The nurse obtains vital signs on an adult client. Which findings are not within expected range? Select all that apply.

Which action should the nurse take first when preparing the environment for a physical examination?

Which information should receive particular attention when documenting this client’s health history?

The nurse is preparing to assess a client’s chest. Which sequence of physical examination techniques is appropriate?

A nurse is interviewing a client with newly diagnosed hypertension and asks, “You haven’t been eating a lot of salty foods, have you?” Which revision would best improve the nurse’s question?

A nurse is documenting an interaction with a client who declines education about increasing physical activity. Which entry best reflects legally advisable documentation?

The nurse is assessing a client’s psychological presence. Which findings should the nurse include? Select all that apply.

A nurse is completing a pain assessment for a client who reports abdominal pain. Which question best assesses the quality of the client’s pain?

Match each nursing action with the corresponding step of the Clinical Judgment Measurement Model (CJMM).

The nurse is preparing to measure a client’s body temperature. Which factor is most likely to cause an elevated temperature reading?