NR 304 Week 8 Final Exam Comprehensive: Year 2022(Answered)

NR 304 Final Exam Comprehensive Question: Which assessment by the nurse most likely indicates that a patient is having difficulty breathing? Question: Which should a nurse always do when taking a rectal temperature? ...

NR 304 Final Exam Comprehensive Question: Which assessment by the nurse most likely indicates that a patient is having difficulty breathing? Question: Which should a nurse always do when taking a rectal temperature? Question: A nurse is assessing a patient’s ideal body weight. Which significant factor should be takin into consideration when performing this assessment? Question: A nurse asks a patient’s wife specific questions about the patient’s health status before admission. When collecting this information, the nurse is seeking information from a: Question: A nurse is preforming a physical assessment of a newly admitted patient. Which patient statement communicates subjective data? Question: A nurse takes a patient’s blood pressure and records a diastolic pressure of 120 mm Hg. Which should the nurse do first? Question: A patient had a stroke that resulted in paralysis of the right side. When clustering data, the nurse grouped the following together: drooling of saliva and slurred speech. Which information is most significant to include with this clustered data? Question: A patient who experienced a stroke has left-sided hemiparesis and is incontinent of urine. Which is an appropriately worded nursing diagnosis for this patient? Question: A nurse uses the interviewing process of clarification when interviewing a patient. Which is the nurse doing when this communication technique is used? Question: A patient has dependent edema of the ankles and feet and is obese. Which diet should the nurse expect the primary health-care provider to order? Question: A patient who is undergoing cancer chemotherapy says to the nurse, “This is no way to live.” Which response uses reflective techniques? Question: A nurse is assessing a patient who reports being incontinent. Which question should the nurse ask to elicit information related to urge incontinence? Question: Which is the most common reason why older adults become incontinent of urine? Question: What is the nurse doing when formulating a nursing diagnosis? Question: A patient has just returned from surgery with an intravenous solution infusing and does not have a gag reflex. Which planned intervention takes priority? Question: To provide aseptically safe perineal care to all female patients, which should the nurse do? Question: A patient returns to the clinic after taking a 7-day course of antibiotic therapy and is still exhibiting signs of a urinary tract infection. Which should thebe the nurse’s initial action? Question: A newly admitted patient was provided with a regular diet consisting of three traditional meals a day. After several days it was identified that he patient was eating only approximately 50% of the meals and was losing weight. What should the nurse do? Question: After surgery, a patient reports mild incisional pain while performing deep-breathing and coughing exercises. Which is he nurse’s best response: Question: An example of a goal identified by a nurse when planning a patient’s plan of care is, “The patient will: Question: When obtaining a health history, the nurse identifies that a patient has gained 10 pounds in the past week. Which step of the nursing process is performed when the nurse documents this information in the patient’s clinical record? Question: A nurse is conducting an intake interview with a patient. Which should the nurse do first to facilitate therapeutic communication with this patient” Question: Which concepts are important for the nurse to consider when interacting with others” Select all that apply. Question: A patient has expressive aphasia because of a stroke. Which should the nurse do when caring for this patient? Select all that apply. Question: Which is the primary source for assessing how a patient slept? Question: When a nurse goes into a room to take a patient’s temperature, the patient is drinking a cup of coffee. How long should the nurse wait to take the patient’s oral temperature? Question: The function of which part of the anatomy is reflected when the nurse obtains a radial pulse rate? Question: A nurse is assessing the temperature of a patient. When can the nurse expect a patient’s temperature to be at its lowest? Question: When making rounds, the nurse finds a patient in bed with the eyes closed. Which should the nurse do? Question: A nurse takes the resting pulse of an older adult. Which pulse is within the expected range? Question: A nurse obtains the rectal temperature of an adult. Which rectal temperature is within the expected range? Question: A nurse obtains blood pressures of several patients. Which blood pressure reading is considered the most hypertensive? Question: When assessing the heart rate of a patient, the nurse identifies a change in rate from 88 to 56 beats per minute. Which should the nurse do first? Question: A function of which part of the anatomy is primarily being assessed when a nurse obtains a patient’s pedal pulse? Question: Which principle of blood pressure physiology should the nurse understand when assessing a patient’s cardiac function? Question: Which are examples of objective data? Select all that apply. Question: Which information about a patient is classified as subjective data? Select all that apply. Question: A nurse is caring for a patient who is coping with chronic pain. Which psychological reactions to chronic pain may occur? Select all that apply. Question: A nurse is working in a nursing home with a large population of older adults. Which factors related to aging influence the nutritional status of older adults that the nurse should consider? Select all that apply. Question: A patient reports being constipated. Which should the nurse encourage the patient to eat? Question: A nurse is caring for a patient diagnosed with stress incontinence. Which is the common underlying cause of stress incontinence that the nurse needs to consider when caring for this patient? Question: A culture and sensitivity test of a patient’s urine is ordered. Which should the nurse do to ensure accurate results of a urine culture and sensitivity test? Question: A nurse is assessing a patient for the presence of dysuria. Which question should the nurse ask the patient? Question: The “A” in the ABCDE rule for skin cancer stands for: Question: Providing resistance while the patient shrugs his or her shoulders is a test of which cranial nerve? Question: Visual acuity is assessed with: Question: In examining the ear of an adult, the canal is straightened by pulling the auricle: Question: When assessing a patient’s ear with an otoscope, the patient’s head should be positioned: Question: When teaching the breast self-examination, you would inform the woman that the best time to conduct breast self-examination is: Question: You are going to inspect a female patient’s breast for retraction. The best position for this part of the examination is: Question: During the examination of a 70-year-old man, you note gynecomastia. You would: Question: A function of the venous system includes: Question: Atrophic skin changes that occur with peripheral arterial insufficiency include: Question: Intermittent claudication includes: Question: Raynaud phenomenon occurs: Question: Select the sequence of events used during an examination of the abdomen. Question: Right upper quadrant tenderness may indicate pathology in the: Question: The absence of bowel sounds is established after listening for: Question: Auscultation of the abdomen may reveal bruits of which arteries? Question: The left upper quadrant contains the: Question: Shifting dullness is a test for: Question: A positive Murphy’s sign is best described as: Question: A positive Blumberg sign indicates: Question: The medical record indicates that a person has an injury to Broca’s area. When meeting this person, you expect: Question: The Glasgow Coma Scale is divided into three areas. They include: Question: During examination of the scrotum, a normal finding would be that: Question: Prostatic hypertrophy occurs frequently in older men. The symptoms that may indicate this problem are: Question: A 20-yeaer-old man has indicated that he does not perform a testicular self-examination. One of the facts that should be shared with him is that testicular cancer, although rare, does occur in men: Question: During a transillumination of a scrotum, you note a nontender mass that transilluminates with a red glow. This finding is suggestive of: Question: The congenital displacement of the urethral meatus to the inferior surface of the penis is: Question: An adhesion to the prepuce to the head of the penis, making it impossible to retract, is: A patient has soft, moist, fleshy, painless papules around the anus. The examiner suspects this condition is: Question: Which finding in the prostate gland suggests prostate cancer? Question: Normal stool is described as: Question: Which symptoms suggest benign prostatic hypertrophy? Question: A patient states that he has frothy, foul –smelling stools that float on the surface of the water in the toilet bow, What type of stool is this patient describing? Question: During the examination of the genitalia of a 70-year-old woman, a normal finding would be: