NR302 FINAL COMPREHENSIVE PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+RECENT VERSION

NR302 FINAL COMPREHENSIVE PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+RECENT VERSION 1) EOM tests - ANSWER corneal light reflex, cover test, cardinal positions test, Herschberg, diagnostic positions test 2) PERRLA - ANSWER pupils equal, round, reactive to light and accommodation 3) ABCDE of melanoma - ANSWER A = asymmetry B = border irregularity C = color variation D = diameter 6mm E = evolution over time 4) Type of percussion used for CVA tenderness - ANSWER blunt 5) GTPALM - ANSWER G- gravida T- term pregnancies P- preterm pregnancies A- abortions L- living children M- ultiple gestations & birth 6) OLDCARTS - ANSWER Onset, Location, Duration, Character, Aggravating factors, Relieving Factors, Treatment, Scale 7) IADLs - ANSWER shopping, cooking, balancing check book 8) spiritual assessment - ANSWER HOPE 9) S/ Sx Hypotension - ANSWER puffy eyes, dry coarse hair, cold intolerance, weight gain, cool skin, fatigue, round face, myxedema 10) S/Sx hypertension - ANSWER exophthalmos, weight loss, silky thin hair, excessive sweating, goiter, nervousness, heat intolerance 11) S1 - ANSWER mitral and tricuspid close 12) S2 - ANSWER aortic and pulmonic close 13) hemoptysis - ANSWER bloody sputum 14) What will you feel if you can hear a heart murmur? - ANSWER thrill 15) xanthelasma - ANSWER raised yellowish plaque on eyelid caused by lipid disorder 16) Difference between apical and peripheral pulse - ANSWER pulse deficit 17) Ear tests - ANSWER Webber, Rinne, Whisper 18) How to assess breath sounds - ANSWER breathe through mouth, lean forward, listen for full resp cycle, diaphragm of stethoscope, side to side comparison 19) COPD assessment - ANSWER clubbing, barrel chest, tripod, purse lip breathing, cyanosis, accessory muscle breathing 20) Visceral pain - ANSWER organ pain 21) Somatic pain - ANSWER muscles, ligaments, joints pain 22) Cutaneous pain - ANSWER skin pain 23) Which sinuses can be illuminated? - ANSWER Maxillary and frontal sinuses 24) Epistaxis - ANSWER nosebleed 25) Cluster headache - ANSWER unilateral, relieved by walking 26) Right sided CHF - ANSWER JVD, Peripheral edema, Hepatomegaly Ascites, weight gain Increased HR/RR, Systemic congestion 27) Left sided CHF - ANSWER PND, crackles, Cheyne-Stokes, fatigue, shortness of breath 28) Migraine - ANSWER unilateral, pulsating, photophobia, relieved by rest in darkness 29) Who can you palpate a thyroid gland on? - ANSWER Pregnant women 30) Heart failure: S/Sx fluid overload - ANSWER increased pulse, respirations, and blood pressure 31) S3 - ANSWER congestive heart failure 32) Hypoxia - ANSWER increased pulse, low oxygen saturation 33) What to do when peripheral pulse irregular? - ANSWER listen to apical for 1 minute 34) What is the systemic response to cold therapy? - ANSWER Shivering 35) Stroke in left hemisphere - ANSWER right sided weakness 36) What to do to test if cast too tight? - ANSWER Allen's test, look for pallor 37) Normal sounds when auscultating abdomen? - ANSWER hyper resonance, dullness, tympany 38) Parkinson's gait - ANSWER festinating 39) Geriatric pain threshold? - ANSWER increased 40) Shoulder shrug tests - ANSWER CN X1 41) Pt admitted to hospital for trauma, Priority? - ANSWER assess airway 42) Feeling warmth through cast? - ANSWER may have infection 43) Appendix tests - ANSWER iliopsoas, blumberg, mcburney's 44) Test for level of consciousness - ANSWER Glasgow coma scale 45) Broca's aphasia - ANSWER expressive aphasia, speech not good 46) Wernicke's aphasia - ANSWER receptive aphasia, understanding poor 47) Results in decreased bowel sounds - ANSWER pain meds, surgery, anesthesia, chronic laxative user 48) Skeletal traction - ANSWER redness, swelling, serous drainage normal (no movement) 49) Decortacate - ANSWER protect core 50) Decerebrate - ANSWER arms and legs extended 51) Risk for osteoporosis - ANSWER age, sedentary lifestyle, diet 52) S/Sx concussion - ANSWER decreased pupil reaction, nausea, vomiting, confusion 53) Stool butterscotch pudding, rice kernals - ANSWER C. Diff 54) Stedorrhea - ANSWER clay stool with fat deposits floating on water 55) glaucoma - ANSWER loss of peripheral vision, halos for lights 56) macular degeneration - ANSWER loss of central vision, glare problems 57) Which assessment by the nurse most likely indicates that a patient is having difficulty breathing? a. 18 breaths per minute and inhaled through the mouth b. 20 breathes per minute and shallow in character c. 16 breaths per minute and deep in character d. 28 breaths per minute and noisy - ANSWER d. 28 breaths per minute and noisy 58) Which should a nurse always do when taking a rectal temperature? a. Allow self-insertion of the thermometer. b. Position the patient on the left side. c. Use an electronic thermometer. d. Lubricate the thermometer. - ANSWER d. Lubricate the thermometer. 59) A nurse is assessing a patient'sideal body weight. Which significant factor should be takin into consideration when performing this assessment? a. Daily intake b. Body height c. Clothing size d. Food preferences - ANSWER b. Body height 60) A nurse asks a patient's wife specific questions about the patient's health status before admission. When collecting this information, the nurse is seeking information from a: a. Primary source b. Tertiary sources c. Subjective source d. Secondary source - ANSWER d. Secondary source 61) A nurse is preforming a physical assessment of a newly admitted patient. Which patient statement communicates subjective data? a. "I have sores between my toes." b. "I dye my hair but it isreally gray." c. "My joints hurt when I get up in the morning." d. "My left leg drags on the floor when I am walking." - ANSWER c. "My joints hurt when I get up in the morning." 62) A nurse takes a patient's blood pressure and records a diastolic pressure of 120 mm Hg. Which should the nurse do first? a. Notify the primary health-care provider. b. Retake the blood pressure. c. Notify the nurse in charge. d. Take the other vitalsigns - ANSWER b. Retake the blood pressure. 63) A patient who experienced a stroke has left-sided hemiparesis and is incontinent of urine. Which is an appropriately worded nursing diagnosis for this patient? a. The patient has a need to maintain skin integrity. b. The patient has a stroked evidenced by hemiparesis and incontinence. c. The patient will be clean and dry and will receive range-of-motion exercises every four hours. d. The patient is at risk for impaired skin integrity related to left-sided hemiparesis and incontinence - ANSWER d. The patient is at risk for impaired skin integrity related to left-sided hemiparesis and incontinence 64) A patient had a stroke that resulted in paralysis of the right side. When clustering data, the nurse grouped the following together: drooling of saliva and slurred speech. Which information is most significant to include with this clustered data? a. Receptive aphasia b. Inability to ambulate c. Difficulty swallowing d. Incontinence of bowel movements - ANSWER c. Difficulty swallowing