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NURS 317 - 10 Final Exam Questions With Answers.
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NURS 317 - 10 Final Exam Questions With Answers.
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NURS 317 - 10 Final Exam QuestionsWith Answers.
What are the essential components of a baseline respiratory assessment? - ANSWER-
1. General Skin Color (pallor, cyanosis)
2. Rate/Pattern/Depth (use of accessory muscles)
3. Breath Sounds (crackles, wheeze, stridor, pleural rub)
4. Effort (unlabored/labored)
5. O2 sat/ O2 needs
When performing an assessment of a patient, the nurse notices the presence of an
enlarged right epitrochlear lymph node. What should the nurse do next? - ANSWER-
examine patients lower arm and hand, check for infection and lesions
The nurse assesses a patient's pupillary light reflex. The expected finding is: -
ANSWER- Consensual: constricts with light bilaterally
The nurse completes vital signs on a patient and notes there is a pulse deficit. Why
might a patient experience a pulse deficit? - ANSWER- Peripheral vascular disease,
Afib
A patient has been diagnosed with venous stasis. Which of these findings would the
nurse likely observe? - ANSWER- -aching, "heavy" pain
-ulcers @ medial malleolus
-course, thickened skin, brownish
-shallow wounds w/ granulation tissue
-uneven edges "weepy" bleeding
-edema
The nurse is discussing breast self-examination (BSE) with a female patient. Which of
these statements indicate the proper BSE technique? - ANSWER- -right after menstrual
period (day 4-7)
-palpate 3 fingers in circular motion (3 levels of pressure)
-palpation supine or in shower w/ soap and water
In which of the following patients might the nurse auscultate absent bowel sounds: -
ANSWER- post-op abdominal surgery
(or peritonitis)
The nurse identifies which changes in the aging population affecting the respiratory
system? (select all that apply) - ANSWER- -costal cartilage calcifies (thorax less mobile)
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