NR 302 Week 8 Final Exam Practice Comprehensive

1. Question:Whichassessmentbythenursemostlikelyindicatesthatapatientishavingdifficultybreathing? 2. Question:Which should a nurse always do when taking a rectaltemperature? 3. Question:Anurseisassessingapatient’sidealbodyweight.Whichsignificantfactorshouldbetakininto consideration when performing thisassessment? 4. Question:Anurseasksapatient’swifespecificquestionsaboutthepatient’shealthstatusbeforeadmission. When collecting this information, the nurse is seeking information froma: 5. Question:Anurseispreformingaphysicalassessmentofanewlyadmittedpatient.Whichpatientstatement communicates subjectivedata? 6. Question:Anursetakesapatient’sbloodpressureandrecordsadiastolicpressureof120mmHg.Whichshould the nurse dofirst? 7. Question:Apatienthadastrokethatresultedinparalysisoftherightside.Whenclusteringdata,thenurse groupedthefollowingtogether:droolingofsalivaandslurredspeech.Whichinformationismost significant to include with this clustereddata? 8. Question:Apatientwhoexperiencedastrokehasleft-sidedhemiparesisandisincontinentofurine.Whichisan appropriately worded nursing diagnosis for thispatient? 9. Question:Anurseusestheinterviewingprocessofclarificationwheninterviewingapatient.Whichisthenurse doing when this communication technique isused? 10. Question:Apatienthasdependentedemaoftheanklesandfeetandisobese.Whichdietshouldthenurse expect the primary health-care provider toorder? 11. Question:A patient who is undergoing cancer chemotherapy says to the nurse, “This is no way to live.” Which response uses reflectivetechniques? 12. Question:Anurseisassessingapatientwhoreportsbeingincontinent.Whichquestionshouldthenurseaskto elicit information related to urgeincontinence? 13. Question:Which is the most common reason why older adults become incontinent ofurine? 14. Question:What is the nurse doing when formulating a nursingdiagnosis? 15. Question:Apatienthasjustreturnedfromsurgerywithanintravenoussolutioninfusinganddoesnothaveagag reflex. Which planned intervention takespriority? 16. Question:To provide aseptically safe perineal care to all female patients, which should the nursedo? 17. Question:Apatientreturnstotheclinicaftertakinga7-daycourseofantibiotictherapyandisstillexhibitingsigns of a urinary tract infection. Which should thebe the nurse’s initialaction? 18. Question:A newly admitted patient was provided with a regular diet consisting of three traditional meals a day. Afterseveraldaysitwasidentifiedthathepatientwaseatingonlyapproximately50%ofthemealsand was losing weight. What should the nursedo? 19. Question:Aftersurgery,apatientreportsmildincisionalpainwhileperformingdeep-breathingandcoughing exercises. Which is he nurse’s bestresponse: 20. Question:Anexampleofagoalidentifiedbyanursewhenplanningapatient’splanofcareis,“Thepatientwill: 21. Question:When obtaining a health history, the nurse identifies that a patient has gained 10 pounds in the past week.Whichstepofthenursingprocessisperformedwhenthenursedocumentsthisinformationin the patient’s clinicalrecord? 22. Question:Anurseisconductinganintakeinterviewwithapatient.Whichshouldthenursedofirsttofacilitate therapeutic communication with thispatient” 23. Question:Whichconceptsareimportantforthenursetoconsiderwheninteractingwithothers”Selectallthat apply. 24. Question:Apatienthasexpressiveaphasiabecauseofastroke.Whichshouldthenursedowhencaringforthis patient? Select all thatapply. 25. Question:Which is the primary source for assessing how a patientslept? 26. Question:Whenanursegoesintoaroomtotakeapatient’stemperature,thepatientisdrinkingacupofcoffee. How long should the nurse wait to take the patient’s oraltemperature? 27. Question:Thefunctionofwhichpartoftheanatomyisreflectedwhenthenurseobtainsaradialpulse rate? 28. Question:Anurseisassessingthetemperatureofapatient.Whencanthenurseexpectapatient’stemperature to be at itslowest? 29. Question:Whenmakingrounds,thenursefindsapatientinbedwiththeeyesclosed.Whichshouldthenurse do? 30. Question:A nurse takes the resting pulse of an older adult. Which pulse is within the expectedrange? 31. Question:Anurseobtainstherectaltemperatureofanadult.Whichrectaltemperatureiswithintheexpected range? 32. Question:Anurseobtainsbloodpressuresofseveralpatients.Whichbloodpressurereadingisconsideredthe mosthypertensive? 33. Question:Whenassessingtheheartrate ofapatient,thenurseidentifiesachangeinrate from88to56beatsper minute. Which should the nurse dofirst? 34. Question:Afunctionofwhichpartoftheanatomyisprimarilybeingassessedwhenanurseobtainsapatient’s pedalpulse? 35. Question:Whichprincipleofbloodpressurephysiologyshouldthenurseunderstandwhenassessingapatient’s cardiac function? 36. Question:Which are examples of objective data? Select all thatapply. 37. Question:Which information about a patient is classified as subjectivedata?Select all that apply. 38. Question:Anurseiscaringforapatientwhoiscopingwithchronicpain.Whichpsychologicalreactionstochronic pain may occur? Select all that apply. 39. Question:Anurseisworkinginanursinghomewithalargepopulationofolderadults.Whichfactorsrelatedto aging influence the nutritional status of older adults that the nurse should consider? Select all that apply. 40. Question:A patient reports being constipated. Which should the nurse encourage the patient toeat? 41. Question:Anurseiscaringforapatientdiagnosedwithstressincontinence.Whichisthecommonunderlying cause of stress incontinence that the nurse needs to consider when caring for thispatient? 42. Question:Acultureandsensitivitytestofapatient’surineisordered.Whichshouldthenursedotoensure accurate results of a urine culture and sensitivitytest? 43. Question:Anurseisassessingapatientforthepresenceofdysuria.Whichquestionshouldthenurseaskthe patient? 44. Question:The “A” in the ABCDE rule for skin cancer standsfor: 45. Question:Providingresistancewhilethepatientshrugshisorhershouldersisatestofwhichcranialnerve? 46. Question:Visual acuity is assessedwith: 47. Question:In examining the ear of an adult, the canal is straightened by pulling theauricle: 48. Question:When assessing a patient’s ear with an otoscope, the patient’s head should bepositioned: 49. Question:Whenteachingthebreastself-examination,youwouldinformthewomanthatthebesttimeto conduct breast self-examinationis: 50. Question:You aregoingtoinspectafemalepatient’sbreast forretraction.Thebestpositionforthispartofthe examination is: 51. Question:During the examination of a 70-year-old man, you note gynecomastia. Youwould: 52. Question:A function of the venous systemincludes: 53. Question:Atrophic skin changes that occur with peripheral arterial insufficiencyinclude: 54. Question:Intermittent claudicationincludes: 55. Question:Raynaud phenomenonoccurs: 56. Question:Select the sequence of events used during an examination of theabdomen. 57. Question:Right upper quadrant tenderness may indicate pathology inthe: 58. Question:The absence of bowel sounds is established after listeningfor: 59. Question:Auscultation of the abdomen may reveal bruits of whicharteries? 60. Question:The left upper quadrant contains the: 61. Question:Shifting dullness is a testfor: 62. Question:A positive Murphy’s sign is best describedas: 63. Question:A positive Blumberg signindicates: 64. Question:Themedical recordindicatesthatapersonhasaninjurytoBroca’sarea.Whenmeetingthisperson, you expect: 65. Question:The Glasgow Coma Scale is divided into three areas. Theyinclude: 66. Question:During examination of the scrotum, a normal finding would bethat: 67. Question:Prostatichypertrophyoccursfrequentlyinoldermen.Thesymptomsthatmayindicatethisproblem are: 68. Question:A20-yeaer-oldmanhasindicatedthathedoesnotperformatesticularself-examination.Oneofthe factsthatshouldbesharedwithhimisthattesticularcancer,althoughrare,doesoccurinmen: 69. Question:Duringatransilluminationofascrotum,younoteanontendermassthattransilluminateswithared glow. This finding is suggestiveof: 70. Question:The congenital displacement of the urethral meatus to the inferior surface of the penisis: 71. Question:An adhesion to the prepuce to the head of the penis, making it impossible to retract,is: 72. Apatienthassoft,moist,fleshy,painlesspapulesaroundtheanus.Theexaminersuspectsthis conditionis: 73. Question:Which finding in the prostate gland suggests prostatecancer? 74. Question:Normal stool is describedas: 75. Question:Which symptoms suggest benign prostatichypertrophy? 76. Question:Apatientstatesthathehasfrothy, foul–smellingstoolsthatfloatonthesurfaceofthewaterinthe toilet bow, What type of stool is this patientdescribing? 77. Question:During the examination of the genitalia of a 70-year-old woman, a normal finding wouldbe: