NURS 125 Final Exam Questions with Verified
Correct Answers
A patient on a medical- surgical floor reports having shortness of breath. The nurse
needs to conduct which type of assessment?
A problem-based/focused assessment
For which patient is a shift assessment indicated?
The person who had abdominal surgery yesterday
Which of the following examples represents a secondary prevention level of health
promotion?
Blood pressure screenings
Which of the following is an example of objective data?
Vomiting
A nurse suspects a patient is a victim of physical abuse. Which response by the nurse
will most likely encourage the patient to confide in the nurse?
"I've seen people who have been hurt by their significant others. Do you feel safe in your
home?"
A patient answers questions quietly and appears sad. While answering questions about
her marriage, she begins to cry. Which response by the nurse is appropriate in this
situation?
"I see that you are upset. Is there something you'd like to discuss?"
A nurse is interviewing a patient. Which of the following questions is an open-ended
question?
,Can you tell me how you have been feeling?
When interviewing a patient to obtain a health history, asking if the patient has
"dypsnea" can fall into which of the following systems?
Respiratory and Cardiovascular
A nurse asks a patient to rate their pain on a scale of "0-10". This is which part of the
mnemonic for symptom analysis of "OLD CARTS"?
Severity
When examining a patient, the nurse remembers to follow which principle of Standard
Precautions?
Wear gloves when in contact with the patient's blood or other body fluids.
Which of the following is a correct statement regarding the technique LIGHT
palpation? Light palpation is
Used to assess tenderness
The nurse is unable to hear the patient's breath sounds. To determine the cause of this
problem the nurse needs to ensure that the
valve is open to the diaphragm on the head of the stethoscope.
A nurse is preparing to take a patient's blood pressure. The blood pressure cuff is too
narrow (small). How accurate will this patient's blood pressure be using this blood
pressure cuff?
Higher than the actual value
Where does the nurse attach the sensor probe of the pulse oximeter to measure a
patient's oxygen saturation?
, Around the patient's index fingernail
During a physical assessment of an elderly adult, the nurse has difficulty palpating the
patient's dorsalis pedis pulses. Which piece of equipment would be helpful during this
assessment?
Doppler
A patient on a cardiac floor is complaining of chest pain. The nurse needs to conduct
which type of assessment?
A problem-based focused assessment
An example of Primary prevention of Health Promotion is:
Immunizations
Which of the following is an example of subjective (symptoms) data?
Headache
Which of the following is one of the goals of Healthy People 2020?
To promote quality of life & healthy behaviors across all life stages
During a mental health assessment, a women begins to cry when the nurse asks about
her marriage. Which action by the nurse is most therapeutic?
" I see that you're upset. Can you discuss why you're feeling this way?"
While collecting data on a patient, the nurse obtains vital signs. This is done
PRIMARILY to
obtain baseline indicators of the patient's health status.
Correct Answers
A patient on a medical- surgical floor reports having shortness of breath. The nurse
needs to conduct which type of assessment?
A problem-based/focused assessment
For which patient is a shift assessment indicated?
The person who had abdominal surgery yesterday
Which of the following examples represents a secondary prevention level of health
promotion?
Blood pressure screenings
Which of the following is an example of objective data?
Vomiting
A nurse suspects a patient is a victim of physical abuse. Which response by the nurse
will most likely encourage the patient to confide in the nurse?
"I've seen people who have been hurt by their significant others. Do you feel safe in your
home?"
A patient answers questions quietly and appears sad. While answering questions about
her marriage, she begins to cry. Which response by the nurse is appropriate in this
situation?
"I see that you are upset. Is there something you'd like to discuss?"
A nurse is interviewing a patient. Which of the following questions is an open-ended
question?
,Can you tell me how you have been feeling?
When interviewing a patient to obtain a health history, asking if the patient has
"dypsnea" can fall into which of the following systems?
Respiratory and Cardiovascular
A nurse asks a patient to rate their pain on a scale of "0-10". This is which part of the
mnemonic for symptom analysis of "OLD CARTS"?
Severity
When examining a patient, the nurse remembers to follow which principle of Standard
Precautions?
Wear gloves when in contact with the patient's blood or other body fluids.
Which of the following is a correct statement regarding the technique LIGHT
palpation? Light palpation is
Used to assess tenderness
The nurse is unable to hear the patient's breath sounds. To determine the cause of this
problem the nurse needs to ensure that the
valve is open to the diaphragm on the head of the stethoscope.
A nurse is preparing to take a patient's blood pressure. The blood pressure cuff is too
narrow (small). How accurate will this patient's blood pressure be using this blood
pressure cuff?
Higher than the actual value
Where does the nurse attach the sensor probe of the pulse oximeter to measure a
patient's oxygen saturation?
, Around the patient's index fingernail
During a physical assessment of an elderly adult, the nurse has difficulty palpating the
patient's dorsalis pedis pulses. Which piece of equipment would be helpful during this
assessment?
Doppler
A patient on a cardiac floor is complaining of chest pain. The nurse needs to conduct
which type of assessment?
A problem-based focused assessment
An example of Primary prevention of Health Promotion is:
Immunizations
Which of the following is an example of subjective (symptoms) data?
Headache
Which of the following is one of the goals of Healthy People 2020?
To promote quality of life & healthy behaviors across all life stages
During a mental health assessment, a women begins to cry when the nurse asks about
her marriage. Which action by the nurse is most therapeutic?
" I see that you're upset. Can you discuss why you're feeling this way?"
While collecting data on a patient, the nurse obtains vital signs. This is done
PRIMARILY to
obtain baseline indicators of the patient's health status.
