NR302 Final Comprehensive
Exam Questions and Answers
. 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 for a:
a. Primary source
b. Tertiary source
c. Subjective source
d. Secondary source - ANSWER>>d
. A nurse is performing 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 is really gray"
,c. "My joints hurt when I get up in the morning"
d. "My left leg drags the floor when I am walking" - ANSWER>>c
Which is an example of nonverbal communications?
a. Letter
b. Holding hands
c. Noise in the room
d. Telephone message - ANSWER>>b
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 vital signs - ANSWER>>b
A patient returns to the surgical unit from the post anesthesia care unit after
abdominal surgery. The primary health-care provider orders intravenous
fluids, oxygen via nasal cannula at 2 L/min, I&O, and vital signs every 2
hours. Two hours after surgery the patient voids 400 mL of amber urine.
What should the nurse do with this information?
a. Report this information to the primary health-care provider.
,b. Record this amount on the patient's intake and output flow sheet
c. Document this information on the patient's vital signs flow sheet
d. Communicate this event verbally to the other members of the health-care team. -
ANSWER>>b
A patient had a brain attack (i.e., stroke, cerebrovascular accident) that
resulted in paralysis of the right side. When clustering data, the nurse
grouped the following data 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
A nurse understands that pressure ulcers are most often associated with
patients who:
a. Are immobilized
b. Have psychiatric diagnoses
c. Experience respiratory distress
d. Need close supervision for safety - ANSWER>>a
A nurse is caring for a dying patient who has a loss of appetite (anorexia),
difficulty falling asleep (insomnia), and decreased interest in activities of
daily living. Which feeling reflects these clinical findings? a. Anger
, b. Denial
c. Depression
d. Acceptance - ANSWER>>c
A patient who is debilitated and unsteady when standing insists on
walking to the bathroom without calling for assistance. This behavior
best reflects a need to be: a. Alone
b. Accepted
c. Independent
d. Manipulative - ANSWER>>c
A nurse assesses that a postoperative patient has a decreased blood pressure
and weak, thready pulse and concludes that the patient may be
hemorrhaging. For which additional signs of hemorrhage should the nurse
assess the patient? a. Pain
b. Jaundice
c. Tachycardia
d. Hyperthermia - ANSWER>>c
A patient who experience a brain attack (i.e., stroke, cerebrovascular
accident) 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
Exam Questions and Answers
. 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 for a:
a. Primary source
b. Tertiary source
c. Subjective source
d. Secondary source - ANSWER>>d
. A nurse is performing 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 is really gray"
,c. "My joints hurt when I get up in the morning"
d. "My left leg drags the floor when I am walking" - ANSWER>>c
Which is an example of nonverbal communications?
a. Letter
b. Holding hands
c. Noise in the room
d. Telephone message - ANSWER>>b
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 vital signs - ANSWER>>b
A patient returns to the surgical unit from the post anesthesia care unit after
abdominal surgery. The primary health-care provider orders intravenous
fluids, oxygen via nasal cannula at 2 L/min, I&O, and vital signs every 2
hours. Two hours after surgery the patient voids 400 mL of amber urine.
What should the nurse do with this information?
a. Report this information to the primary health-care provider.
,b. Record this amount on the patient's intake and output flow sheet
c. Document this information on the patient's vital signs flow sheet
d. Communicate this event verbally to the other members of the health-care team. -
ANSWER>>b
A patient had a brain attack (i.e., stroke, cerebrovascular accident) that
resulted in paralysis of the right side. When clustering data, the nurse
grouped the following data 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
A nurse understands that pressure ulcers are most often associated with
patients who:
a. Are immobilized
b. Have psychiatric diagnoses
c. Experience respiratory distress
d. Need close supervision for safety - ANSWER>>a
A nurse is caring for a dying patient who has a loss of appetite (anorexia),
difficulty falling asleep (insomnia), and decreased interest in activities of
daily living. Which feeling reflects these clinical findings? a. Anger
, b. Denial
c. Depression
d. Acceptance - ANSWER>>c
A patient who is debilitated and unsteady when standing insists on
walking to the bathroom without calling for assistance. This behavior
best reflects a need to be: a. Alone
b. Accepted
c. Independent
d. Manipulative - ANSWER>>c
A nurse assesses that a postoperative patient has a decreased blood pressure
and weak, thready pulse and concludes that the patient may be
hemorrhaging. For which additional signs of hemorrhage should the nurse
assess the patient? a. Pain
b. Jaundice
c. Tachycardia
d. Hyperthermia - ANSWER>>c
A patient who experience a brain attack (i.e., stroke, cerebrovascular
accident) 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
