Midterm Exam Study Material NURS 190 - Practice Exam Solutions

Midterm Exam Study Material NURS 190 - Practice Exam Solutions While performing an admission assessment for a client to nurse the client has varicose veins and ulceration sound lower extremity edema with a report a feeling of heaviness which diagnosis is best - answer - impaired tissue perfusion Well auscultating a clients heart sounds the nurse here's turbulence between the swan and S2 heart sounds the nurse should document this finding is which of the following - answer - systolic murmur A nurse is teaching a client about following a low cholesterol diet after coronary artery bypass crafting. Which of the following client food choices reflects the clients understanding of these dietary instructions - answer - Beans A nurse is reviewing discharge instructions with a client who has Reynaud disease which of the following client statements indicates an understanding of the teaching - answer - I am going to take a stress management class A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure which of the following instruction should the nurse include in the teaching - answer - Exercise at least three times per week A nurse is providing discharge instructions to a client who develop deep vein Trumbo sis DVT post operatively and is prescribed anticoagulant therapy which of the following instruction should the nurse include - answer - Flexing her knees and feet frequently The nurses auscultating the bread sounds of a client who has asthma when the client exhales the nurse here is continuous high-pitched squeaking sounds then there should document this as which sound - answer - Wheezes A nurse is completing the initial admission assessment in history for a client which of the following is the priority action for the nurse to take - answer - Document the clients allergies in the electronic medical record When the nurse assesses an apical heart sound and those blank it is called tachycardia - answer - More than 100 bpm A nurse is auscultating a clients heart sounds and here's an extra heart sound before what should be considered the first heart sound S one. The nurse should document this as what - answer - The fourth heart sound S4 A nurse is teaching a class of older adults about the expected physiologic changes of aging which of following changes - answer - More difficulty seeing due to a greater sensitivity to glare Decreased cough reflex Decreased bladder capacity Dehydration of intravertebral disc's A nurse in an ophthalmology clinic is interviewing a client who was referred by his primary care provider for suspicion of cataracts. The nurse should expect the client to report - answer - Having a decrease ability to perceive colors A nurse is caring for a client who is unconscious and has a breathing pattern characterized by alternating periods of hyperventilation and apnea. The nurse should document that the client has which of the following respiratory alterations - answer - Cheyenne Stokes respirations A clinic nurse is performing a physical assessment on a client who has systemic lupus which of the following findings - answer - A dry red rash across the bridge of the nose and on the cheeks A nurse is monitoring a client who is on telemetry which of the following findings on the ECG strip should the nurse recognize as a normal sinus rhythm - answer - The P wave falls before the QRS complex A nurse is assessing a client circulatory system which of the following policies should the nurse avoid assessing bilaterally at the same time - answer - Carotid A nurse is interpreting the ECG strip of a client who has bradycardia which of the following cardiac components for the nurse identify as the role of the P-wave - answer - Atrial depolarization A nurse is caring for a client who has herpes zoster which of the following findings should the nurse expect - answer - Painful lesions following a nerve pathway A client tells the nurse that he is concerned because his provider told him he