NRSG 1710 Comprehensive Final Review
When would the RN want to take vitals as opposed to a CNA? - correct answer - inital
assessment
- change in conditions
- double check abnormal vitals
- as ordered by physician
- after a first-time med administration
Can you think of any others?
When might you see a fluctuation in vital signs? - correct answer Temperature: exercise,
infection, extreme weather, hydration
Pulse: exercise, temperature, emotions, stimulation, medications, bleeding, posture, pain
BP: age, stress, bleeding, medications, exercise, pain, smoking
Respiration: age, emotion, exercise, pain, narcotics, infection, fever, smoking, posture, stress
O2 sat: posture, exercise, diseases, depth
Can you think of any others?
What is the normal range for each vital sign? - correct answer Temperature: 36-38 degrees C or
96.8-100.4 degrees F
Heart rate: 60-100 bpm
Respirations: 12-20 breaths/min
Blood pressure: 100-120/60-80 mmHg
O2 sat: 95% or higher
The nurse would monitor the body temperature most closely/frequently in the care of
A. The client with an infection
,NRSG 1710 Comprehensive Final Review
B. The client who is an infant
C. The client who has experienced heat stroke
D. The client with a head injury - correct answer D
The nurse is assessing the dorsalis pedis pulses on an 88-year-old client. She notes the feet to
be cool and assesses weak, thready pulses. The nurse's next action would be to
A. Assess the popliteal and femoral pulses
B. Assess a 1-minute apical pulse
C. Notify the physician STAT
D. Apply a warm pack and reassess in 20 minutes - correct answer A
The clinic nurse is reviewing the blood pressure readings from the client's home self-monitoring
device. The client states, "Look! Yesterday my blood pressure jumped up to 150/90. I should be
taking more medicine." The nurse's best response is
A. "Yes, that is dangerously high. What were you doing?"
B. "Yes, I'm sure your physician will want to increase the dose."
C. "The doctor will first look at the pattern of your results."
D. "Don't worry, I'm sure it's just because you were stressed." - correct answer C
The nurse will expect to find a slower respiratory rate in a client who has smoked for many
years.
A. True
B. False - correct answer A
Which of the following values for vital signs would the nurse address first?
A. Heart rate of 72 bpm
B. RR of 28 breaths per minute
C. BP 160/86
D. O2 sat 89% - correct answer D
The client, who has been on bed rest for 2 days, asks to get out of bed to go to the bathroom.
He has new orders for "up ad lib." What action should the nurse take?
A. Give him some slippers and tell him where the bathroom is.
B. Ask the nursing assistant to assist him to the bathroom.
,NRSG 1710 Comprehensive Final Review
C. Obtain orthostatic blood pressure measurements.
D. Tell him it is not a good idea to get up and provide him with a urinal instead. - correct answer
C
Using an oral electronic thermometer, the nurse checks the early morning temperature of a
client. The client's temperature is 36.1 C (97 F). The client's remaining vital signs are in the
normally acceptable range. What should the nurse do next?
A. Check the client's temperature history
B. Document the results
C. Recheck the temperature every 15 minutes until it is normal
D. Get another thermometer since the first reading was an error - correct answer B
The nurse decides to take an apical pulse instead of a radial pulse. Which of the following client
conditions influenced the nurse's decision?
A. The client is in shock
B. The client has a dysrhythmia
C. The client underwent surgery 18 hours earlier
D. The client showed a response to orthostatic changes - correct answer B
The most correct definition of critial thinking is
A. A problem-solving process that enables one to show others they are wrong
B. An examination of one's own beliefs in order to defend them intelligently
C. Purposeful, analytical thinking that results in a reasoned decision
D. Rational thinking that results in obtaining the one correct answer - correct answer C
A nurse who is newly employed at a hospital questions a standard of patient care that does not
seem to follow evidence-based practice. Which critical thinking attitude is the nurse
demonstrating?
A. Intellectual autonomy
B. Intellectual humility
C. Intellectual courage
D. Fair-mindedness - correct answer A
, NRSG 1710 Comprehensive Final Review
The nurse is preparing to admit a patient from the emergency department. The patient has
chronic lung disease and has used tobacco for 30+ years. The nurse used to smoke a pack of
cigarettes a day and worked very hard to quit smoking. She thinks to herself, "I know I tend to
disapprove of people who use tobacco, especially when they have a serious lung condition; I
figure if I can stop smoking, they should be able to. I must remember how difficult that is and
be very careful not to let be judgmental of this patient." This best illustrates
A. Theoretical knowledge
B. Self-knowledge
C. Using reliable resources
D. Use of the nursing process - correct answer B
Which action by the nurse might be barrier to obtaining complete and reliable information from
an interview with the client?
A. Noting that the client's body language indicates he or she is fatigued
B. Maintaining eye contact with the client if it is not culturally inappropriate to do so
C. Carefully guiding the conversation so that important topics are discussed
D. Asking the client directly, "Why are you not taking your insulin?" - correct answer D
The nurse is completing a head-to-toe assessment on her client at the beginning of the shift for
the hospital unit. This would be considered a/an
A. Focused assessment
B. Initial assessment
C. Ongoing assessment
D. Special needs assessment - correct answer C
The client has reddened skin and an open abrasion on his elbow from prolonged bedrest. In
examining the components of the nursing diagnosis "Impaired Skin Integrity", the reddened
skin and open abrasion would be
A. The related factors
B. The risk factors
C. The defining characteristics
D. The diagnostic label - correct answer C
Identify the long-term goal
When would the RN want to take vitals as opposed to a CNA? - correct answer - inital
assessment
- change in conditions
- double check abnormal vitals
- as ordered by physician
- after a first-time med administration
Can you think of any others?
When might you see a fluctuation in vital signs? - correct answer Temperature: exercise,
infection, extreme weather, hydration
Pulse: exercise, temperature, emotions, stimulation, medications, bleeding, posture, pain
BP: age, stress, bleeding, medications, exercise, pain, smoking
Respiration: age, emotion, exercise, pain, narcotics, infection, fever, smoking, posture, stress
O2 sat: posture, exercise, diseases, depth
Can you think of any others?
What is the normal range for each vital sign? - correct answer Temperature: 36-38 degrees C or
96.8-100.4 degrees F
Heart rate: 60-100 bpm
Respirations: 12-20 breaths/min
Blood pressure: 100-120/60-80 mmHg
O2 sat: 95% or higher
The nurse would monitor the body temperature most closely/frequently in the care of
A. The client with an infection
,NRSG 1710 Comprehensive Final Review
B. The client who is an infant
C. The client who has experienced heat stroke
D. The client with a head injury - correct answer D
The nurse is assessing the dorsalis pedis pulses on an 88-year-old client. She notes the feet to
be cool and assesses weak, thready pulses. The nurse's next action would be to
A. Assess the popliteal and femoral pulses
B. Assess a 1-minute apical pulse
C. Notify the physician STAT
D. Apply a warm pack and reassess in 20 minutes - correct answer A
The clinic nurse is reviewing the blood pressure readings from the client's home self-monitoring
device. The client states, "Look! Yesterday my blood pressure jumped up to 150/90. I should be
taking more medicine." The nurse's best response is
A. "Yes, that is dangerously high. What were you doing?"
B. "Yes, I'm sure your physician will want to increase the dose."
C. "The doctor will first look at the pattern of your results."
D. "Don't worry, I'm sure it's just because you were stressed." - correct answer C
The nurse will expect to find a slower respiratory rate in a client who has smoked for many
years.
A. True
B. False - correct answer A
Which of the following values for vital signs would the nurse address first?
A. Heart rate of 72 bpm
B. RR of 28 breaths per minute
C. BP 160/86
D. O2 sat 89% - correct answer D
The client, who has been on bed rest for 2 days, asks to get out of bed to go to the bathroom.
He has new orders for "up ad lib." What action should the nurse take?
A. Give him some slippers and tell him where the bathroom is.
B. Ask the nursing assistant to assist him to the bathroom.
,NRSG 1710 Comprehensive Final Review
C. Obtain orthostatic blood pressure measurements.
D. Tell him it is not a good idea to get up and provide him with a urinal instead. - correct answer
C
Using an oral electronic thermometer, the nurse checks the early morning temperature of a
client. The client's temperature is 36.1 C (97 F). The client's remaining vital signs are in the
normally acceptable range. What should the nurse do next?
A. Check the client's temperature history
B. Document the results
C. Recheck the temperature every 15 minutes until it is normal
D. Get another thermometer since the first reading was an error - correct answer B
The nurse decides to take an apical pulse instead of a radial pulse. Which of the following client
conditions influenced the nurse's decision?
A. The client is in shock
B. The client has a dysrhythmia
C. The client underwent surgery 18 hours earlier
D. The client showed a response to orthostatic changes - correct answer B
The most correct definition of critial thinking is
A. A problem-solving process that enables one to show others they are wrong
B. An examination of one's own beliefs in order to defend them intelligently
C. Purposeful, analytical thinking that results in a reasoned decision
D. Rational thinking that results in obtaining the one correct answer - correct answer C
A nurse who is newly employed at a hospital questions a standard of patient care that does not
seem to follow evidence-based practice. Which critical thinking attitude is the nurse
demonstrating?
A. Intellectual autonomy
B. Intellectual humility
C. Intellectual courage
D. Fair-mindedness - correct answer A
, NRSG 1710 Comprehensive Final Review
The nurse is preparing to admit a patient from the emergency department. The patient has
chronic lung disease and has used tobacco for 30+ years. The nurse used to smoke a pack of
cigarettes a day and worked very hard to quit smoking. She thinks to herself, "I know I tend to
disapprove of people who use tobacco, especially when they have a serious lung condition; I
figure if I can stop smoking, they should be able to. I must remember how difficult that is and
be very careful not to let be judgmental of this patient." This best illustrates
A. Theoretical knowledge
B. Self-knowledge
C. Using reliable resources
D. Use of the nursing process - correct answer B
Which action by the nurse might be barrier to obtaining complete and reliable information from
an interview with the client?
A. Noting that the client's body language indicates he or she is fatigued
B. Maintaining eye contact with the client if it is not culturally inappropriate to do so
C. Carefully guiding the conversation so that important topics are discussed
D. Asking the client directly, "Why are you not taking your insulin?" - correct answer D
The nurse is completing a head-to-toe assessment on her client at the beginning of the shift for
the hospital unit. This would be considered a/an
A. Focused assessment
B. Initial assessment
C. Ongoing assessment
D. Special needs assessment - correct answer C
The client has reddened skin and an open abrasion on his elbow from prolonged bedrest. In
examining the components of the nursing diagnosis "Impaired Skin Integrity", the reddened
skin and open abrasion would be
A. The related factors
B. The risk factors
C. The defining characteristics
D. The diagnostic label - correct answer C
Identify the long-term goal
