Nursing Fundamentals

The third step in the order of assessment is:

• Inspection

• Percussion

• Palpation

• Auscultation

Pulses can be assessed in many different locations. Name then pulse site commonly used to detect peripheral vascular disease

A patient is having difficulty swallowing medications and food. The nurse would document that this patient has:

• Aphasia

• Dysphasia

• Dysphagia

• Anorexia

When assessing the musculoskeletal system, name a site you would check to assess ROM

A patient was admittted with a stroke. How would you check the symmetry of their strength bilaterally? Give one example

Early signs of hypoxia include

Which patient finding is subjective?

• Blood Pressure

• Pain

• Petechia

• Edema

Vivid dreaming occurs in which stage of sleep?

• REM (Rapid eye movement)

• Stage II non-REM

• Stage I non-REM

• Delta stage

A male patient has a soft wrist safety device. Which assessment finding should the nurse consider abnormal?

• A palpable radial pulse

• A palpable ulnar pulse

• Cool, pale fingers

• Pink nail beds

A patient is in the bathroom when the nurse enters to give a prescribed medication. What should the nurse in charge do?

• Leave the medication at the patient’s bedside.

• Tell the patient to be sure to take the medication. And then leave it at the bedside.

• Wait for the patient to return to bed, and then leave the medication at the bedside.

• Return shortly to the patient’s room and remain there until the patient takes the medication.