A nurse is performing an assessment of a client’s mouth. Which of the following findings is most concerning?

The nurse is assessing a client who reports a new onset of diarrhea. Which of the following assessment questions are most appropriate for the nurse to ask? Select all that apply.

During a lower extremity neurological exam, the nurse asks the patient to “push down like you’re pressing a gas pedal.” Which movement is the nurse assessing?

Mr. Smith is a 76-year-old male admitted after a recent stroke. During your initial assessment, he states, “My name is John Smith. I am currently at home, the year is 1968, and I’m here because I broke my leg.” How should the nurse document his mental status?

A nurse is performing a musculoskeletal assessment on a school-aged child during a routine physical examination. Which of the following findings is most indicative of scoliosis and requires further evaluation?

The nurse is reviewing a client’s chart and notes a documented finding of “cyanosis noted around lips and nail beds.” Which assessment finding should the nurse anticipate during physical examination?  

The nurse is performing a neurologic assessment on a client diagnosed with a stroke and cannot elicit a gag reflex. This deficit is related to which of the following cranial nerves?

A nurse is performing the confrontation test during a visual assessment of a client. Which of the following findings indicates a possible visual field defect that requires further evaluation?

What examination sequence should the nurse follow when preparing to perform a client’s abdominal assessment?

The nurse is assessing a patient who is prescribed metoprolol (Lopressor) for hypertension. Which finding is most consistent with the expected effects of this medication?