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?

A nurse is evaluating several clients in an outpatient clinic. Which of the following assessment findings should the nurse identify as most concerning?

Which client is at the greatest risk of developing a venous thromboembolism (blood clot)?