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NUR 309 Exam 1 Questions With Complete Solutions
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NUR 309 Exam 1 Questions With Complete Solutions
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NUR 309 Exam 1 questionsA patient tells the nurse that he is very nervous, that he is nauseated, and that he "feels
hot." This type of data would be
a.
Objective
b.
Reflective
c.
Subjective
d.
Introspective –correct answer c. subjective
Subjective data are what the person says about himself or herself during history taking.
Objective data are what the health professional observes by inspecting, percussing,
palpating, and auscultating during the physical exam. The terms "reflective" and
"introspective" are not used to describe data
When considering priority setting of problems, the nurse keeps in mind that second-
level priority problems include which of these aspects?
a.
Abnormal laboratory values
b.
Low self-esteem
c.
Lack of knowledge
d.
Severely abnormal vital signs - correct answer a. abnormal labatory values
Second-level priority problems are those that require prompt intervention to forestall
further deterioration (e.g., mental status change, acute pain, abnormal laboratory
values, and risks to safety or security). See Table 1-1
The nurse is aware that intimate partner violence (IPV) screening should occur with
which situation?
,a.
When IPV is suspected
b.
As a routine part of each health care encounter
c.
When a woman has an unexplained injury
d.
When there is a known history of abuse in the family - correct answer b. as a part of
each healthcare encounter
Many nursing professional organizations have called for routine, universal screening for
IPV to assist women in getting help for the problem. Pages: 105-106
The nurse suspects abuse when a 10-year-old child is taken to the urgent care center
for a leg injury. The best way to document the history and physical findings is to
a.
use the words the child has given to describe how the injury occurred
b.
write what the child's caregiver tells the nurse
c.
write what the nurse observes during the conversation
d.
rely on photographs of the injuries - correct answer a. use the words the child has given
to descrive how the injunry occured
When documenting the history and physical findings of child abuse and neglect, use the
words the child has given to describe how his or her injury occurred. Remember that the
abuser may be accompanying the child. Pages: 111-112
As a mandatory reporter of child abuse, which of these must be present before a nurse
notifies the authorities?
a.
,Verification from the victim
b.
Proof of abuse and/or neglect
c.
Statements from witnesses
d.
Suspicion of child abuse and/or neglect - correct answer d.
Suspicion of child abuse and/or neglect
Many health care workers are under the erroneous assumption that proof is required
before notification of suspected abuse can occur. Only a suspicion of child abuse or
neglect is necessary. Page: 104
During a nutritional assessment of a 22-year-old male refugee, the nurse must
remember to
a.
obtain a 24-hour dietary recall
b.
clarify what is meant by the term "food."
c.
provide him with a standard dietary handbook
d.
assume that his diet is consistent with other refugees from the same country - correct
answer b.
clarify what is meant by the term "food."
Although one may assume that the term "food" is a universal concept, the person
should clarify what is meant by the term. The other responses are not appropriate for
this situation. Page: 177
The nurse needs to perform anthropometric measures of an 80-year-old man who is
confined to a wheelchair. Which of the following is true in this situation?
a.
Changes in fat distribution will affect the waist-to-hip ratio
, b.
Height measurements may not be accurate because of changes in bone
c.
Declining muscle mass will affect the triceps skinfold measure
d.
Mid-arm circumference is difficult to obtain because of loss of skin elasticity - correct
answer b.
Height measurements may not be accurate because of changes in bone
Height measures may not be accurate in individuals confined to a bed or wheelchair or
those over 60 years of age because of osteoporotic changes. Page: 191
Monitoring a patient's waist-to-hip ratio provides data concerning
a.
daily caloric requirements
b.
lung capacity
c.
stomach cancer risk
d.
cardiovascular disease risk - correct answer d. cardiovascualar disease
Waist-to-hip ratios may aid in predicting relative disease risk in terms of cardiovascular
risk factors
A 17-year-old girl presents to the clinic for a sports physical. Physical examination
findings reveal bradycardia, multiple erosions of tooth enamel, and scars on her
knuckles. She appears healthy otherwise. You should ask her if she
a.
has constipation frequently
b.
has regular menstrual periods
c.
binges and vomits
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