The nurse is assessing a client's pulse and determines that the pulse is irregular. What is the best action the nurse should take?

When assessing a sacral pressure injury, which action should the nurse take first?

The nurse is assessing an 80 year old client with osteoarthritis. The client reports 8/10 pain in their knees by the end of the day. The nurse knows:

The nurse is conducting suicide risk screening assessments. The nurse should identify which client poses the highest risk for self harm or suicidal ideation?

A client who had a stroke is trying to speak to you. They state "Igaboo chew down this road ice Jack." Their words are enunciated and easy to understand, but do not make sense. The nurses suspects the client is suffering from:

The nurse knows characteristics of venous insufficiency include:

The nurses is auscultating the client's heart sounds and notices a gentle blowing and whooshing sound when listening to the mitral valve. The nurse suspects:

The nurse is assessing the hands of a client with an acute flare up of inflammatory arthritis. The nurse expects to find:

The nurse is auscultating heart sounds. The nurse identifies S1 and S2, and explains to the client that S1 sound is created by:

During an assessment, the nurse notes a client's foreskin is fixed and tight, and will not retract over the glans. The nurse documents this finding as:

The nurse is admitting a client with a fractured femur. The initial blood pressure reading is 198/94. The client has no history of hypertension. Which action should the nurse take first?

The nurse is assessing a client who complains of RLQ tenderness for the past 2 days. You examine the client, concerned about inflammation of which organ?

The nurse is completing a integumentary assessment on a client in the emergency department. Which finding should the nurse recognize as requiring an immediate intervention?

During the respiratory assessment of an adult the nurse notes unequal chest expansion. The nurse suspects this finding is caused by:

The nurse is evaluating a client's family medical history. A graphic representation of family relationships and illnesses is known as:

When completing a breast exam the nurse notes thickened skin with exaggerated hair follicles. The nurse documents this condition as:

The nurse is obtaining a client's vital signs BP 112/72 P 68, RR 18, T 98.7 O2 sat 84%. The nurse will document the oxygen saturation as:

The nurse is assessing the throat of a client complaining of a sore throat. Which finding indicates an acute infection?

The nurse is collecting health history and physical examination data from a client. Which step of the nursing process has the nurse completed/

The nurse is examining the capillary refill of a client's fingers. The nurse documents brisk capillary refill and a normal nail bed angle. Which finding is considered a normal nail bed angle?

During the physical portion of a client's exam, what data is the nurse collecting?

The nurse knows the easiest method for obtaining information about dietary intake includes asking the client to recall everything eaten within the last day. This is documented as:

The nurse is about to enter the room of a client on precautions for c-diff. The nurse knows the appropriate PPE to don is:

The nurse is completing a neurological assessment on their client. The nurse knows one assessment technique to evaluate cerebellar functioning includes:

The client reports feeling the need to urinate but having difficulty initiating a stream of urine. The nurse documents this finding as: