NR 302 FINAL EXAM 2024/2025 WITH DETAILED QUESTIONS
AND VERIFIED CORRECT ANSWERS/ ALREADY GRADED
A++
the nurse notes documentation that a client is exhibiting cheyne-strokes
respirations. on assessment of the client, the nurse should expect to note
which finding?
a. increasing rate and depth of respirations with periods of apnea
b. regular rapid and deep, sustained respirations
c. totally irregular respiration in rhythm and depth
d. irregular respirations with pauses at the end of inspiration and expiration
- ANSWER a. increasing rate and depth of respirations with periods of
apnea
tachypnea - ANSWER regular rapid and deep, sustained respirations
bradypnea - ANSWER irregular respirations with pauses at the end of
inspiration and expiration
a client diagnosed with conductive hearing loss asks the nurse to explain
the cause of the hearing problem. the nurse plans to explain to the client
that this condition is caused by which problem?
a. a defect in the cochlea
b. a defect in cranial nerve VIII
c. a physical obstruction to the transmission of sound waves
d. a defect in the sensory fibers that lead to the cerebral cortex - ANSWER
c. a physical obstruction to the transmission of sound waves
(conductive- something blocking the noise from getting through)
sensory neuro hearing loss - ANSWER issue with cranial nerves, defect in
cochlea and sensory fibers
the nurse is testing the extraocular movements in a client to assess for
muscle weakness in the eyes. The nurse should implement which
assessment technique to assess for muscle weakness in the eye
a. test the corneal reflexes
b. test the 6 cardinal positions of gaze
c. test visual acuity, using a snellen eye char
,d. test sensory function by asking the client to close the eyes and then
lightly toughing the forehead, cheeks, and chin - ANSWER b. test the 6
cardinal positions of gaze
snellen chart used for - ANSWER visual acuity
corneal reflexes - ANSWER use a light or to see if the nerves are intact
test sensory function by asking the client to close the eyes and then lightly
toughing the forehead, cheeks, and chin - ANSWER cranial nerve V-
trigeminal
a client with a diagnosis of asthma is admitted to the hospital with
respiratory distress. which type of adventitious lung sounds should the
nurse expect to hear when performing respiratory assessment on this
client?
a. stridor
b. crackles
c. wheezes
d. diminished - ANSWER c. wheezes-expiration
stridor sounds like - ANSWER crowing-inspiration, upper airway
epiglotitis
croup
obstructed airway
crackles - ANSWER popping sounds
pneumonia
air passing through liquid
diminished - ANSWER poor oxygenation
pleuracy - ANSWER inflammation of pleural lining
friction rub sound
pneumonia - ANSWER crackles
labored breathing
accessory muscles
nasal flaring in children
,percussion with pneumonia is a dull tone
to prevent pneumonia - ANSWER coughing and deep breathing
incentive spirometer
the nurse if reviewing a client's record and notes that the result of a vision
test using a snellen chart is 20/30. how should the nurse explain these
results to the client?
a. "you have normal vision"
b. "you have some degree of blindness"
c. "you can read at a distance of 20 feet what a person with normal vision
can read at 30 feet"
d. "you can read at a distance of 30 ft what a person with normal vision can
read at 20 feet" - ANSWER c. "you can read at a distance of 20 feet what a
person with normal vision can read at 30 feet"
2200 - ANSWER legally blind
the nurse performing a neurological examination is assessing eye
movement to evaluate cranial nerves III, IV, and VI. using a flashlight, the
nurse would perform which action to obtain the assessment data?
a. turn the flashlight on directly in front of the eye and watch for a response
b. ask the client to follow the flashlight through the six cardinal positions of
gaze
c. instruct the client to look straight ahead, and then shine the flashlight
from the temporal area to the eye
d. check pupil size, and then ask the client to alternate looking at the
flashlight and the examiner's finger - ANSWER b. ask the client to follow
the flashlight through the six cardinal positions of gaze
a client is diagnosed with external otitis. which finding would the nurse
expect to note on assessment of the client?
a. a wider than normal ear canal
b. a pearly gray tympanic membrane
c. redness and swelling in the ear canal
d. an excessive amount of cerumen lodged in the ear canal - ANSWER c.
redness and swelling in the ear canal
the nurse is preparing to perform a weber test on a client. the nurse should
obtain which item needed to perform this test?
, a. a tuning fork
b. stethescope
c. tongue blade
d. reflex hammer - ANSWER a. a tuning fork
put on top of head
rine test - ANSWER tuninf fork on porcess na dbring it to side of ear
a nursing student is performing a respiratory assessment on a female adult
client and is assessing for tactile fremitus. which action by the nursing
student indicated a need for further teaching
a. palpating over the lung apices in the supraclavicular area
b. asking the client to repeat the word "99" during palpation
c. palpating over the breast tissue to assess and compare vibrations from
one side to the other
d. comparing vibration from one side to the other as the client repeats the
word "99" - ANSWER c. palpating over the breast tissue to assess and
compare vibrations from one side to the other
the nurse in the health care clinic is performing a neurological assessment
and is testing the motor function of cranial nerve V. which technique should
the nurse implement to test the motor function of this nerve
a. ask the client to puff out the cheeks
b. separate the client's jaw by pushing down on the chin
c. place a small amount of sugar on the client's tongue and ask him or her
to identify the taste
d. ask the client to rotate the head forcibly agains resistance applied to the
side of his or. her chin - ANSWER b. separate the client's jaw by pushing
down on the chin
the nurse in a health care clinic is preparing to test a client for
accommodation. initially, the nurse should ask the client to take which
action?
a. focus on a close object
b. focus on a distant object
c. close one eye and read letters on a chart
d. raise one finger when a sound is heard - ANSWER b. fucus on a distant
object
AND VERIFIED CORRECT ANSWERS/ ALREADY GRADED
A++
the nurse notes documentation that a client is exhibiting cheyne-strokes
respirations. on assessment of the client, the nurse should expect to note
which finding?
a. increasing rate and depth of respirations with periods of apnea
b. regular rapid and deep, sustained respirations
c. totally irregular respiration in rhythm and depth
d. irregular respirations with pauses at the end of inspiration and expiration
- ANSWER a. increasing rate and depth of respirations with periods of
apnea
tachypnea - ANSWER regular rapid and deep, sustained respirations
bradypnea - ANSWER irregular respirations with pauses at the end of
inspiration and expiration
a client diagnosed with conductive hearing loss asks the nurse to explain
the cause of the hearing problem. the nurse plans to explain to the client
that this condition is caused by which problem?
a. a defect in the cochlea
b. a defect in cranial nerve VIII
c. a physical obstruction to the transmission of sound waves
d. a defect in the sensory fibers that lead to the cerebral cortex - ANSWER
c. a physical obstruction to the transmission of sound waves
(conductive- something blocking the noise from getting through)
sensory neuro hearing loss - ANSWER issue with cranial nerves, defect in
cochlea and sensory fibers
the nurse is testing the extraocular movements in a client to assess for
muscle weakness in the eyes. The nurse should implement which
assessment technique to assess for muscle weakness in the eye
a. test the corneal reflexes
b. test the 6 cardinal positions of gaze
c. test visual acuity, using a snellen eye char
,d. test sensory function by asking the client to close the eyes and then
lightly toughing the forehead, cheeks, and chin - ANSWER b. test the 6
cardinal positions of gaze
snellen chart used for - ANSWER visual acuity
corneal reflexes - ANSWER use a light or to see if the nerves are intact
test sensory function by asking the client to close the eyes and then lightly
toughing the forehead, cheeks, and chin - ANSWER cranial nerve V-
trigeminal
a client with a diagnosis of asthma is admitted to the hospital with
respiratory distress. which type of adventitious lung sounds should the
nurse expect to hear when performing respiratory assessment on this
client?
a. stridor
b. crackles
c. wheezes
d. diminished - ANSWER c. wheezes-expiration
stridor sounds like - ANSWER crowing-inspiration, upper airway
epiglotitis
croup
obstructed airway
crackles - ANSWER popping sounds
pneumonia
air passing through liquid
diminished - ANSWER poor oxygenation
pleuracy - ANSWER inflammation of pleural lining
friction rub sound
pneumonia - ANSWER crackles
labored breathing
accessory muscles
nasal flaring in children
,percussion with pneumonia is a dull tone
to prevent pneumonia - ANSWER coughing and deep breathing
incentive spirometer
the nurse if reviewing a client's record and notes that the result of a vision
test using a snellen chart is 20/30. how should the nurse explain these
results to the client?
a. "you have normal vision"
b. "you have some degree of blindness"
c. "you can read at a distance of 20 feet what a person with normal vision
can read at 30 feet"
d. "you can read at a distance of 30 ft what a person with normal vision can
read at 20 feet" - ANSWER c. "you can read at a distance of 20 feet what a
person with normal vision can read at 30 feet"
2200 - ANSWER legally blind
the nurse performing a neurological examination is assessing eye
movement to evaluate cranial nerves III, IV, and VI. using a flashlight, the
nurse would perform which action to obtain the assessment data?
a. turn the flashlight on directly in front of the eye and watch for a response
b. ask the client to follow the flashlight through the six cardinal positions of
gaze
c. instruct the client to look straight ahead, and then shine the flashlight
from the temporal area to the eye
d. check pupil size, and then ask the client to alternate looking at the
flashlight and the examiner's finger - ANSWER b. ask the client to follow
the flashlight through the six cardinal positions of gaze
a client is diagnosed with external otitis. which finding would the nurse
expect to note on assessment of the client?
a. a wider than normal ear canal
b. a pearly gray tympanic membrane
c. redness and swelling in the ear canal
d. an excessive amount of cerumen lodged in the ear canal - ANSWER c.
redness and swelling in the ear canal
the nurse is preparing to perform a weber test on a client. the nurse should
obtain which item needed to perform this test?
, a. a tuning fork
b. stethescope
c. tongue blade
d. reflex hammer - ANSWER a. a tuning fork
put on top of head
rine test - ANSWER tuninf fork on porcess na dbring it to side of ear
a nursing student is performing a respiratory assessment on a female adult
client and is assessing for tactile fremitus. which action by the nursing
student indicated a need for further teaching
a. palpating over the lung apices in the supraclavicular area
b. asking the client to repeat the word "99" during palpation
c. palpating over the breast tissue to assess and compare vibrations from
one side to the other
d. comparing vibration from one side to the other as the client repeats the
word "99" - ANSWER c. palpating over the breast tissue to assess and
compare vibrations from one side to the other
the nurse in the health care clinic is performing a neurological assessment
and is testing the motor function of cranial nerve V. which technique should
the nurse implement to test the motor function of this nerve
a. ask the client to puff out the cheeks
b. separate the client's jaw by pushing down on the chin
c. place a small amount of sugar on the client's tongue and ask him or her
to identify the taste
d. ask the client to rotate the head forcibly agains resistance applied to the
side of his or. her chin - ANSWER b. separate the client's jaw by pushing
down on the chin
the nurse in a health care clinic is preparing to test a client for
accommodation. initially, the nurse should ask the client to take which
action?
a. focus on a close object
b. focus on a distant object
c. close one eye and read letters on a chart
d. raise one finger when a sound is heard - ANSWER b. fucus on a distant
object
