NUR168 FINAL EXAM WITH QUESTIONS AND
ANSWERS
aggravating or alleviating variables
The nurse is assessing a client who has headaches. The nurse asks the client to "tell
me what you do when your headache occurs"? This is an example of what kind of
information?
What happens when you take penicillin?
During an initial examination, the nurse inquires about the patient's drug allergies.
The patient states, "I'm allergic to penicillin." What is the best reaction for the
nurse to give?
The prior health history
The nurse is studying a medical record when she comes across the following
statement: "I have had chronic obstructive pulmonary disease for 5 years". What
does this sentence inform the nurse?
Reduce environmental noise.
Use both objective and subjective information to complete the exam.
Conduct a comprehensive assessment, a health history, and a complete physical
examination.
ask the client for their full name and date of birth.
A nurse in the medical-surgical unit is preparing to conduct a thorough physical
examination on a freshly admitted patient. Which of the following strategies should
the nurse implement with this client? Select all that apply.
,Pleural friction rub
During inspiration and expiration, the inflamed visceral and parietal pleura brush
against one another, producing dry, grating, or rubbing sounds.
rhonchi
Coughing can clear loud, low-pitched rumbling sounds on either inspiration or
expiration that are caused by fluid or mucus.
crackles
Fine to coarse bubbling sounds that do not clear with coughing.
wheezes
high-pitched whistling, musical sounds when air travels through restricted or
clogged airways, typically louder on expiration.
Lack of breath noises
Collapsed or surgically removed lobes of the lungs
Could you please inform me how long the surgery will take?
The nurse is offering preoperative instruction to a client who is about to receive a
sigmoid colostomy. The nurse should determine which of the following statements
reflects the client's readiness to learn.
through the posterior axillary fold.
The posterior axillary line
, Along the center of the spine
The vertebral line
Through the anterior axillary creases.
anterior axillary line.
Through the center of the sternum
The midsternal line
through the top of the axillae
Midaxillary line.
through the middle of the clavicle.
The midclavicular line
Pain: 4/10, lasted 3 hours.
During a health history and comprehensive physical examination, the nurse collects
the following information. Which one is deemed subjective?
ANSWERS
aggravating or alleviating variables
The nurse is assessing a client who has headaches. The nurse asks the client to "tell
me what you do when your headache occurs"? This is an example of what kind of
information?
What happens when you take penicillin?
During an initial examination, the nurse inquires about the patient's drug allergies.
The patient states, "I'm allergic to penicillin." What is the best reaction for the
nurse to give?
The prior health history
The nurse is studying a medical record when she comes across the following
statement: "I have had chronic obstructive pulmonary disease for 5 years". What
does this sentence inform the nurse?
Reduce environmental noise.
Use both objective and subjective information to complete the exam.
Conduct a comprehensive assessment, a health history, and a complete physical
examination.
ask the client for their full name and date of birth.
A nurse in the medical-surgical unit is preparing to conduct a thorough physical
examination on a freshly admitted patient. Which of the following strategies should
the nurse implement with this client? Select all that apply.
,Pleural friction rub
During inspiration and expiration, the inflamed visceral and parietal pleura brush
against one another, producing dry, grating, or rubbing sounds.
rhonchi
Coughing can clear loud, low-pitched rumbling sounds on either inspiration or
expiration that are caused by fluid or mucus.
crackles
Fine to coarse bubbling sounds that do not clear with coughing.
wheezes
high-pitched whistling, musical sounds when air travels through restricted or
clogged airways, typically louder on expiration.
Lack of breath noises
Collapsed or surgically removed lobes of the lungs
Could you please inform me how long the surgery will take?
The nurse is offering preoperative instruction to a client who is about to receive a
sigmoid colostomy. The nurse should determine which of the following statements
reflects the client's readiness to learn.
through the posterior axillary fold.
The posterior axillary line
, Along the center of the spine
The vertebral line
Through the anterior axillary creases.
anterior axillary line.
Through the center of the sternum
The midsternal line
through the top of the axillae
Midaxillary line.
through the middle of the clavicle.
The midclavicular line
Pain: 4/10, lasted 3 hours.
During a health history and comprehensive physical examination, the nurse collects
the following information. Which one is deemed subjective?
