NUR 120 EXAM 1 LATEST VERSION WITH QUESTIONS AND WELL VERIFIED CORRECT ANSWERS [ALREADY GRADED A+] ||NUR 120 2024 NEW EXAM!!
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Course
NUR 120
Institution
NUR 120
NUR 120 EXAM 1 LATEST VERSION 2024
2025 WITH QUESTIONS AND WELL
VERIFIED CORRECT ANSWERS [ALREADY
GRADED A+] ||NUR 120 2024 NEW EXAM!!
The nurse is caring for a patient with a temp of 103 F, respirations of 30 per min.,
pulse rate of 50 beats per minute, and BP of 100/60. The p...
NUR 120 EXAM 1 LATEST VERSION 2024-
2025 WITH QUESTIONS AND WELL
VERIFIED CORRECT ANSWERS [ALREADY
GRADED A+] ||NUR 120 2024 NEW EXAM!!
The nurse is caring for a patient with a temp of 103 F, respirations of 30 per min.,
pulse rate of 50 beats per minute, and BP of 100/60. The patient is cold and
clammy. What does the nurse conclude about these findings?
a. The temp is causing a lowered pulse rate; it will improve if the temp. decreases.
b. The low pulse rate is causing a decreased cardiac output, which has caused a low
BP
c. The pulse rate and BP are compensatory mechanisms to decrease the increased
metabolic rate from the temp.
d. The cool, clammy skin will help to increase the BP and pulse as the body tries to
warm the skin - ANSWER-B
"Creating a risk of harm to others by failing to do something a reasonable person
would ordinarily do, or do something that a reasonable person would ordinarily not
do." Which assessment findings would require the nurse to further assess the pt?
a. A young adult male with a pulse rate of 136 after running 2 miles
b. A 40 yr old female with a BP of 110/70 when 1st awakened
c. A 72 yr old female with a respiratory rate of 10 breaths per min.
,d. A 50 yr old male with a pulse rate of 88 beats per min. - ANSWER-C
The nurse is caring for a pt who was burned in a house fire. The right arm is
heavily bandaged and there is an intravenous line that was placed in the left
forearm after 3 attempts. Which action does the nurse take related to obtaining VS?
a. A BP is not needed because the pt is awake, alert, and talking to the nurse.
b. A smaller cuff should be used to cover less of the upper arm
c. The BP should be taken on the popliteal artery
d. The systolic pressure should be palpated from the radial artery - ANSWER-C.
The nurse is completing a postoperative assessment on a pt in the post-anesthesia
recovery unit. Which VS requires further assessment by the nurse for the possible
hypovolemic (low blood volume) shock?
a. An increase in HR
b. An increased temp. reading
c. A decrease in BP
d. A decrease in RR - ANSWER-A
Which actions by the nurse could result in a BP measurement error? SELECT ALL
THAT APPLY
a. Placing the diaphragm of the stethoscope over the brachial artery
b. Using the same cuff for all pts
c. Wrapping the bottom edge of the cuff over the antecubital space
,d. Releasing the valve quickly to prevent pt discomfort
e. Taking a measurement after the pt rests quietly for 5 mins. - ANSWER-B, C, D
A nurse goes to another unit to see a friend who has been admitted. The nurse goes
to look at a friend's medical record. This is an example of:
a. Invasion of privacy
b. Breach of confidentiality
c. Liability
d. Malpractice - ANSWER-A
Prior to identifying accurate nursing diagnosis, which action MUST be taken by
the nurse?
a. Reading the patients history
b. Setting realistic, measurable goals
c. Comparing evidence- based practices
d. Clustering related patient data - ANSWER-D
Patient advocacy is best demonstrated by the nurse:
a. Learning how to do a new procedure
b. Returning with the client at the agreed-upon time.
c. Preparing the client's room for comfort and privacy.
d. Supporting the client's right to refuse treatment. - ANSWER-D
, What phrase BEST describes the essence of critical thinking?
a. Understanding without conscious reasoning
b. Providing care based on nursing experience
c. Consulting with a primary care provider
d. Seeking solutions to problems - ANSWER-D
The nurse is caring for a pt who experienced a major trauma and has lost approx. 2
units of blood. Which intial compensatory mechanisms would the nurse expect the
pt to exhibit. SELECT ALL THAT APPLY
a. Increased BP
b. Increased urinary output
c. Increased pulse rate
d. Decreased temp.
e. Decreased respirations - ANSWER-A, C
Nurses may be held liable for actions that are considered unintentional torts. Which
of the following actions is an example of this type of tort?
a. Restraining a client who refuses care and wants to leave the hospital.
b. Taking photos of a client surgical wound to post to a website.
c. Leaving the side rails down, leading to the pt falling and becoming injured.
d. Discussing the clients sexually transmitted disease while riding the elevator with
visitors. - ANSWER-C
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