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Exam (elaborations)

NR 302 FINAL EXAM 2025 WITH DETAILED QUESTIONS AND VERIFIED CORRECT ANSWERS/ ALREADY GRADED A++

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NR 302 FINAL EXAM 2025 WITH DETAILED QUESTIONS AND VERIFIED CORRECT ANSWERS/ ALREADY GRADED A++ NR 302 FINAL EXAM 2025 WITH DETAILED QUESTIONS AND VERIFIED CORRECT ANSWERS/ ALREADY GRADED A++

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2024/2025
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NR 302 EXAM 2024/2025 WITH DETAILED QUESTIONS AND
VERIFIED CORRECT ANSWERS/ ALREADY GRADED A++
What four ways do you begin to assess a patient and in what order do you
go? -ANSWER 1. Inspection
2. Palpatation
3. Percussion
4. Auscultation

what part of the hand is used to feel temperature? -ANSWER dorsal
surface

what part of the hand is used to feel vibrations such as tactile fremitus? -
ANSWER ulnar surface or ball of palms

what part of the hand is used for fine sensations like pulses or edema? -
ANSWER Finger tips/pads

Describe a tympany sound and give an example where you would hear it? -
ANSWER Loud, High pitched, medium, drum like

Example- organ filled with air like stomach

Hint- Tympany over tummy

Describe the dullness sound and where you would hear it? -ANSWER High
pitched, soft and short

Example- solid organs liver, spleen, tumors

Tip- dullness end in two ss for soft and short

Describe resonance and where you would hear it? -ANSWER Loud, low
pitched,long


Example- Lungs

Describe hyperresonance and where it would be heard? -ANSWER Same
as resonance but longer

,hyper-Resonance is the longest word therefore longest sound

Lungs but if air is trapped

Describe flatness sound and where you might hear it? -ANSWER High-
pitch, very soft and very short

Solid tissue- muscle and bone

Tip- flatness end in two ss for soft and short

what side of the stethoscope is used for which sounds and when would you
use it? -ANSWER Diaphragm is used for High pitch sounds like breath,
heart and bowel sounds
heavy pressure applied

Hint- High pitch highly important sounds like the heart

Bell is used for low pitch sounds like abnormal heart like murmur and
vascular sounds

Hint- Bell has ll for low pitch and light pressure

What is an ophthalmoscope used for and what is an otoscope used for? -
ANSWER opthalmoscope is used to examine the eyes

Hint- Opthal has a p for pupil

Otoscope is used for the ears and nose

Hint-oto has T for tympanic or tympany which are ear related

What do you use in a general survey and what do you assess with it? -
ANSWER Your senses, vision, hearing smell

you can assess physical appearence, body structure, mobility and behavior

GS- Grocery store, you can do this assessment in a grocery store because
you don't touch people

,What is the BMI scale and why is important? -ANSWER 19-24 healthy
weight
25-29 overweight
>30 obese

It is important for medication dosage and it is a risk factor

Where is the apical pulse located? -ANSWER Heart, 5th intercostal space
left midclavicular line, Auscultate for FULL 1 minute

What is the wong-baker scale and who will use it? -ANSWER the "faces"
pain scale used for children 3 and up

What does ABCT stand for in terms of mental status assessment? -
ANSWER A-appearance
B-Behavior
C- Cognitive function
T- Thought processes and perceptions

What are the levels of consciousness? -ANSWER alert= awake
lethargic= people waking up
obtunded= Might have to shout of provide touch to wake
Stupor= might have to provide painful stimuli to awake
coma= not going to wake, unconsciousness

Whats the difference between a symptom and a sign? -ANSWER a
symtom is subjective and a sign is objective.

Whats the difference between ADLS and IADLs? -ANSWER ADLs are just
doing self care of physical health, IADLs (instrumental) are whats needed
for independent living like housekeeping, cooking, laundry, shopping

What is a nursing diagnosis? -ANSWER The patients response to the
situation they are in.

Example- Pt has a fractured arm. Acute pain from fracture arm.

Fractured arm is the medical diagnosis.

, Acute pain related to fracture arm is the nursing diagnosis. nursing
diagnosis sticks within our scope of treatment.

What is cutaneous pain? -ANSWER pain originating from skin surface or
subcutaneous structures

Hint- Cutaneous think cut like paper cut

What is somatic pain? -ANSWER originating from muscle, bone, joints,
tendons, or blood vessels

Example-High ankle spain

What is visceral pain? -ANSWER Originating from interior organs
Aching, burning

Example- Obstructed bowl or appendicitis

What is referred pain? -ANSWER pain felt in a part of the body other than
its actual source

Example- I have a bad gallbladder but my shoulder hurts

A patient is in the emergency department with nausea and vomiting. Which
would you include in the database?
a. A complete health history and full physical examination
b. A diet and GI history
c. Previously identified problems d. Start collection of data in conjunction
with lifesaving measure -ANSWER b. A diet and GI history

Which best describes evidence-based nursing practice?
a. Combining clinical expertise with the use of nursing research to provide
the best care for patients while considering the patient's values and
circumstances
b. Appraising and looking at the implications of one or two articles as they
relate to the culture and ethnicity of the patient
c. Completing a literature search to find relevant articles that use nursing
research to encourage nurses to use good practices
d. Finding value-based resources to justify nursing actions when working
with patients of diverse cultural backgrounds -ANSWER a. Combining

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