QUESTIONS AND ANSWERS /NUR198 MATERNITY FINAL
EXAM LATEST ALL QUESTIONS & ANSWERS COMPLETE
EXAM | ALREADY GRADED A
A nurse conducts an initial comprehensive assessment for a client admitted with a fever of unknown
origin. Which area of assessment is primarily the nurse's responsibility?
-Collect subjective data related to overall function
-Perform a musculoskeletal examination
-Take anthropometric measurements
-Obtain a 24-hour diet recall - CORRECT ANSWER-collect subjective data related to overall function
An older adult client has been admitted to the hospital with failure to thrive resulting from complications
of diabetes. What would the nurse implement in response to a collaborative problem? - CORRECT
ANSWER-Measure the client's blood glucose four times daily.
When performing the steps of the assessment phase of the nursing process, which of the following
would the nurse do first? - CORRECT ANSWER-collect subjective data
The nurse performs an assessment on a newly admitted client. Data analysis reveals temperature 100.9 F
(38.3 C), BP 82/58 mm Hg, 02 Saturation 91% RA, productive cough, lethargy, diaphoresis, WBC 15,000
mm3, Hemoglobin 9 g/dL, Hematocrit 29%. What action should the nurse take next? - CORRECT
ANSWER-develop diagnosis
A client admitted to the hospital with status asthmaticus suddenly develops the following signs and
symptoms: increased heart rate (105 bpm), increased respiratory rate (24/min), O2 saturation 90% on
100% nonrebreather mask, and sudden absence of wheezing. What action should the nurse take? -
CORRECT ANSWER-perform emergency assessment
A nurse provides care for a client with an elevated temperature. The client is given the prescribed
medication and the nurse checks the client's temperature at repeated intervals. What step of the nursing
,process is the nurse using to determine whether the client has achieved the outcome criteria of the
treatment? - CORRECT ANSWER-evaluation
A nurse reviews the vital signs of a 77-year-old client: temperature 99.2 F° (37.33° C), heart rate 90
beats/min, blood pressure 130/50 mm Hg, respiratory rate 22 breaths/min and shallow, and oxygen
saturation rate 93% on room air. Which action should the nurse take next? - CORRECT ANSWER-
assess for infection
A nurse observes that a young man's arm span appears to be greater than his height. Which condition
should the nurse suspect in this client? - CORRECT ANSWER-marfan syndrome
Which abnormal skin color should a nurse anticipate assessing on a dark-skinned client? - CORRECT
ANSWER-ashen gray
What are various measurements of the human body, including height and weight, called? - CORRECT
ANSWER-anthropometric measurements
A nurse has an order to obtain orthostatic blood pressure readings on a client admitted with
dehydration. The sitting blood pressure is 140/75mmHg. Which blood pressure reading with the client
standing should the nurse recognize as orthostatic hypotension? - CORRECT ANSWER-120/55 mmHg
The nurse recognizes that assessment of core body temperature is quick, noninvasive, and safe using
which method? - CORRECT ANSWER-tympanic
When obtaining an oral temperature on a client, the nurse inserts the thermometer: - CORRECT
ANSWER-deep in the posterior sublingual pocket
What is the normal temperature range? - CORRECT ANSWER-between 97 F (36.1 C) and 99 F (37.2 C)
or more
, Two nurses collaborate in assessing an apical-radial pulse on a client. The pulse deficit is 16 beats/min.
What does this indicate? - CORRECT ANSWER-Not all of the heartbeats are reaching the periphery.
The nurse is assessing an elderly client's blood pressure and finds it to be high. Which of the following
characteristics should the nurse suspect to find in respect to this client's arteries? - CORRECT
ANSWERrigid
A nurse assesses a newly admitted 43-year-old client and documents the vital signs as follows:
temperature 98° F (36.7° C), pulse 93 beats/min regular rhythm and bounding, blood pressure 145/93
mm Hg, and respiratory rate 16 breaths/min. What is the first action of the nurse? - CORRECT
ANSWERAsk the client if they are experiencing any other symptoms
4 steps of nociception - CORRECT ANSWER-transduction, transmission, perception, modulation
6 types of pains - CORRECT ANSWER-visceral- abdominal
organs somatic- tissues, bones, joints cutaneous- skin referred-
feeling pain somewhere other than affected body part
phantom- pain felt in missing limb neuropathic- constant
stimulus
What is responsible for transmitting the sensations to the central nervous system? - CORRECT
ANSWERnocioceptors
As a nurse is adjusting a client's hospital bed, the nurse accidentally pinches a finger between the bed
and the wall. What components of the PNS is involved in the transduction of the pain the nurse feels? -
CORRECT ANSWER-A-delta and C fibers
A client is experiencing acute pain and has asked the nurse for medication. The client rates the pain as an
8 on a scale of 0 to 10. During assessment, a physiological response from the client that the nurse can
expect is: - CORRECT ANSWER-Diaphoresis (excessive sweating or perspiration)