The nurse is assessing a client admitted on the medical surgical unit. The patient has no complaints of pain or distress noted. The temp is 98.6°F, pulse of 88, respirations of 18 and blood pressure of 172/88. The patient's electronic health record notes a diagnosis of esotropia that has been present for the past five years. The nurse is providing an external eye exam. What priority finding would the nurse expect from the client?

The nurse has begun the objective assessment of a client's heart and neck vessels and is assessing the client's jugular veins. What finding would the nurse consider to be expected in a healthy client?

The nurse is performing a peripheral vascular assessment of an adult client. The nurse is palpating the client's peripheral pulses but knows that some are not palpable, even in healthy clients. What pulse is not palpable in a large proportion of healthy clients?

The nurse has completed the assessment of the client's ears. A small/moderate amount of brown cerumen was found in both ears. Which action by the nurse is warranted?

A nurse in the emergency department assesses a client's pupillary reaction and observes pinpoint pupils. The client seems lethargic but oriented to person and place. There is a significant other at the bedside who notes this is not "normal" for them. The nurse interprets this finding as suggesting which of the following?

The nurse's inspection of a client's extremities reveals a deep, circular, painful wound on the client's great toe. What should the nurse suspect as the etiology of the client's wound?

A nurse who works at a primary care clinic is precepting a nursing student in their senior year of nursing school. The student has evaluated the medical records for the clients that day and will perform assessments and education as appropriate. The preceptor will be able to validate her student is able to prioritize those that are at high risk for developing cataracts if she is able to verbalize which client?

During an inspection of a client's tonsils with a penlight and tongue depressor, the nurse notes that the tonsils contact the client's uvula. The patient states they have had a sore throat and have been using lidocaine spray as directed by the provider. What would be the most accurate documentation of this finding?

The nurse has placed her hands behind the client's head and flexed his neck forward as far as he can tolerate. During the test the client experiences leg pain and bends his knees. In addition, he complains of neck pain. This assessment finding is suggestive of what health problem?

A nurse is planning a personal safety educational session for those who work in a manufacturing plant. Which of the following would be an important risk prevention measure to include regarding hearing?

The nurse is assessing a client admitted on the medical surgical unit. The patient has no complaints of pain or distress noted. The temp is 98.6°F, pulse of 88, respirations of 18 and blood pressure of 172/88. The patient's electronic health record notes a diagnosis of esotropia that has been present for the past five years. The nurse is providing an external eye exam. What priority finding would the nurse expect from the client?