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NR 302 Final Exam (175 questions with all verified answers) latest update
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NR 302 Final Exam (175 questions with all verified answers) latest update
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NR 302 Final Exam (175 questions with all verified answers) latestupdate
erythema - correct answerwhite skin is redness of the skin produced by capillary
congestion
objective data - correct answermeasurable data, for example vital signs
after completing an initial assessment on a pt, the nurse charts, vital signs as temp of
100.1 oral, apical HR 98 irregular, RR 24 shallow, B/P 128/90, pulse ox of 90% on RA,
what are you worried about - correct answeroxygenation, infection, activity intolerance,
capillary refill greater than 3 seconds
during assessment of the lower extremities of a male patient the nurse is unable to
palpate the dorsalis pedis pulse, what action should the nurse take first - correct
answerreposition the fingers and assess again
what is a Doppler? - correct answeris a test that uses high frequency sound waves
(ultrasound) to measure the amount of blood flow through your arteries and veins,
usually those that supply blood to your arms and legs
an example of objective data obtained during the physical assessment includes - correct
answeraudible and auscultated inspiratory wheeze, 2x2 cm stage 1 pressure ulcer on
right ankle, crackles that clear with cough
audible vs. ausculated - correct answerauscultated is hearing through stethoscope while
audible is heard within the room
what does clears with cough mean - correct answerhear normal sounds after patient
coughs
level of consciousness - correct answerobjective data, alert, lethargic, stuporons, and
comatose
orientation x 4 - correct answerperson, place, time, situation
a mother is at the clinic with her 2 year old son, "he wont go to sleep at night and during
the day he has several fits" I get so upset when this happens, the nurses best verbal
response would be - correct answerto clarify and get more information, fits?, tell me
what you mean by this
what are non-therapeutic communcation - correct answerasking closed ended
questions, medical jargon, talking too much, asking why questions
which of the following statements illustrates the use of open-ended questions - correct
answerbuilds and enhances rapport, used when narrative information is needed
, NR 302 Final Exam (175 questions with all verified answers) latest
update
therapeutic communication techniques - correct answerassists the narrative, open-
ended questions, repeating what patient says for clarification
a patients reason for seeking care is shortness of breath, when obtaining a health
history, which of these questions by the nurse would obtain the most helpful information
- correct answerwill you please describe the activities that cause you to be short of
breath
components of a health history - correct answerbiographical data, review of systems,
functional assessment, activities of daily living
the nurse is collecting data about a patients smoking history, the patient admits to
smoking 1.5 packs/day for the last 10 years, the nurse documents the patient has a
smoking history of how many pack-years - correct answer15 pack years
what is the relationship between sleep and smoking? - correct answerdecreases sleep
by interrupting the latency cycle which is the time of complete wakefulness to the
lightest REM (rapid eye movement) sleep
pack year formula - correct answernumber of cigarettes times the years divided by 20
during an exam the nurse notices the patient has round, flat red lesions on the skin of
the forearm, the nurse suspects - correct answerpetechiae which is bleeds under the
skin that confluence
pruritus - correct answerextreme itching
herpes zoster - correct answervesicle lesions that follows the nerve path, shingles
psoriasis - correct answersilvery scales, stress related
what is the difference between assessment for petechiae on black vs. white skin
patients - correct answerwhile skin appears anywhere on the legs or arms while black
skin appears on conjunctiva or oral mucosa
conjunctiva - correct answerbottom eye lid where eye drops are put in, on black skin
patient check for discoloration indicating certain diseases
presbyopia - correct answerloss of elasticity of eye, normal with aging
accommodation - correct answerdistance to near where pupils constrict, and eyes
converge, part of PURRLA test
stumuli - correct answertrapeizus squezze, orbitz, verbal response from a patient, may
need a prompt to do activity
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