Head to Toe Assessment NCLEX Practice Questions
359 questions
A nurse is assessing a patient's abdomen by using light, circular motions with the fingertips. Which assessment technique is the…Which of the following is a common symptom of heart failure?A patient presents with a barrel-shaped chest. The nurse understands this finding is associated with which condition?During a head to toe assessment, the nurse finds an area of skin that is warm, red, swollen, and tender…Which stage of pressure ulcers involves partial-thickness skin loss involving epidermis and/or dermis?Which cranial nerve is responsible for controlling facial expressions and taste sensation on the anterior two-thirds of the tongue?During a head-to-toe assessment, the nurse observes a client's facial symmetry. Which finding would the nurse identify as abnormal?A patient with a history of heart failure presents with jugular venous distension (JVD) and peripheral edema. Which condition is…Which condition is characterized by an overproduction of cortisol by the adrenal glands?Which assessment technique involves assessing the range of joint motion?During a skin assessment, the nurse observes a patient's skin to have an irregular border with crusted, weeping lesions. Which…During a head to toe assessment, the nurse notes an irregularly shaped mole with uneven borders and changes in color.…Which cranial nerve is responsible for controlling the movement of the eyes in response to visual stimuli?A patient presents with unilateral facial drooping, difficulty closing one eye, and drooling. The nurse suspects dysfunction of which cranial…Which of the following assessments is considered objective data during a head to toe assessment?Which hormone is responsible for regulating blood pressure and electrolyte balance?Which finding during a skin assessment should raise concerns for potential melanoma?Which assessment technique is used to evaluate the level of consciousness?During a neurological assessment, which cranial nerve is assessed by testing the patient's ability to follow an object with their…During a skin assessment, which finding should the nurse prioritize as potentially indicative of melanoma?Objective data obtained during a head to toe assessment includes:During a head to toe assessment, the nurse observes the patient's fingers turning blue upon exposure to cold. What condition…Which assessment technique involves tapping the body lightly with the fingertips to assess underlying structures and their characteristics?Which of the following assessment techniques involves asking the patient questions about their health history, symptoms, and concerns?While conducting a head to toe assessment, the nurse discovers edema in the patient's lower extremities. What could this indicate?Which hormone is responsible for regulating sleep-wake cycles?A nurse is assessing a patient's lung sounds. Which assessment technique is the nurse employing?Which of the following clinical manifestations is most indicative of acute pericarditis?When assessing cranial nerves, which test would the nurse perform to evaluate cranial nerve VIII (acoustic or vestibulocochlear)?Which of the following is an example of objective data collected during a head to toe assessment?What is the primary function of the parathyroid glands?What condition is caused by an excess production of growth hormone in adulthood?When assessing the skin, which of the following characteristics should be noted?When assessing a patient's respiratory status, which technique should the nurse prioritize?When assessing a patient's abdomen, which assessment technique involves listening for sounds using a stethoscope?The nurse is assessing a client's head for signs of dehydration. Which finding would the nurse expect in a dehydrated…What is the primary purpose of palpation during a head-to-toe assessment?Which cranial nerve is responsible for controlling the muscles of the tongue for speech and swallowing?A patient with a history of heart failure presents with sudden onset dyspnea, tachypnea, and chest pain. Auscultation reveals crackles…Which of the following is a characteristic feature of Hashimoto's thyroiditis?A nurse observes a patient with chronic obstructive pulmonary disease (COPD) demonstrating pursed lip breathing. What is the primary purpose…During a head-to-toe assessment, what does inspection primarily involve?The nurse is assessing a client's head for cranial nerve function. Which test would the nurse perform to assess cranial…During a neurological assessment, the nurse tests cranial nerve I (Olfactory) by asking the patient to perform which action?Which of the following assessment findings is most indicative of a tension pneumothorax?A patient with heart failure presents with sudden onset dyspnea, tachypnea, and hypoxemia. Which condition is most likely to be…The posterior pituitary gland releases which hormone?During a head to toe assessment, the nurse observes the patient's nail beds and notes clubbing. What could this indicate?When performing a head-to-toe assessment, what is the primary purpose of inspection?A patient with hyperthyroidism is likely to exhibit which of the following symptoms?