NSG 352 Exam 1 UPDATED ACTUAL Questions and CORRECT
Answers
Which temperature route is most appropriate for a Temporal artery - least invasive and appropriate for clients unable to follow
confused adult who cannot follow directions? directions.
When is body temperature lowest? Early morning - due to circadian rhythm.
Which hormone increases body temperature? Progesterone - increases temperature during ovulation.
How should a regular radial pulse be counted? 15 seconds × 4.
A client on atenolol has a pulse of 52 bpm. What is the Notify provider - bradycardia (<60) on beta blocker.
priority action?
Which client requires apical pulse assessment? Infant - apical required for infants under 1 year.
RR of 8 breaths/min is documented as? Bradypnea - less than 12 breaths/min.
What increases respirations? High altitude - lower oxygen increases RR.
BP 128/76 is categorized as? Elevated blood pressure.
Using a cuff that is too large results in what? Falsely low blood pressure.
What indicates orthostatic hypotension? SBP drop ≥20 mmHg with HR increase ≥10 bpm and symptoms like
dizziness/syncope.
How does carbon monoxide affect pulse oximetry? Causes falsely high SpO2 readings.
Pain is best described as? Whatever the client says it is - subjective.
Factors affecting pain perception? Age, culture, gender, language.
Immobility increases risk for what lung complication? Atelectasis - decreased lung expansion.
Contractures occur due to what? Muscle shortening from lack of movement.
Effects of immobility? DVT, constipation, urinary stasis, muscle atrophy.
Primary intervention to prevent pressure injuries? Turn every 2 hours.
How can osteoporosis be prevented? Weight-bearing exercise.
First step in fall prevention? Assess fall risk.
, High fall risk interventions? Gait belt, hourly rounding, PT consult, bed alarm.
Restraints require what? Provider order.
How often must restraint orders be renewed? Every 24 hours.
What is a pathogen? Disease-causing microorganism.
When does infection occur? When pathogens multiply and disrupt body processes.
Links in chain of infection? Infectious agent, reservoir, portal of exit, transmission, portal of entry, susceptible
host.
Answers
Which temperature route is most appropriate for a Temporal artery - least invasive and appropriate for clients unable to follow
confused adult who cannot follow directions? directions.
When is body temperature lowest? Early morning - due to circadian rhythm.
Which hormone increases body temperature? Progesterone - increases temperature during ovulation.
How should a regular radial pulse be counted? 15 seconds × 4.
A client on atenolol has a pulse of 52 bpm. What is the Notify provider - bradycardia (<60) on beta blocker.
priority action?
Which client requires apical pulse assessment? Infant - apical required for infants under 1 year.
RR of 8 breaths/min is documented as? Bradypnea - less than 12 breaths/min.
What increases respirations? High altitude - lower oxygen increases RR.
BP 128/76 is categorized as? Elevated blood pressure.
Using a cuff that is too large results in what? Falsely low blood pressure.
What indicates orthostatic hypotension? SBP drop ≥20 mmHg with HR increase ≥10 bpm and symptoms like
dizziness/syncope.
How does carbon monoxide affect pulse oximetry? Causes falsely high SpO2 readings.
Pain is best described as? Whatever the client says it is - subjective.
Factors affecting pain perception? Age, culture, gender, language.
Immobility increases risk for what lung complication? Atelectasis - decreased lung expansion.
Contractures occur due to what? Muscle shortening from lack of movement.
Effects of immobility? DVT, constipation, urinary stasis, muscle atrophy.
Primary intervention to prevent pressure injuries? Turn every 2 hours.
How can osteoporosis be prevented? Weight-bearing exercise.
First step in fall prevention? Assess fall risk.
, High fall risk interventions? Gait belt, hourly rounding, PT consult, bed alarm.
Restraints require what? Provider order.
How often must restraint orders be renewed? Every 24 hours.
What is a pathogen? Disease-causing microorganism.
When does infection occur? When pathogens multiply and disrupt body processes.
Links in chain of infection? Infectious agent, reservoir, portal of exit, transmission, portal of entry, susceptible
host.
