Head to Toe Assessment NCLEX Practice Questions
359 questions
A nurse is assessing a patient's chest for tactile fremitus. Which technique should the nurse use?During a physical examination, a nurse detects a pericardial friction rub in a patient with suspected pericarditis. Which action should…Which of the following breath sounds is typically heard over the lung periphery during auscultation?While assessing a patient's head to toe, the nurse finds crepitus upon palpation of the shoulder. What could this indicate?While conducting a head to toe assessment, the nurse notes the presence of a “butterfly rash” on the patient's face.…A patient presents with sudden onset of dyspnea, chest pain, and hemoptysis. Which condition is the most likely cause of…During a cardiovascular assessment, the nurse auscultates a high-pitched, blowing sound heard immediately after S2. This finding is consistent with:Which assessment technique involves using a tuning fork to assess for hearing abnormalities?What is the appropriate technique for assessing the symmetry of facial features?What is the primary purpose of auscultation during a head-to-toe assessment?A patient presents with pain and tenderness over the temporal artery, headache, and visual disturbances. The nurse suspects which condition?Which of the following skin lesions is fluid-filled and less than 0.5 cm in diameter?What is the primary function of cortisol?When assessing the lungs, which finding would the nurse identify as abnormal?During a head to toe assessment, which assessment technique is used to gather objective data regarding the respiratory system?Which of the following is NOT a risk factor for developing coronary artery disease (CAD)?Which hormone is responsible for stimulating milk production in lactating females?The nurse is performing a skin assessment on a patient diagnosed with psoriasis. Which finding should the nurse expect?A nurse is assessing a patient's bowel sounds. Which assessment technique is the nurse employing?Which cranial nerve is responsible for controlling eye movements and pupil constriction?During a head-to-toe assessment, the nurse assesses the client's facial expression for symmetry. Which cranial nerve is primarily responsible for…Which assessment technique should the nurse use to assess the temporal artery?When assessing cranial nerve VIII (Vestibulocochlear), which test would the nurse perform to assess hearing acuity?During a head-to-toe assessment, the nurse assesses the client's eyes for pupillary response. Which assessment finding would the nurse identify…While assessing the patient’s abdomen, the nurse palpates a mass that is firm, immobile, and non-tender. What could this indicate?What skin assessment finding would be consistent with a potential fungal infection?During a head to toe assessment, which assessment technique provides objective data about a patient's cardiac rhythm?During a head inspection, the nurse observes a swollen area on the scalp with localized tenderness. What further assessment should…Which of the following assessments provides objective data about a patient's cranial nerves?Which assessment finding is indicative of a potential wound infection during a skin assessment?During a skin assessment, the nurse observes irregular, darkly pigmented macules. What condition should the nurse suspect?During auscultation of the heart, the nurse hears a murmur. What should be the nurse's next action?During a head inspection, the nurse observes involuntary rhythmic movements of the eyes. Which cranial nerve should the nurse assess?Objective data gathered during a head to toe assessment of the eyes may include:A patient with hypoparathyroidism is at risk of developing which complication?A patient presents with white, flaky patches on the scalp. What condition should the nurse suspect?While palpating the carotid artery, the nurse notes a bounding, forceful pulse. Which condition should the nurse suspect?Which assessment finding during a skin assessment should the nurse document as an abnormality?Which gland is responsible for producing adrenaline?Which assessment finding should the nurse expect in a patient with a suspected allergic reaction during a skin assessment?What is the primary function of the adrenal glands?Which skin assessment finding would be most concerning for a potential skin infection in a diabetic patient?Which of the following is an example of objective data gathered during a head to toe assessment of the abdomen?A nurse assessing a patient’s extremities notes that one leg is cooler to the touch than the other. What could…What skin assessment finding would be consistent with a potential diagnosis of contact dermatitis?During a head to toe assessment, which technique would the nurse use to obtain objective data about a patient's reflexes?When assessing a patient's skin during a head to toe assessment, which finding would be considered objective data?A patient with heart failure presents with a productive cough, frothy pink-tinged sputum, and crackles on auscultation. Which condition is…A patient presents with diplopia, ptosis, and difficulty chewing. The nurse suspects dysfunction of which cranial nerve?During a head-to-toe assessment, the nurse notes a small amount of white, flaky material in the hair. Which action should…