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NUR 200 Final Exam with Complete Solutions A nurse concludes that a patient has the potential for impaired mobility. Which assessments reflect risk factors that support this conclusion? SELECT ALL THAT APPLY

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  • January 1, 2025
  • 39
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nur 200 final exam with complete solutions

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  • NUR 200
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NUR 200 Final Exam with Complete
Solutions
A nurse concludes that a patient has the potential for impaired mobility. Which assessments
reflect risk factors that support this conclusion?

SELECT ALL THAT APPLY



a. Joint pain

b. Exertional fatigue

c. Sedentary lifestyle

d. Limited ROM

e. Increased respiratory rate Correct Ans-a. Joint pain

d. Limited ROM



A patient sits for excessive lengths of time in a wheelchair. Which sites should the nurse assess
for skin breakdown in this patient?

SELECT ALL THAT APPLY



a. Ischial tuberosities

b. Bilateral scapulae

c. Trochanters

d. Malleolus

e. Sacrum Correct Ans-a. Ischial tuberosities

,b. Bilateral scapulae

e. Sacrum



An older adult is admitted to the hospital for multiple health problems. Assessment reveals that
the patient has no teeth and is having difficulty eating. Which diet should the nurse encourage the
MD to order for this patient?



a. Liquid supplements

b. Mechanical soft

c. Pureed

d. Soft Correct Ans-b. Mechanical soft



Which is the most common independent nursing intervention to help a hospitalized debilitated
older adult maintain body weight?



a. Making mealtime a social activity

b. Taking a thorough nutritional history

c. Providing assistance with the intake of meals

d. Encouraging dietary supplements between meals Correct Ans-c. Providing assistance with
the intake of meals



A nurse is teaching a patient about the importance of balancing protein, carbs, and fats in the
diet. The nurse identifies that the teaching about carbs is understood when the patient states that
carbs are known for providing which of the following?

,a. Electrolytes

b. Vitamins

c. Minerals

d. Energy Correct Ans-d. Energy



A PCP orders a clear liquid diet for a patient. Which foods should the nurse teach the patient to
avoid when following this diet?

SELECT ALL THAT APPLY



a. Strawberry gelatin

b. Decaffeinated tea

c. Strong coffee

d. Pureed soup

e. Ice cream Correct Ans-d. Pureed soup

e. Ice cream



Which should the nurse do if an adult is choking on food?



a. Apply sharp upward thrusts over the patient's xiphoid process

b. Determine if the patient can make any verbal sounds

c. Hit the middle of the patient's back firmly

, d. Sweep the patient's mouth with a finger Correct Ans-b. Determine if the patient can make
any verbal sounds



Which clinical manifestation is of most concern when the nurse assesses a patient who has
impaired mobility?



a. Shallow respirations

b. Increased oxygen saturation

c. Decreased chest wall expansion

d. Gurgling sounds when breathing Correct Ans-d. Gurgling sounds when breathing



Which outcome best reflects achievement of the goal, the patient will expectorate lung secretions
with no signs of respiratory complications?



a. Absence of adventitious lung sounds

b. Deep breathing and coughing nonproductively

c. Drinking 3,000ml of fluid in the last 24 hours

d. Expectorating sputum three times between 3pm and 11pm Correct Ans-a. Absence of
adventitious lung sounds



Which action should the nurse implement to increase both the respiratory and the circulatory
functions of a patient in a coma?



a. Encourage the patient to cough

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