NUR 1020C FINAL EXAM REVIEW
QUESTIONS & ANSWERS 100%
CORRECT (FULLY SOLVED)
A 2-week-old infant can fixate on an object but cannot follow a
light or bright toy. The nurse would: - correct answer-
consider this a normal finding.
A 3 month old has a heart rate of 135 BPM, is this normal or
abnormal? - correct answer- Normal
A 3 month old infant demonstrates the moro reflex, the nurse
notes this finding as: - correct answer- Normal
A 3 year old patient has palpable lymph nodes, the nurse
explains this finding as: - correct answer- Normal 3-6
yrs old
A 4-year-old boy is brought to the emergency department by his
mother. She says he points to his stomach and says, "It hurts so
bad." Which pain assessment tool would be the best choice
when assessing this child's pain? - correct answer- The
Faces Pain Scale—Revised (FPS-R)
,A 30-year-old woman tells the nurse that she has been very
unsteady and has had difficulty in maintaining her balance.
Which area of the brain would the nurse be concerned about
with these findings? - correct answer- Cerebellum
A 31-year-old patient tells the nurse that he has noticed a
progressive loss in his hearing. He says that it does seem to help
when people speak louder or if he turns up the volume. The
most likely cause of his hearing loss is: - correct answer-
otosclerosis.
A 35-year-old pregnant woman comes to the clinic for a monthly
appointment. During the assessment, the nurse notices that she
has a brown patch of hyperpigmentation on her face. The nurse
continues the skin assessment aware that another finding may
be: - correct answer- linea nigra.
A 65-year-old patient with a history of heart failure comes to the
clinic with complaints of "being awakened from sleep with
shortness of breath." Which action by the nurse is most
appropriate? - correct answer- Assess for other signs
and symptoms of paroxysmal nocturnal dyspnea.
,A 70-year-old patient tells the nurse that he has noticed that he
is having trouble hearing, especially in large groups. He says he
"can't always tell where the sound is coming from" and the
words often sound "mixed up." What might the nurse suspect as
the cause for this change? - correct answer- Nerve
degeneration in the inner ear
A 70-year-old woman tells the nurse that every time she gets up
in the morning or after she's been sitting she gets "really dizzy"
and feels like she is going to fall over. The nurse's best response
would be: - correct answer- "You need to get up
slowly when you've been lying or sitting."
A 92-year-old patient has had a stroke. The right side of his face
is drooping. The nurse might also suspect which of these
assessment findings? - correct answer- Dysphagia
A black patient is in the intensive care unit because of impending
shock after an accident. The nurse would expect to find what
characteristics in this patient's skin? - correct answer-
Ashen, gray, or dull
A cancer patient receives a flu shot, this is what type of
prevention - correct answer- Secondary prevention
, A child's immunization may cause discomfort during
administration, but the benefits of protection from disease, both
for the individual and society, outweigh the temporary
discomforts. Which principle is involved in this situation? -
correct answer- Beneficence
A mother brings her 4-month-old child to the clinic with
concerns regarding a small pad in the middle of the upper lip
that has been there since 1 month of age. The infant has no
health prob-lems. On physical examination, the nurse notices a
0.5-cm, fleshy, elevated area in the middle of the upper lip.
There is no evidence of inflammation or drainage. What would
the nurse tell this mother? - correct answer- "This is a
sucking tubercle caused from the friction of breastfeeding or
bot-tle-feeding and is normal."
A mother brings her newborn in for an assessment and asks, "Is
there something wrong with my baby? His head seems so big."
The nurse recognizes that which statement is true regarding the
relative proportions of the head and trunk of the newborn? -
correct answer- Head circumference should be greater
than chest circumference at birth.
QUESTIONS & ANSWERS 100%
CORRECT (FULLY SOLVED)
A 2-week-old infant can fixate on an object but cannot follow a
light or bright toy. The nurse would: - correct answer-
consider this a normal finding.
A 3 month old has a heart rate of 135 BPM, is this normal or
abnormal? - correct answer- Normal
A 3 month old infant demonstrates the moro reflex, the nurse
notes this finding as: - correct answer- Normal
A 3 year old patient has palpable lymph nodes, the nurse
explains this finding as: - correct answer- Normal 3-6
yrs old
A 4-year-old boy is brought to the emergency department by his
mother. She says he points to his stomach and says, "It hurts so
bad." Which pain assessment tool would be the best choice
when assessing this child's pain? - correct answer- The
Faces Pain Scale—Revised (FPS-R)
,A 30-year-old woman tells the nurse that she has been very
unsteady and has had difficulty in maintaining her balance.
Which area of the brain would the nurse be concerned about
with these findings? - correct answer- Cerebellum
A 31-year-old patient tells the nurse that he has noticed a
progressive loss in his hearing. He says that it does seem to help
when people speak louder or if he turns up the volume. The
most likely cause of his hearing loss is: - correct answer-
otosclerosis.
A 35-year-old pregnant woman comes to the clinic for a monthly
appointment. During the assessment, the nurse notices that she
has a brown patch of hyperpigmentation on her face. The nurse
continues the skin assessment aware that another finding may
be: - correct answer- linea nigra.
A 65-year-old patient with a history of heart failure comes to the
clinic with complaints of "being awakened from sleep with
shortness of breath." Which action by the nurse is most
appropriate? - correct answer- Assess for other signs
and symptoms of paroxysmal nocturnal dyspnea.
,A 70-year-old patient tells the nurse that he has noticed that he
is having trouble hearing, especially in large groups. He says he
"can't always tell where the sound is coming from" and the
words often sound "mixed up." What might the nurse suspect as
the cause for this change? - correct answer- Nerve
degeneration in the inner ear
A 70-year-old woman tells the nurse that every time she gets up
in the morning or after she's been sitting she gets "really dizzy"
and feels like she is going to fall over. The nurse's best response
would be: - correct answer- "You need to get up
slowly when you've been lying or sitting."
A 92-year-old patient has had a stroke. The right side of his face
is drooping. The nurse might also suspect which of these
assessment findings? - correct answer- Dysphagia
A black patient is in the intensive care unit because of impending
shock after an accident. The nurse would expect to find what
characteristics in this patient's skin? - correct answer-
Ashen, gray, or dull
A cancer patient receives a flu shot, this is what type of
prevention - correct answer- Secondary prevention
, A child's immunization may cause discomfort during
administration, but the benefits of protection from disease, both
for the individual and society, outweigh the temporary
discomforts. Which principle is involved in this situation? -
correct answer- Beneficence
A mother brings her 4-month-old child to the clinic with
concerns regarding a small pad in the middle of the upper lip
that has been there since 1 month of age. The infant has no
health prob-lems. On physical examination, the nurse notices a
0.5-cm, fleshy, elevated area in the middle of the upper lip.
There is no evidence of inflammation or drainage. What would
the nurse tell this mother? - correct answer- "This is a
sucking tubercle caused from the friction of breastfeeding or
bot-tle-feeding and is normal."
A mother brings her newborn in for an assessment and asks, "Is
there something wrong with my baby? His head seems so big."
The nurse recognizes that which statement is true regarding the
relative proportions of the head and trunk of the newborn? -
correct answer- Head circumference should be greater
than chest circumference at birth.
