Foundations of Nursing Exam 2 Book
Test Bank Questions and Answers
The patient's blood pressure is 140/60. The nurse realizes that this equates to a
pulse pressure of - Answer-80
140-60
The thickness or viscosity of the blood affects the ease with which blood flows
through small vessels. The nurse examines what value, which might help determine
the amount of blood viscosity? - Answer-Hematocrit
Hematocrit is the percentage of RBC in the blood.
The patient is being admitted to the emergency department with complaints of
shortness of breath. The patient has had chronic lung disease for many years but
still smokes. The nurse should - Answer-Use oxygen cautiously in this patient.
Which statement is true of the ovulation phase? - Answer-Body temperature is at
previous baseline levels or higher.
The nurse is caring for a patient who has a pulse rate of 44. His blood pressure is
within normal limits. In trying to determine the cause of the patient's low heart rate,
the nurse would suspect - Answer-Calcium channel blockers or digitalis medications.
The patient was found unresponsive in her apartment and is being brought to the
emergency department. She has arm, hand, and leg edema, her temperature is
95.6° F, and her hands are cold secondary to her history of peripheral vascular
disease. It is reported that she has a latex allergy. To quickly measure the patient's
oxygen saturation, what should the nurse do? - Answer-Place a nonadhesive sensor
on the patient's ear lobe.
Of the following values, which value would be considered prehypertension? -
Answer-120/80 in a middle -aged adult
The incidence of hypertension is greater in which of the following? - Answer-African
Americans
A nurse is caring for a patient who smokes and drinks caffeine. Which point is
important for the nurse to understand before she assesses the patient's blood
pressure? - Answer-Caffeine and smoking can cause false BP elevations.
When taking the pulse of an infant, the nurse notices that the rate is 145 beats/min
and the rhythm is regular. The nurse realizes that his rate is - Answer-Normal for an
infant.
The nurse is caring for an elderly patient and notes that his temperature is 96.8° F
(36° C). She understands that this patient is - Answer-Expressing a normal
temperature.
, When assessing the temperature of newborns and children, the nurse decides to
utilize a temporal artery thermometer. Why is this preferable to methods used for
adults? - Answer-There is no risk of injury to patient or nurse.
Which artery is the most appropriate for assessing the pulse of a small child? -
Answer-Brachial
The nurse is caring for a patient who is being discharged from the hospital after
being treated for hypertension. The patient is instructed to take his blood pressure
three times a day and to keep a record of the readings. The nurse recommends that
the patient purchase a portable electronic blood pressure device. The nurse also
instructs the patient that the - Answer-Machine requires frequent calibration to
ensure accuracy.
The nurse is caring for a patient who complains of feeling light-headed and "woozy."
The nurse checks the patient's pulse and finds that it is irregular. The patient's blood
pressure is 100/72. It was 113/80 an hour earlier. What should the nurse do? -
Answer-Perform an apical/radial pulse assessment.
Of the following patients, which one is the best candidate to have his temperature
taken orally? - Answer-A 27-year-old postoperative patient with an elevated
temperature
The physician order reads "Lopressor (metoprolol) 50 mg PO daily. Do not give if
blood pressure is less than 100 mm Hg systolic." The patient's blood pressure is
92/66. The nurse does not give the medication and - Answer-Documents that the
medication was not given owing to low blood pressure.
After taking the patient's temperature, the nurse documents the value and the route
used to obtain the reading. Why is this done? - Answer-Temperatures vary
depending on the route used.
When temperature assessment is required, which of the following cannot be
delegated to nursing assistive personnel? - Answer-Assessment of changes in body
temperature
The nursing assistive person is taking vital signs and reports that a patient's blood
pressure is abnormally low. The nurse should - Answer-Retake the blood pressure
herself and assess the patient's condition.
Of the following sites, which are used for obtaining a core temperature? (Select all
that apply.)
a.Oral
b.Rectal
c.Tympanic
d.Axillary
e.Pulmonary artery - Answer-tympanic
pulmonary artery
Test Bank Questions and Answers
The patient's blood pressure is 140/60. The nurse realizes that this equates to a
pulse pressure of - Answer-80
140-60
The thickness or viscosity of the blood affects the ease with which blood flows
through small vessels. The nurse examines what value, which might help determine
the amount of blood viscosity? - Answer-Hematocrit
Hematocrit is the percentage of RBC in the blood.
The patient is being admitted to the emergency department with complaints of
shortness of breath. The patient has had chronic lung disease for many years but
still smokes. The nurse should - Answer-Use oxygen cautiously in this patient.
Which statement is true of the ovulation phase? - Answer-Body temperature is at
previous baseline levels or higher.
The nurse is caring for a patient who has a pulse rate of 44. His blood pressure is
within normal limits. In trying to determine the cause of the patient's low heart rate,
the nurse would suspect - Answer-Calcium channel blockers or digitalis medications.
The patient was found unresponsive in her apartment and is being brought to the
emergency department. She has arm, hand, and leg edema, her temperature is
95.6° F, and her hands are cold secondary to her history of peripheral vascular
disease. It is reported that she has a latex allergy. To quickly measure the patient's
oxygen saturation, what should the nurse do? - Answer-Place a nonadhesive sensor
on the patient's ear lobe.
Of the following values, which value would be considered prehypertension? -
Answer-120/80 in a middle -aged adult
The incidence of hypertension is greater in which of the following? - Answer-African
Americans
A nurse is caring for a patient who smokes and drinks caffeine. Which point is
important for the nurse to understand before she assesses the patient's blood
pressure? - Answer-Caffeine and smoking can cause false BP elevations.
When taking the pulse of an infant, the nurse notices that the rate is 145 beats/min
and the rhythm is regular. The nurse realizes that his rate is - Answer-Normal for an
infant.
The nurse is caring for an elderly patient and notes that his temperature is 96.8° F
(36° C). She understands that this patient is - Answer-Expressing a normal
temperature.
, When assessing the temperature of newborns and children, the nurse decides to
utilize a temporal artery thermometer. Why is this preferable to methods used for
adults? - Answer-There is no risk of injury to patient or nurse.
Which artery is the most appropriate for assessing the pulse of a small child? -
Answer-Brachial
The nurse is caring for a patient who is being discharged from the hospital after
being treated for hypertension. The patient is instructed to take his blood pressure
three times a day and to keep a record of the readings. The nurse recommends that
the patient purchase a portable electronic blood pressure device. The nurse also
instructs the patient that the - Answer-Machine requires frequent calibration to
ensure accuracy.
The nurse is caring for a patient who complains of feeling light-headed and "woozy."
The nurse checks the patient's pulse and finds that it is irregular. The patient's blood
pressure is 100/72. It was 113/80 an hour earlier. What should the nurse do? -
Answer-Perform an apical/radial pulse assessment.
Of the following patients, which one is the best candidate to have his temperature
taken orally? - Answer-A 27-year-old postoperative patient with an elevated
temperature
The physician order reads "Lopressor (metoprolol) 50 mg PO daily. Do not give if
blood pressure is less than 100 mm Hg systolic." The patient's blood pressure is
92/66. The nurse does not give the medication and - Answer-Documents that the
medication was not given owing to low blood pressure.
After taking the patient's temperature, the nurse documents the value and the route
used to obtain the reading. Why is this done? - Answer-Temperatures vary
depending on the route used.
When temperature assessment is required, which of the following cannot be
delegated to nursing assistive personnel? - Answer-Assessment of changes in body
temperature
The nursing assistive person is taking vital signs and reports that a patient's blood
pressure is abnormally low. The nurse should - Answer-Retake the blood pressure
herself and assess the patient's condition.
Of the following sites, which are used for obtaining a core temperature? (Select all
that apply.)
a.Oral
b.Rectal
c.Tympanic
d.Axillary
e.Pulmonary artery - Answer-tympanic
pulmonary artery
