NR302 Final Comprehensive Exam
Questions and Answers 2025
Which assessment by the nurse most likely indicates that a patient is having difficulty breathing?
a. 18 breaths per minute and inhaled through the mouth
b. 20 breathes per minute and shallow in character
c. 16 breaths per minute and deep in character
d. 28 breaths per minute and noisy - ANSWERd. 28 breaths per minute and noisy
Which should a nurse always do when taking a rectal temperature?
a. Allow self-insertion of the thermometer.
b. Position the patient on the left side.
c. Use an electronic thermometer.
d. Lubricate the thermometer. - ANSWERd. Lubricate the thermometer.
A nurse is assessing a patient'sideal body weight. Which significant factor should be takin into
consideration when performing this assessment?
a. Daily intake
b. Body height
c. Clothing size
d. Food preferences - ANSWERb. Body height
A nurse asks a patient's wife specific questions about the patient's health status before admission.
When collecting this information, the nurse is seeking information from a:
a. Primary source
b. Tertiary sources
c. Subjective source
d. Secondary source - ANSWERd. Secondary source
A nurse is preforming a physical assessment of a newly admitted patient. Which patient
statement communicates subjective data?
a. "I have sores between my toes."
b. "I dye my hair but it isreally gray."
c. "My joints hurt when I get up in the morning."
d. "My left leg drags on the floor when I am walking." - ANSWERc. "My joints hurt when I get
up in the morning."
A nurse takes a patient's blood pressure and records a diastolic pressure of 120 mm Hg. Which
should the nurse do first?
a. Notify the primary health-care provider.
b. Retake the blood pressure.
c. Notify the nurse in charge.
d. Take the other vitalsigns - ANSWERb. Retake the blood pressure.
, NR302 Final Comprehensive Exam
Questions and Answers 2025
A patient who experienced a stroke has left-sided hemiparesis and is incontinent of urine. Which
is an appropriately worded nursing diagnosis for this patient?
a. The patient has a need to maintain skin integrity.
b. The patient has a stroked evidenced by hemiparesis and incontinence.
c. The patient will be clean and dry and will receive range-of-motion exercises every four hours.
d. The patient is at risk for impaired skin integrity related to left-sided hemiparesis and
incontinence - ANSWERd. The patient is at risk for impaired skin integrity related to left-sided
hemiparesis and incontinence
A patient had a stroke that resulted in paralysis of the right side. When clustering data, the nurse
grouped the following together: drooling of saliva and slurred speech. Which information is most
significant to include with this clustered data?
a. Receptive aphasia
b. Inability to ambulate
c. Difficulty swallowing
d. Incontinence of bowel movements - ANSWERc. Difficulty swallowing
A nurse usesthe interviewing process of clarification when interviewing a patient. Which is the
nurse doing when this communication technique is used? a. Paraphrasing the patient's message
b. Restating what the patient has said
c. Reviewing the patient's communication
d. Verifying what isimplied by the patient - ANSWERd. Verifying what isimplied by the patient
A patient has dependent edema of the ankles and feet and is obese. Which diet should the nurse
expect the primary health-care provider to order?
a. Low in sodium and high in fat
b. Low in sodium and low in calories
c. High in sodium and high in protein
d. High in sodium and low in carbohydrates - ANSWERb. Low in sodium and low in calories
A patient who is undergoing cancer chemotherapy says to the nurse, "This is no way to live."
Which response uses reflective techniques?
a. "Tell me more about what you are thinking."
b. "You sound discouraged today."
c. "Life is not worth living?"
d. "What are you saying?" - ANSWER
A nurse is assessing a patient who reports being incontinent. Which question should the nurse
ask to elicit information related to urge incontinence?
a. "Does urination occur immediately after coughing?"
b. "Do you urinate small amounts of urine frequently?"
Questions and Answers 2025
Which assessment by the nurse most likely indicates that a patient is having difficulty breathing?
a. 18 breaths per minute and inhaled through the mouth
b. 20 breathes per minute and shallow in character
c. 16 breaths per minute and deep in character
d. 28 breaths per minute and noisy - ANSWERd. 28 breaths per minute and noisy
Which should a nurse always do when taking a rectal temperature?
a. Allow self-insertion of the thermometer.
b. Position the patient on the left side.
c. Use an electronic thermometer.
d. Lubricate the thermometer. - ANSWERd. Lubricate the thermometer.
A nurse is assessing a patient'sideal body weight. Which significant factor should be takin into
consideration when performing this assessment?
a. Daily intake
b. Body height
c. Clothing size
d. Food preferences - ANSWERb. Body height
A nurse asks a patient's wife specific questions about the patient's health status before admission.
When collecting this information, the nurse is seeking information from a:
a. Primary source
b. Tertiary sources
c. Subjective source
d. Secondary source - ANSWERd. Secondary source
A nurse is preforming a physical assessment of a newly admitted patient. Which patient
statement communicates subjective data?
a. "I have sores between my toes."
b. "I dye my hair but it isreally gray."
c. "My joints hurt when I get up in the morning."
d. "My left leg drags on the floor when I am walking." - ANSWERc. "My joints hurt when I get
up in the morning."
A nurse takes a patient's blood pressure and records a diastolic pressure of 120 mm Hg. Which
should the nurse do first?
a. Notify the primary health-care provider.
b. Retake the blood pressure.
c. Notify the nurse in charge.
d. Take the other vitalsigns - ANSWERb. Retake the blood pressure.
, NR302 Final Comprehensive Exam
Questions and Answers 2025
A patient who experienced a stroke has left-sided hemiparesis and is incontinent of urine. Which
is an appropriately worded nursing diagnosis for this patient?
a. The patient has a need to maintain skin integrity.
b. The patient has a stroked evidenced by hemiparesis and incontinence.
c. The patient will be clean and dry and will receive range-of-motion exercises every four hours.
d. The patient is at risk for impaired skin integrity related to left-sided hemiparesis and
incontinence - ANSWERd. The patient is at risk for impaired skin integrity related to left-sided
hemiparesis and incontinence
A patient had a stroke that resulted in paralysis of the right side. When clustering data, the nurse
grouped the following together: drooling of saliva and slurred speech. Which information is most
significant to include with this clustered data?
a. Receptive aphasia
b. Inability to ambulate
c. Difficulty swallowing
d. Incontinence of bowel movements - ANSWERc. Difficulty swallowing
A nurse usesthe interviewing process of clarification when interviewing a patient. Which is the
nurse doing when this communication technique is used? a. Paraphrasing the patient's message
b. Restating what the patient has said
c. Reviewing the patient's communication
d. Verifying what isimplied by the patient - ANSWERd. Verifying what isimplied by the patient
A patient has dependent edema of the ankles and feet and is obese. Which diet should the nurse
expect the primary health-care provider to order?
a. Low in sodium and high in fat
b. Low in sodium and low in calories
c. High in sodium and high in protein
d. High in sodium and low in carbohydrates - ANSWERb. Low in sodium and low in calories
A patient who is undergoing cancer chemotherapy says to the nurse, "This is no way to live."
Which response uses reflective techniques?
a. "Tell me more about what you are thinking."
b. "You sound discouraged today."
c. "Life is not worth living?"
d. "What are you saying?" - ANSWER
A nurse is assessing a patient who reports being incontinent. Which question should the nurse
ask to elicit information related to urge incontinence?
a. "Does urination occur immediately after coughing?"
b. "Do you urinate small amounts of urine frequently?"
