NSG300 Exam 1 UPDATED ACTUAL Questions and CORRECT Answers

NSG300 Exam 1
UPDATED ACTUAL Questions and CORRECT Answers

Question: Which graphic record cue indicates the patient has anorexia? Passage of hard, small stools

Eats less than 50% of meals Weight gain Presence of a fever

Correct Answer: Eats less than 50% of meals

Question: The apical pulse is located at the fourth to fifth inter- costal space at the left midclavicular

line. T or F

Correct Answer: True

Question: Breathing generally is an active process. T or F

Correct Answer: F

Question: Adults normally breathe in a smooth, uninterrupted pattern. What is the normal respiratory

rate for an adult? A 30 - 60 breaths per minute B 16 - 20 breaths per minute C 6 - 8 breaths

per minute D 12 - 20 breaths per minute

Correct Answer: 12 - 20 breaths per minute

Question: What is the range in which body tissues and cells function most efficiently? A 36° to 38°C

(96.8° to 100.4°F) B 37° to 39°C (98.6° to 102.2°F) C 34° to 36°C (93.2° to 98.6°F) D 35° to

36°C (95° to 96.8°F)

Correct Answer: 36° to 38°C (96.8° to 100.4°F)

Question: In ADPIE, what does the D stand for? A Diagnosis B Definition C Delegation D

Differentiation

Correct Answer: Diagnosis

Question: What factors affect temperature regulation? Select all that apply.

Correct Answer: All the above

Question: What is the normal heart rate range for an adult?

,Correct Answer: 60 - 100

Question: 1 kg = ____ lbs

Correct Answer: 2.2

Question: What is blood pressure?

Correct Answer: the force exerted on the walls of an artery by the pulsing blood under pres- sure from

the heart

Question: According to your textbook, what is a normal pulse oximetry reading?

Correct Answer: 95% and above

Question: You are assessing the pulse amplitude of a client. You note that the radial pulse is full or

strong in both wrists. How would you document this finding?

Correct Answer: Radial pulses 3 bilaterally

Question: The Health Promotion Model defines health as a posi- tive, dynamic state, not merely the

absence of disease.

Correct Answer: True

Question: The Health Belief Model addresses the relationship between which two factors?

Correct Answer: D beliefs and behaviors

Question: You are caring for a client, who has been generally upbeat and positive, and who has just

been diagnosed with type II diabetes. You enter the client's room and find that the client

doesn't seem to want to talk much and appears very apprehensive. What is the nurse's best

action at this time?

Correct Answer: Recognize the client's need for emotional sup- port and ask the client how they are

feeling

Question: What is the pulse?

Correct Answer: the palpable bounding of blood flow in a peripheral artery

,Question: Febrile means that the client does not have a fever.

Correct Answer: False

Question: Which of the following is not a stage of behavior mod- ification?

Correct Answer: readiness

Question: You are running a booth at a health fair. An attendee asks about Healthy People 2030

initiatives and the purpose of Healthy People 2030. What is your best response?

Correct Answer: Healthy People initiatives are focused on health pro- motion and disease pre- vention

in order to help everyone live long, healthy lives free of disease.

Question: You should tell a client that you are going to assess respirations before doing so.

Correct Answer: False

Question: What are the most common sites for pulse rate assess- ment?

Correct Answer: radial and apical

Question: When a client takes medication that affects the HR, the apical pulse provides a more accurate

assessment of heart function.

Correct Answer: True

Question: Which question would the nurse ask a patient to determine symptom-related issues with the

muscu- loskeletal system?

Correct Answer: "Have you noticed any dif- ferences in your gait?"

Question: Which patient finding is expected in a musculoskeletal assessment? Morse Fall Scale score

of 20

Correct Answer: Morse Fall Scale score of 20

Question: Which finding is unexpected when assessing effects of immobility? Skin nonblanches

Correct Answer: Skin nonblanche.

, Question: Which cue is relevant to alterations in the muscu- loskeletal system? Has a shoulder joint that

is edematous

Correct Answer: Has a shoulder joint that is edematous

Question: Match the musculoskeletal system alteration to its cause: Porous, brittle bones

Correct Answer: Pathologic fracture

Question: Match the musculoskeletal system alteration to its cause: Deterioration of the muscle itself

Correct Answer: Muscle atrophy

Question: Match the musculoskeletal system alteration to its cause: Tissue that is usually easy to move

tightens and pulls inward

Correct Answer: Contracture

Question: Which patient would likely be prone to reduced bone density?

Correct Answer: One who cannot perform weight-bearing exercises

Question: Which patient is prone to paralysis? A patient on bed rest A patient with prolonged brain

ischemia A patient with a fracture A patient on a low-calcium diet

Correct Answer: A patient with prolonged brain ischemia

Question: Which cues are relevant for weakness? Select all that apply. Flaccidity Hypertonicity

Shuffling gait Feeble handgrip Score of 5 on Johns Hopkins Fall Risk Assessment Tool

Correct Answer: Flaccidity Shuffling gait Feeble handgrip

Question: Which cues are relevant for activity intolerance? Select all that apply. Struggles to complete

activities of daily living Exhibits dyspnea on exertion Has to sit down while doing the dishes

Has an inability to move Has no feeling in the lower extremities

Correct Answer: Struggles to complete ac- tivities of daily living Exhibits dyspnea on exer- tion Has to

sit down while do- ing the dishes