NU 325 FINAL EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
1. A patient tells the nurse that she has rheumatoid arthritis
(RA). The symptoms this patient is likely to exhibit are pain and
stiffness in the:
A. joints that increases with activity.
B. joints that is relieved with rest.
C. right elbow and left knee relieved with medication.
D. joints that is worse in the morning and improves with
activity. Correct Answers joints that is worse in the morning
and improves with activity
1. In using the opthalmoscope to assess a patient's eyes, the
nurse notices a red glow in the patient's pupils. On the basis of
this finding, the nurse would:
A. suspect that an opacity is present in the lens or cornea
B. check the light source of the opthalmoscope to make sure it is
functioning
C. consider the red glow a normal reflection of the
opthalmoscope light off the inner retina
D. continue with the opthalmascopic exam and refer the patient
for further evaluation Correct Answers consider the red glow a
normal reflection of the opthalmoscope light off the inner retina
1. Tactile fremitus is produced by:
A. moisture in the alveoli
B. air in the subcutaneous tissues
C. sounds generated from the larynx
D. blood flow through the pulmonary arteries Correct Answers
sounds generated from the larynx
,1. The function of the nasal turbinates is to:
A. Warm the inhaled air
B. Detect odors.
C. Stimulate tear formation.
D. Lighten the weight of the skull bone Correct Answers
Warm the inhaled air
1. The nurse is administering a Mini-Cognitive test to an older
adult woman. When asked to draw a clock showing the time of
10:00, the patient drew a clock with the numbers out of order
and with an incorrect time. This result indicates which finding?
A. Cognitive Impairment
B. Amnesia
C. Delirium
D. Attention-deficit disorder Correct Answers Cognitive
Impairment
1. The nurse is performing an otoscopic examination on an
adult. Which of these actions is correct?
A. Tilting the person's head forward during the examination
B. Once the speculum is in the ear, releasing traction
C. Pulling the pinna up and back before inserting the speculum
D. Using the smallest speculum to decrease the amount of
discomfort Correct Answers Pulling the pinna up and back
before inserting the speculum
1. The trapezius and sternomastoid muscles are innervated by
which cranial nerve?
A. X
B. V
,C. VI
D. XI Correct Answers XI
1. When assessing a newborn infant who is 5 minutes old, the
nurse knows which of these statements to be true?
A. The left ventricle is larger and weighs more than the right
ventricle.
B. The circulation of a newborn is identical to that of an adult.
C. Blood can flow into the left side of the heart through an
opening in the atrial septum.
D. The foramen ovale closes just minutes before birth, and the
ductus arteriosus closes immediately after. Correct Answers
Blood can flow into the left side of the heart through an opening
in the atrial septum.
1. When listening to heart sounds, the nurse knows that the S1:
A.Is louder than the S2 at the apex of the heart.
B. Indicates the beginning of diastole.
C. Is caused by closure of the Aortic and Pulmonic valves.
D. Is caused by the closure of the semilunar valves. Correct
Answers Is louder than the S2 at the apex of the heart.
1. Where is the apical impulse usually palpable?
A. at the 5th intercostal space, left midclavicular line
B. at the 4th intercostal space, left midaxillary line
C. at the 4th intercostal space, left sternal border
D. at the 2nd intercostal space, right sternal border Correct
Answers at the 5th intercostal space, left midclavicular line
1. Which organ's edge is palpable along with the right kidney?
A. spleen
, B. pancreas
C. liver
D. aorta Correct Answers liver
1. You are assessing capillary refill. The room is warm. Which
finding would be considered normal?
A. 1 second
B. >2 seconds
C. Time is not significant
D. 2-3 seconds Correct Answers 1 second
check this
2. Dullness heard while percussing over the lung fields could
indicate:
A. nothing, this is a normal finding
B. a possible tumor/mass
C. emphysema
D. percussion over a rib Correct Answers a possible
tumor/mass
2. If the nurse hears extra heart sounds in the infant at 48 hours
after birth, the nurse should:
A. Document this as a normal finding.
B. Call a code blue for emergency response.
C. Make sure the advanced practitioner (MD, NP, or PA) is
aware of this finding before discharge.
D. Discharge the infant and mother as ordered. Correct Answers
Make sure the advanced practitioner (MD, NP, or PA) is aware
of this finding before discharge.
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