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NUR 309 Exam #3 Study Guide Questions With Complete Solutions
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NUR 309 Exam #3 Study Guide Questions With Complete Solutions
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NUR 309 Exam #3 Study Guide Questions With CompleteSolutions
A 22-year-old man comes to the clinic for an examination after
falling off his motorcycle and landing on his left side on the
handlebars. The nurse suspects that he may have injured his
spleen. Which of these statements is true regarding assessment
of the spleen in this situation?
a) The spleen is normally felt upon routine palpation
b) An enlarged spleen should not be palpated because it can
rupture easily Correct Answers b
A 65-year-old patient with a history of heart failure comes to the
clinic with complaints of "being awakened from sleep with
shortness of breath." Which action by the nurse is most
appropriate?
A) Obtain a detailed history of the patient's allergies and history
of asthma.
B) Tell the patient to sleep on his or her right side to facilitate
ease of respirations.
C) Assess for other signs and symptoms of paroxysmal
nocturnal dyspnea.
D) Assure the patient that this is normal and will probably
resolve within the next week. Correct Answers c
A bruit heard while auscultating the carotid artery of a 65-year-
old patient is caused by:
a) decreased velocity of blood flow through the carotid artery.
b) turbulent blood flow through the carotid artery.
c) rapid blood flow through the carotid artery.
d) increased viscosity of blood. Correct Answers b
,A common clinical manifestation in a patient with chronic
obstructive pulmonary disease (COPD) is:
a) periodic breathing patterns.
b) pursed-lip breathing.
c) unequal chest expansion.
d) hyperventilation. Correct Answers b
A mother brings her 3-month-old infant to the clinic for
evaluation of a cold. She tells the nurse that he had "a runny
nose for a week." When performing the physical assessment, the
nurse notes that the child has nasal flaring and sternal and
intercostal retractions. The nurse's next action should be to
A) assure the mother that these are normal symptoms of a cold.
B)recognize that these are serious signs and contact the
physician.
C) ask the mother if the infant has had trouble with feedings.
D) perform a complete cardiac assessment because these are
probably signs of early heart failure. Correct Answers b
A patient has a positive Homans' sign. The nurse knows that a
positive Homans' sign may indicate:
A) venous insufficiency.
B) deep vein thrombosis.
C) severe edema.
D) problems with arterial circulation. Correct Answers b
A patient has hypoactive bowel sounds. The nurse knows that a
potential cause of hypoactive bowel sounds is:
a) peritonitis
b) diarrhea
, c) laxative use
d) gastroenteritis Correct Answers a
A patient has severe bilateral lower extremity edema. The most
likely cause is:
a) an infection of the right great toe.
b) Raynaud phenomenon.
c) heart failure.
d) an aortic aneurysm. Correct Answers c
A patient is recovering from several hours of orthopedic surgery.
During an assessment of the patient's lower legs, the nurse will
monitor for signs of acute venous symptoms. Signs of acute
venous symptoms include which of the following? Select all that
apply.
A) Intense, sharp pain, with the deep muscle tender to touch
B) Aching, tired pain, with a feeling of fullness
C) Pain is worse at the end of the day
D) Sudden onset
E) Warm, red, and swollen calf
F) Pain that is relieved with elevation of leg Correct Answers a
de
A patient with pleuritis has been admitted to the hospital and
complains of pain with breathing. What other key assessment
finding would the nurse expect to find upon auscultation?
A) Wheezing
B) Crackles
C) Stridor
D) Friction rub Correct Answers d
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