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Nurs 125 Quizzes Exam 2024/2025 Questions With Completed & Verified Solutions.
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Nurs 125 Quizzes Exam 2024/2025 Questions With Completed & Verified Solutions.
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Nurs 125 QuizzesA patient on a medical-surgical floor reports having shortness of breath. The nurse needs to
conduct which type of assessment? - ANS A problem-based/focused assessment.
-This type of assessment is limited to a specific problem or complaint
For which patient is a shift-assessment indicated? - ANS ***The person who has abdominal
surgery yesterday
The person who is c/o chest pain
The person being admitted to long-term care
The person who is at a health fair
-The nurse would need to do a shift assessment on a surgical patient.
Which of the following examples represents a secondary prevention level of health promotion? -
ANS Immunizations
Exercise
Hypertension management
***Blood pressure screenings
-Secondary prevention consists of screening efforts to promote early detection of disease like
blood pressure, mammogram and colorectal screenings.
Which of the following is an example of objective data? - ANS Headache
***Vomiting
Joint Pain
Nausea
-Vomiting can be observed, smelled, and measured
A nurse suspects a patient is a victim of physical abuse. Which response by the nurse will most
likely encourage the patient to confide in the nurse? - ANS "If someone hit you, you can get a
restraining order"
*** "I've seen people who have been hurt by their significant others. Do you feel safe in your
home?"
"You've got a huge bruise on your face. Who hit you?"
"That bruise looks tender. I don't know how people can do that to one another."
-This question is an acceptable screening question when domestic violence is suspected. p. 16
,A patient answers questionably quietly and appears sad. While answering the questions about
her marriage, she begins to cry. Which response by the nurse is appropriate in this situation? -
ANS ***"I see that you are upset. Is there something you'd like to discuss?"
"Everyone has ups and downs in their marriage. What problems are you having?"
"Don't cry! I'll come back when you've settled down."
"I only have a few more questions to ask and then I'll leave you alone for awhile."
-This is a therapeutic response. p. 12
A nurse is interviewing a patient. Which of the following questions is an open-ended question? -
ANS Can you tell me how you have been feeling?
-This is an open-ended question. The patient would need to answer more than a "yes" or "no" to
this question. p. 11
When interviewing a patient to obtain a health history, asking if the patient has "dyspnea" can
fall in which of the following systems? - ANS Respiratory and Cardiovascular
-Dyspnea (difficulty breathing) falls under both respiratory and cardiovascular. p. 18
A nurse asks a patient to rate their pain on a scale of 0-10. This is which part of the mnemonic
for symptom analysis of "OLD CARTS" - ANS Severity
-Using a rating scale helps describe the severity of the symptom p. 15
When examining a patient, the nurse remembers to follow which principle of Standard
Precautions? - ANS Wear gloves when in contact with the patient's blood or other body fluids.
-Always wear gloves when you are in contact with patient's blood or other body fluids. p. 22
Which of the following is a correct statement regarding the technique of LIGHT palpation. Light
palpation is: - ANS used to determine organ size
***used to assess tenderness
performed by pressing down on a patient's body to a depth of 4 cm
performed only using the fingertips
-light palpation is used to assess skin, pulses, and tenderness. P. 24
The nurse is unable to hear the patient's breath sounds. To determine the cause of this problem,
the nurse needs to ensure that the: - ANS valve is open to the diaphragm on the head of the
stethoscope.
-The valve needs to be open to the diaphragm. If it is not open to the diaphragm, then it is open
to the bel. The diaphragm is used to hear lung, bowel, and heart sounds. p. 28
, A nurse is preparing to take a patient's blood pressure. The blood pressure cuff is too narrow
(small). How accurate will this patient's blood pressure be using this blood pressure cuff? - ANS
Higher than the actual value
-If the cuff is to narrow (small) it overestimates the blood pressure, which means it gives a
higher reading than is accurate. p. 30
Where does the nurse attach the sensor probe of the pulse oximeter to measure a patient's
oxygen saturation? - ANS Around the patient's index fingernail
-The sensor problem can be taped or clipped to a highly vascular area such as a finger or toe.
pg. 30
During a physical assessment of an elderly adult, the nurse has difficulty palpating the patient's
dorsals pedis pulses? Which piece of equipment would be helpful during this assessment? -
ANS Doppler
-The doppler is used to detect difficult to feel pulses and the ultrasonic waves can detect the
blood flow with the resulting "swishing" sound. This confirms the pulses are present, just not
palpable. pg. 34
A patient on a cardiac floor is complaining of chest pain. The nurse needs to conduct which type
of assessment? - ANS A problem-based focused assessment
-When a patient is having a specific problem or complaint, a PROBLEM BASED-FOCUSED
assessment needs to be performed. In this instance the problem is chest pain. p. 3
An example of primary prevention of health promotion is - ANS Immunizations.
-Immunizations aren an example of primary prevention
Which of the following is an example of subjective (symptoms) data? - ANS Diarrhea
***Headache
Vomiting
Audible bowel sounds
- vomiting, diarrhea, and audible bowel sounds are all examples of subjective (signs) data
because they can be observed, felt, heard, or measured.
Headache is subjective (symptom) as it is perceived and "reported" by the patient
Which of the following is one of the goals of Healthy People 2020 - ANS To find cures for all
non-chronic disease states
To search for an alternative to Obama Care by 2020
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