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A 38-year-old client arrives at the emergency department reporting sudden onset of severe abdominal pain rated 8/10 and repeated vomiting for the past 6 hours. The client appears restless and is holding the abdomen while speaking in short sentences. Vital signs are – BP 138/84 mmHg, HR 100 bpm, RR 22/min, T 100.9°F, SpO₂ 97% on room air. Which type of assessment is most appropriate for the nurse to perform on this client?

A nurse is collecting data from a client newly diagnosed with type 1 diabetes who is about to begin an educational program. The nurse gathers both subjective and objective data. Which assessment finding should the nurse correctly classify as objective data?

A nurse is preparing to conduct a physical examination to assess a client’s lungs after a knee replacement surgery. To gather objective data, which sequence and technique are most appropriate for the physical examination?

A nurse will complete an initial comprehensive assessment of a 60-year-old client who is new to the clinic. What goal should the nurse identify for this type of assessment?

The nurse has completed a data analysis, identifying normal and abnormal findings, on a newly admitted client to the medical-surgical unit. Which of the following steps of the clinical judgment process will the nurse complete before identifying a client concern? Select all that apply.

A nurse is preparing to perform a comprehensive physical assessment on an older adult client who is beginning rehabilitation following an ischemic stroke. The client has limited mobility, becomes fatigued quickly, and states, “I don’t like being moved around a lot—it wears me out.” Which nursing action would be most appropriate to facilitate an effective and safe examination?

A nurse is preparing to perform auscultation of a client’s heart and lungs during a head-to-toe physical exam. Which nursing action would best ensure accurate assessment results?

An experienced medical-surgical nurse has identified critical thinking as an integral component of clinical judgment. How can the relationship between these two concepts be best described?

A group of nursing students is reviewing the purposes of assessment documentation in preparation for a class discussion. The students demonstrate understanding of the information when they identify which of the following as one of the primary purposes?

Upon entering the exam room, the nurse encounters a client who sates, “Well! I was getting ready to leave. My schedule is very busy, and I don’t have time to waste waiting until you decide to see me!”Which response by the nurse would be most appropriate?