Nursing 150 Exam 4 2025/2026 Exam
Questions with 100% Correct Answers |
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A nurse working on a cardiac unit is assigned an 84-year-old patient who
was just admitted with symptoms of lung infection. When the nurse enters
the room, the nurse notices that the patient is short of breath. The patient
continues to cough and has a respiratory rate of 36 breaths/ min. The
patient is anxious and states "I am scared". The nurse does an initial
preliminary assessment and follows up 30 mins later. The nurse's
knowledge about the patient results in which of the following assessment
approaches? (select all that apply)
1. Problem-focused approach
2. Structured comprehensive approach
3. Emotion-focused approach
4. Using multiple visits to gather a complete patient database
5. Focusing on the functional health pattern of role-relationship - 🧠
ANSWER ✔✔1, 4
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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, A patient has a pressure injury resulting from urinary incontinence and
sustained pressure over the coccyx. The nursing plan of care includes a
goal of "Pressure injury heals in 3 weeks". Which of the following is an
evaluation measure for this goal? (select all that apply)
1. Turn patient every 90 minutes.
2. Measure the diameter of the pressure injury.
3. Measure urine output.
4. Monitor patient's report of discomfort during turning.
5. Measure depth of pressure injury. - 🧠 ANSWER ✔✔2, 5
A nurse completes a respiratory assessment on a patient who had
abdominal surgery 1 day ago. During the assessment, the nurse
auscultates crackles in both lower lobes, and the patient's coughs,
producing light yellow sputum. The patient's body temperature is 37.0 C
(98.6 F), pulse is 110 beats/min, respiratory rate is 28 breaths/min, and
blood pressure is 118/82 mm Hg. Pulse oximetry was 99% and is now
93%. The nurse identifies a nursing diagnosis of Impaired Gas Exchange.
Which of the following goals is appropriate for this patient?
1. Patient's pulse oximetry will be greater than 95%.
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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PRIVACY STATEMENT. ALL RIGHTS RESERVED
Questions with 100% Correct Answers |
Latest Update
A nurse working on a cardiac unit is assigned an 84-year-old patient who
was just admitted with symptoms of lung infection. When the nurse enters
the room, the nurse notices that the patient is short of breath. The patient
continues to cough and has a respiratory rate of 36 breaths/ min. The
patient is anxious and states "I am scared". The nurse does an initial
preliminary assessment and follows up 30 mins later. The nurse's
knowledge about the patient results in which of the following assessment
approaches? (select all that apply)
1. Problem-focused approach
2. Structured comprehensive approach
3. Emotion-focused approach
4. Using multiple visits to gather a complete patient database
5. Focusing on the functional health pattern of role-relationship - 🧠
ANSWER ✔✔1, 4
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
1
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, A patient has a pressure injury resulting from urinary incontinence and
sustained pressure over the coccyx. The nursing plan of care includes a
goal of "Pressure injury heals in 3 weeks". Which of the following is an
evaluation measure for this goal? (select all that apply)
1. Turn patient every 90 minutes.
2. Measure the diameter of the pressure injury.
3. Measure urine output.
4. Monitor patient's report of discomfort during turning.
5. Measure depth of pressure injury. - 🧠 ANSWER ✔✔2, 5
A nurse completes a respiratory assessment on a patient who had
abdominal surgery 1 day ago. During the assessment, the nurse
auscultates crackles in both lower lobes, and the patient's coughs,
producing light yellow sputum. The patient's body temperature is 37.0 C
(98.6 F), pulse is 110 beats/min, respiratory rate is 28 breaths/min, and
blood pressure is 118/82 mm Hg. Pulse oximetry was 99% and is now
93%. The nurse identifies a nursing diagnosis of Impaired Gas Exchange.
Which of the following goals is appropriate for this patient?
1. Patient's pulse oximetry will be greater than 95%.
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
2
PRIVACY STATEMENT. ALL RIGHTS RESERVED
