurse is caring for a client who has contact dermatitis of the neck and upper chest. Which assessment data is an expected finding?

Answer and Explanation

A
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Question 4:

A nurse is assessing a client for manifestations of pain. Which finding is a subjective indicator of pain?

Answer and Explanation

A
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Question 5:

A nurse has been assigned four patients, of which one of the patients has impaired immobility. Which complications should the nurse expect as a result of gout? (Select the four options that apply.)

Answer and Explanation

A
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Question 6:

To determine the quality and intensity of a cardiac murmur, the nurse would take which action?

Answer and Explanation

A
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Question 7:

 A nurse is preparing to administer valproic acid 400 mg PO bid for migraine headaches. Available is valproic acid 250 mg/5mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: "8" mL

Explanation

Volume (mL) = Desired dose (mg) / Concentration (mg/mL)

In this case:

  • Desired dose = 400 mg
  • Concentration = 250 mg/5 mL = 50 mg/mL

Plugging the values into the formula:

  • Volume = 400 mg / 50 mg/mL = 8 mL

A
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Question 8:

A nurse is assessing a client's circulatory system. Which pulse site should the nurse avoid assessing bilaterally at the same time?

Answer and Explanation

A
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Question 9:

When a patient is unable to see objects at a distance, which term is used to document this finding?

Answer and Explanation

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Question 10:

A nurse is assessing a client for early manifestations of rheumatoid arthritis (RA). Which change is a manifestation of RA?

Answer and Explanation

A
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