Nrsg 105 Exam Prep-Questions with complete
solutions
The nurse should keep in mind that a child at this age will have a sense of modesty.
The nurse is preparing to examine a 6-year-old child. Which action is most appropriate?
Ask another nurse to double check the finding.
During auscultation of a patient's heart sounds, the nurse hears an unfamiliar sound. The nurse
should:
Warm the hands first before touching the patient.
Start with light palpation to detect surface characteristics.
Use the fingertips to examine skin texture, swelling, pulsation, and presence of lumps.
Identify any tender areas, and palpate them last.
The nurse is preparing to palpate the thorax and abdomen of a patient. Which of these statements
describes the correct technique for this procedure?
Observing the patient's body stature and nutritional status
The nurse is performing a general survey. Which action is a component of the general survey?
Attempts should be made to weigh the patient at approximately the same time of day, if a
sequence of weights is necessary.
When measuring a patient's weight, the nurse is aware of which of these guidelines?
Prehypertension
,A patient's weekly blood pressure readings for 2 months have ranged between 124/84 mm Hg
and 136/88 mm Hg, with an average reading of 126/86 mm Hg. The nurse knows that this blood
pressure falls within which blood pressure category?
General health.
During an examination of a child, the nurse considers that physical growth is the best index of a
child's:
Consider these findings normal for a 1-month-old infant
A 1-month-old infant has a head measurement of 34 cm and has a chest circumference of 32 cm.
Based on the interpretation of these findings, the nurse would:
Presence of kyphosis and flexion in the knees and hips
The nurse is assessing an 80-year-old male patient. Which assessment findings would be
considered normal?
Comatose adult
The nurse should measure rectal temperatures in which of these patients?
Measuring the chest circumference at the nipple line with a tape measure
The nurse is preparing to measure the length, weight, chest, and head circumference of a 6-
month-old infant. Which measurement technique is correct?
Rapid measurement is useful for uncooperative younger children.
The nurse knows that one advantage of the tympanic membrane thermometer (TMT) is that:
Widened pulse pressure
, When assessing an older adult, which vital sign changes occur with aging?
Radiation
The nurse is examining a patient who is complaining of "feeling cold." Which is a mechanism of
heat loss in the body?
Diurnal cycle
When measuring a patient's body temperature, the nurse keeps in mind that body temperature is
influenced by:
The body temperature of the older adult is lower than that of a younger adult.
When evaluating the temperature of older adults, the nurse should remember which aspect about
an older adult's body temperature?
Unexplained weight loss often accompanies short-term illnesses.
A 60-year-old male patient has been treated for pneumonia for the past 6 weeks. He is seen today
in the clinic for an "unexplained" weight loss of 10 pounds over the last 6 weeks. The nurse
knows that:
Recognize that a tripod position is often used when a patient is having respiratory
difficulties.
When assessing a 75-year-old patient who has asthma, the nurse notes that he assumes a tripod
position, leaning forward with arms braced on the chair. On the basis of this observation, the
nurse should:
Leave the thermometer in place 3 to 4 minutes if the patient is afebrile.
solutions
The nurse should keep in mind that a child at this age will have a sense of modesty.
The nurse is preparing to examine a 6-year-old child. Which action is most appropriate?
Ask another nurse to double check the finding.
During auscultation of a patient's heart sounds, the nurse hears an unfamiliar sound. The nurse
should:
Warm the hands first before touching the patient.
Start with light palpation to detect surface characteristics.
Use the fingertips to examine skin texture, swelling, pulsation, and presence of lumps.
Identify any tender areas, and palpate them last.
The nurse is preparing to palpate the thorax and abdomen of a patient. Which of these statements
describes the correct technique for this procedure?
Observing the patient's body stature and nutritional status
The nurse is performing a general survey. Which action is a component of the general survey?
Attempts should be made to weigh the patient at approximately the same time of day, if a
sequence of weights is necessary.
When measuring a patient's weight, the nurse is aware of which of these guidelines?
Prehypertension
,A patient's weekly blood pressure readings for 2 months have ranged between 124/84 mm Hg
and 136/88 mm Hg, with an average reading of 126/86 mm Hg. The nurse knows that this blood
pressure falls within which blood pressure category?
General health.
During an examination of a child, the nurse considers that physical growth is the best index of a
child's:
Consider these findings normal for a 1-month-old infant
A 1-month-old infant has a head measurement of 34 cm and has a chest circumference of 32 cm.
Based on the interpretation of these findings, the nurse would:
Presence of kyphosis and flexion in the knees and hips
The nurse is assessing an 80-year-old male patient. Which assessment findings would be
considered normal?
Comatose adult
The nurse should measure rectal temperatures in which of these patients?
Measuring the chest circumference at the nipple line with a tape measure
The nurse is preparing to measure the length, weight, chest, and head circumference of a 6-
month-old infant. Which measurement technique is correct?
Rapid measurement is useful for uncooperative younger children.
The nurse knows that one advantage of the tympanic membrane thermometer (TMT) is that:
Widened pulse pressure
, When assessing an older adult, which vital sign changes occur with aging?
Radiation
The nurse is examining a patient who is complaining of "feeling cold." Which is a mechanism of
heat loss in the body?
Diurnal cycle
When measuring a patient's body temperature, the nurse keeps in mind that body temperature is
influenced by:
The body temperature of the older adult is lower than that of a younger adult.
When evaluating the temperature of older adults, the nurse should remember which aspect about
an older adult's body temperature?
Unexplained weight loss often accompanies short-term illnesses.
A 60-year-old male patient has been treated for pneumonia for the past 6 weeks. He is seen today
in the clinic for an "unexplained" weight loss of 10 pounds over the last 6 weeks. The nurse
knows that:
Recognize that a tripod position is often used when a patient is having respiratory
difficulties.
When assessing a 75-year-old patient who has asthma, the nurse notes that he assumes a tripod
position, leaning forward with arms braced on the chair. On the basis of this observation, the
nurse should:
Leave the thermometer in place 3 to 4 minutes if the patient is afebrile.
