A nurse is documenting findings following the examination of a client. Which should the nurse include as part of the general survey?

Allergy assessment

Skin temperature and color

Reason for seeking care

Posture and speech

Answer and Explanation

The Correct Answer is D

A. Allergy assessment: This is part of the client’s medical history and does not fall under the general survey, which focuses on observable, overall physical and behavioral characteristics.

B. Skin temperature and color: While skin assessment is important, detailed measurements of temperature and specific color changes are usually part of the physical examination, not the initial general survey.

C. Reason for seeking care: This is subjective information provided by the client and is part of the health history, rather than the general survey, which emphasizes observable characteristics.

D. Posture and speech: Posture, gait, speech, and overall appearance are key elements of the general survey. These observations provide an immediate impression of the client’s general health, functional status, and level of comfort.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. A client here for a yearly physical examination: Routine preventive visits are non-urgent and do not pose an immediate threat to the client’s health. This makes the client a third-level priority, as care can safely be delayed while addressing more acute or emergent situations.

B. A client with hives, angioedema, and tachycardia: These symptoms indicate a potentially life-threatening allergic reaction, requiring immediate intervention. This client is a first-level priority due to risk of airway compromise and shock.

C. A client with 10/10 abdominal pain and vomiting: Severe pain is concerning and requires assessment and management. While not immediately life-threatening as a compromised airway, this requires prompt assessment and pain management to prevent deterioration and is a Second-Level Priority (urgent)

D. A client who is unconscious and not breathing: This is an absolute emergency requiring immediate resuscitation, making it a first-level priority. It takes precedence over non-urgent care such as routine physical exams.

A. "Have you ever had any surgeries?" B. "What type of health insurance do you have?" C. "Have you ever smoked tobacco products?" D. "What illnesses did you have as a child?" E. "Have you had any reactions to your medications?"

Correct Answer is ["A","C","D","E"]

Explanation

A. "Have you ever had any surgeries?": Asking about past surgeries provides important health history that may influence current care, indicate risk factors, and guide future interventions. Surgical history is essential for a comprehensive health assessment.

B. "What type of health insurance do you have?": Health insurance information is administrative rather than clinical data. While it is important for billing and access to services, it does not contribute to the client’s medical assessment or care planning.

C. "Have you ever smoked tobacco products?": Inquiring about tobacco use identifies risk factors for cardiovascular, respiratory, and other chronic diseases. This information is relevant to the client’s current health status and preventive care planning.

D. "What illnesses did you have as a child?": Childhood illnesses can have long-term health implications, including immunity status, chronic conditions, or complications that may affect current care. Documenting this helps create a thorough health history.

E. "Have you had any reactions to your medications?": Knowing about previous medication reactions is critical for preventing adverse drug events and ensuring safe prescribing and administration. This information is essential for client safety.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is documenting findings following the examination of a client. Which should the nurse include as part of the general survey?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a group of clients. Which client should the nurse identify as a third-level priority?

Correct Answer is A

Explanation

A nurse is preparing to collect health history data during a client's admission. Which question(s) should the nurse ask? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

The nurse prepares to leave the room after completing a client assessment. What action(s) should a nurse plan to take to promote safety before leaving a client's room? Select all that apply.

A nurse is assessing a client whose parent has coronary artery disease (CAD). What should the nurse plan to incorporate into the client's care plan?

The nurse conducts an initial interview with a client. Which question should the nurse ask to elicit the most information?

A nurse is conducting several health assessments. Which action(s) should the nurse delegate to the unlicensed assistive personnel (UAP)? Select all that apply.

A nurse is making an initial home visit for a client who has hypertension, kidney failure, and chronic pulmonary disease. Which type of assessment should the nurse use in this situation?

The nurse is caring for a client who is of a different culture than that of the nurse. When the nurse begins the physical assessment, the client seems apprehensive. What action should the nurse take?

The nurse conducts a physical assessment. What action should the nurse take when documenting a client's physical assessment?

A client requests to hang an amulet above their bed for protection while in the hospital. The nurse believes that the only thing that will help the client is medical treatment. Which action should the nurse take?