NURS 3130 FINAL EXAM QUESTIONS
WITH CORRECT ANSWERS
A nurse makes a nursing diagnosis of Acute Pain related to the
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postoperative abdominal incision. She writes a nursing order to
| | | | | | | | |
reposition the client in a comfortable position using pillows to splint or
| | | | | | | | | | | |
support the painful areas. What type of nursing intervention did the
| | | | | | | | | | |
nurse write? |
A: Interdependent
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B: Dependent
| |
C: Independent
| |
D: Collaborative - CORRECT ANSWER✔✔-C: Independent
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You should palpate both sides of the carotid artery at the same time.
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True or False - CORRECT ANSWER✔✔-False
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A 1-day postoperative client has a temperature of 98.2°F. What is the
| | | | | | | | | | | |
nurse's next best action?
| | |
A: Contact the primary care provider for guidance.
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Correct!
,|
B: Document the temperature and continue with his care.
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|
C: Administer the prescribed antipyretic medication.
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|
D: Instruct the client to drink more fluids. - CORRECT ANSWER✔✔-B:
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Document the temperature and continue with his care.
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The nurse is assessing vital signs for a client after a surgical procedure
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on the left leg. IV fluids are infusing. It would be most important for the
| | | | | | | | | | | | | | |
nurse to: |
|
A: Take an oral temperature with an electronic thermometer.
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B: Count the client's respiratory rate for 1 full minute.
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C: Take the blood pressure in the arm without an IV.
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|
D: Compare the left pedal pulse with the right pedal pulse. - CORRECT
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ANSWER✔✔-D: Compare the left pedal pulse with the right pedal pulse
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Which site is the most accurate to take a pulse?
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A: Apical
| |
,| B: Radial| |
| C: Temporal
| |
| D: Pedal - CORRECT ANSWER✔✔-A: Apical
| | | | |
Hypotension is diagnosed when blood pressure is persistently higher
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than normal. True or False. - CORRECT ANSWER✔✔-False
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A client who has been hospitalized for an infection states, "The nursing
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assistant told me my vital signs are all within normal limits; that means
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I'm cured." The nurse's best response would be which of the following?
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A: "Your vital signs confirm that your infection is resolved; how do you
| | | | | | | | | | | | |
feel?"
B: "I'll let your healthcare provider know so you can be discharged."
| | | | | | | | | | |
C:"Your vital signs are stable, but there are other things to assess."
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D: "We still need to keep monitoring your temperature for a while." -
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CORRECT ANSWER✔✔-C:"Your vital signs are stable, but there are other
| | | | | | | | |
things to assess."
| | |
, A client's axillary temperature is 100.8°F. The nurse realizes this is
| | | | | | | | | | |
outside normal range for this client, and that axillary temperatures do
| | | | | | | | | | |
not reflect core temperature. What should the nurse do to obtain a
| | | | | | | | | | | |
good estimate of the core temperature?
| | | | |
A: Add 1°F to 100.8°F to obtain an oral equivalent.
| | | | | | | | | |
B: Add 2°F to 100.8°F to obtain a rectal equivalent.
| | | | | | | | | |
C: Obtain a rectal temperature reading.
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D: Obtain a tympanic membrane reading. - CORRECT ANSWER✔✔-C:
| | | | | | | | |
Obtain a rectal temperature reading. | | | |
What are the names of the three stages of a fever - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔-first: Onset |
Second: Course |
Third: Defervescence |
Which of the following procedure techniques has the most effect on the
| | | | | | | | | | |
accuracy of an apical pulse count?
| | | | | |
| A: Exposing only the left side of the chest.
| | | | | | | | |
B: Determining why assessment of apical pulse is indicated.
| | | | | | | |
C: Counting the rate for 1 full minute.
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WITH CORRECT ANSWERS
A nurse makes a nursing diagnosis of Acute Pain related to the
| | | | | | | | | | | |
postoperative abdominal incision. She writes a nursing order to
| | | | | | | | |
reposition the client in a comfortable position using pillows to splint or
| | | | | | | | | | | |
support the painful areas. What type of nursing intervention did the
| | | | | | | | | | |
nurse write? |
A: Interdependent
| |
B: Dependent
| |
C: Independent
| |
D: Collaborative - CORRECT ANSWER✔✔-C: Independent
| | | | |
You should palpate both sides of the carotid artery at the same time.
| | | | | | | | | | | | |
True or False - CORRECT ANSWER✔✔-False
| | | | |
A 1-day postoperative client has a temperature of 98.2°F. What is the
| | | | | | | | | | | |
nurse's next best action?
| | |
A: Contact the primary care provider for guidance.
| | | | | | |
Correct!
,|
B: Document the temperature and continue with his care.
| | | | | | | |
|
C: Administer the prescribed antipyretic medication.
| | | | |
|
D: Instruct the client to drink more fluids. - CORRECT ANSWER✔✔-B:
| | | | | | | | | | |
Document the temperature and continue with his care.
| | | | | | |
The nurse is assessing vital signs for a client after a surgical procedure
| | | | | | | | | | | | |
on the left leg. IV fluids are infusing. It would be most important for the
| | | | | | | | | | | | | | |
nurse to: |
|
A: Take an oral temperature with an electronic thermometer.
| | | | | | | |
B: Count the client's respiratory rate for 1 full minute.
| | | | | | | | | |
C: Take the blood pressure in the arm without an IV.
| | | | | | | | | | |
|
D: Compare the left pedal pulse with the right pedal pulse. - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔-D: Compare the left pedal pulse with the right pedal pulse
| | | | | | | | | |
Which site is the most accurate to take a pulse?
| | | | | | | | |
A: Apical
| |
,| B: Radial| |
| C: Temporal
| |
| D: Pedal - CORRECT ANSWER✔✔-A: Apical
| | | | |
Hypotension is diagnosed when blood pressure is persistently higher
| | | | | | | | |
than normal. True or False. - CORRECT ANSWER✔✔-False
| | | | | | |
A client who has been hospitalized for an infection states, "The nursing
| | | | | | | | | | | |
assistant told me my vital signs are all within normal limits; that means
| | | | | | | | | | | | |
I'm cured." The nurse's best response would be which of the following?
| | | | | | | | | | |
A: "Your vital signs confirm that your infection is resolved; how do you
| | | | | | | | | | | | |
feel?"
B: "I'll let your healthcare provider know so you can be discharged."
| | | | | | | | | | |
C:"Your vital signs are stable, but there are other things to assess."
| | | | | | | | | | |
D: "We still need to keep monitoring your temperature for a while." -
| | | | | | | | | | | | | |
CORRECT ANSWER✔✔-C:"Your vital signs are stable, but there are other
| | | | | | | | |
things to assess."
| | |
, A client's axillary temperature is 100.8°F. The nurse realizes this is
| | | | | | | | | | |
outside normal range for this client, and that axillary temperatures do
| | | | | | | | | | |
not reflect core temperature. What should the nurse do to obtain a
| | | | | | | | | | | |
good estimate of the core temperature?
| | | | |
A: Add 1°F to 100.8°F to obtain an oral equivalent.
| | | | | | | | | |
B: Add 2°F to 100.8°F to obtain a rectal equivalent.
| | | | | | | | | |
C: Obtain a rectal temperature reading.
| | | | | |
D: Obtain a tympanic membrane reading. - CORRECT ANSWER✔✔-C:
| | | | | | | | |
Obtain a rectal temperature reading. | | | |
What are the names of the three stages of a fever - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔-first: Onset |
Second: Course |
Third: Defervescence |
Which of the following procedure techniques has the most effect on the
| | | | | | | | | | |
accuracy of an apical pulse count?
| | | | | |
| A: Exposing only the left side of the chest.
| | | | | | | | |
B: Determining why assessment of apical pulse is indicated.
| | | | | | | |
C: Counting the rate for 1 full minute.
| | | | | | | |
