NURS 204 FINAL EXAM AND STUDY GUIDE
NEWEST 2024-2025 ACTUAL EXAM
COMPLETE 300 QUESTIONS AND CORRECT
DETAILED ANSWERS
a loud, course, low pitched sound is heard during a lung assessment. the nurse recognizes this as
which of the following?
a. wheezing
b. stridor
c. rhonchi
d. crackles
a nurse suspects a wound infection after noting what type of drainage?
a. sanguineous
b. serous
c. serosanguineous
d. Purulent
a patient comes into the ED very intoxicated. which of the following reflexes will the patient
exhibit during exam?
a. 0
b. +2
c. +4
d. +1
,a pressure ulcer with full thickness skin loss, but no visible bone, tendon, or muscle exposed, is
classified as:
a. stage 2 pressure ulcer
b. stage 4 pressure ulcer
c. stage 1 pressure ulcer
d. stage 3 pressure ulcer
a wound fails to heal properly and begins to separate. the nurse documents this as
a. dehiscence
b. granulation tissue
c. evisceration
d. approximation - ANSWER
what intervention should the nurse do first when pulling a patient up in bed?
a. obtain a sliding board to reduce friction
b. giving clear commands to the patient
c. maintain proper body mechanics
d. assess what the patient can do to assist
administering an IM injection of 2mls. - ANSWER-injects 2 ml of air into vial before draw up
which of the following occurs during the S1 phase of the cardiac cycle?
a. the mitral and tricuspid valve close
b. the pulmonic and aortic valve close
c. the ventricular pressure falls
d. blood fills the coronary arteries
, during an assessment, an abdominal heart rate is heard. the nurse needs to perform which of
the following documentation?
a. the nurse will chart by exception
b. a new care plan will be created
c. an incident report will be made
d. past history will be included in notes
which is the correct order when performing an abdominal assessment?
a. inspection, perc.,palp.,aus
b. insp., palp., perc., as
c. insp., auscultation., perc., palp.
d. perc., palp., auscultation., insp.
the nurse is performing a physical exam on her patient. which positions are most used during a
routine physical exam?
a. sitting and supine
b. sitting and knee-chest
c. dorsal recumbent and sims
d. prone and supine
how to administer ear drops - ANSWER-up and back
how to use a topical patch - ANSWER-remove old patch then apply new one
how would the nurse assist a patient who is visually impared during meals? - ANSWER-explain
the tray like a clock
NEWEST 2024-2025 ACTUAL EXAM
COMPLETE 300 QUESTIONS AND CORRECT
DETAILED ANSWERS
a loud, course, low pitched sound is heard during a lung assessment. the nurse recognizes this as
which of the following?
a. wheezing
b. stridor
c. rhonchi
d. crackles
a nurse suspects a wound infection after noting what type of drainage?
a. sanguineous
b. serous
c. serosanguineous
d. Purulent
a patient comes into the ED very intoxicated. which of the following reflexes will the patient
exhibit during exam?
a. 0
b. +2
c. +4
d. +1
,a pressure ulcer with full thickness skin loss, but no visible bone, tendon, or muscle exposed, is
classified as:
a. stage 2 pressure ulcer
b. stage 4 pressure ulcer
c. stage 1 pressure ulcer
d. stage 3 pressure ulcer
a wound fails to heal properly and begins to separate. the nurse documents this as
a. dehiscence
b. granulation tissue
c. evisceration
d. approximation - ANSWER
what intervention should the nurse do first when pulling a patient up in bed?
a. obtain a sliding board to reduce friction
b. giving clear commands to the patient
c. maintain proper body mechanics
d. assess what the patient can do to assist
administering an IM injection of 2mls. - ANSWER-injects 2 ml of air into vial before draw up
which of the following occurs during the S1 phase of the cardiac cycle?
a. the mitral and tricuspid valve close
b. the pulmonic and aortic valve close
c. the ventricular pressure falls
d. blood fills the coronary arteries
, during an assessment, an abdominal heart rate is heard. the nurse needs to perform which of
the following documentation?
a. the nurse will chart by exception
b. a new care plan will be created
c. an incident report will be made
d. past history will be included in notes
which is the correct order when performing an abdominal assessment?
a. inspection, perc.,palp.,aus
b. insp., palp., perc., as
c. insp., auscultation., perc., palp.
d. perc., palp., auscultation., insp.
the nurse is performing a physical exam on her patient. which positions are most used during a
routine physical exam?
a. sitting and supine
b. sitting and knee-chest
c. dorsal recumbent and sims
d. prone and supine
how to administer ear drops - ANSWER-up and back
how to use a topical patch - ANSWER-remove old patch then apply new one
how would the nurse assist a patient who is visually impared during meals? - ANSWER-explain
the tray like a clock
