NSG 3100 - Funds I: Exam 2
QUESTIONS AND ANSWERS
All of the following are contraindications to heat therapy except ______
Active hemorrhage
Chronic conditions such as osteoarthritis
First 24 hours after traumatic injury
Noninflammatory edema✔✔Chronic conditions such as osteoarthritis
What is dehiscence?
Protrusion of a body organ through an incision
Hemorrhaging of the wound
Sutured wound ruptures and layers separate
Infection of the wound✔✔Sutured wound ruptures and layers separate
What is not a sign/symptom of wound infection?
Swelling
Heat
Redness
Bruising✔✔Bruising
Using a blood pressure cuff that is too small, will result in the reading being what?
Falsely low
Falsely high✔✔Falsely high
The normal range for blood pressure is:
systolic 80-110/ diastolic 70-90
systolic 90-140/diastolic 60-90
systolic 90-120/diastolic 60-80
systolic 80-130/diastolic 50-80✔✔systolic 90-120/diastolic 60-80
The range for normal temperature is:
96.8 - 98.9
97.6 - 99.5
96.8 - 99.5
98.6 - 99.8✔✔96.8 - 99.5
A patient with what type of disease should be placed in airborne precautions?
Herpes Zoster
MRSA
Tuberculosis
Pneumonia✔✔Tuberculosis
A pulse oximeter can be placed on all of the following body parts except?
Fingers
Ear
Toes
Chest✔✔Chest
, The nurse is aware that which of the following is an accurate statement about the
respiratory rate?
A- The respiratory rate increases with age.
B- Narcotics slow the respiratory rate.
C- Acute pain decreases the respiratory rate.
D- The respiratory rate is increased with alkalosis.✔✔B- Narcotics slow the
respiratory rate.
The nurse instructs the UAP that which of the following methods will obtain a falsely
low blood pressure reading?
A- Using a BP cuff that is too narrow
B- Releasing the pressure value too slowly
C- Assessing the BP after the patient exercises
D- Place the arm above the level of the heart✔✔D- Place the arm above the level of
the heart
The adult patient is seen in the 24-hour medical center for heat exhaustion. The
nurse anticipates that treatment will include which of the following?
A- Fluid replacement
B- Antibiotic therapy
C- Hypothermia wraps
D- Tepid water baths✔✔A- Fluid Replacement
Upon entering the room, the nurse observes that the patient appears to be
tachypneic. The nurse should:
A- Ask if there have been visitors
B- Have the patient lie flat
C- Take the radial pulse
D- Measure the respiratory rate✔✔D- Measure the respiratory rate
The patient is experiencing pain and asks for medication, which has been ordered by
the provider. The nurse first assesses the vital signs and finds the blood pressure to
be 144/82 mmHg, Pulse 88/min., and respirations 24/min. The nurse should:
A- Give the medication as ordered
B- Check again that the patient has pain
C- Withhold the medication
D- Wait 20 min. and check the vital signs again before giving the medication✔✔A-
Give the medication as ordered
The patient gets out of bed to go to the bathroom and tells the nurse that he "feels
dizzy." What is the first action the nurse should take?
A- Go for help
B- Take blood pressure
C- Help the patient to sit down
D- Have the patient take deep breaths✔✔C- Help the patient to sit down
A patient asks the nurse about whether her blood pressure is too high. The nurse
informs the patient that the blood pressure associated with stage 2 hypertension is:
QUESTIONS AND ANSWERS
All of the following are contraindications to heat therapy except ______
Active hemorrhage
Chronic conditions such as osteoarthritis
First 24 hours after traumatic injury
Noninflammatory edema✔✔Chronic conditions such as osteoarthritis
What is dehiscence?
Protrusion of a body organ through an incision
Hemorrhaging of the wound
Sutured wound ruptures and layers separate
Infection of the wound✔✔Sutured wound ruptures and layers separate
What is not a sign/symptom of wound infection?
Swelling
Heat
Redness
Bruising✔✔Bruising
Using a blood pressure cuff that is too small, will result in the reading being what?
Falsely low
Falsely high✔✔Falsely high
The normal range for blood pressure is:
systolic 80-110/ diastolic 70-90
systolic 90-140/diastolic 60-90
systolic 90-120/diastolic 60-80
systolic 80-130/diastolic 50-80✔✔systolic 90-120/diastolic 60-80
The range for normal temperature is:
96.8 - 98.9
97.6 - 99.5
96.8 - 99.5
98.6 - 99.8✔✔96.8 - 99.5
A patient with what type of disease should be placed in airborne precautions?
Herpes Zoster
MRSA
Tuberculosis
Pneumonia✔✔Tuberculosis
A pulse oximeter can be placed on all of the following body parts except?
Fingers
Ear
Toes
Chest✔✔Chest
, The nurse is aware that which of the following is an accurate statement about the
respiratory rate?
A- The respiratory rate increases with age.
B- Narcotics slow the respiratory rate.
C- Acute pain decreases the respiratory rate.
D- The respiratory rate is increased with alkalosis.✔✔B- Narcotics slow the
respiratory rate.
The nurse instructs the UAP that which of the following methods will obtain a falsely
low blood pressure reading?
A- Using a BP cuff that is too narrow
B- Releasing the pressure value too slowly
C- Assessing the BP after the patient exercises
D- Place the arm above the level of the heart✔✔D- Place the arm above the level of
the heart
The adult patient is seen in the 24-hour medical center for heat exhaustion. The
nurse anticipates that treatment will include which of the following?
A- Fluid replacement
B- Antibiotic therapy
C- Hypothermia wraps
D- Tepid water baths✔✔A- Fluid Replacement
Upon entering the room, the nurse observes that the patient appears to be
tachypneic. The nurse should:
A- Ask if there have been visitors
B- Have the patient lie flat
C- Take the radial pulse
D- Measure the respiratory rate✔✔D- Measure the respiratory rate
The patient is experiencing pain and asks for medication, which has been ordered by
the provider. The nurse first assesses the vital signs and finds the blood pressure to
be 144/82 mmHg, Pulse 88/min., and respirations 24/min. The nurse should:
A- Give the medication as ordered
B- Check again that the patient has pain
C- Withhold the medication
D- Wait 20 min. and check the vital signs again before giving the medication✔✔A-
Give the medication as ordered
The patient gets out of bed to go to the bathroom and tells the nurse that he "feels
dizzy." What is the first action the nurse should take?
A- Go for help
B- Take blood pressure
C- Help the patient to sit down
D- Have the patient take deep breaths✔✔C- Help the patient to sit down
A patient asks the nurse about whether her blood pressure is too high. The nurse
informs the patient that the blood pressure associated with stage 2 hypertension is:
