NURS 1200 EXAM 2 STUDY GUIDE
QUESTIONS AND ANSWERS A+ GRADED.
A healthy adult patient tells the nurse that he obtained his blood pressure
in "one of those quick machines in the mall" and was alarmed that it was
152/72. He immediately repeated the measurement, and the value was
158/80. His normal BP value ranges from 114/72 to 118/78. The nurse
obtains a blood pressure of 116/76. What would account for the blood
pressure of 152/72? (Select all that apply.)
a. Cuff too small on the device
b. Arm positioned above heart level
c. Slow inflation of the cuff by the machine
d. Patient did not remove his long-sleeved shirt
e. Insufficient time between measurements
Verified Answer -a,d,e
A patient with heart failure is one-day postoperative for major abdominal
surgery. When the nurse and the assistive personnel raise the head of the
bed to sit the patient on the side of the bed before ambulation, the patient
immediately complains of dizziness and nausea. What are your
immediate actions? (Select all that apply.)
a. Lower the head of the bed and return the patient to the supine position.
b. Obtain vital signs.
c. Encourage the patient to try to sit on the side of the bed and then
stand.
d. Allow the patient to rest for 20 to 30 minutes.
, e. Raise the head of the bed again and obtain blood pressure readings.
Verified Answer -a,b,d,e
A patient has been admitted from the emergency department (ED) with a
primary problem of abdominal pain. Diagnostic tests performed in the
ED are pending. The nurse focuses an examination on the abdomen and
uses the following techniques. Which technique is correct?
a. Perform auscultation first.
b. Have patient place folded arms under the head.
c. Palpate the patient's painful area first.
d. Observe the contour of the abdomen while asking the patient to take a
deep breath and hold it.
Verified Answer -d.
The nurse is assessing a patient who returned 1 hour ago from surgery for
an abdominal hysterectomy. Which assessment finding would require
immediate follow-up?
a. Auscultation of an apical heart rate of 76
b. Absence of bowel sounds on abdominal assessment
c. Respiratory rate of 8 breaths/min
d. Palpation of dorsalis pedis pulses with strength of +2
Verified Answer -c
Which statement made by a patient who is at average risk for colorectal
cancer indicates an understanding about teaching related to early
detection of colorectal cancer?
QUESTIONS AND ANSWERS A+ GRADED.
A healthy adult patient tells the nurse that he obtained his blood pressure
in "one of those quick machines in the mall" and was alarmed that it was
152/72. He immediately repeated the measurement, and the value was
158/80. His normal BP value ranges from 114/72 to 118/78. The nurse
obtains a blood pressure of 116/76. What would account for the blood
pressure of 152/72? (Select all that apply.)
a. Cuff too small on the device
b. Arm positioned above heart level
c. Slow inflation of the cuff by the machine
d. Patient did not remove his long-sleeved shirt
e. Insufficient time between measurements
Verified Answer -a,d,e
A patient with heart failure is one-day postoperative for major abdominal
surgery. When the nurse and the assistive personnel raise the head of the
bed to sit the patient on the side of the bed before ambulation, the patient
immediately complains of dizziness and nausea. What are your
immediate actions? (Select all that apply.)
a. Lower the head of the bed and return the patient to the supine position.
b. Obtain vital signs.
c. Encourage the patient to try to sit on the side of the bed and then
stand.
d. Allow the patient to rest for 20 to 30 minutes.
, e. Raise the head of the bed again and obtain blood pressure readings.
Verified Answer -a,b,d,e
A patient has been admitted from the emergency department (ED) with a
primary problem of abdominal pain. Diagnostic tests performed in the
ED are pending. The nurse focuses an examination on the abdomen and
uses the following techniques. Which technique is correct?
a. Perform auscultation first.
b. Have patient place folded arms under the head.
c. Palpate the patient's painful area first.
d. Observe the contour of the abdomen while asking the patient to take a
deep breath and hold it.
Verified Answer -d.
The nurse is assessing a patient who returned 1 hour ago from surgery for
an abdominal hysterectomy. Which assessment finding would require
immediate follow-up?
a. Auscultation of an apical heart rate of 76
b. Absence of bowel sounds on abdominal assessment
c. Respiratory rate of 8 breaths/min
d. Palpation of dorsalis pedis pulses with strength of +2
Verified Answer -c
Which statement made by a patient who is at average risk for colorectal
cancer indicates an understanding about teaching related to early
detection of colorectal cancer?
