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NU660 Prep Week Practice Exam Questions
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NU660 Prep Week Practice Exam Questions
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NU660 Prep Week Practice ExamQuestions
After assessment, the nurse immediately reports an unstable vital sign to the health
care provider. Which finding alerts the nurse to a deviation from the normal range?
a) Pulse pressure of 50 mm Hg
b) Rectal temperature of 37.5° C (99.5° F)
c) Pulse rate of 62 beats per minute
d) Respiratory rate of 11 breaths per min - Answer-d) Respiratory rate of 11 breaths per
min. The normal acceptable range of respiratory rate is between 12 and 20 breaths per
min; hence the patient has a reduced respiratory rate (bradypnea)
Which action would the nurse perform immediately after finding abnormal vital sign
values in a patient who underwent abdominal surgery?
a) Asking another nurse to repeat the measurement
b) Informing the health care provider
c) Documenting the finding in the patient record
d) Reporting vital sign changes to nurses during hand-off communication - Answer-a)
Asking another nurse to repeat the measurement; If the nurse finds abnormal vital signs
in a patient, they should immediately ask another nurse or the health care provider to
repeat the measurements to confirm the findings. After confirming the findings, the
nurse should inform the health care provider, document the finding in the patient record,
and report vital sign changes to nurses during hand-off communication.
Which rectal temperature is average for a 35-year-old adult?
a. 36.5° C (97.7° F)
b. 37° C (98.6° F)
c. 37.5° C (99.5° F)
d. 38° C (100.4° F) - Answer-c. 37.5° C (99.5° F)
The nurse decides not to measure the temperature of an older adult using the oral site.
Which patient factor is the likely reason for this decision? Select all that apply. One,
some, or all responses may be correct.
a. No teeth
b. Rigid rib cage
c. Poor muscle control
d. Ribs are downward-slanted
e. Sweat gland reactivity is decreased - Answer-a. No teeth
c. Poor muscle control; The oral temperature for older adults may be inaccurate
because of an inability to close the mouth completely, which may occur because of the
absence of teeth and poor muscle control
, The registered nurse is teaching a nursing student about the guidelines for measuring
vital signs. Which statement by the nursing student indicates the need for further
teaching? Select all that apply. One, some, or all responses may be correct.
a. "Know the patient's medical history."
b. "Analyze the results of vital signs compared with other patients."
c. "Measure the body temperature in a humid environment."
d. "Know the acceptable range for the patient before giving medications."
e. "Use vital sign measurements to determine indications for giving medications." -
Answer-b. "Analyze the results of vital signs compared with other patients."
c. "Measure the body temperature in a humid environment."
The nurse should analyze the results of vital sign measurements on the basis of the
patient's condition and past medical history and not compared to other patients. The
nurse should not measure vital signs in a humid environment because the humidity may
affect the vital signs.
The registered nurse is teaching a nursing student about the assessment of vital signs
in older adults. Which statement by the nursing student indicates the need for further
teaching?
a. "Use a large cuff to measure blood pressure."
b. "Instruct the patient to slowly change his/her/their position."
c. "Assess the skin while frequently monitoring the blood pressure."
d. "Rotate the sites for measurement of blood pressure for frequent monitoring of blood
pressure." - Answer-a. "Use a large cuff to measure blood pressure."; Older adults
usually lose upper arm mass and require a smaller blood pressure cuff.
Which patient with a respiratory disorder requires immediate nursing intervention?
Patient A: Asthma: RR 12
Patient B: Bronchitis: RR 15
Patient C: Emphysema: RR 20
Patient D: COPD: RR 10
a. Patient A
b. Patient B
c. Patient C
d. Patient D - Answer-d. Patient D; Patient D with chronic obstructive pulmonary
disease and a respiratory rate of 10 breaths/min requires immediate nursing
intervention because the condition is critical.
Which sign or symptom is associated with pyrexia?
a. Cyanosis
b. Chest pain
c. Diaphoresis
d. Dyspnea - Answer-c. Diaphoresis; Elevated body temperature (pyrexia) results in
diaphoresis (sweating). Cyanosis is associated with hypoxemia. Chest pain has many
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