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NURS 125 Final examNURS 125 Final exam
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Exam of 8 pages for the course NURS 125 at NURS 125 (NURS 125 Final exam)
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NURS 125 Final examA patient on a medical- surgical floor reports having shortness of breath. The nurse
needs to conduct which type of assessment? - ANSWER problem based
For which patient is a shift assessment indicated?
A. the person being admitted to long-term care
B. The person who is at a health fair
C. The person who is complaining of chest pain
D. he person who had abdominal surgery yesterday - ANSWER d
Which of the following examples represents a secondary prevention level of health
promotion?
A. Immunizations
B. Hypertension management
C. Blood pressure screenings
D. Exercise - ANSWER c
What is objective data? - ANSWER data you can observe
Which of the following is a correct statement regarding the technique LIGHT
palpation? Light palpation is
A. used to determine organ size.
B. performed using the fingertips.
C. performed by pressing down on a patient's body to a depth of 4 cm.
D. used to assess tenderness. - ANSWER d
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? - ANSWER higher than the actual value
During a physical assessment of an elderly adult, the nurse has difficulty palpating
the patient's dorsalis pedis pulses. Which piece of equipment would be helpful during
this assessment? - ANSWER doppler
An example of Primary prevention of Health Promotion is: - ANSWER
immunizations
what is subjective data? - ANSWER data that the patient reports
o position an adult's ear correctly for a tympanic membrane temperature, the nurse
should - ANSWER pull upward on the cartilage of the ear
Which actions by the nurse results in the patient's blood pressure measurement
being falsely high?
1. Deflating the blood pressure cuff too rapidly
2. Positioning the patient's arm above the level of the heart
3. Using a blood pressure cuff that is too narrow for the upper arm
, 4. Wrapping the blood pressure cuff too loosely
5. Reinflating the blood pressure cuff before it is completely deflated - ANSWER 3,4,
and 5
The difference between the systolic pressure and the diastolic pressure is known as
the - ANSWER pulse pressure
A nurse calculates a patient's body mass index (BMI) as 33. This measurement
indicates which class of weight? - ANSWER class 1
Which of the following are influential in a patient's basal metabolic rate ( BMR)?
Select all that apply.
A. Infection
B. ethnicity
C. Illness
D. Ingestion of food
E. activity level - ANSWER A,C,D, and E
what are macronutrients? - ANSWER carbs, fats, and proteins
what percentage of the body is water? - ANSWER 60-70%
Which tool is the best choice for a nurse to use as a quick screening tool to assess a
patient's dietary intake?
A. 24 hour recall
B. Food diary
C. comprehensive diet history
D. calorie count - ANSWER 24 hour recall
While inspecting the skin, a nurse notices a lesion on the patient's upper right arm.
What is the best way to document the size of this lesion? - ANSWER measure it in
cm
What signs of cyanosis does a nurse inspect for in a dark-skinned patient? -
ANSWER ashen gray mucous membranes and nail beds
A patient is assessed with poor skin turgor as the skin is observed to recede slowly
back into place. This would be charted as: - ANSWER tenting
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 damage to the
subcutaneous tissue. The nurse reports this ulcer at what stage? - ANSWER stage
3
Which patient is at highest risk for pressure sores as predicted by the Braden scale?
A patient who had a
A. score of 16
B. score of 22
C. score of 13
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