NURS 202 Exam Review Questions And
Answer
Nurses should measure the patient's vital signs:
A. When transferred to a new nursing unit.
B. When the patient is incontinent.
C. When the patient comes to the nurses station.
D. At least three times a day. - ANSA. When transferred to a new nursing unit.
When assessing a patient's radial pulse, a nurse is unable to feel pulsations. What should the
nurse do first?
A. Release the pressure of the fingers slightly when compressing the artery.
B. Apply more pressure with the index finger when palpating the artery.
C. Use a Doppler to assess the artery.
D. Assess an artery in the other arm. - ANSA. Release the pressure of the fingers slightly when
compressing the artery.
A nurse has assigned the vital signs of the elderly patients residing in the facility's assisted living
unit to the nursing assistant. Which of the following statements made by the UAP requires
immediate correction by the RN?
A. "If anyone's oral temperature is over 100° F, I'll let you know right away since that means they
have a fever."
B. "As you age your blood pressure may go up, but it doesn't have to if your vessels are
healthy."
C. "I always wait a good 30 minutes after assisting the older patients back to bed before I count
their pulses."
D. "I watch the elderly client's abdomen and count the number of times it rises when I am
counting respirations." - ANSA. "If anyone's oral temperature is over 100° F, I'll let you know
right away since that means they have a fever."
The nurse is performing an assessment of the patient's thorax and lungs. In which order will the
nurse perform the following assessment techniques? 1. Percussion 2. Auscultation 3. Inspection
4. Palpation
, A.3, 1, 4, 2
B. 3, 4, 1, 2
C.2, 4, 3, 1
D.2, 3, 4, 1
E.3, 2, 4, 1 - ANSB. 3, 4, 1, 2
Which of the following are normal breath sounds? Select all that apply.
A. Vesicular
B. Brochovesicular
C. Bronchial
D. Vestibular
E. Crackles - ANSA. Vesicular
B. Brochovesicular
C. Bronchial
When auscultating the heart, a nurse knows that the "lub-dub" heart sounds heard are caused
by:
A. Contraction of the heart muscle.
B. Closure of the heart valves.
C. Blood moving from the heart into the aorta.
D. Blood moving from one chamber to another. - ANSB. Closure of the heart valves.
While reading a physician's progress notes, a student notes that an assigned patient is having
hypoxia. What abnormal assessments would the student expect to find?
A. Abdominal pain, hyperthermia, dry skin.
B. Diarrhea, flatulence, decreased skin turgor.
C. Hypotension, reddened skin, edema.
D. Dyspnea, tachycardia, cyanosis. - ANSD. Dyspnea, tachycardia, cyanosis.
A nurse is assessing level of awareness (LOA). Which of the following are used to determine
LOA? Select all that apply.
A. Person
B. Place
C. Time
D. Lethargy
E. Things - ANSA. Person
B. Place
C. Time
Answer
Nurses should measure the patient's vital signs:
A. When transferred to a new nursing unit.
B. When the patient is incontinent.
C. When the patient comes to the nurses station.
D. At least three times a day. - ANSA. When transferred to a new nursing unit.
When assessing a patient's radial pulse, a nurse is unable to feel pulsations. What should the
nurse do first?
A. Release the pressure of the fingers slightly when compressing the artery.
B. Apply more pressure with the index finger when palpating the artery.
C. Use a Doppler to assess the artery.
D. Assess an artery in the other arm. - ANSA. Release the pressure of the fingers slightly when
compressing the artery.
A nurse has assigned the vital signs of the elderly patients residing in the facility's assisted living
unit to the nursing assistant. Which of the following statements made by the UAP requires
immediate correction by the RN?
A. "If anyone's oral temperature is over 100° F, I'll let you know right away since that means they
have a fever."
B. "As you age your blood pressure may go up, but it doesn't have to if your vessels are
healthy."
C. "I always wait a good 30 minutes after assisting the older patients back to bed before I count
their pulses."
D. "I watch the elderly client's abdomen and count the number of times it rises when I am
counting respirations." - ANSA. "If anyone's oral temperature is over 100° F, I'll let you know
right away since that means they have a fever."
The nurse is performing an assessment of the patient's thorax and lungs. In which order will the
nurse perform the following assessment techniques? 1. Percussion 2. Auscultation 3. Inspection
4. Palpation
, A.3, 1, 4, 2
B. 3, 4, 1, 2
C.2, 4, 3, 1
D.2, 3, 4, 1
E.3, 2, 4, 1 - ANSB. 3, 4, 1, 2
Which of the following are normal breath sounds? Select all that apply.
A. Vesicular
B. Brochovesicular
C. Bronchial
D. Vestibular
E. Crackles - ANSA. Vesicular
B. Brochovesicular
C. Bronchial
When auscultating the heart, a nurse knows that the "lub-dub" heart sounds heard are caused
by:
A. Contraction of the heart muscle.
B. Closure of the heart valves.
C. Blood moving from the heart into the aorta.
D. Blood moving from one chamber to another. - ANSB. Closure of the heart valves.
While reading a physician's progress notes, a student notes that an assigned patient is having
hypoxia. What abnormal assessments would the student expect to find?
A. Abdominal pain, hyperthermia, dry skin.
B. Diarrhea, flatulence, decreased skin turgor.
C. Hypotension, reddened skin, edema.
D. Dyspnea, tachycardia, cyanosis. - ANSD. Dyspnea, tachycardia, cyanosis.
A nurse is assessing level of awareness (LOA). Which of the following are used to determine
LOA? Select all that apply.
A. Person
B. Place
C. Time
D. Lethargy
E. Things - ANSA. Person
B. Place
C. Time
