Exam (elaborations)
NURS 125 Final exam
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Exam of 11 pages for the course NURS 125 at NURS 125 (NURS 125 Final exam)
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NURS 125 Final exam questions and answersA patient on a medical- surgical floor reports having shortness of breath. The nurse
needs to conduct which type of assessment? - ANSWER A problem-based/focused
assessment
For which patient is a shift assessment indicated? - ANSWER The person who had
abdominal surgery yesterday
Which of the following examples represents a secondary prevention level of health
promotion? - ANSWER Blood pressure screenings
Which of the following is an example of objective data? - ANSWER Vomiting
A nurse suspects a patient is a victim of physical abuse. Which response by the
nurse will most likely encourage the patient to confide in the nurse? - ANSWER "I've
seen people who have been hurt by their significant others. Do you feel safe in your
home?"
A patient answers questions quietly and appears sad. While answering questions
about her marriage, she begins to cry. Which response by the nurse is appropriate in
this situation? - ANSWER "I see that you are upset. Is there something you'd like to
discuss?"
A nurse is interviewing a patient. Which of the following questions is an open-ended
question? - ANSWER Can you tell me how you have been feeling?
When interviewing a patient to obtain a health history, asking if the patient has
"dypsnea" can fall into which of the following systems? - ANSWER Respiratory and
Cardiovascular
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"? - ANSWER Severity
When examining a patient, the nurse remembers to follow which principle of
Standard Precautions? - ANSWER Wear gloves when in contact with the patient's
blood or other body fluids.
Which of the following is a correct statement regarding the technique LIGHT
palpation? Light palpation is - ANSWER Used to assess tenderness
The nurse is unable to hear the patient's breath sounds. To determine the cause of
this problem the nurse needs to ensure that the - ANSWER valve is open to the
diaphragm on the head of the stethoscope.
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
, Where does the nurse attach the sensor probe of the pulse oximeter to measure a
patient's oxygen saturation? - ANSWER Around the patient's index fingernail
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
A patient on a cardiac floor is complaining of chest pain. The nurse needs to conduct
which type of assessment? - ANSWER A problem-based focused assessment
An example of Primary prevention of Health Promotion is: - ANSWER
Immunizations
Which of the following is an example of subjective (symptoms) data? - ANSWER
Headache
Which of the following is one of the goals of Healthy People 2020? - ANSWER To
promote quality of life & healthy behaviors across all life stages
During a mental health assessment, a women begins to cry when the nurse asks
about her marriage. Which action by the nurse is most therapeutic? - ANSWER " I
see that you're upset. Can you discuss why you're feeling this way?"
While collecting data on a patient, the nurse obtains vital signs. This is done
PRIMARILY to - ANSWER obtain baseline indicators of the patient's health status.
A nurse is about to take a patient's temperature. The patient has just finished a cup
of hot coffee. The nurse should : - ANSWER wait 10 minutes, then take the
temperature.
To position an adult's ear correctly for a tympanic membrane temperature, the nurse
should - ANSWER tug the ear's helix in an upward direction.
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? - ANSWER Count the patient's
pulse for a full minute.
A nurse takes a patient's pulse. The nurse documents "80 beats per minute and
regular"-
What does the "regular" refer to? - ANSWER Rhythm
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? - ANSWER Temperature
Which actions by the nurse results in the patient's blood pressure measurement
being falsely high?
1. Deflating the blood pressure cuff too rapidly
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