BASIC NURSING SKILLS FINAL EXAM
QUESTIONS AND ANSWERS
A patient is hospitalized with pertussis. The nurse should place the patient on what
type of precautions? - Answer-Droplet Precautions
The nurse would anticipate a patient diagnosed with damage to the hypothalamus
after suffering a head injury from a fall to exhibit: - Answer-a temperature abnormality
How to calculate pulse pressure? - Answer-systolic pressure minus diastolic
pressure
The nurse documents vital signs on a newly admitted patient as: "blood pressure is
148/94 mm Hg, the pulse is 80 beats/min, and the respirations are 16 breaths/min."
The nurse would record the pulse pressure as: - Answer-54 mm Hg.
The nurse would document a patient as being febrile if the patient's temperature was
over: - Answer-100.5° F
The nurse taking an apical pulse would place the stethoscope at: - Answer-the left
midclavicular line at the fifth intercostal space.
The nurse would record a pulse as bradycardic if the rate were: - Answer-59
beats/min.
The nurse is aware that the use of an oral glass thermometer would be
contraindicated in a: - Answer-12-year-old patient with a recent seizure.
When a frail 83-year-old patient whose temperature was 96.8° F at 8:00 AM shows a
temperature of 98.6° F at 4:00 PM, the nurse is: - Answer-concerned about the
evidence of fever.
A patient who is terminally ill is described during shift report as having Cheyne-
Stokes breathing. On assessment, the nurse anticipates finding: - Answer-a
breathing pattern of dyspnea followed by a short period of apnea.
The nurse explains to a patient that the pulse oximeter can measure the arterial
oxygen by: - Answer-measuring the oxygenated hemoglobin through a capillary bed.
What does a reduced stroke volume indicate? - Answer-A weaker pulse.
Because the older adult's blood vessels are nonelastic, they are prone to orthostatic
hypotension. A priority intervention for a patient with orthostatic hypotension is to: -
Answer-allow the patient to sit on the side of the bed for a minute before standing.
What happens to the bp of a patient who is bleeding? - Answer-The bp would be
decreasing.
, An older adult patient has a tympanic temperature of 96.2° F (35.7° C). What nursing
intervention would best meet this patient's need? - Answer-Check the temperature
orally to confirm the accuracy of the reading.
how to find cardiac output - Answer-heart rate x stroke volume
The nurse using either a regular or an electronic sphygmomanometer would ensure
that the cuff is the correct size by: - Answer-confirming that the bladder goes around
three fourths of the arm.
For the nurse to assess the most accurate respiration count, the nurse should: -
Answer-continue to hold the patient's radial pulse, and count the respirations for 30
seconds and multiply them by 2.
The accuracy in measuring the apical pulse is enhanced when the nurse: - Answer-
counts the beats for a minute.
How does a pulse oximeter work? - Answer-transcutaneous measurement using a
spectrophotometer to determine SpO2.
Oxygenated blood absorbs more infrared light while deoxygenated blood absorbs
more red light. Light is emitted from one diode through tissue to another diode. A
ratio of the change in signal is compared to a chart and produces a reading.
A 45-year-old patient who is alert and oriented has a blood pressure of 98/66 mm
Hg, radial pulse of 76 beats/min (irregular), and respirations of 18 breaths/min
(regular). The best nursing intervention is to: - Answer-check the patient's record to
determine his baseline blood pressure.
A nurse is caring for a patient with a cardiac disease history. When measuring vital
signs, the nurse finds that the radial pulse is 102 beats/min and irregular. The nurse
correctly: - Answer-listens to the apical pulse for 1 full minute.
The nurse caring for a 30-year-old postsurgical patient would assess that the patient
is in pain as indicated by: - Answer-a pulse rate of 120 beats/min.
The nurse explains that one method of environmental heat loss is convection, which
is exemplified by body heat being reduced by: - Answer-being removed by fast air
currents from a fan.
The home health nurse is instructing a caregiver about caring for a patient with
hypothermia. The nurse recognizes that further instruction is warranted when the
caregiver states, "I will: - Answer-instruct the patient to remain on strict bed rest."
During a health interview, an older adult patient has difficulty remembering
information about health history. In order to get the information more reliably, the
nurse should: - Answer-gather information from a family member accompanying the
patient.
It is the responsibility of the nurse to perform a quick focused assessment of the
patient upon: - Answer-the beginning of each shift.
QUESTIONS AND ANSWERS
A patient is hospitalized with pertussis. The nurse should place the patient on what
type of precautions? - Answer-Droplet Precautions
The nurse would anticipate a patient diagnosed with damage to the hypothalamus
after suffering a head injury from a fall to exhibit: - Answer-a temperature abnormality
How to calculate pulse pressure? - Answer-systolic pressure minus diastolic
pressure
The nurse documents vital signs on a newly admitted patient as: "blood pressure is
148/94 mm Hg, the pulse is 80 beats/min, and the respirations are 16 breaths/min."
The nurse would record the pulse pressure as: - Answer-54 mm Hg.
The nurse would document a patient as being febrile if the patient's temperature was
over: - Answer-100.5° F
The nurse taking an apical pulse would place the stethoscope at: - Answer-the left
midclavicular line at the fifth intercostal space.
The nurse would record a pulse as bradycardic if the rate were: - Answer-59
beats/min.
The nurse is aware that the use of an oral glass thermometer would be
contraindicated in a: - Answer-12-year-old patient with a recent seizure.
When a frail 83-year-old patient whose temperature was 96.8° F at 8:00 AM shows a
temperature of 98.6° F at 4:00 PM, the nurse is: - Answer-concerned about the
evidence of fever.
A patient who is terminally ill is described during shift report as having Cheyne-
Stokes breathing. On assessment, the nurse anticipates finding: - Answer-a
breathing pattern of dyspnea followed by a short period of apnea.
The nurse explains to a patient that the pulse oximeter can measure the arterial
oxygen by: - Answer-measuring the oxygenated hemoglobin through a capillary bed.
What does a reduced stroke volume indicate? - Answer-A weaker pulse.
Because the older adult's blood vessels are nonelastic, they are prone to orthostatic
hypotension. A priority intervention for a patient with orthostatic hypotension is to: -
Answer-allow the patient to sit on the side of the bed for a minute before standing.
What happens to the bp of a patient who is bleeding? - Answer-The bp would be
decreasing.
, An older adult patient has a tympanic temperature of 96.2° F (35.7° C). What nursing
intervention would best meet this patient's need? - Answer-Check the temperature
orally to confirm the accuracy of the reading.
how to find cardiac output - Answer-heart rate x stroke volume
The nurse using either a regular or an electronic sphygmomanometer would ensure
that the cuff is the correct size by: - Answer-confirming that the bladder goes around
three fourths of the arm.
For the nurse to assess the most accurate respiration count, the nurse should: -
Answer-continue to hold the patient's radial pulse, and count the respirations for 30
seconds and multiply them by 2.
The accuracy in measuring the apical pulse is enhanced when the nurse: - Answer-
counts the beats for a minute.
How does a pulse oximeter work? - Answer-transcutaneous measurement using a
spectrophotometer to determine SpO2.
Oxygenated blood absorbs more infrared light while deoxygenated blood absorbs
more red light. Light is emitted from one diode through tissue to another diode. A
ratio of the change in signal is compared to a chart and produces a reading.
A 45-year-old patient who is alert and oriented has a blood pressure of 98/66 mm
Hg, radial pulse of 76 beats/min (irregular), and respirations of 18 breaths/min
(regular). The best nursing intervention is to: - Answer-check the patient's record to
determine his baseline blood pressure.
A nurse is caring for a patient with a cardiac disease history. When measuring vital
signs, the nurse finds that the radial pulse is 102 beats/min and irregular. The nurse
correctly: - Answer-listens to the apical pulse for 1 full minute.
The nurse caring for a 30-year-old postsurgical patient would assess that the patient
is in pain as indicated by: - Answer-a pulse rate of 120 beats/min.
The nurse explains that one method of environmental heat loss is convection, which
is exemplified by body heat being reduced by: - Answer-being removed by fast air
currents from a fan.
The home health nurse is instructing a caregiver about caring for a patient with
hypothermia. The nurse recognizes that further instruction is warranted when the
caregiver states, "I will: - Answer-instruct the patient to remain on strict bed rest."
During a health interview, an older adult patient has difficulty remembering
information about health history. In order to get the information more reliably, the
nurse should: - Answer-gather information from a family member accompanying the
patient.
It is the responsibility of the nurse to perform a quick focused assessment of the
patient upon: - Answer-the beginning of each shift.
