NR 302 Final Exam Review Exams Questions with Complete Answers

The nurse notes documentation that a client is exhibiting Cheyne-Stokes respirations. On assessment of the client, the nurse should expect to note which finding? 1. Increasing rate and depth of respirations with periods of apnea 2. Regular rapid and deep, sustained respirations 3. Totally irregular respiration in rhythm and depth 4. Irregular respirations with pauses at the end of inspiration and expiration Correct Answer 1. Increasing rate and depth of respirations with periods of apnea. pg. 434 A client diagnosed with conductive hearing loss (physical obstruction) asks the nurse to explain the cause of the hearing problem. The nurse plans to explain to the client that this condition is caused by which problem? 1. A deficit in the cochlea 2. A deficit in cranial nerve VIII 3. A physical obstruction to the transmission of sound waves 4. A defect in the sensory fibers that lead to the cerebral cortex Correct Answer 3. A physical obstruction to the transmission of sound waves The nurse is testing the extra ocular movements in a client to assess for muscle weakness in the eyes. The nurse should implement which assessment technique to assess for muscle weakness in the eye? 1. Test corneal reflexes 2. Test 6 cardinal positions of gaze 3. Test visual acuity, using Snellen eye chart 4. Test sensory function by asking client to close the eyes and then lightly touching the forehead, cheeks, chin Correct Answer 2. Test 6 cardinal positions of gaze A client with a diagnosis of asthma is admitted to the hospital with respiratory distress. Which type of adventitious lung sounds should the nurse expect to hear when performing a respiratory assessment on this client? 1. Stridor 2. Crackles 3. Wheezes 4. Diminishe Correct Answer 3. Wheezes high pitched squeaking sound