The nurse is performing an assessment and notes distention of the jugular vein with patient in supine position with the head of bed elevated 45 degrees. What is the best nursing action?

A 95 year old, bed ridden, patient is being cared for at home by the family. The home care nurse discovers that the patient has several stage III pressure sores on the hips, coccyx and heels. What is the best nursing action?

The nurse is beginning a physical assessment for a new patient. Which is required for performing a proper inspection during the physical examination? Select all that apply.

The following are tests for Cranial Nerve VII: Select all that apply.

The nurse is interviewing an adult who complains of increasing dyspnea. Which question will result in the most complete information about the patient’s symptoms?

What are the internal factors that the nurse must develop in order to perform effective client interviews?

The nurse is reviewing data collected after an assessment. Of the data listed below, which would be considered related cues that should be clustered together during data analysis? Select all that apply.

 The nurse discovers a pattern injury on a 4 year old child who is in the emergency department for a sore throat. What is the best nursing action?

The nurse is interviewing an older adult. Which technique will best facilitate communication?

What is the nursing priority for a patient that performs the diagnostic positions test with parallel tracking of the object with both eyes?