Upon arrival to the provider’s office, which information would the nurse obtain when conducting a health history for the patient? Choose all that apply?

A patient complains of “a really, really bad sore throat and fever. I had the chills all last night too.” Denies symptoms of a head or chest cold. Upon physical exam, the nurse notes a pharynx that is erythematous, with enlarged tonsils with exudate. The nurse also palpates swollen tender cervical nodes. The patient’s temperature is 100.8. The nurse suspects?

Upon admission, in which part of the electronic medical record would the nurse document the patient’s statement: “I am just not feeling well. I have a really bad headache and sinus pressure.”

The nurse is taking a client’s 2-step blood pressure according to the American Heart Association guidelines. The nurse identifies the brachial pulse is no longer palpable at 120 mm Hg. How high should the nurse pump up the blood pressure cuff when performing step two in the blood pressure assessment?

A nursing home patient has been diagnosed with chronic venous stasis. Which of the following might the nurse note upon inspection? Choose all that apply?

An adolescent tells the school nurse that he is being pressured by his friends to vape marijuana in high school. Which nursing diagnosis would be appropriate for this situation?

During an examination of a patient’s abdomen, the nurse notes that the abdomen is rounded and firm to the touch. The nurse suspects gaseous distention as the patient denies “passing flatus yesterday or today”. During percussion, the nurse notes a drum-like quality of sound across the quadrants. Tympany upon percussion indicates?

What are symptoms of hearing loss a nurse may note in a patient? Choose all that apply?

When performing a physical assessment on any patient, any place, and at any time- the technique the nurse would “always use first” when approaching the bedside?

An older adult has had surgery the previous day. The nurse is assessing the patient’s current functional abilities the next day. It is important for the nurse to assess the patient’s pain level. True or False?