NU 136 EXAM 2 STUDY GUIDE 2026/2027 ACCURATE QUESTIONS WITH CORRECT DETAILED SOLUTIONS || 100% GUARANTEED PASS NEWEST VERSION GALEN COLLEGE OF NURSING

NU 136 EXAM 2 STUDY GUIDE 2026/2027 ACCURATE QUESTIONS WITH CORRECT DETAILED SOLUTIONS || 100% GUARANTEED PASS NEWEST VERSION GALEN COLLEGE OF NURSING 1. Data Collection - ANSWER demographic data, history past and present, any complaints, any medications, food diets, PRIVACY 2. Why is an assessment important? - ANSWER data collection 3. privacy - ANSWER only expose the areas of assessment 4. what do you do first when assessing your patient? - ANSWER observe, looking 5. what is the second thing you do while assessing your patient? - ANSWER palpating with your fingertips, for any tenderness 6. what is the third thing you do while assessing patient? - ANSWER osculate, heart sounds, lung sounds 7. what is the fourth thing to do for an assessment? - ANSWER percussion, for density 8. why do we weigh/measure the patient? - ANSWER we want to know if the patient is losing or gaining weight, measure with no shoes. baby's sound be held so they do not fall 9. active bowl sounds happen how often - ANSWER 5-30 per minute 10. hypoactive bowel sounds - ANSWER less than 5 per minute 11. hyperactive bowel sounds - ANSWER more than 30 per minute 12. Skin Assessment - ANSWER lesions, pustules: puss filled blisters, edema, ecchymosis 13. Neurological Assessment - ANSWER -person place time -apply PERRLA -sensory reflexes -strength in U&L extremities -glascow coma-scale (1-15) 15 being the most oriented 14. mitral and tricuspid calve - ANSWER S1, LUB 15. aortic and pulmonic valves - ANSWER S2, DUB 16. adventitious - ANSWER abnormal breath sounds 17. COPD patient is limited to how much oxygen? - ANSWER no more than 3 liters 18. normal respiratory patient can receive ___ amount of oxygen - ANSWER 4-6 L 19. Hypoxia - ANSWER Lack of oxygen in the body tissues 20. hypercapnia - ANSWER excessive carbon dioxide in the blood 21. cyanosis - ANSWER a bluish discoloration of the skin resulting from poor circulation or inadequate oxygenation of the blood. 22. Walker - ANSWER a device used to assist with walking, 15-30degree while standing upright and grasping the handgrips, resting the body's weight on the axillary bar puts pressure on the vital nerves and can occlude blood vessels in the axilla causing temporary or permanent damage, including paralysis 23. cane - ANSWER assistive device used by the resident with weakness on one side, 15-30 degree 24. crutches - ANSWER Devices used to assist injured or weak patients with walking, 15-20 degrees, pad should be 3 to 4 fingerbreadths under the axilla, tips at 4-6 inches in front of the patients feet 25. Wheelchair - ANSWER Always lock the brakes when the wheels are not in motion, 26. Neurovascular Assessment - ANSWER Normally capillary refill is less than 3 seconds or within 5 second within an older adult 27. Applying first aid splint - ANSWER Cover any open wounds with material as clean as can be found to help prevent infection Pad bony prominences with soft material to prevent pressure wounds Check circulation distal to the injury and loosen the splint ties if the tissue becomes pale, cold, or blue 28. Principles of traction - ANSWER must be continuous, weights must be free hanging, nothing should interfere with the pulleys, patient must aligned correctly, check orders for amount of weights 29. physical assesment - ANSWER systematic examination of the patient for objective data to better define the patient's condition and to help the nurse in planning care, usually performed in a head-to-toe format; a collection of objective data about changes in the patient's body systems 30. while instructing a patient about crutch safety, the nurse emphasizes: a. using crutches with bare hands and feet b. checking the crutch tips regularly for wear c. ensuring the crutch tips are worn and smooth d. walking on wet or slippery surfaces for practice - ANSWER b. checking the crutch tips regularly for wear 31. which of the following describes the function of a hydrocolloid dressing? a. maintains a moist environment and absorbs exudate b. provides dry environment for wound healing c. offers antimicrobial properties d. primarily used for packing deep wounds - ANSWER a. maintains a moist environment and absorbs exudate 32. lvn is caring for a pt who had a thoracentesis. which complication should the lvn monitor for post-procedure a. wheezing b. hematuria c. bradycardia d. pneumothorax - ANSWER pneumothorax 33. which nursing intervention is most appropriate for preventing constipation in immobile patients? a. assisting with out-of-bed activities as tolerated b. limiting fluid intake c. administering antacids d. encouraging protein intake - ANSWER a. assisting with out of bed activities as tolerated 34. when removing adhesive tape from a bandage, it's essential to: a. pull the tape away from the wound b. pull the tape parallel to the skin c. use alcohol to loosen the adhesive d. reuse the tape if it's still sticky - ANSWER b. pull the tape parallel to the skin 35. pt has been diagnosed with diverticulitis. which dietary recommendation should the lvn provide during an acute episode? a. high-fiber diet b. high-fat diet c. regular diet d. low-residue diet - ANSWER d. low-residue diet 36. the nurse recognizes Cheyne-Stokes respiration in a patient when observing: a. irregular breathing with periods of apnea b. regular deep, rapid breathing c. consistently shallow breaths d. prolonged exhalation with grunting - ANSWER a. irregular breathing with periods of apnea