NURS207 /NURS 207 MIDTERM EXAM 2
VERSIONS (VERSION A AND B)
COMPLETE ACCURATE EXAM
QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT ANSWERS) /
ALREADY GRADED A+
VERSION A
The nurse decides to take an apical pulse instead of
a radial pulse. Which of the following client
conditions influenced the nurse's decision?
A) The client is in shock
B) The client has an arrhythmia.
C) The client underwent surgery 18 hours earlier.
D) The client showed a response to orthostatic
changes. - ....ANSWER...B) The client has an
arrhythmia.
The nurse is assessing a patient's functional
performance. What assessment parameters will be
most important in this assessment?
,A. Continence assessment, gait assessment, feeding
assessment, dressing assessment, transfer
assessment
B. Height, weight, body mass index (BMI), vital signs
assessment
C. Sleep assessment, energy assessment, memory
assessment, concentration assessment -
....ANSWER...A. Continence assessment, gait
assessment, feeding assessment, dressing
assessment, transfer assessment
The nurse is developing an interdisciplinary plan of
care using the Roper-Logan-Tierney Model of
Nursing for a patient who is currently unconscious.
Which interventions would be most critical to
developing a plan of care for this patient?
A. Eating and drinking, personal cleansing and
dressing, working and playing
B. Toileting, transferring, dressing, and bathing
activities
C. Sleeping, expressing sexuality, socializing with
peers
D. Maintaining a safe environment, breathing,
maintaining temperature - ....ANSWER...D.
,Maintaining a safe environment, breathing,
maintaining temperature
Which position should be avoided for a patient at the
greatest risk for the development of pressure
ulcers?
A. Low Fowler's
B. Side-lying
C. Supine
D. Prone - ....ANSWER...B. Side-lying
Which stage pressure ulcer would just have partial
thickness skin loss involving epidermis and dermis?
A. Stage I
B. Stage II
C. Stage III
D. Stage IV - ....ANSWER...B. Stage II
The most important action when assisting a patient
to move from the bed to a wheelchair
A. Applying pressure under the patient's axillae
when standing up
, B. Letting the patient help as much as possible when
permitted
C. Keeping the patient's feet next to each other 1 foot
apart
D. Lowering the bed to below the height of the wheel
chair - ....ANSWER...B. Letting the patient help as
much as possible when permitted
An immobilized bedridden patient is placed on a 2-
hour turning and positioning program primarily to:
A. Support comfort
B. Promote elimination
C. Maintain skin integrity
D. Facilitate respiratory function - ....ANSWER...C.
Maintain skin integrity
What should the nurse do to quickly assess a
patient's tolerance to a change in position when
transferring the patient from a bed to a wheelchair?
A. Take the patient's blood pressure
B. Monitor the patient for bradycardia
C. Establish whether or not the patient feels dizzy
VERSIONS (VERSION A AND B)
COMPLETE ACCURATE EXAM
QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT ANSWERS) /
ALREADY GRADED A+
VERSION A
The nurse decides to take an apical pulse instead of
a radial pulse. Which of the following client
conditions influenced the nurse's decision?
A) The client is in shock
B) The client has an arrhythmia.
C) The client underwent surgery 18 hours earlier.
D) The client showed a response to orthostatic
changes. - ....ANSWER...B) The client has an
arrhythmia.
The nurse is assessing a patient's functional
performance. What assessment parameters will be
most important in this assessment?
,A. Continence assessment, gait assessment, feeding
assessment, dressing assessment, transfer
assessment
B. Height, weight, body mass index (BMI), vital signs
assessment
C. Sleep assessment, energy assessment, memory
assessment, concentration assessment -
....ANSWER...A. Continence assessment, gait
assessment, feeding assessment, dressing
assessment, transfer assessment
The nurse is developing an interdisciplinary plan of
care using the Roper-Logan-Tierney Model of
Nursing for a patient who is currently unconscious.
Which interventions would be most critical to
developing a plan of care for this patient?
A. Eating and drinking, personal cleansing and
dressing, working and playing
B. Toileting, transferring, dressing, and bathing
activities
C. Sleeping, expressing sexuality, socializing with
peers
D. Maintaining a safe environment, breathing,
maintaining temperature - ....ANSWER...D.
,Maintaining a safe environment, breathing,
maintaining temperature
Which position should be avoided for a patient at the
greatest risk for the development of pressure
ulcers?
A. Low Fowler's
B. Side-lying
C. Supine
D. Prone - ....ANSWER...B. Side-lying
Which stage pressure ulcer would just have partial
thickness skin loss involving epidermis and dermis?
A. Stage I
B. Stage II
C. Stage III
D. Stage IV - ....ANSWER...B. Stage II
The most important action when assisting a patient
to move from the bed to a wheelchair
A. Applying pressure under the patient's axillae
when standing up
, B. Letting the patient help as much as possible when
permitted
C. Keeping the patient's feet next to each other 1 foot
apart
D. Lowering the bed to below the height of the wheel
chair - ....ANSWER...B. Letting the patient help as
much as possible when permitted
An immobilized bedridden patient is placed on a 2-
hour turning and positioning program primarily to:
A. Support comfort
B. Promote elimination
C. Maintain skin integrity
D. Facilitate respiratory function - ....ANSWER...C.
Maintain skin integrity
What should the nurse do to quickly assess a
patient's tolerance to a change in position when
transferring the patient from a bed to a wheelchair?
A. Take the patient's blood pressure
B. Monitor the patient for bradycardia
C. Establish whether or not the patient feels dizzy