NURS 326 FINAL EXAM REVIEW QUESTIONS WITH
VERIFIED ACCURATE ANSWERS
A child was found after being lost for several hours in the woods in Minnesota in the
month of January. You have just measured the child's temperature using a temporal
artery scanner and found it to be 85°F (29.4°C). The child is still conscious. Which of the
following interventions would be appropriate to carry out for this patient?
SELECT ALL THAT APPLY.
1) Provide warm, dry clothing, warm blankets, and a warm environment.
2) Provide a tepid bath.
3) Provide an alcohol bath.
4) Administer warmed intravenous fluids.
5) Give warm milk.
6) Offer coffee. - Answers -1) Provide warm, dry clothing, warm blankets, and a warm
environment.
4) Administer warmed intravenous fluids.
5) Give warm milk.
A client you are working with has just been diagnosed with Stage I hypertension. Which
of the following are lifestyle changes you should recommend for managing the client's
condition?
SELECT ALL THAT APPLY.
1) Consume a diet high in sodium.
2) Consume a diet high in potassium.
3) Limit alcohol intake to three drinks per day for men and two for women.
4) Lose weight (if overweight).
5) Eliminate smoking.
6) Avoid aerobic exercise. - Answers -2) Consume a diet high in potassium.
4) Lose weight (if overweight).
5) Eliminate smoking.
You understand that the body has many mechanisms for maintaining a stable body
temperature. One of them involves a narrowing of the blood vessels to reduce heat loss.
This response is known as which of the following?
1) Vasoconstriction
2) Vasodilation
3) Piloerection
4) Metabolism - Answers -1) Vasoconstriction
, You have just taken a client's radial pulse and found it absent. The skin is cool and pale.
Which of the following would be most appropriate primary nursing diagnosis for this
client?
1) Ineffective Tissue Perfusion (Peripheral)
2) Deficient Fluid Volume
3) Excess Fluid Volume
4) Risk for Impaired Skin Integrity - Answers -1) Ineffective Tissue Perfusion
(Peripheral)
While assessing a client's respiration, you observe pallor in the skin and notice that the
client is restless, apprehensive, and confused. She complains of dizziness. These are
signs of which of the following conditions?
1) Hyperventilation
2) Dyspnea
3) Hypoxia
4) Rhonchi - Answers -3) Hypoxia
A client arrives late for her appointment and you take her blood pressure. It is unusually
elevated. You also note that the client's heart rate is elevated and she is breathing
rapidly. You proceed with other parts of the assessment. Later, you take her blood
pressure while she is sitting and then while she's standing. The client asks why you
keep taking her blood pressure. Which of the following is the best rationale for this
action?
1) The sphygmomanometer you are using is defective and is producing erratic results.
2) Blood pressure normally changes from minute to minute with changes in activity or in
body position.
3) Determining blood pressure requires that you sum the results of three separate
readings.
4) Clinic policy requires three separate blood pressure measurements, all of which must
be within a point or two of each other to establish a valid reading. - Answers -2) Blood
pressure normally changes from minute to minute with changes in activity or in body
position.
You need to assess the body temperature of a fussy infant. You would like a
thermometer type that is highly accurate but fast, comfortable, and safe. Which of the
following would be the best choice?
1) Tympanic membrane
2) Oral
3) Rectal
4) Temporal artery - Answers -4) Temporal artery
You observe a nursing student attach the cuff of a sphygmomanometer to an adult
client's arm. The width of the cuff bladder covers about half of the length of the client's
upper arm. Which of the following most accurately describes the fit of this cuff and the
likely results of measurement, if completed?
1) The cuff is properly fitted and will produce an accurate blood pressure reading.
VERIFIED ACCURATE ANSWERS
A child was found after being lost for several hours in the woods in Minnesota in the
month of January. You have just measured the child's temperature using a temporal
artery scanner and found it to be 85°F (29.4°C). The child is still conscious. Which of the
following interventions would be appropriate to carry out for this patient?
SELECT ALL THAT APPLY.
1) Provide warm, dry clothing, warm blankets, and a warm environment.
2) Provide a tepid bath.
3) Provide an alcohol bath.
4) Administer warmed intravenous fluids.
5) Give warm milk.
6) Offer coffee. - Answers -1) Provide warm, dry clothing, warm blankets, and a warm
environment.
4) Administer warmed intravenous fluids.
5) Give warm milk.
A client you are working with has just been diagnosed with Stage I hypertension. Which
of the following are lifestyle changes you should recommend for managing the client's
condition?
SELECT ALL THAT APPLY.
1) Consume a diet high in sodium.
2) Consume a diet high in potassium.
3) Limit alcohol intake to three drinks per day for men and two for women.
4) Lose weight (if overweight).
5) Eliminate smoking.
6) Avoid aerobic exercise. - Answers -2) Consume a diet high in potassium.
4) Lose weight (if overweight).
5) Eliminate smoking.
You understand that the body has many mechanisms for maintaining a stable body
temperature. One of them involves a narrowing of the blood vessels to reduce heat loss.
This response is known as which of the following?
1) Vasoconstriction
2) Vasodilation
3) Piloerection
4) Metabolism - Answers -1) Vasoconstriction
, You have just taken a client's radial pulse and found it absent. The skin is cool and pale.
Which of the following would be most appropriate primary nursing diagnosis for this
client?
1) Ineffective Tissue Perfusion (Peripheral)
2) Deficient Fluid Volume
3) Excess Fluid Volume
4) Risk for Impaired Skin Integrity - Answers -1) Ineffective Tissue Perfusion
(Peripheral)
While assessing a client's respiration, you observe pallor in the skin and notice that the
client is restless, apprehensive, and confused. She complains of dizziness. These are
signs of which of the following conditions?
1) Hyperventilation
2) Dyspnea
3) Hypoxia
4) Rhonchi - Answers -3) Hypoxia
A client arrives late for her appointment and you take her blood pressure. It is unusually
elevated. You also note that the client's heart rate is elevated and she is breathing
rapidly. You proceed with other parts of the assessment. Later, you take her blood
pressure while she is sitting and then while she's standing. The client asks why you
keep taking her blood pressure. Which of the following is the best rationale for this
action?
1) The sphygmomanometer you are using is defective and is producing erratic results.
2) Blood pressure normally changes from minute to minute with changes in activity or in
body position.
3) Determining blood pressure requires that you sum the results of three separate
readings.
4) Clinic policy requires three separate blood pressure measurements, all of which must
be within a point or two of each other to establish a valid reading. - Answers -2) Blood
pressure normally changes from minute to minute with changes in activity or in body
position.
You need to assess the body temperature of a fussy infant. You would like a
thermometer type that is highly accurate but fast, comfortable, and safe. Which of the
following would be the best choice?
1) Tympanic membrane
2) Oral
3) Rectal
4) Temporal artery - Answers -4) Temporal artery
You observe a nursing student attach the cuff of a sphygmomanometer to an adult
client's arm. The width of the cuff bladder covers about half of the length of the client's
upper arm. Which of the following most accurately describes the fit of this cuff and the
likely results of measurement, if completed?
1) The cuff is properly fitted and will produce an accurate blood pressure reading.
