NURS 125 Final Exam Questions With Answers, 2024-A mother asks a nurse when her daughter should get immunized again for human papilloma virus (HPV). What is the nurse's most appropriate response to this question?
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NURS 125 Final Exam Questions With Answers, 2024-A mother asks a nurse when her daughter should get immunized again for human papilloma virus (HPV). What is the nurse's most appropriate response to this question?
- It is recommended for males and females during adolescence and young adulthood
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"?
- Severity
A nurse assesses a patient with a head injury who has slowing intellectual functioning, personality changes, and emotional lability. The nurse correlates these finding with which area of the brain?
- frontal lobe
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?
- Count the patient's pulse for a full minute.
A nurse assessing a patient with liver disease has the clinical sign of jaundice. The nurse expects to find which manifestation during the examination?
- Yellow pigmentation in the sclera
A nurse auscultates low-pitched, coarse snoring sounds in a patient's lungs during inhalation. Which action should the nurse take at this time?
- Ask the patient to cough and repeat auscultation
A nurse calculates a patient's body mass index (BMI) as 33. This measurement indicates which class of weight?
- Obesity class I
A nurse insects the abdomen for skin color, surface characteristics, and surface movement. What part of the abdominal assessment does the nurse perform next?
- Auscultate for bowel sounds
A nurse is about to take a patient's temperature. The patient has just finished a cup of hot coffee. The nurse should :
- wait 10 minutes, then take the temperature.
A nurse is having difficulty auscultating a patient's heart sounds. What does the nurse ask the patient to do to improve hearing the heart sounds?
- Have the patient sit upright and hold his or her breath for a few seconds on expiration
A nurse is interviewing a patient. Which of the following questions is an open-ended question?
- Can you tell me how you have been feeling?
A nurse is interviewing a young woman, who has lost weight recently. When doing a symptom analysis/problem-based history, which question is most appropriate when completing the problem-based history?
- "Describe the recent changes in your weight."
A nurse is performing an admission physical examination on a patient who has been bedridden for a month. the nurse notices a pressure ulcer on the patient's left trochanter area that involves full-thickness skin loss with with damage to the subcutaneous tissue.The nurse reports this ulcer at what stage?
- Stage III
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?
- Higher than the actual value
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?
- Temperature
A nurse makes observations about a toddler's motor development. Which behavior is an example of fine motor behavior?
- Tying a shoe
A nurse notices abdominal distention when inspecting a patient's abdomen. What action can the nurse take next to gain further objective data?
- Place a measuring tape around the superior iliac crests.
A nurse palpates a patient's dorsalis pedis pulse and feels a diminished, barely palpable pulse. The nurse will chart this as
- 1+
A nurse refers which child for further assessment?
- A 5-year-old who positions herself in a squat after running a few feet
A nurse shines a light in the right pupil to test constriction and notices that the left pupil constricts as well. Based on this data, the nurse should document this as:
- a consensual reaction
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