Health Care > EXAMs > NR 304 Final Exam practice Comprehensive 302/304 Answers on last page (All)

NR 304 Final Exam practice Comprehensive 302/304 Answers on last page

Document Content and Description Below

NR 304 Final Exam practice Comprehensive 302/304 Answers on last page 1. Which assessment by the nurse most likely indicates that a patient is having difficulty breathing? a. 18 breaths per minute ... and inhaled through the mouth b. 20 breathes per minute and shallow in character c. 16 breaths per minute and deep in character d. 28 breaths per minute and noisy 2. Which should a nurse always do when taking a rectal temperature? a. Allow self-insertion of the thermometer. b. Position the patient on the left side. c. Use an electronic thermometer. d. Lubricate the thermometer. 3. A nurse is assessing a patient’s ideal body weight. Which significant factor should be takin into consideration when performing this assessment? a. Daily intake b. Body height c. Clothing size d. Food preferences 4. 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: a. Primary source b. Tertiary sources c. Subjective source d. Secondary source 5. A nurse is preforming a physical assessment of a newly admitted patient. Which patient statement communicates subjective data? a. “I have sores between my toes.” b. “I dye my hair but it is really gray.” c. “My joints hurt when I get up in the morning.” d. “My left leg drags on the floor when I am walking.” 6. A nurse takes a patient’s blood pressure and records a diastolic pressure of 120 mm Hg. Which should the nurse do first? a. Notify the primary health-care provider. b. Retake the blood pressure. c. Notify the nurse in charge. d. Take the other vital signs. 7. 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? a. Receptive aphasia b. Inability to ambulate c. Difficulty swallowing d. Incontinence of bowel movements 8. 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? a. The patient has a need to maintain skin integrity. b. The patient has a stroked evidenced by hemiparesis and incontinence. c. The patient will be clean and dry and will receive range-of-motion exercises every four hours. d. The patient is at risk for impaired skin integrity related to left-sided hemiparesis and incontinence. [Show More]

Last updated: 2 years ago

Preview 1 out of 18 pages

Buy Now

Instant download

We Accept: