A nurse is performing a physical exam on a cancer patient with history of nausea and vomiting after receiving chemotherapy. The nurse notes lethargy, dark circles around the patient’s eye orbits, dry oral mucosa, and deep fissures in the tongue. These findings reflect which medical condition?

Which actions during a nursing assessment would help prevent frustration in an older adult experiencing altered cognition? Choose all that apply?

The nurse is taking a client’s 2-step blood pressure according to the American Heart Association guidelines. The nurse identifies the brachial pulse is no longer palpable at 120 mm Hg. How high should the nurse pump up the blood pressure cuff when performing step two in the blood pressure assessment?

What are symptoms of hearing loss a nurse may note in a patient? Choose all that apply?

During an examination of a patient’s abdomen, the nurse notes that the abdomen is rounded and firm to the touch. The nurse suspects gaseous distention as the patient denies “passing flatus yesterday or today”. During percussion, the nurse notes a drum-like quality of sound across the quadrants. Tympany upon percussion indicates?

A nurse is caring for a patient post-operatively. Which assessments would the nurse include in the “Quick Neurologic Recheck?” Choose all that apply?

Which action when taken by the nurse would make an adolescent patient feel more comfortable in discussing sex-related matters?

Which specific instruction would the nurse include in patient teaching regarding the treatment of epistaxis?

The nurse is utilizing the Lawton IADL tool to assess independent living skills for an 85-year-old patient who will be discharged from the hospital in the next few days. Which of the following activities are considered “instrumental” activities of daily living according to the Lawton tool? Choose all that apply?

The nurse is performing a Katz Activity of Daily Life functional assessment on an 82-year-old patient who recently had a right sided stroke. Which of these questions would be most important to ask?