NURS 125 Final Exam 2022. Review Questions and answers.

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A patient on a medical- surgical floor reports having shortness of breath. The nurse needs to conduct which type of assessment? - Ans-A problem-based/focused assessment For which patient is a shift... assessment indicated? - Ans-The person who had abdominal surgery yesterday Which of the following examples represents a secondary prevention level of health promotion? - Ans-Blood pressure screenings Which of the following is an example of objective data? - Ans-Vomiting A nurse suspects a patient is a victim of physical abuse. Which response by the nurse will most likely encourage the patient to confide in the nurse? - Ans-"I've seen people who have been hurt by their significant others. Do you feel safe in your home?" A patient answers questions quietly and appears sad. While answering questions about her marriage, she begins to cry. Which response by the nurse is appropriate in this situation? - Ans-"I see that you are upset. Is there something you'd like to discuss?" A nurse is interviewing a patient. Which of the following questions is an open-ended question? - Ans-Can you tell me how you have been feeling? When interviewing a patient to obtain a health history, asking if the patient has "dypsnea" can fall into which of the following systems? - Ans-Respiratory and Cardiovascular A nurse asks a patient to rate their pain on a scale of "0-10". This is which part of the mnemonic for symptom analysis of "OLD CARTS"? - Ans-Severity When examining a patient, the nurse remembers to follow which principle of Standard Precautions? - Ans-Wear gloves when in contact with the patient's blood or other body fluids. Which of the following is a correct statement regarding the technique LIGHT palpation? Light palpation is - Ans-Used to assess tenderness The nurse is unable to hear the patient's breath sounds. To determine the cause of this problem the nurse needs to ensure that the - Ans-valve is open to the diaphragm on the head of the stethoscope. A nurse is preparing to take a patient's blood pressure. The blood pressure cuff is too narrow (small). How accurate will this patient's blood pressure be using this blood pressure cuff? - Ans-Higher than the actual value Where does the nurse attach the sensor probe of the pulse oximeter to measure a patient's oxygen saturation? - Ans-Around the patient's index fingernail During a physical assessment of an elderly adult, the nurse has difficulty palpating the patient's dorsalis pedis pulses. Which piece of equipment would be helpful during this assessment? - Ans-Doppler A patient on a cardiac floor is complaining of chest pain. The nurse needs to conduct which type of assessment? - Ans-A problem-based focused assessment An example of Primary prevention of Health Promotion is: - Ans-Immunizations Which of the following is an example of subjective (symptoms) data? - Ans-Headache Which of the following is one of the goals of Healthy People 2020? - Ans-To promote quality of life & healthy behaviors across all life stages During a mental health assessment, a women begins to cry when the nurse asks about her marriage. Which action by the nurse is most therapeutic? - Ans-" I see that you're upset. Can you discuss why you're feeling this way?" While collecting data on a patient, the nurse obtains vital signs. This is done PRIMARILY to - Ans-obtain baseline indicators of the patient's health status. A nurse is about to take a patient's temperature. The patient has just finished a cup of hot coffee. The nurse should : - Ans-wait 10 minutes, then take the temperature. To position an adult's ear correctly for a tympanic membrane temperature, the nurse should - Ans-tug the ear's helix in an upward direction. A nurse assesses an irregular pulse while counting for 15 seconds. What is the most appropriate action for the nurse to take at this time? - Ans-Count the patient's pulse for a full minute. A nurse takes a patient's pulse. The nurse documents "80 beats per minute and regular"- What does the "regular" refer to? - Ans-Rhythm A nurse is taking vital signs of an adult patient whose oxygen saturation is 96%. The patient's temperature is 102 F, blood pressure is 120/77 pulse is 90 beats/min, and respiratory rate is 26 breaths/min. Which factor may be contributing to the elevated respiratory rate? - Ans-Temperature Which actions by the nurse results in the patient's blood pressure measurement being falsely high? 1. Deflating the blood pressure cuff too rapidly 2. Positioning the patient's arm above the level of the heart 3. Using a blood pressure cuff that is too narrow for the upper arm 4. Wrapping the blood pressure cuff too loosely 5. Reinflating the blood pressure cuff before it is completely deflated - Ans-2,3,4 The difference between the systolic pressure and the diastolic pressure is known as the - Ans-Pulse [Show More]

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