While assessing a 3-week-old newborn, the nurse allows the infant’s head to drop slightly while supporting the shoulders. The infant extends both arms and then brings them toward the body. Which reflex is being assessed?

A nurse is assessing an older adult who reports dizziness upon standing. Which additional finding most strongly supports fluid volume deficit?

A nurse suspects an S3 heart sound while assessing a client with heart failure. Which assessment technique is most appropriate?

A nurse is preparing to perform a complete physical assessment on a healthy 2-month-old infant. Which nursing actions are appropriate? Select all that apply.

A nurse is assessing four clients. Which set of vital signs should the nurse report first?

Match each nursing assessment technique with the primitive reflex being evaluated. Each option may be used once, more than once, or not at all.

A nurse assesses hydration in an 82-year-old client. Which assessment finding is the most reliable indicator of dehydration?

A client at 34 weeks’ gestation has a fundal height measuring 28 cm. Which nursing action is most appropriate?

A nurse is preparing to perform a complete physical assessment on a calm 3-month-old infant. Which nursing action is most appropriate to obtain the most accurate assessment findings?

A nurse assesses a 2-month-old infant whose anterior fontanel is tense and bulging while the infant is calm and quiet. Which nursing action is the priority?