Q1: The nurse is performing a functional assessment of an older adult to determine safety in the home. Which musculoskeletal assessment is most important for the nurse to include?

Q2: An older adult client with a history of heart failure (HF) is brought to the clinic by a family member. Which finding(s) confirms to the nurse that the client is experiencing an exacerbation of the HF? Select all that apply.

Q3:  In assessing a client's heart sounds, the nurse hears an S₁ and S2 after placing the diaphragm of the stethoscope at the second intercostal space just to the right of the sternum while the client is supine in bed. Which action should the nurse take next?

Q4:  The nurse is performing a mental status examination and asks an adult client to interpret a familiar proverb. When the client is unable to interpret the proverb, the nurse repeats the instructions and the client is still unable to accurately interpret it. Which action should the nurse implement?

Q5:  The nurse examines a client who is concerned about the amount of menstrual flow she is having. Which finding indicates an abnormality related to the client's current menstruation?