Which of the following would the nurse do first when collecting subjective data from a client when domestic violence is suspected?

A nurse is working with a client who has a history of headaches. When preparing to assess the client’s temporomandibular joint (TMJ), the nurse should provide what instruction?

A nurse finds a client’s hand pale, cool to touch and is unable to palpate the radial and ulnar pulses. What is the nurse’s most appropriate next action?

The nurse is preparing to assess the abdomen of a client who is complaining of abdominal pain. Which statement by the nurse would be most appropriate?

The nurse is preparing to palpate a client’s temporal artery. The nurse would place the hands at which location? 

The nurse is gathering the necessary equipment to exam a client’s ears. The nurse will be conducting the Rinne test. Which of the following should the nurse obtain?

Assessment of a client reveals that he is unresponsive to all stimuli and his eyes remain closed. The nurse documents the client’s level of consciousness as which of the following?

A pediatric nurse is assessing a 7-year-old boy who is suspected of being the victim of psychological abuse by his stepfather. Which criterion would the nurse use to determine whether the stepfather’s actions constitute abuse?

A nurse educator is leading a group of nurses in exercises aimed at improving cultural competence. Which of the following would the educator use to best describe an aspect of the term “culture”?

The nurse has completed an assessment of a 36-year-old woman who was assaulted by her boyfriend. The nurse should ensure that documentation is particularly detailed and objective for which reason?