NUR 2459 Final Exam Mental & Behavioral Health
Nursing Questions With Correct Answers
1. The |nurse |is |performing |a |general |survey. |Which |action |is |a |component |of |the
| general survey? |
Observing the patient’s body stature and nutritional status
| | | | | | |
2. When |measuring |a |patient’s |weight, |the |nurse |is |aware |of |which |of |these
| guidelines?
Attempts should be made to weigh the patient at approximately the same time of day, if a
| | | | | | | | | | | | | | | |
sequence of weights is necessary.
| | | | |
3. A |patient’s |weekly |blood |pressure |readings |for |2 |months |have |ranged |between
| 124/84 mm Hg and 136/88 mm Hg, with an average reading of 126/86 mm Hg. The
| | | | | | | | | | | | | | |
| nurse knows that this blood pressure falls within which blood pressure category?
| | | | | | | | | | |
Prehypertension
4. During |an |examination |of |a |child, |the |nurse |considers |that |physical |growth |is
| the best index of a child’s: General health.
| | | | | | |
5. A |1-month-old |infant |has |a |head |measurement |of |34 |cm |and |has |a |chest
| circumference of 32 cm. Based on the interpretation of these findings, the nurse
| | | | | | | | | | | |
| would: Consider these findings normal for a 1-month-old infant.
| | | | | | | |
6. The |nurse |is |assessing |an |80-year-old |male |patient. |Which |assessment |findings
| would be considered normal?
| | |
Presence of kyphosis and flexion in the knees and hips
| | | | | | | | |
7. The |nurse |should |measure |rectal |temperatures |in |which |of |these |patients?
Comatose adult |
8. The |nurse |is |preparing |to |measure |the |length, |weight, |chest, |and |head
| circumference of a 6-month-old infant. Which measurement technique is | | | | | | | |
| correct?
Measuring the chest circumference at the nipple line with a tape measure
| | | | | | | | | | |
9. The |nurse |knows |that |one |advantage |of |the |tympanic |membrane |thermometer
| (TMT) is that: Rapid measurement is useful for uncooperative younger children.
| | | | | | | | | |
,10. When |assessing |an |older |adult, |which |vital |sign |changes |occur |with |aging?
Widened pulse pressure | |
11. The |nurse |is |examining |a |patient |who |is |complaining |of |feeling |cold. |Which |is |a
mechanism of heat loss in the body? Radiation
| | | | | | | |
12. When |measuring |a |patients |body |temperature, |the |nurse |keeps |in |mind |that
body temperature is influenced by:
| | | | |
Diurnal cycle. |
13. When |evaluating |the |temperature |of |older |adults, |the |nurse |should |remember
which aspect about an older adult’s body temperature
| | | | | | | |
The body temperature of the older adult is lower than that of a younger adult.
| | | | | | | | | | | | | |
14. A |60-year-old |male |patient |has |been |treated |for |pneumonia |for |the |past |6
weeks. He is seen today in the clinic for an unexplained weight loss of 10 pounds
| | | | | | | | | | | | | | | |
over the last 6 weeks. The nurse knows that:
| | | | | | | | |
Unexplained weight loss often accompanies short-term illnesses. | | | | | |
15. When |assessing |a |75-year-old |patient |who |has |asthma, |the |nurse |notes |that |he
assumes a tripod position, leaning forward with arms braced on the chair. On the
| | | | | | | | | | | | | |
basis of this observation, the nurse should:
| | | | | | |
d. Recognize |that |a |tripod |position |is |often |used |when |a |patient |is |having
respiratory difficulties.
| |
16. Which |of |these |actions |illustrates |the |correct |technique |the |nurse |should |use
when assessing oral temperature with a mercury thermometer?
| | | | | | | |
b.
Leave the thermometer in place 3 to 4 minutes if the patient is afebrile.
| | | | | | | | | | | | |
17. The |nurse |is |taking |temperatures |in |a |clinic |with |a |TMT. |Which |statement |is
true regarding use of the TMT?
| | | | | |
c.
The risk of cross-contamination is reduced, compared with the rectal
| | | | | | | | |
route.
|
,18. To |assess |a |rectal |temperature |accurately |in |an |adult, |the |nurse |would:
a.
Use a lubricated blunt tip thermometer.
| | | | |
19. Which |technique |is |correct |when |the |nurse |is |assessing |the |radial |pulse |of |a
patient? The pulse is counted for:
| | | | | |
a.
1 minute, if the rhythm is irregular.
| | | | | |
20. When |assessing |a |patient’s |pulse, |the |nurse |should |also |notice |which |of |these
characteristics?
|
Force
21. When |assessing |the |pulse |of |a |6-year-old |boy, |the |nurse |notices |that |his |heart
rate varies with his respiratory cycle, speeding up at the peak of inspiration and
| | | | | | | | | | | | | |
slowing to normal with expiration. The nurses next action would be to:
| | | | | | | | | | | |
b. | | |
Consider this finding normal in children and young adults.
| | | | | | | |
22. When |assessing |the |force, |or |strength, |of |a |pulse, |the |nurse |recalls |that |the
pulse:
|
c.
Is a reflection of the hearts stroke volume.
| | | | | | |
23. The |nurse |is |assessing |the |vital |signs |of |a |20-year-old |male |marathon |runner
and documents the following vital signs: temperature36 C; pulse48 beats per
| | | | | | | | | | |
minute; respirations14 breaths per minute; blood pressure104/68 mm Hg. Which
| | | | | | | | | |
statement is true concerning these results?
| | | | | |
b. | These |are |normal |vital |signs |for |a |healthy, |athletic |adult.
24. The |nurse |is |assessing |the |vital |signs |of |a |3-year-old |patient |who |appears |to
have an irregular respiratory pattern. How should the nurse assess this child’s
| | | | | | | | | | | |
respirations?
|
a. Respirations |should |be |counted |for |1 |full |minute, |noticing |rate |and
rhythm.
|
, 25. A |patient’s |blood |pressure |is |118/82 |mm |Hg. |He |asks |the |nurse, |what |do |the
numbers mean? The nurses best reply is:
| | | | | | |
c.
The top number is the systolic blood pressure and reflects the pressure of
| | | | | | | | | | | |
the blood against the arteries when the heart contracts.
| | | | | | | | |
26. While |measuring |a |patient’s |blood |pressure, |the |nurse |recalls |that |certain
factors, such as
| | | , help determine blood pressure.
| | | |
d.
Peripheral vascular resistance | |
27. A |nurse |is |helping |at |a |health |fair |at |a |local |mall. |When |taking |blood
pressures on a variety of people, the nurse keeps in mind that:
| | | | | | | | | | | |
b. The |blood |pressure |of |a |Black |adult |is |usually |higher |than |that |of |a
White adult of the same age.
| | | | | |
28. The |nurse |notices |a |colleague |is |preparing |to |check |the |blood |pressure |of |a
patient who is obese by using a standard-sized blood pressure cuff. The nurse
| | | | | | | | | | | | |
should expect the reading to:
| | | | |
b. Yield |a |falsely |high |blood |pressure.
29. A |student |is |late |for |his |appointment |and |has |rushed |across |campus |to |the
health clinic. The nurse should:
| | | | |
a.
Allow 5 minutes for him to relax and rest before checking his vital
| | | | | | | | | | | |
signs.
|
30. The |nurse |will |perform |a |palpated |pressure |before |auscultating |blood
pressure. The reason for this is to:
| | | | | | |
b.
Detect the presence of an auscultatory gap.
| | | | | |
31. The |nurse |is |taking |an |initial |blood |pressure |reading |on |a |72-year-old |patient
with documented hypertension. How should the nurse proceed?
| | | | | | | |
Nursing Questions With Correct Answers
1. The |nurse |is |performing |a |general |survey. |Which |action |is |a |component |of |the
| general survey? |
Observing the patient’s body stature and nutritional status
| | | | | | |
2. When |measuring |a |patient’s |weight, |the |nurse |is |aware |of |which |of |these
| guidelines?
Attempts should be made to weigh the patient at approximately the same time of day, if a
| | | | | | | | | | | | | | | |
sequence of weights is necessary.
| | | | |
3. A |patient’s |weekly |blood |pressure |readings |for |2 |months |have |ranged |between
| 124/84 mm Hg and 136/88 mm Hg, with an average reading of 126/86 mm Hg. The
| | | | | | | | | | | | | | |
| nurse knows that this blood pressure falls within which blood pressure category?
| | | | | | | | | | |
Prehypertension
4. During |an |examination |of |a |child, |the |nurse |considers |that |physical |growth |is
| the best index of a child’s: General health.
| | | | | | |
5. A |1-month-old |infant |has |a |head |measurement |of |34 |cm |and |has |a |chest
| circumference of 32 cm. Based on the interpretation of these findings, the nurse
| | | | | | | | | | | |
| would: Consider these findings normal for a 1-month-old infant.
| | | | | | | |
6. The |nurse |is |assessing |an |80-year-old |male |patient. |Which |assessment |findings
| would be considered normal?
| | |
Presence of kyphosis and flexion in the knees and hips
| | | | | | | | |
7. The |nurse |should |measure |rectal |temperatures |in |which |of |these |patients?
Comatose adult |
8. The |nurse |is |preparing |to |measure |the |length, |weight, |chest, |and |head
| circumference of a 6-month-old infant. Which measurement technique is | | | | | | | |
| correct?
Measuring the chest circumference at the nipple line with a tape measure
| | | | | | | | | | |
9. The |nurse |knows |that |one |advantage |of |the |tympanic |membrane |thermometer
| (TMT) is that: Rapid measurement is useful for uncooperative younger children.
| | | | | | | | | |
,10. When |assessing |an |older |adult, |which |vital |sign |changes |occur |with |aging?
Widened pulse pressure | |
11. The |nurse |is |examining |a |patient |who |is |complaining |of |feeling |cold. |Which |is |a
mechanism of heat loss in the body? Radiation
| | | | | | | |
12. When |measuring |a |patients |body |temperature, |the |nurse |keeps |in |mind |that
body temperature is influenced by:
| | | | |
Diurnal cycle. |
13. When |evaluating |the |temperature |of |older |adults, |the |nurse |should |remember
which aspect about an older adult’s body temperature
| | | | | | | |
The body temperature of the older adult is lower than that of a younger adult.
| | | | | | | | | | | | | |
14. A |60-year-old |male |patient |has |been |treated |for |pneumonia |for |the |past |6
weeks. He is seen today in the clinic for an unexplained weight loss of 10 pounds
| | | | | | | | | | | | | | | |
over the last 6 weeks. The nurse knows that:
| | | | | | | | |
Unexplained weight loss often accompanies short-term illnesses. | | | | | |
15. When |assessing |a |75-year-old |patient |who |has |asthma, |the |nurse |notes |that |he
assumes a tripod position, leaning forward with arms braced on the chair. On the
| | | | | | | | | | | | | |
basis of this observation, the nurse should:
| | | | | | |
d. Recognize |that |a |tripod |position |is |often |used |when |a |patient |is |having
respiratory difficulties.
| |
16. Which |of |these |actions |illustrates |the |correct |technique |the |nurse |should |use
when assessing oral temperature with a mercury thermometer?
| | | | | | | |
b.
Leave the thermometer in place 3 to 4 minutes if the patient is afebrile.
| | | | | | | | | | | | |
17. The |nurse |is |taking |temperatures |in |a |clinic |with |a |TMT. |Which |statement |is
true regarding use of the TMT?
| | | | | |
c.
The risk of cross-contamination is reduced, compared with the rectal
| | | | | | | | |
route.
|
,18. To |assess |a |rectal |temperature |accurately |in |an |adult, |the |nurse |would:
a.
Use a lubricated blunt tip thermometer.
| | | | |
19. Which |technique |is |correct |when |the |nurse |is |assessing |the |radial |pulse |of |a
patient? The pulse is counted for:
| | | | | |
a.
1 minute, if the rhythm is irregular.
| | | | | |
20. When |assessing |a |patient’s |pulse, |the |nurse |should |also |notice |which |of |these
characteristics?
|
Force
21. When |assessing |the |pulse |of |a |6-year-old |boy, |the |nurse |notices |that |his |heart
rate varies with his respiratory cycle, speeding up at the peak of inspiration and
| | | | | | | | | | | | | |
slowing to normal with expiration. The nurses next action would be to:
| | | | | | | | | | | |
b. | | |
Consider this finding normal in children and young adults.
| | | | | | | |
22. When |assessing |the |force, |or |strength, |of |a |pulse, |the |nurse |recalls |that |the
pulse:
|
c.
Is a reflection of the hearts stroke volume.
| | | | | | |
23. The |nurse |is |assessing |the |vital |signs |of |a |20-year-old |male |marathon |runner
and documents the following vital signs: temperature36 C; pulse48 beats per
| | | | | | | | | | |
minute; respirations14 breaths per minute; blood pressure104/68 mm Hg. Which
| | | | | | | | | |
statement is true concerning these results?
| | | | | |
b. | These |are |normal |vital |signs |for |a |healthy, |athletic |adult.
24. The |nurse |is |assessing |the |vital |signs |of |a |3-year-old |patient |who |appears |to
have an irregular respiratory pattern. How should the nurse assess this child’s
| | | | | | | | | | | |
respirations?
|
a. Respirations |should |be |counted |for |1 |full |minute, |noticing |rate |and
rhythm.
|
, 25. A |patient’s |blood |pressure |is |118/82 |mm |Hg. |He |asks |the |nurse, |what |do |the
numbers mean? The nurses best reply is:
| | | | | | |
c.
The top number is the systolic blood pressure and reflects the pressure of
| | | | | | | | | | | |
the blood against the arteries when the heart contracts.
| | | | | | | | |
26. While |measuring |a |patient’s |blood |pressure, |the |nurse |recalls |that |certain
factors, such as
| | | , help determine blood pressure.
| | | |
d.
Peripheral vascular resistance | |
27. A |nurse |is |helping |at |a |health |fair |at |a |local |mall. |When |taking |blood
pressures on a variety of people, the nurse keeps in mind that:
| | | | | | | | | | | |
b. The |blood |pressure |of |a |Black |adult |is |usually |higher |than |that |of |a
White adult of the same age.
| | | | | |
28. The |nurse |notices |a |colleague |is |preparing |to |check |the |blood |pressure |of |a
patient who is obese by using a standard-sized blood pressure cuff. The nurse
| | | | | | | | | | | | |
should expect the reading to:
| | | | |
b. Yield |a |falsely |high |blood |pressure.
29. A |student |is |late |for |his |appointment |and |has |rushed |across |campus |to |the
health clinic. The nurse should:
| | | | |
a.
Allow 5 minutes for him to relax and rest before checking his vital
| | | | | | | | | | | |
signs.
|
30. The |nurse |will |perform |a |palpated |pressure |before |auscultating |blood
pressure. The reason for this is to:
| | | | | | |
b.
Detect the presence of an auscultatory gap.
| | | | | |
31. The |nurse |is |taking |an |initial |blood |pressure |reading |on |a |72-year-old |patient
with documented hypertension. How should the nurse proceed?
| | | | | | | |
