NURS 146 Final Exam Questions And 100% Correct Answers
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To assess the sufficiency of cardiac compressions administered during adult
cardiopulmonary resuscitation (CPR), a nurse should palpate which pulse site?
a. Carotid
b. Radial
c. Brachial
d. Popliteal - ANSWER a. carotid
A nurse wishes to auscultate a client's carotid arteries for bruits. In order to do this, the
nurse should
a. use the bell of the stethoscope
b. Palpate radial artery
c. Eat Tacos with salsa
d. Watch a fun movie - ANSWER a. use the bell of the stethoscope
The acute stroke unit admits a client and the nurse initiates a neurologic flow sheet to
continue data about the recovery phase of care. The nurse recognizes this data
provides information about which aspect of the client's clinical status?
a. changes in level of consciousness or responsiveness as evidenced by movement and
orientation to time, place, and person
b. quality and rate of pulses, respirations, and blood gas values
c. speech changes and aphasic status
d. blood pressure maintained within lower limits of parameter - ANSWER a. altered level
of consciousness or responsiveness related to movement and orientation to time, place,
and person
A nurse assesses a client's pulse to be weak and thready in both lower extremities.
,Which of the following is the best documentation of this finding by the nurse?
a. pulse amplitude +1 bilateral lower extremities
a. pulse amplitude +2 bilaterally
b. Rich quality of pulse present
c. No pulse present - ANSWER a. pulse amplitude +1 bilateral lower extremities
A client has just arrived to the post anesthesia recovery room following a laparotomy.
The nurse has completed assessing the client's vital signs. What other important initial
assessments would the nurse perform?
a. level of consciousness, pain level, and wound dressing
b. Wound care
c. Mental status
d. Warmth of extremities - ANWER a. level of consciousness, pain level, and wound
dressing
A nurse is conducting an initial assessment of a client. Which of the following signs of
hypoxia would most likely prompt the nurse to intervene further?
a. pulse rate of 120/min, oxygen saturation of 88%, and circumoral cyanosis
b. pulse rate of 60/min, blood pressure of 180/90 mm Hg, and capillary refill time of 4 sec
c. eupnea, oxygen saturation of 95%, and orthopnea
d. pallor, hypotension, and bradypnea - ANSWER a. tachycardia, oxyhemoglobin
saturation of 88%, and perioral cyanosis
A client presents to the emergency department with complaints of chest and abdominal
pain and a history of black, tarry stools for many months. What diagnostic testing would
the nurse anticipate?
a. Electrocardiogram, complete blood count, occult blood testing, complete serum
metabolic profile, PT, PTT, INR
b. Renal function tests
c. Liver function tests
,d. X-Ray - ANSWER a. ECG (electrocardiogram), complete blood count, testing for
occult blood, and extensive serum metabolic panel, PT, PTT, INR
A nurse prepares a client to receive an oral topical anesthetic spray before undergoing
a transesophageal echocardiogram. When the client returns to the floor after the test,
the nurse discovers that the client does not have an active gag reflex. The nurse's best
course of action would be to:
a. Restrict food and fluids.
b. Place an oral airway.
c. Place the client on the side.
d. Insert a nasogastric (NG) tube. - ANSWER a. NPO
To test a client's cerebellar function, the nurse should ask
a. Balancing functions are ok?
b. Experiencing any difficulty speaking?
c. Problem solving ability intact ?
d. Muscle strength changes in recent times. - ANSWER a. Balancing functions are ok?
The nurse is evaluating a client's respiratory status. Which assessment data reflect a
problem?
a. 28 breaths/min and audible
b. 20 breaths/min and shallow in character
c. 18 breaths/min and inhaled through the mouth
d. 16 breaths/min and deep in character - ANSWER a. 28 breaths/min and audible
A client has had abdominal cramps, loose stools, and concentrated urine for the last 2
days. Choose the signs that would be part of a focused assessment.
a. signs of dehydration such as loss of weight; poor tissue turgor; and dry, cracked
mucous membranes b. abdominal distension, auscultation of reduced bowel sounds and
tympany upon percussion c. renal suppression such as enlargement of kidneys with
oliguria leading to concentrated urine
d. manifestations of metabolic alkalosis with confusion due to loss of gastrointestinal
fluids - ANSWER a. signs of fluid depletion, including weight loss; poor tissue elasticity;
, and dry, fissured mucous membranes
A nurse discovers that a patient has a vision of 20/40. The nurse's best response is to:
a. Refer the patient to a physician for the prescription of corrective lenses.
b. Suggest that the patient buy corrective lenses to wear when reading.
c. Instruct the client that corrective lenses are required for driving.
d. Teach the client measures to promote normal vision. - ANWER a. Refer the client to a
health care provider for possible corrective lenses.
During a care conference, the social worker asks the nurse if a psychosocial
assessment has been done. The nurse would report on which of the following areas as
part of this assessment?
a. health habits, family relationships, affect, and thought patterns
b. breathing patterns, circulation patterns, and responses to hospitalization
c. rest and sleep patterns, activity and exercise patterns, and coping and stress
tolerance
d. general survey results, eating habits, and ability to perform activities of daily living -
ANSWER a. health habits, family relationships, affect, and thought patterns
The nurse is conducting a health history on a child. The parent states that the client
constantly has a cold all winter with a runny nose, is not doing well in school, and is
itching all of the time. The nurse suspects the child has which condition?
a. Allergies
b. Migraine
c. Liver disorder
d. Brain abnormalities - ANSWER a. Allergies
A nurse is caring for a client who has had a severe stroke. During routine assessment,
the nurse recognizes Cheyne-Stokes respirations. Cheyne-Stokes respirations are
a. breaths that gradually increase in depth and then become shallow with periods of
apnea.
A+ Graded 100% Pass Guaranteed
To assess the sufficiency of cardiac compressions administered during adult
cardiopulmonary resuscitation (CPR), a nurse should palpate which pulse site?
a. Carotid
b. Radial
c. Brachial
d. Popliteal - ANSWER a. carotid
A nurse wishes to auscultate a client's carotid arteries for bruits. In order to do this, the
nurse should
a. use the bell of the stethoscope
b. Palpate radial artery
c. Eat Tacos with salsa
d. Watch a fun movie - ANSWER a. use the bell of the stethoscope
The acute stroke unit admits a client and the nurse initiates a neurologic flow sheet to
continue data about the recovery phase of care. The nurse recognizes this data
provides information about which aspect of the client's clinical status?
a. changes in level of consciousness or responsiveness as evidenced by movement and
orientation to time, place, and person
b. quality and rate of pulses, respirations, and blood gas values
c. speech changes and aphasic status
d. blood pressure maintained within lower limits of parameter - ANSWER a. altered level
of consciousness or responsiveness related to movement and orientation to time, place,
and person
A nurse assesses a client's pulse to be weak and thready in both lower extremities.
,Which of the following is the best documentation of this finding by the nurse?
a. pulse amplitude +1 bilateral lower extremities
a. pulse amplitude +2 bilaterally
b. Rich quality of pulse present
c. No pulse present - ANSWER a. pulse amplitude +1 bilateral lower extremities
A client has just arrived to the post anesthesia recovery room following a laparotomy.
The nurse has completed assessing the client's vital signs. What other important initial
assessments would the nurse perform?
a. level of consciousness, pain level, and wound dressing
b. Wound care
c. Mental status
d. Warmth of extremities - ANWER a. level of consciousness, pain level, and wound
dressing
A nurse is conducting an initial assessment of a client. Which of the following signs of
hypoxia would most likely prompt the nurse to intervene further?
a. pulse rate of 120/min, oxygen saturation of 88%, and circumoral cyanosis
b. pulse rate of 60/min, blood pressure of 180/90 mm Hg, and capillary refill time of 4 sec
c. eupnea, oxygen saturation of 95%, and orthopnea
d. pallor, hypotension, and bradypnea - ANSWER a. tachycardia, oxyhemoglobin
saturation of 88%, and perioral cyanosis
A client presents to the emergency department with complaints of chest and abdominal
pain and a history of black, tarry stools for many months. What diagnostic testing would
the nurse anticipate?
a. Electrocardiogram, complete blood count, occult blood testing, complete serum
metabolic profile, PT, PTT, INR
b. Renal function tests
c. Liver function tests
,d. X-Ray - ANSWER a. ECG (electrocardiogram), complete blood count, testing for
occult blood, and extensive serum metabolic panel, PT, PTT, INR
A nurse prepares a client to receive an oral topical anesthetic spray before undergoing
a transesophageal echocardiogram. When the client returns to the floor after the test,
the nurse discovers that the client does not have an active gag reflex. The nurse's best
course of action would be to:
a. Restrict food and fluids.
b. Place an oral airway.
c. Place the client on the side.
d. Insert a nasogastric (NG) tube. - ANSWER a. NPO
To test a client's cerebellar function, the nurse should ask
a. Balancing functions are ok?
b. Experiencing any difficulty speaking?
c. Problem solving ability intact ?
d. Muscle strength changes in recent times. - ANSWER a. Balancing functions are ok?
The nurse is evaluating a client's respiratory status. Which assessment data reflect a
problem?
a. 28 breaths/min and audible
b. 20 breaths/min and shallow in character
c. 18 breaths/min and inhaled through the mouth
d. 16 breaths/min and deep in character - ANSWER a. 28 breaths/min and audible
A client has had abdominal cramps, loose stools, and concentrated urine for the last 2
days. Choose the signs that would be part of a focused assessment.
a. signs of dehydration such as loss of weight; poor tissue turgor; and dry, cracked
mucous membranes b. abdominal distension, auscultation of reduced bowel sounds and
tympany upon percussion c. renal suppression such as enlargement of kidneys with
oliguria leading to concentrated urine
d. manifestations of metabolic alkalosis with confusion due to loss of gastrointestinal
fluids - ANSWER a. signs of fluid depletion, including weight loss; poor tissue elasticity;
, and dry, fissured mucous membranes
A nurse discovers that a patient has a vision of 20/40. The nurse's best response is to:
a. Refer the patient to a physician for the prescription of corrective lenses.
b. Suggest that the patient buy corrective lenses to wear when reading.
c. Instruct the client that corrective lenses are required for driving.
d. Teach the client measures to promote normal vision. - ANWER a. Refer the client to a
health care provider for possible corrective lenses.
During a care conference, the social worker asks the nurse if a psychosocial
assessment has been done. The nurse would report on which of the following areas as
part of this assessment?
a. health habits, family relationships, affect, and thought patterns
b. breathing patterns, circulation patterns, and responses to hospitalization
c. rest and sleep patterns, activity and exercise patterns, and coping and stress
tolerance
d. general survey results, eating habits, and ability to perform activities of daily living -
ANSWER a. health habits, family relationships, affect, and thought patterns
The nurse is conducting a health history on a child. The parent states that the client
constantly has a cold all winter with a runny nose, is not doing well in school, and is
itching all of the time. The nurse suspects the child has which condition?
a. Allergies
b. Migraine
c. Liver disorder
d. Brain abnormalities - ANSWER a. Allergies
A nurse is caring for a client who has had a severe stroke. During routine assessment,
the nurse recognizes Cheyne-Stokes respirations. Cheyne-Stokes respirations are
a. breaths that gradually increase in depth and then become shallow with periods of
apnea.
