NR Final Comprehensive Exam Questions and Answers..docx

NR Final Comprehensive Exam Questions
and Answers.
Which assessment by the nurse most likely indicates that a patient is having difficulty breathing?
B B B B B B B B B B B B B B B


a. 18 breaths per minute and inhaled through the mouth
B B B B B B B B B B


b. 20 breathes per minute and shallow in character
B B B B B B B B B


c. 16 breaths per minute and deep in character
B B B B B B B B B


d. 28 breaths per minute and noisy - ANS >> d. 28 breaths per minute and noisy
B B B B B B B B B B B B B B B B


Which should a nurse always do when taking a rectal temperature?
B B B B B B B B B B B


a. Allow self-insertion of the thermometer.
B B B B B B


b. Position the patient on the left side.
B B B B B B B B


c. Use an electronic thermometer.
B B B B B


d. Lubricate the thermometer. - ANS >> d. Lubricate the thermometer.
B B B B B B B B B B


A nurse is assessing a patient'sideal body weight. Which significant factor should be takin into
B B B B B B B B B B B B B B


consideration when performing this assessment?
B B B B B B


a. Daily intake
B B B


b. Body height
B B B


c. Clothing size
B B B


d. Food preferences - ANS >> b. Body height
B B B B B B B B


A nurse asks a patient's wife specific questions about the patient's health status before admission.
B B B B B B B B B B B B B B


When collecting this information, the nurse is seeking information from a:
B B B B B B B B B B B B


a. Primary source
B B B


b. Tertiary sources
B B


c. Subjective source
B B B


d. Secondary source - ANS >> d. Secondary source
B B B B B B B B


A nurse is preforming a physical assessment of a newly admitted patient. Which patient statement
B B B B B B B B B B B B B B


communicates subjective data?
B B B B


a. "I have sores between my toes."
B B B B B B B


b. "I dye my hair but it isreally gray."
B B B B B B B B


c. "My joints hurt when I get up in the morning."
B B B B B B B B B B B


d. "My left leg drags on the floor when I am walking." - ANS >> c. "My joints hurt when I get up in the
B B B B B B B B B B B B B B B B B B B B B B B B


morning."
B


A nurse takes a patient's blood pressure and records a diastolic pressure of 120 mm Hg. Which should
B B B B B B B B B B B B B B B B B


the nurse do first?
B B B B B


a. Notify the primary health-care provider.
B B B B B B


b. Retake the blood pressure.
B B B B B


c. Notify the nurse in charge.
B B B B B B


d. Take the other vitalsigns - ANS >> b. Retake the blood pressure.
B B B B B B B B B B B B


A patient who experienced a stroke has left-sided hemiparesis and is incontinent of urine. Which is an
B B B B B B B B B B B B B B B B


appropriately worded nursing diagnosis for this patient?
B B B B B B B B


a. The patient has a need to maintain skin integrity.
B B B B B B B B B B


b. The patient has a stroked evidenced by hemiparesis and incontinence.
B B B B B B B B B B B


c. The patient will be clean and dry and will receive range-of-motion exercises every four hours.
B B B B B B B B B B B B B B B B