NR 304 Final Exam Questions With Complete Solutions
Because many adults are confused as to what defines
constipation, what is used ?
The Rome 3- standardizes symptom criteria for functional
constipation
How do you want to position a patient for an abdominal
assessment?
Position the person supine, with the head on a pillow, the knees
bent or on pillow, and the arms at the sides or across the chest.
(NOTE: Discourage the person from placing his or her arms
over the head because this tenses abdominal musculature.)
-bladder should be emptied prior
-inquire about any painful areas
Which of the of the following respiratory patterns is irregular
and can result from prolonged bed rest and immobility?
A. Hyperventilation
B. Bradypnea
C. Tachypnea
D. Hypoventilation
D. Hypoventilation
What type of tremor partly or completely disappears with
voluntary movement?
Rest tremor
,What type of stroke occurs if a clot from A fib travels to the
brain?
Embolic stroke
What is the difference in the time of day a patient has pain in
regards to RA, Osteoarthritis, and tendinitis?
RA: pain and stiffness is worse in the morning when arising
and after rest periods
Osteoarthritis: worse later in the day
Tendinitis: pain worse in the morning, improves during the
day
What is an ischemic stroke and what are the two types?
Sudden interruption of blood flow to the brain
Thrombotic stroke- atherosclerosis
Embolic stroke-traveling clot
What is the first noticeable sign of an aging adult with a UTI?
Confusion
What things can cause a seizure?
Cerebral trauma, structural lesions, hyponatremia
Acute alcohol withdraw
Medication overdose
Epilepsy
What are subcutaneous nodules?
Raised, firm, and nontender, and overlying skin moves freely.
Occurs with RA
,What are Heberdens and Bouchards nodes?
Hard and non tender nodules that occur with osteoarthritis
Health history
a collection of subjective information that provides information
about the patient's health status
Steps to setting priorities
1. Assign high priority to First-level priority
problems (immediate priorities): Remember the "ABCs plus V"
2. Next, attend to Second-level priority problems:
Mental status change (ex. confusion, decreased alertnesS)
Untreated medical problems requiring immediate attention (ex. a
diabetic who has not had insulin)Acute pain, Acute urinary
elimination problems, Abnormal laboratory values
Risks of infection, safety, or security (for hte patient or for
others)
3. Address Third-level priority problems (later priorities):
Health problems that do not fit into the above categories (ex.
problems with lack of knowledge, activity, rest, family coping)
Is pain a normal process of aging?
No, although it is a common experience it is NOT normal
Acute pain responses to the respiratory system
, Hypoventilation
Hypoxia
Decreased cough
Atelectasis
Acute pain behaviors include
Guarding
Grimacing
Vocalizations such as moaning
Agitation
Restlessness
Stillness
Diaphoresis
Change in vital signs
Chronic pain behaviors include
Bracing
Rubbing
Diminished activity
Sighing
Change in appetite
Objective assessment of the skin
Skin color and general pigmentation
Temperature
Moisture
Texture
Thickness
Edema
Because many adults are confused as to what defines
constipation, what is used ?
The Rome 3- standardizes symptom criteria for functional
constipation
How do you want to position a patient for an abdominal
assessment?
Position the person supine, with the head on a pillow, the knees
bent or on pillow, and the arms at the sides or across the chest.
(NOTE: Discourage the person from placing his or her arms
over the head because this tenses abdominal musculature.)
-bladder should be emptied prior
-inquire about any painful areas
Which of the of the following respiratory patterns is irregular
and can result from prolonged bed rest and immobility?
A. Hyperventilation
B. Bradypnea
C. Tachypnea
D. Hypoventilation
D. Hypoventilation
What type of tremor partly or completely disappears with
voluntary movement?
Rest tremor
,What type of stroke occurs if a clot from A fib travels to the
brain?
Embolic stroke
What is the difference in the time of day a patient has pain in
regards to RA, Osteoarthritis, and tendinitis?
RA: pain and stiffness is worse in the morning when arising
and after rest periods
Osteoarthritis: worse later in the day
Tendinitis: pain worse in the morning, improves during the
day
What is an ischemic stroke and what are the two types?
Sudden interruption of blood flow to the brain
Thrombotic stroke- atherosclerosis
Embolic stroke-traveling clot
What is the first noticeable sign of an aging adult with a UTI?
Confusion
What things can cause a seizure?
Cerebral trauma, structural lesions, hyponatremia
Acute alcohol withdraw
Medication overdose
Epilepsy
What are subcutaneous nodules?
Raised, firm, and nontender, and overlying skin moves freely.
Occurs with RA
,What are Heberdens and Bouchards nodes?
Hard and non tender nodules that occur with osteoarthritis
Health history
a collection of subjective information that provides information
about the patient's health status
Steps to setting priorities
1. Assign high priority to First-level priority
problems (immediate priorities): Remember the "ABCs plus V"
2. Next, attend to Second-level priority problems:
Mental status change (ex. confusion, decreased alertnesS)
Untreated medical problems requiring immediate attention (ex. a
diabetic who has not had insulin)Acute pain, Acute urinary
elimination problems, Abnormal laboratory values
Risks of infection, safety, or security (for hte patient or for
others)
3. Address Third-level priority problems (later priorities):
Health problems that do not fit into the above categories (ex.
problems with lack of knowledge, activity, rest, family coping)
Is pain a normal process of aging?
No, although it is a common experience it is NOT normal
Acute pain responses to the respiratory system
, Hypoventilation
Hypoxia
Decreased cough
Atelectasis
Acute pain behaviors include
Guarding
Grimacing
Vocalizations such as moaning
Agitation
Restlessness
Stillness
Diaphoresis
Change in vital signs
Chronic pain behaviors include
Bracing
Rubbing
Diminished activity
Sighing
Change in appetite
Objective assessment of the skin
Skin color and general pigmentation
Temperature
Moisture
Texture
Thickness
Edema
