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?

A client recovering from abdominal surgery reports severe pain in the right shoulder despite a clean surgical incision. Which nursing interpretation is most appropriate?

A nurse is assessing the cervical lymph nodes of a 48-year-old client who reports unintentional weight loss and persistent fatigue. Which assessment finding should the nurse report to the provider first?

A nurse suspects child neglect after observing severe malnutrition, poor hygiene, and untreated skin infections. Which nursing action is most appropriate?

A nurse begins a head-to-toe assessment of a client admitted with pneumonia. After introducing themselves and verifying the client’s identity, the client suddenly becomes increasingly short of breath and is unable to complete full sentences. What is the nurse’s priority action?

A postpartum client asks why the newborn receives only a small amount of colostrum after birth. Which nursing response is most accurate?

A nurse performs a cardiac assessment. Which nursing actions are appropriate? Select all that apply.

While palpating the cervical lymph nodes, the nurse notes a node that is hard, fixed, and nontender. Which nursing action is most appropriate?