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42. A nurse is performing an integumentary assessment on a 60-year-old patient with a history of prolonged sun exposure. The nurse is assessing for the presence of any abnormal lesions. Which of the following techniques demonstrates the correct method for inspecting and palpating the skin for lesions or abnormalities?

15. A nurse is assessing a client who is receiving total parenteral nutrition (TPN). Which of the following findings should the nurse recognize as an early complication of this therapy?

45. The nurse is performing a physical assessment on a 60-year-old female patient who is experiencing mild abdominal pain. To assess the abdomen thoroughly, the patient will need to be placed in which of the following positions?

43. A nurse is performing a vascular assessment on a 72-year-old patient with a history of smoking and diabetes. While assessing the patient’s capillary refill, the nurse compresses the nail beds of the patient’s fingers and toes for 6 seconds, then releases. The nurse observes that the color in both the fingers and toes returns in 5 seconds. What should the nurse’s next course of action?

29. The nurse is receiving a patient from the emergency room with blunt force trauma to the right costal area and has experienced a hemothorax.  Upon assessment, the nurse would expect which of the following? 

35. The nurse informs a male patient that which of the following is the best time to perform a testicular self-assessment? 

24. A nurse is assessing a client’s bowel sounds. At which of the following points in the assessment should the nurse auscultate the client’s abdomen?

8. A 65-year-old male is admitted to the hospital following a myocardial infarction. On the second day of his hospitalization, he starts complaining of dizziness and light-headedness upon standing. The nurse obtains a blood pressure and notes it is 120/80 mm Hg while sitting, but when he stands, his systolic blood pressure drops to 95/60 mm Hg, and his diastolic pressure drops to 55 mm Hg. The nurse suspects the patient may be experiencing orthostatic hypotension. Considering the patient’s history and current condition, which of the following factors is most likely contributing to his orthostatic hypotension?

22. A nurse palpates a client’s radial pulses bilaterally and notes the client’s right radial pulse is bounding, and the client’s left radial pulse is as expected. The client’s heart rate is 80/min. Which of the following documentations should the nurse make?

18. A nurse is assessing a client who has diarrhea. Which of the following findings is a manifestation of hypokalemia?