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Solutions @ 2024
The taking of John's vital signs includes: - Answer Temperature, blood pressure,
respiration and pulse
A student nurse taking care of a patient with an abnormal body temperature needs more
training when he/she does what? - Answer Discourages a patient from drinking fluid to
avoid excessive activity.
The most appropriate position in obtaining a rectal temperature for an adult would be: -
Answer Sim's
In assessing a tympanic temperature in a 20-year old male patient, which of the following
could result in the least accurate reading? - Answer The patient has been outdoor for
more than 30 minutes.
All of the following are factors affecting body temperature EXCEPT: - Answer Height
Volume of pulse - Answer Refers to the amount of blood pushing against the artery wall
with each beat
When temperatures with baselines and normal temperature ranges are compared, what is
normally received? - Answer Presence of abnormalities
Considered the least accurate method of measuring temperature - Answer Axillary
How to get celcius: - Answer C= (F-32)x5/9
How to get farenheit: - Answer F= (Cx9/5)+32
96.0 to 99.5 degrees Fahrenheit is the normal temperature range of which age group? -
Answer Neonate
Considered as the 5th vital sign - Answer Pain
When body temperature taken orally is below 36.0C the person is suffering from - Answer
Hypothermia
Constant, remittent and intermittent are classifications of - Answer Fever
Regulator of body temperature - Answer hypothalamus
,The following traits are typical among the older persons except? - Answer Libido is
normally heightened
A proper assessment of vital signs will allow a nurse to - Answer Help evaluate
improvement of patient condition, implement planned interventions, Identify nursing
diagnosis except learn about human behavior
The most appropriate definition of vital signs - Answer An indication of basic body
functioning
Piaget is mainly known for studying - Answer cognitive development
It is the art and science of teaching adults wherein teaching is more learner centered and
the past experiences play a key role. - Answer Andragogy
The art and science of helping children learn prefers to: - Answer Pedagogy
Primary focus of this domain is on development of manipulative skills rather than on the
growth of intellectual capability. - Answer Psychomotor domain
Nurse Ellaina should inform the learners of what is expected from a cognitive affective or
psychomotor prior the meeting of goal, which is the desired end result or intended
outcome which is known as your - Answer Goal
Health Education teachers are tasked with teaching about which of the following topics?
I. Proper Nutrition
II. Sex Education
III. Exercise
IV. Breastfeeding - Answer All of the above
Nurses are bound by a variety of law. Which of the following descriptions of types of law
is correct? - Answer Statutory law is created by elected legislatures, such as the state
legislature that defines the Nurse Practice Act (NPA).
What is nonmaleficence? - Answer The prohibition from intentionally harming others
All of the following are true about Nursing Code of Ethics - Answer Know and function
within the scope of practice; maintain patient confidence; provide healthcare without
discrimination except Nurses may decide on their own which is relevant documentation
and which is not
,Investigates the role of nurses which further improves the nursing practice - Answer
Researcher
Helps the client learn the state of their well-being and the therapies that will be done to
them to alleviate their health conditions - Answer Teacher
Provide care and comfort for person together with preserving the dignity of human being.
- Answer Care Provider
Which represents the correct order of Piaget's stages of intellectual development? -
Answer Sensorimotor, preoperational, concrete operational, formal operational
A person who is just being admitted complains of pain on his right foot. What is the
proper way to provide this patient a proper physical assessment? - Answer If a complete
physical assessment is necessary, it is best to assess any painful areas last.
The nurse tells a 75 year old patient that she will have to do a "head to toe" assessment
on him. The patient asks "what is that?" Her best answer would be.. - Answer "It is a way
for us to know how we are going to take care of you later."
The difference between a "head to toe" assessment and a "focused assessment" -
Answer Head to toe is completed when the patient is admitted; focused concentrates on a
particular part of a body.
We know that the nurse knows the right time to do a physical assessment when she says:
- Answer "I will do it as soon as possible."
Which of the following are true regarding cultural sensitivity? - Answer As a nurse, it is
important to identify and examine our own cultural and ethnic beliefs.
The consumption of alcohol, tobacco, caffeine, or herbal products are important in health
, history and which part of what? - Answer Habits and lifestyle patterns
Maximum pressure felt on the artery during left ventricular contraction is the - Answer
Systolic Pressure
When feeling for client pulse, take into account the - Answer Rate, rhythm, force, and
elasticity
Resonant is a type of sound that can be heard while percussing. What are some of its
characteristics? - Answer Clear and hollow sound, moderate in duration and can be heard
over normal lung tissue.
Failure to consider conflicting cues, using an insufficient number of cues, using
unreliable or invalid cues are which source of diagnostic error? - Answer Interpreting
When documenting... - Answer Do not generalize or form judgements through written
communication
The client verbally reports pain at a level of 8 or 9 when it becomes sharp is an example
of - Answer Subjective data
Bathing, dressing, toileting, eating are examples of - Answer Activities of daily living
The mnemonic PQRSTU stands for: - Answer Provocative or pallative, quality or quantity,
region or radiation, severity scale, timing, and understanding patient's perception
When interviewing Mr. C, an 89 year old man from Greece who doesn't understand
English, it is important to - Answer Find an interpreter or speak slowly
Ms. B is at the clinic today and the nurse is explaining what a heart attack is. The nurse
says "A myocardial infarction can be serious and is caused by a blood clot that blocks
one of the coronary arteries. This can lead to a rupture of a vulnerable atherosclerotic
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