NUR 122 Complete
When assessing the temperature of older adults, the nurse needs to be aware that:
Select one:
a. It is not a reliable indicator of serious infection
b. Older people's core temperature is higher than adults
c. Cerumen build-up won't affect using a tympanic thermometer
d. Older people don't feel the heat or cold. - correct answer a. It is not a reliable indicator of
serious infection
Vital signs provide important information on the condition of a person's:
Select one:
a. General well-being
b. Vital organs
c. Vascular status
d. Respiratory status - correct answer b. Vital organs
2. Respiratory rate is regulated by all of the following except:
Select one:
a. Diaphragm movement
b. Carotid pressure
c. Chemoreceptors
d. Medulla oblongata - correct answer b. Carotid pressure
3. A patient has returned from having an anaesthetic in a supine position. The RN is monitoring
his respiratory rate because the nurse is aware that:
Select one:
a. Narcotics increase the respiratory rate
b. Anaesthetics will block the airway
,NUR 122 Complete
c. Position will suppress respirations
d. Narcotics can cause wheezing - correct answer c. Position will suppress respirations
4. A client in a motor vehicle crash has arrived at the trauma unit in respiratory distress and
unconscious. Knowing that chemoreceptors respond to changes in the concentrations of
oxygen, carbon dioxide, and hydrogen, which of the following circumstances would account for
this client's decrease in respiratory rate?
Select one:
a. Increased environmental temperature
b. Exercise
c. Stress
d. Increased intracranial pressure - correct answer d. Increased intracranial pressure
5. Which of the following determinants of blood pressure would explain a client's blood
pressure reading of 120/100?
Select one:
a. Pumping action of the heart
b. Blood viscosity
c. Blood volume
d. Peripheral vascular resistance - correct answer d. Peripheral vascular resistance
A person's blood pressure reading is the non-invasive determination of:
Select one:
a. The output from the left ventricle on contraction
b. The amount of peripheral resistance
c. The tension exerted by the blood against arterial walls
d. The cardiac output of the right ventricle - correct answer c. The tension exerted by the
blood against arterial walls
,NUR 122 Complete
7. When assessing the rate of a client's peripheral pulse, the nurse is also assessing which of the
following?
Select one:
a. Sound
b. Rhythm
c. Stress
d. Depth - correct answer b. Rhythm
8. An apical-radial pulse is determined by the RN to be the procedure to use on a client with
cardiovascular disorders. Which of the following rationales did the RN use to make this
decision?
Select one:
a. A forceful radial pulse is much too difficult to count
b. The thrust of blood from the heart is too feeble for the wave to be felt at the peripheral
pulse site
c. The pulse was bounding and easily obliterated
d. Both arteriole and venous sounds were heard simultaneously - correct answer b. The thrust
of blood from the heart is too feeble for the wave to be felt at the peripheral pulse site
9. Which of the following sites is recommended for routine clinical use when obtaining a
temperature reading from children and infants?
Select one:
a. Rectal
b. Tympanic membrane
c. Oral
d. Axilla - correct answer d. Axilla
10. Which of the following most accurately describes the principles of wound bed preparation
using the T.I.M.E. acronym:
, NUR 122 Complete
Select one:
a. Wound tissue viability, moisture balance and expected time of healing
b. Wound tissue viability, presence of infection, moisture balance and assessment of wound
edges
c. Wound tissue viability, presence of infection, presence of odour and assessment of wound
edges
d. Wound tissue viability, presence of inflammation and expected time of healing - correct
answer b. Wound tissue viability, presence of infection, moisture balance and assessment of
wound edges
1. A blanch test is undertaken for which of the following?
Select one:
a. Temperature assessment
b. Capillary refill assessment
c. Female genital assessment
d. Musculoskeletal assessment - correct answer b. Capillary refill assessment
2. Assessment of the integumentary system involves which of the following techniques?
Select one:
a. Inspection and percussion
b. Inspection and percussion and palpation
c. Inspection and palpation and auscultation
d. Inspection and palpation - correct answer d. Inspection and palpation
Assessment of the temperature of a patient's skin is best evaluated by examining the patient's
legs and hands using
Select one:
a. your fingers
When assessing the temperature of older adults, the nurse needs to be aware that:
Select one:
a. It is not a reliable indicator of serious infection
b. Older people's core temperature is higher than adults
c. Cerumen build-up won't affect using a tympanic thermometer
d. Older people don't feel the heat or cold. - correct answer a. It is not a reliable indicator of
serious infection
Vital signs provide important information on the condition of a person's:
Select one:
a. General well-being
b. Vital organs
c. Vascular status
d. Respiratory status - correct answer b. Vital organs
2. Respiratory rate is regulated by all of the following except:
Select one:
a. Diaphragm movement
b. Carotid pressure
c. Chemoreceptors
d. Medulla oblongata - correct answer b. Carotid pressure
3. A patient has returned from having an anaesthetic in a supine position. The RN is monitoring
his respiratory rate because the nurse is aware that:
Select one:
a. Narcotics increase the respiratory rate
b. Anaesthetics will block the airway
,NUR 122 Complete
c. Position will suppress respirations
d. Narcotics can cause wheezing - correct answer c. Position will suppress respirations
4. A client in a motor vehicle crash has arrived at the trauma unit in respiratory distress and
unconscious. Knowing that chemoreceptors respond to changes in the concentrations of
oxygen, carbon dioxide, and hydrogen, which of the following circumstances would account for
this client's decrease in respiratory rate?
Select one:
a. Increased environmental temperature
b. Exercise
c. Stress
d. Increased intracranial pressure - correct answer d. Increased intracranial pressure
5. Which of the following determinants of blood pressure would explain a client's blood
pressure reading of 120/100?
Select one:
a. Pumping action of the heart
b. Blood viscosity
c. Blood volume
d. Peripheral vascular resistance - correct answer d. Peripheral vascular resistance
A person's blood pressure reading is the non-invasive determination of:
Select one:
a. The output from the left ventricle on contraction
b. The amount of peripheral resistance
c. The tension exerted by the blood against arterial walls
d. The cardiac output of the right ventricle - correct answer c. The tension exerted by the
blood against arterial walls
,NUR 122 Complete
7. When assessing the rate of a client's peripheral pulse, the nurse is also assessing which of the
following?
Select one:
a. Sound
b. Rhythm
c. Stress
d. Depth - correct answer b. Rhythm
8. An apical-radial pulse is determined by the RN to be the procedure to use on a client with
cardiovascular disorders. Which of the following rationales did the RN use to make this
decision?
Select one:
a. A forceful radial pulse is much too difficult to count
b. The thrust of blood from the heart is too feeble for the wave to be felt at the peripheral
pulse site
c. The pulse was bounding and easily obliterated
d. Both arteriole and venous sounds were heard simultaneously - correct answer b. The thrust
of blood from the heart is too feeble for the wave to be felt at the peripheral pulse site
9. Which of the following sites is recommended for routine clinical use when obtaining a
temperature reading from children and infants?
Select one:
a. Rectal
b. Tympanic membrane
c. Oral
d. Axilla - correct answer d. Axilla
10. Which of the following most accurately describes the principles of wound bed preparation
using the T.I.M.E. acronym:
, NUR 122 Complete
Select one:
a. Wound tissue viability, moisture balance and expected time of healing
b. Wound tissue viability, presence of infection, moisture balance and assessment of wound
edges
c. Wound tissue viability, presence of infection, presence of odour and assessment of wound
edges
d. Wound tissue viability, presence of inflammation and expected time of healing - correct
answer b. Wound tissue viability, presence of infection, moisture balance and assessment of
wound edges
1. A blanch test is undertaken for which of the following?
Select one:
a. Temperature assessment
b. Capillary refill assessment
c. Female genital assessment
d. Musculoskeletal assessment - correct answer b. Capillary refill assessment
2. Assessment of the integumentary system involves which of the following techniques?
Select one:
a. Inspection and percussion
b. Inspection and percussion and palpation
c. Inspection and palpation and auscultation
d. Inspection and palpation - correct answer d. Inspection and palpation
Assessment of the temperature of a patient's skin is best evaluated by examining the patient's
legs and hands using
Select one:
a. your fingers
