Which technique would the nurse use to perform scoliosis screening in a school-age child?

Have the child bend at the waist.

Measure the distance between the knees and the ankles.

Measure the length of each leg.

Ask the child to walk across the room.

Answer and Explanation

The Correct Answer is A

Rationale:

A. Having the child bend at the waist allows the nurse to observe the spine for any abnormal curvature indicative of scoliosis, such as uneven shoulders or a rib hump.

B. Measuring the distance between the knees and the ankles is not a technique used to screen for scoliosis; it is more related to assessing leg length discrepancies.

C. Measuring the length of each leg does not assess for scoliosis but is more relevant for evaluating leg length inequalities.

D. Asking the child to walk across the room is useful for assessing gait and balance but does not directly assess for scoliosis.

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Correct Answer is C

Explanation

A. Restlessness is an objective sign that may indicate pain, but it is not a subjective report from the client.

B. Pupil dilation is an objective physiological response often associated with pain or stress, not a subjective indicator.

C. A report of a burning sensation is a subjective indicator because it is based on the client’s own description of their pain experience.

D. Grimacing is an objective observation by the nurse, not a subjective report from the client.

A. Obese B. Underweight C. Overweight D. Healthy weight

Correct Answer is C

Explanation

A. A BMI of 26 is not classified as obese; obesity typically starts at a BMI of 30.

B. Underweight is defined as a BMI less than 18.5, which does not apply to this client.

C. A BMI of 26 falls within the overweight category, which is defined as a BMI between 25 and 29.9.

D. A healthy weight is classified as a BMI between 18.5 and 24.9, which does not include a BMI of 26.

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Which technique would the nurse use to perform scoliosis screening in a school-age child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client for manifestations of pain. Which finding is a subjective indicator of pain?

Correct Answer is C

Explanation

A nurse is caring for a client who has a body mass index (BMI) of 26. The nurse should place the client in which BMI category?

Correct Answer is C

Explanation

The nurse in the clinic is preparing to perform a physical assessment on a client who arrived for a routine check-up. Before beginning the assessment, which four activities should the nurse carry out? (Select all that apply.)

A patient with a history of duodenal ulcer is admitted to the emergency department with reports of pain. The nurse should assess for this pain by palpating in which abdominal quadrant?

A nurse is performing a pain assessment for an alert client. Which measure should the nurse recognize as the most reliable indicator of pain?

A nurse is receiving a patient from the emergency room. To assess whether a client is having symptoms of abdominal problems, which symptom would the nurse ask the patient? For each data collection, choose whether the assessment is essential or non-essential.

Linea nigra is commonly found on the abdomens of:

A nurse in a clinic is interviewing a client who will undergo diagnostic testing. The nurse should ask about a client's potential allergies during which phase of the nursing process?