NR302 FINAL COMPREHENSIVE EXAM.
THE NURSING PROCESS EXAM STUDY
GUIDE. // VERIFIED ANSWERS WITH
RATIONALES. // GRADED A+.
NEW!!! NEW!!!
Which should a nurse always do when taking a rectal temperature?
1. Allow self-insertion of the thermometer.
2. Position the patient on the left side.
3. Use an electric thermometer.
4. Lubricate the thermometer. - ANS✔✔-4. Lubricate the thermometer.
Rationale: Lubricating a rectal thermometer is always done to facilitate entry
into the rectum; a lubricant reduces resistance when the thermometer is
inserted through the anal sphincters.
A nurse is assessing a patient's ideal body weight. Which significant factor
should be taken into consideration when performing this assessment?
1. Daily intake
2. Body height
3. Clothing size
4. Food preferences - ANS✔✔-2. Body height
Rationale: To calculate ideal body weight, the nurse must know the patient's
height, age, & extent of bone structure.
A nurse asks a patient's wife specific questions about the patient's health status
before admission. When collecting this info, the nurse is receiving info from a:
1. Primary source
,2. Tertiary source
3. Subjective source
4. Secondary source - ANS✔✔-4. Secondary source.
Rationale: Family members are secondary sources. Secondary sources provide
supplemental info about the patient.
A nurse is performing a physical assessment of a newly admitted patient. Which
patient statement communicates subjective data?
1. "I have sores b/w my toes."
2. "I dye my hair but it is really gray."
3. "My joints hurt when I get up in the morning."
4. "My left leg drags on the floor when I am walking." - ANS✔✔-3. "My joints
hurt when I get up in the morning."
Rationale: The experience of pain is subjective information because it can be
verified only by the patient.
Which is an example of nonverbal communication?
1. Letter
2. Holding hands
3. Noise in the room
4. Telephone message - ANS✔✔-2. Holding hands
Rationale: Holding hands is nonverbal communication; a message is transmitted
without using words.
Hospice care lies in which level of prevention?
1. Secondary prevention
2. Morbidity prevention
3. Primary prevention
4. Tertiary prevention - ANS✔✔-4. Tertiary prevention
, Rationale: Tertiary prevention uses strategies to assist people to adapt
physically, psychologically, & socially to permanent disabilities.
A nurse must make an unoccupied bed. Which is the first step of the procedure
for making the bed?
1. Cleaning hands
2. Pulling the curtain
3. Collecting clean linen
4. Placing the bottom sheet - ANS✔✔-1. Cleaning hands
Rationale: Cleaning the hands removes microorganisms that can contaminate
clean linen. Washing the hands or using a hand sanitizer is referred to as hand
hygiene.
Which is the expected range of a radial pulse for an adult?
1. 50-65 bpm
2. 70-85 bpm
3. 90-105 bpm
4. 110-125 bpm - ANS✔✔-2. 70-85 bpm
Rationale: 70 to 85 beats per minute is within the expected range of 60 to 100
beats per minute for the pulse of an adult.
The nurse administers a cathartic to a patient. Which therapeutic outcome
should the nurse expect when assessing the patient's response to the
medication?
1. Increased urinary output
2. Decreased anxiety
3. Bowel movement
4. Pain relief - ANS✔✔-3. Bowel movement
Rationale: Cathartics stimulate bowel evacuation; therefore, the patient should
be assessed for a bowel movement.
THE NURSING PROCESS EXAM STUDY
GUIDE. // VERIFIED ANSWERS WITH
RATIONALES. // GRADED A+.
NEW!!! NEW!!!
Which should a nurse always do when taking a rectal temperature?
1. Allow self-insertion of the thermometer.
2. Position the patient on the left side.
3. Use an electric thermometer.
4. Lubricate the thermometer. - ANS✔✔-4. Lubricate the thermometer.
Rationale: Lubricating a rectal thermometer is always done to facilitate entry
into the rectum; a lubricant reduces resistance when the thermometer is
inserted through the anal sphincters.
A nurse is assessing a patient's ideal body weight. Which significant factor
should be taken into consideration when performing this assessment?
1. Daily intake
2. Body height
3. Clothing size
4. Food preferences - ANS✔✔-2. Body height
Rationale: To calculate ideal body weight, the nurse must know the patient's
height, age, & extent of bone structure.
A nurse asks a patient's wife specific questions about the patient's health status
before admission. When collecting this info, the nurse is receiving info from a:
1. Primary source
,2. Tertiary source
3. Subjective source
4. Secondary source - ANS✔✔-4. Secondary source.
Rationale: Family members are secondary sources. Secondary sources provide
supplemental info about the patient.
A nurse is performing a physical assessment of a newly admitted patient. Which
patient statement communicates subjective data?
1. "I have sores b/w my toes."
2. "I dye my hair but it is really gray."
3. "My joints hurt when I get up in the morning."
4. "My left leg drags on the floor when I am walking." - ANS✔✔-3. "My joints
hurt when I get up in the morning."
Rationale: The experience of pain is subjective information because it can be
verified only by the patient.
Which is an example of nonverbal communication?
1. Letter
2. Holding hands
3. Noise in the room
4. Telephone message - ANS✔✔-2. Holding hands
Rationale: Holding hands is nonverbal communication; a message is transmitted
without using words.
Hospice care lies in which level of prevention?
1. Secondary prevention
2. Morbidity prevention
3. Primary prevention
4. Tertiary prevention - ANS✔✔-4. Tertiary prevention
, Rationale: Tertiary prevention uses strategies to assist people to adapt
physically, psychologically, & socially to permanent disabilities.
A nurse must make an unoccupied bed. Which is the first step of the procedure
for making the bed?
1. Cleaning hands
2. Pulling the curtain
3. Collecting clean linen
4. Placing the bottom sheet - ANS✔✔-1. Cleaning hands
Rationale: Cleaning the hands removes microorganisms that can contaminate
clean linen. Washing the hands or using a hand sanitizer is referred to as hand
hygiene.
Which is the expected range of a radial pulse for an adult?
1. 50-65 bpm
2. 70-85 bpm
3. 90-105 bpm
4. 110-125 bpm - ANS✔✔-2. 70-85 bpm
Rationale: 70 to 85 beats per minute is within the expected range of 60 to 100
beats per minute for the pulse of an adult.
The nurse administers a cathartic to a patient. Which therapeutic outcome
should the nurse expect when assessing the patient's response to the
medication?
1. Increased urinary output
2. Decreased anxiety
3. Bowel movement
4. Pain relief - ANS✔✔-3. Bowel movement
Rationale: Cathartics stimulate bowel evacuation; therefore, the patient should
be assessed for a bowel movement.
