What assessment(s) are included in the physical appearance portion of the general survey? Select all that apply.

Behavior

Level of consciousness

Range of motion

Facial features

Sexual development

Answer and Explanation

Correct Answer : D,E

A. Behavior: Behavior is part of the general survey’s behavioral assessment, not physical appearance. It includes mood, affect, and interactions with the environment, focusing on emotional and cognitive functioning rather than physical characteristics.

B. Level of consciousness: Level of consciousness is assessed under mental status or neurological evaluation. While important for overall health assessment, it does not fall under the physical appearance portion of the general survey.

C. Range of motion: Range of motion evaluates musculoskeletal function and joint mobility. This is part of the physical examination, not the initial observational assessment of physical appearance in the general survey.

D. Facial features: Observing facial features is part of physical appearance, as it provides information about symmetry, expressions, and possible congenital or acquired conditions. This helps form an overall impression of the client’s health.

E. Sexual development: Sexual development, such as secondary sex characteristics, is included in the physical appearance portion of the general survey. It offers insight into growth, maturation, and endocrine or developmental issues.

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Correct Answer is A

Explanation

A. Discuss with the client their risk factors for developing CAD: Family history is a significant non-modifiable risk factor for coronary artery disease. Educating the client about their personal risk helps raise awareness and supports prevention strategies tailored to their needs.

B. Have the client start exercising for at least 30 minutes a day: While exercise is important for cardiovascular health, recommending a specific regimen without first assessing the client’s overall health, readiness, and risk factors may be unsafe.

C. Encourage the client to attend a support group for CAD: Support groups can be beneficial for individuals already diagnosed with CAD, but the client in this scenario has a family history and may not need immediate support group involvement.

D. Instruct the client to begin following a heart-healthy diet: Diet modification is an effective preventive measure, but it should be introduced as part of a broader discussion on risk factors and individualized planning rather than as an immediate directive.

A. A client with a burn on their forearm sustained from boiling water B. A client with a right ankle fracture unable to place any weight on it C. A client with severe abdominal pain who is pale and diaphoretic D. A client with a head laceration being controlled with pressure

Correct Answer is C

Explanation

A. A client with a burn on their forearm sustained from boiling water: While burns require assessment and care, a forearm burn without signs of systemic compromise is not immediately life-threatening and can wait after more urgent cases.

B. A client with a right ankle fracture unable to place any weight on it: An isolated fracture causes pain and limited mobility but is not life-threatening, making it lower priority in triage compared to clients with potential systemic compromise.

C. A client with severe abdominal pain who is pale and diaphoretic: Pallor and diaphoresis indicate possible shock or serious internal pathology. This client is at highest risk for rapid deterioration and requires immediate assessment and intervention.

D. A client with a head laceration being controlled with pressure: If bleeding is controlled and the client is stable, this is urgent but not immediately life-threatening, so the client can be assessed after those showing signs of shock or systemic compromise.

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What assessment(s) are included in the physical appearance portion of the general survey? Select all that apply.

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

The nurse is triaging a group of clients in the emergency department. Which client should be assessed first?

Correct Answer is C

Explanation

What assessment(s) are included in the physical appearance portion of the general survey? Select all that apply.

A nurse is providing education to a group of new nurses about maintaining confidentiality in nursing documentation. Which statement by a new nurse indicates a need for further teaching?

The nurse is monitoring for risk for injuries identified in the healthcare environment. Which unsafe healthcare environment finding(s) will require action from the nurse? Select all that apply

A nurse is educating staff nurses about the goals of timely and accurate documentation of health assessments. Which statement by a staff nurse indicates additional education is needed?

A nurse is performing the behavioral assessment of the general survey. Which assessment should the nurse include related to behavior?

What is the purpose of clustering clues during the critical thinking process?

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 educating an older adult client about safe medication practices. Which instruction should the nurse include in the education?