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NUR 304 ( LATEST 2024 / 2025 ) TEST 6 | (ACTUAL EXAM ) QUESTIONS AND ANSWERS (SOLVED)
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NUR 304 ( LATEST 2024 / 2025 ) TEST 6 | (ACTUAL EXAM ) QUESTIONS AND ANSWERS (SOLVED)
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NUR 304 Test 61. The nurse is working triage in the ED when three (3) patients arrive to be seen.The nurse
will need to prioritize the patients according to their situations with the highest priority or first-
level priority problems receiving immediate attention. Match the following patient situations
with their correct priority level.
Answer
A patient newly diagnosed with type 2 diabetes mellitus that does not know how to check his
own blood glucose levels with a glucometer.
A teenager who was stung by a bee during a soccer match is having trouble breathing.
An older adult with a urinary tract infection is also showing signs of confusion and agitation.
2. When planning a cultural assessment, the nurse should include which component?
Answer
Health-related beliefs
3. The nurse is asking an adolescent about illicit substance abuse. The ado- lescent answers,
"Yes, I've used marijuana at parties with my friends." What is the next question the nurse should
ask?
Answer
"When was the last time you used marijuana?"
4. The nurse is caring for several patients on a pediatric unit. Which patient should the nurse be
most concerned about possible abuse?
Answer
A 4-month-old with bruises on the arms
5. During an examination of a patient's abdomen, the nurse notes that the abdomen is rounded
and firm to the touch. During percussion, the nurse notes a drum-like quality of the sounds across
the quadrants. How should the nurse interpret this type of sound?
Answer
Air-filled areas.
,6. What is the most important step that the nurse can take to prevent the transmission of
microorganisms in the hospital setting?
Answer
Wash hands before and after contact with each patient.
7. A 2-year-old child has been brought to the clinic for a well-child checkup. What is the best
way for the nurse to begin the assessment?
Answer
Allow the child to keep a security object such as a toy or blanket during the examination.
8. The nurse is unable to palpate the right radial pulse on a patient. What should the nurse do
next?
Answer
Use a Doppler device to check for pulsations over the area.
9. In a patient with acromegaly, which assessment finding will the nurse expect to find?
Answer
Overgrowth of bone in the face, head, hands, and feet
10. A 1-month-old infant has a head measurement of 34 cm and has a chest circumference of
32 cm. Based on the interpretation of these findings, what action should the nurse take?
Answer
Consider these findings normal for a 1-month-old infant.
11. A patient is seen in the clinic for complaints of "fainting episodes that started last week."
How should the nurse proceed with the examination?
Answer
His blood pressure is recorded in the lying, sitting, and standing positions.
12. A patient is complaining of severe knee pain after twisting it during a basketball game and
is requesting pain medication. Which action by the nurse is appropriate?
, Answer
Administering pain medication and then proceeding with the assessment
13. When performing a genitourinary assessment, the nurse notices that the urethral meatus is
ventrally positioned.What does this indicate?
Answer
Hypospadias
14. When performing a genital assessment on a middle-aged man, the nurse notices multiple
soft, moist, painless papules in the shape of cauliflower-like patches scattered across the shaft of
the penis. What does this finding suggest?
Answer
Genital warts
15. While performing an assessment of the perianal area of a patient, the nurse notices that the
pigmentation of the anus is darker than the surrounding skin, the anal opening is closed, and a
skin sac that is shiny and blue is noted. The patient mentioned that he has had pain with bowel
movements and has occasionally noted some spots of blood. What does this assessment and
history most likely indicate?
Answer
Thrombosed hemorrhoid
16. During the interview, a patient reveals that she has some vaginal discharge. She is worried
that it may be a sexually transmitted infection. What would be the most appropriate response by
the nurse?
Answer
"I'd like more information about the discharge. What color is it?"
17. When standing with their eyes closed, feet together, and arms at their sides, a patient
sways and starts to fall. How should the nurse document this finding?
Answer
Positive Romberg sign
18. The nurse is assessing the cranial nerves. To assess cranial nerve XII, what should the
nurseask the patient to do?
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