NURS 6700 Exam 1 (EAQ Style) Questions With Complete
Solutions
Allowing the patient to assume supine position with the head of
the bed elevated
A nurse is examining a patient's thorax. Which action made by
the nurse will help to accurately assess the fremitus of the
thorax? Correct Answer Palpating the thorax using the ulnar
surface of the entire hand
A patient comes to a clinic for a regular checkup. The nurse is
performing a physical examination of the patient. Which
interventions should the nurse follow during inspection to get
the best results? Select all that apply. Correct Answer Make
sure that adequate lighting is available.
Use a penlight or lamp to inspect body cavities.
Inspect each area for size, shape, color, symmetry, position, and
abnormality.
Check for side-to-side symmetry
A patient comes to the clinic for a regular checkup. The nurse is
performing a physical examination on the patient. Which
intervention should the nurse perform during palpation?
Correct Answer Warm the hands and use a gentle approach.
,A patient complains of chest pain and discomfort. Which
diagnostic studies should the nurse anticipate? Select all that
apply.
A. Serum cholesterol
B. Electrocardiogram
C. Electroencephalogram
D. Serum cardiac enzymes
E. Ultrasonography of pelvis Correct Answer A. Serum
cholesterol
B. Electrocardiogram
C. Serum cardiac enzymes
A patient is admitted to the postanesthesia care unit (PACU)
immediately after undergoing surgery. The nurse finds shallow
breathing and the pulse oximetry value is 90%. Which
intervention does the nurse perform for effective treatment?
A. Inserting an oral or nasal airway
B. Providing oral fluids to the patient
C. Encouraging the patient to cough
, D. Providing intravenous (IV) fluids to the patient Correct
Answer Inserting an oral or nasal airway.
Rationale:
Certain anesthetic agents can cause respiratory depression. The
signs of respiratory depression are shallow breathing and
abnormal pulse oximetry values. The nurse inserts a nasal or
oral airway to maintain a patent airway and facilitate effective
oxygenation of all tissues in the body.
A patient is admitted with severe lobar pneumonia. Which
assessment findings would indicate that the patient needs airway
suctioning? Correct Answer Decreased independent ability to
cough
A patient is suspected to have dehydration. How should the
nurse assess the elasticity of the skin? Correct Answer By
folding the skin of the forearm with the fingertips and releasing
it.
A patient reports having chronic dry cough in the mornings,
with occasional production of thick, yellow-green sputum in
small quantities. The nurse finds that the patient has dry skin and
the mucous membranes are dry. On auscultation, crackles are
heard in lower lobes bilaterally. Which intervention will relieve
dryness of the mucous membranes? Correct Answer Giving
plenty of oral fluids
A patient reports having shortness of breath for 2 months. The
nurse asks the patient to rate the shortness of breath on a scale of
0 to 10 and state whether it is affecting daily activities. The
Solutions
Allowing the patient to assume supine position with the head of
the bed elevated
A nurse is examining a patient's thorax. Which action made by
the nurse will help to accurately assess the fremitus of the
thorax? Correct Answer Palpating the thorax using the ulnar
surface of the entire hand
A patient comes to a clinic for a regular checkup. The nurse is
performing a physical examination of the patient. Which
interventions should the nurse follow during inspection to get
the best results? Select all that apply. Correct Answer Make
sure that adequate lighting is available.
Use a penlight or lamp to inspect body cavities.
Inspect each area for size, shape, color, symmetry, position, and
abnormality.
Check for side-to-side symmetry
A patient comes to the clinic for a regular checkup. The nurse is
performing a physical examination on the patient. Which
intervention should the nurse perform during palpation?
Correct Answer Warm the hands and use a gentle approach.
,A patient complains of chest pain and discomfort. Which
diagnostic studies should the nurse anticipate? Select all that
apply.
A. Serum cholesterol
B. Electrocardiogram
C. Electroencephalogram
D. Serum cardiac enzymes
E. Ultrasonography of pelvis Correct Answer A. Serum
cholesterol
B. Electrocardiogram
C. Serum cardiac enzymes
A patient is admitted to the postanesthesia care unit (PACU)
immediately after undergoing surgery. The nurse finds shallow
breathing and the pulse oximetry value is 90%. Which
intervention does the nurse perform for effective treatment?
A. Inserting an oral or nasal airway
B. Providing oral fluids to the patient
C. Encouraging the patient to cough
, D. Providing intravenous (IV) fluids to the patient Correct
Answer Inserting an oral or nasal airway.
Rationale:
Certain anesthetic agents can cause respiratory depression. The
signs of respiratory depression are shallow breathing and
abnormal pulse oximetry values. The nurse inserts a nasal or
oral airway to maintain a patent airway and facilitate effective
oxygenation of all tissues in the body.
A patient is admitted with severe lobar pneumonia. Which
assessment findings would indicate that the patient needs airway
suctioning? Correct Answer Decreased independent ability to
cough
A patient is suspected to have dehydration. How should the
nurse assess the elasticity of the skin? Correct Answer By
folding the skin of the forearm with the fingertips and releasing
it.
A patient reports having chronic dry cough in the mornings,
with occasional production of thick, yellow-green sputum in
small quantities. The nurse finds that the patient has dry skin and
the mucous membranes are dry. On auscultation, crackles are
heard in lower lobes bilaterally. Which intervention will relieve
dryness of the mucous membranes? Correct Answer Giving
plenty of oral fluids
A patient reports having shortness of breath for 2 months. The
nurse asks the patient to rate the shortness of breath on a scale of
0 to 10 and state whether it is affecting daily activities. The
