NUR2459 / NUR 2459 Final Exam 2 LATEST
g g g g g g g
VERSIONS (Latest 2023) Mental & Behavioral He
g g g g g g
alth Nursing - Rasmussen
g g g
1. Thegnursegisgperforminggaggeneralgsurvey.gWhichgactiongisgagcomponentgofgthe
ggeneralgsurvey?
Observinggthegpatient’sgbodygstaturegandgnutritionalgstatus
2. Whengmeasuringgagpatient’sgweight,gthegnursegisgawaregofgwhichgofgthese
gguidelines?
Attemptsgshouldgbegmadegtogweighgthegpatientgatgapproximatelygthegsamegtimegofgday,
ifgagsequencegofgweightsgisgnecessary.
3. Agpatient’sgweeklygbloodgpressuregreadingsgforg2gmonthsghavegrangedgbetween
g124/84gmmgHggandg136/88gmmgHg,gwithgangaveragegreadinggofg126/86gmmgHg
.gThegnursegknowsgthatgthisgbloodgpressuregfallsgwithingwhichgbloodgpressuregc
ategory?gPrehypertension
4. Duringgangexaminationgofgagchild,gthegnursegconsidersgthatgphysicalggrowthgis
gthegbestgindexgofgagchild’s:gGeneralghealth.
5. Ag1-month-
oldginfantghasgagheadgmeasurementgofg34gcmgandghasgagchestgcircumferen
cegofg32gcm.gBasedgongtheginterpretationgofgthesegfindings,gthegnursegwoul
d:gConsidergthesegfindingsgnormalgforgag1-month-oldginfant.
6. Thegnursegisgassessinggang80-year-
oldgmalegpatient.gWhichgassessmentgfindingsgwouldgbegconsideredgnormal?
Presencegofgkyphosisgandgflexiongingthegkneesgandghips
7. Thegnursegshouldgmeasuregrectalgtemperaturesgingwhichgofgthesegpatients?
Comatosegadult
8. Thegnursegisgpreparinggtogmeasuregtheglength,gweight,gchest,gandgheadgci
rcumferencegofgag6-month-oldginfant.gWhichgmeasurementgtechniquegis
correct?
Measuringgthegchestgcircumferencegatgthegnippleglinegwithgagtapegmeasure
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,NUR2459 / NUR 2459: Final Exam (Latest )
g g g g g g g g g g
Mental & Behavioral Health Nursing - Rasmussen
g g g g g g
9. Thegnursegknowsgthatgonegadvantagegofgthegtympanicgmembranegthermometer
(TMT)gisgthat:gRapidgmeasurementgisgusefulgforguncooperativegyoungergchildren.
g
10. Whengassessinggangoldergadult,gwhichgvitalgsigngchangesgoccurgwithgaging?
Widenedgpulsegpressure
11. Thegnursegisgexamininggagpatientgwhogisgcomplaininggofgfeelinggcold.gWhichgis
a mechanismgofgheatglossgingthegbody?gRadiation
g g
12. Whengmeasuringgagpatientsgbodygtemperature,gthegnursegkeepsgingmindgthat
gbodygtemperaturegisginfluencedgby:
Diurnalgcycle.
13. Whengevaluatinggthegtemperaturegofgoldergadults,gthegnursegshouldgremember
whichgaspectgaboutgangoldergadult’sgbodygtemperature
g
Thegbodygtemperaturegofgthegoldergadultgisglowergthangthatgofgagyoungergadult.
14. Ag60-year-
oldgmalegpatientghasgbeengtreatedgforgpneumoniagforgthegpastg6gweeks.gHe
gisgseengtodaygingthegclinicgforgangunexplainedgweightglossgofg10gpoundsgov
ergtheglastg6gweeks.gThegnursegknowsgthat:
Unexplainedgweightglossgoftengaccompaniesgshort-termgillnesses.
15. Whengassessinggag75-year-
oldgpatientgwhoghasgasthma,gthegnursegnotesgthatghegassumesgagtripodgposition
,gleaninggforwardgwithgarmsgbracedgongthegchair.gOngthegbasisgofgthisgobservat
ion,gthegnursegshould:
d. Recognizegthatgagtripodgpositiongisgoftengusedgwhengagpatientgisghaving
respiratorygdifficulties.
16. Whichgofgthesegactionsgillustratesgthegcorrectgtechniquegthegnursegshouldguse
whengassessinggoralgtemperaturegwithgagmercurygthermometer?
g
b.gLeavegthegthermometergingplaceg3gtog4gminutesgifgthegpatientgisgafebrile.
17. ThegnursegisgtakinggtemperaturesgingagclinicgwithgagTMT.gWhichgstatementgis
truegregardinggusegofgthegTMT?
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Distributiongofgthisgdocumentgisgillegal
,NUR2459 / NUR 2459: Final Exam (Latest )
g g g g g g g g g g
Mental & Behavioral Health Nursing - Rasmussen
g g g g g g
c. Thegriskgofgcross-contaminationgisgreduced,gcomparedgwithgthegrectal
route. 18. To
assessga
rectalgtemperaturegaccuratelygingangadult,gthegnursegwould:
a. Usegaglubricatedgbluntgtipgthermometer.
19. Whichgtechniquegisgcorrectgwhengthegnursegisgassessinggthegradialgpulsegofg
agpatient?gThegpulsegisgcountedgfor:
a. 1gminute,gifgthegrhythmgisgirregular.
20. Whengassessinggagpatient’sgpulse,gthegnursegshouldgalsognoticegwhichgo
fgthesegcharacteristics?
Force
21. Whengassessinggthegpulsegofgag6-year-
oldgboy,gthegnursegnoticesgthatghisgheartgrategvariesgwithghisgrespiratorygcycle,gspe
edinggupgatgthegpeakgofginspirationgandgslowinggtognormalgwithgexpiration.gThegn
ursesgnextgactiongwouldgbegto:
b. Considergthisgfindinggnormalgingchildrengandgyounggadults.
22. Whengassessinggthegforce,gorgstrength,gofgagpulse,gthegnursegrecallsgthatgth
egpulse:
c. Isgagreflectiongofgthegheartsgstrokegvolume.
23. Thegnursegisgassessinggthegvitalgsignsgofgag20-year-
oldgmalegmarathongrunnergandgdocumentsgthegfollowinggvitalgsigns:gtemperature
36gC;gpulse48gbeatsgpergminute;grespirations14gbreathsgpergminute;gbloodgpressu
re104/68gmmgHg.gWhichgstatementgisgtruegconcerninggthesegresults?
b.gThesegaregnormalgvitalgsignsgforgaghealthy,gathleticgadult.
24. Thegnursegisgassessinggthegvitalgsignsgofgag3-year-
oldgpatientgwhogappearsgtoghavegangirregulargrespiratorygpattern.gHowgshouldgth
egnursegassessgthisgchild’sgrespirations?
a. Respirationsgshouldgbegcountedgforg1gfullgminute,gnoticinggrategand
rhythm. 25. Agpatient’s
gbloodgpressur
e
Downloadedgby:gtiphanie_swang|
m
Distributiongofgthisgdocumentgisgillegal
, NUR2459 / NUR 2459: Final Exam (Latest )
g g g g g g g g g g
Mental & Behavioral Health Nursing - Rasmussen
g g g g g g
isg118/82gmmgHg.gHegasksgthegnurse,gwhatgdogthegnumbersgmean?gThegnursesgbest
greplygis:
c. Thegtopgnumbergisgthegsystolicgbloodgpressuregandgreflectsgthegpressure
ofgthegbloodgagainstgthegarteriesgwhengthegheartgcontracts .
26. Whilegmeasuringgagpatient’sgbloodgpressure,gthegnursegrecallsgthatgcertai
ngfactors,gsuchgasg ,ghelpgdeterminegbloodgpressure.
d. Peripheralgvasculargresistance
27. Agnursegisghelpinggatgaghealthgfairgatgaglocalgmall.gWhengtakinggbloo
dgpressuresgongagvarietygofgpeople,gthegnursegkeepsgingmindgthat:
b. ThegbloodgpressuregofgagBlackgadultgisgusuallyghighergthangthatgofga
Whitegadultgofgthegsamegage.
28. Thegnursegnoticesgagcolleaguegisgpreparinggtogcheckgthegbloodgpressuregofg
agpatientgwhogisgobesegbygusinggagstandard-
sizedgbloodgpressuregcuff.gThegnursegshouldgexpectgthegreadinggto:
b.gYieldgagfalselyghighgbloodgpressure.
29. Agstudentgisglategforghisgappointmentgandghasgrushedgacrossgcampusgtogth
eghealthgclinic.gThegnursegshould:
a. Allowg5gminutesgforghimgtogrelaxgandgrestgbeforegcheckingghisgvital
signs.
30. Thegnursegwillgperformgagpalpatedgpressuregbeforegauscultatinggbloo
dgpressure.gThegreasongforgthisgisgto:
b.gDetectgthegpresencegofgangauscultatoryggap.
31. Thegnursegisgtakingganginitialgbloodgpressuregreadinggongag72-year-
oldgpatientgwithgdocumentedghypertension.gHowgshouldgthegnursegproceed?
c. Cuffgshouldgbeginflatedg30gmmgHggabovegthegpointgatgwhichgthe
palpatedgpulsegdisappears.
Downloadedgby:gtiphanie_swang|
m
Distributiongofgthisgdocumentgisgillegal
g g g g g g g
VERSIONS (Latest 2023) Mental & Behavioral He
g g g g g g
alth Nursing - Rasmussen
g g g
1. Thegnursegisgperforminggaggeneralgsurvey.gWhichgactiongisgagcomponentgofgthe
ggeneralgsurvey?
Observinggthegpatient’sgbodygstaturegandgnutritionalgstatus
2. Whengmeasuringgagpatient’sgweight,gthegnursegisgawaregofgwhichgofgthese
gguidelines?
Attemptsgshouldgbegmadegtogweighgthegpatientgatgapproximatelygthegsamegtimegofgday,
ifgagsequencegofgweightsgisgnecessary.
3. Agpatient’sgweeklygbloodgpressuregreadingsgforg2gmonthsghavegrangedgbetween
g124/84gmmgHggandg136/88gmmgHg,gwithgangaveragegreadinggofg126/86gmmgHg
.gThegnursegknowsgthatgthisgbloodgpressuregfallsgwithingwhichgbloodgpressuregc
ategory?gPrehypertension
4. Duringgangexaminationgofgagchild,gthegnursegconsidersgthatgphysicalggrowthgis
gthegbestgindexgofgagchild’s:gGeneralghealth.
5. Ag1-month-
oldginfantghasgagheadgmeasurementgofg34gcmgandghasgagchestgcircumferen
cegofg32gcm.gBasedgongtheginterpretationgofgthesegfindings,gthegnursegwoul
d:gConsidergthesegfindingsgnormalgforgag1-month-oldginfant.
6. Thegnursegisgassessinggang80-year-
oldgmalegpatient.gWhichgassessmentgfindingsgwouldgbegconsideredgnormal?
Presencegofgkyphosisgandgflexiongingthegkneesgandghips
7. Thegnursegshouldgmeasuregrectalgtemperaturesgingwhichgofgthesegpatients?
Comatosegadult
8. Thegnursegisgpreparinggtogmeasuregtheglength,gweight,gchest,gandgheadgci
rcumferencegofgag6-month-oldginfant.gWhichgmeasurementgtechniquegis
correct?
Measuringgthegchestgcircumferencegatgthegnippleglinegwithgagtapegmeasure
Downloadedgby:gtiphanie_swang|
m
Distributiongofgthisgdocumentgisgillegal
,NUR2459 / NUR 2459: Final Exam (Latest )
g g g g g g g g g g
Mental & Behavioral Health Nursing - Rasmussen
g g g g g g
9. Thegnursegknowsgthatgonegadvantagegofgthegtympanicgmembranegthermometer
(TMT)gisgthat:gRapidgmeasurementgisgusefulgforguncooperativegyoungergchildren.
g
10. Whengassessinggangoldergadult,gwhichgvitalgsigngchangesgoccurgwithgaging?
Widenedgpulsegpressure
11. Thegnursegisgexamininggagpatientgwhogisgcomplaininggofgfeelinggcold.gWhichgis
a mechanismgofgheatglossgingthegbody?gRadiation
g g
12. Whengmeasuringgagpatientsgbodygtemperature,gthegnursegkeepsgingmindgthat
gbodygtemperaturegisginfluencedgby:
Diurnalgcycle.
13. Whengevaluatinggthegtemperaturegofgoldergadults,gthegnursegshouldgremember
whichgaspectgaboutgangoldergadult’sgbodygtemperature
g
Thegbodygtemperaturegofgthegoldergadultgisglowergthangthatgofgagyoungergadult.
14. Ag60-year-
oldgmalegpatientghasgbeengtreatedgforgpneumoniagforgthegpastg6gweeks.gHe
gisgseengtodaygingthegclinicgforgangunexplainedgweightglossgofg10gpoundsgov
ergtheglastg6gweeks.gThegnursegknowsgthat:
Unexplainedgweightglossgoftengaccompaniesgshort-termgillnesses.
15. Whengassessinggag75-year-
oldgpatientgwhoghasgasthma,gthegnursegnotesgthatghegassumesgagtripodgposition
,gleaninggforwardgwithgarmsgbracedgongthegchair.gOngthegbasisgofgthisgobservat
ion,gthegnursegshould:
d. Recognizegthatgagtripodgpositiongisgoftengusedgwhengagpatientgisghaving
respiratorygdifficulties.
16. Whichgofgthesegactionsgillustratesgthegcorrectgtechniquegthegnursegshouldguse
whengassessinggoralgtemperaturegwithgagmercurygthermometer?
g
b.gLeavegthegthermometergingplaceg3gtog4gminutesgifgthegpatientgisgafebrile.
17. ThegnursegisgtakinggtemperaturesgingagclinicgwithgagTMT.gWhichgstatementgis
truegregardinggusegofgthegTMT?
Downloadedgby:gtiphanie_swang|
m
Distributiongofgthisgdocumentgisgillegal
,NUR2459 / NUR 2459: Final Exam (Latest )
g g g g g g g g g g
Mental & Behavioral Health Nursing - Rasmussen
g g g g g g
c. Thegriskgofgcross-contaminationgisgreduced,gcomparedgwithgthegrectal
route. 18. To
assessga
rectalgtemperaturegaccuratelygingangadult,gthegnursegwould:
a. Usegaglubricatedgbluntgtipgthermometer.
19. Whichgtechniquegisgcorrectgwhengthegnursegisgassessinggthegradialgpulsegofg
agpatient?gThegpulsegisgcountedgfor:
a. 1gminute,gifgthegrhythmgisgirregular.
20. Whengassessinggagpatient’sgpulse,gthegnursegshouldgalsognoticegwhichgo
fgthesegcharacteristics?
Force
21. Whengassessinggthegpulsegofgag6-year-
oldgboy,gthegnursegnoticesgthatghisgheartgrategvariesgwithghisgrespiratorygcycle,gspe
edinggupgatgthegpeakgofginspirationgandgslowinggtognormalgwithgexpiration.gThegn
ursesgnextgactiongwouldgbegto:
b. Considergthisgfindinggnormalgingchildrengandgyounggadults.
22. Whengassessinggthegforce,gorgstrength,gofgagpulse,gthegnursegrecallsgthatgth
egpulse:
c. Isgagreflectiongofgthegheartsgstrokegvolume.
23. Thegnursegisgassessinggthegvitalgsignsgofgag20-year-
oldgmalegmarathongrunnergandgdocumentsgthegfollowinggvitalgsigns:gtemperature
36gC;gpulse48gbeatsgpergminute;grespirations14gbreathsgpergminute;gbloodgpressu
re104/68gmmgHg.gWhichgstatementgisgtruegconcerninggthesegresults?
b.gThesegaregnormalgvitalgsignsgforgaghealthy,gathleticgadult.
24. Thegnursegisgassessinggthegvitalgsignsgofgag3-year-
oldgpatientgwhogappearsgtoghavegangirregulargrespiratorygpattern.gHowgshouldgth
egnursegassessgthisgchild’sgrespirations?
a. Respirationsgshouldgbegcountedgforg1gfullgminute,gnoticinggrategand
rhythm. 25. Agpatient’s
gbloodgpressur
e
Downloadedgby:gtiphanie_swang|
m
Distributiongofgthisgdocumentgisgillegal
, NUR2459 / NUR 2459: Final Exam (Latest )
g g g g g g g g g g
Mental & Behavioral Health Nursing - Rasmussen
g g g g g g
isg118/82gmmgHg.gHegasksgthegnurse,gwhatgdogthegnumbersgmean?gThegnursesgbest
greplygis:
c. Thegtopgnumbergisgthegsystolicgbloodgpressuregandgreflectsgthegpressure
ofgthegbloodgagainstgthegarteriesgwhengthegheartgcontracts .
26. Whilegmeasuringgagpatient’sgbloodgpressure,gthegnursegrecallsgthatgcertai
ngfactors,gsuchgasg ,ghelpgdeterminegbloodgpressure.
d. Peripheralgvasculargresistance
27. Agnursegisghelpinggatgaghealthgfairgatgaglocalgmall.gWhengtakinggbloo
dgpressuresgongagvarietygofgpeople,gthegnursegkeepsgingmindgthat:
b. ThegbloodgpressuregofgagBlackgadultgisgusuallyghighergthangthatgofga
Whitegadultgofgthegsamegage.
28. Thegnursegnoticesgagcolleaguegisgpreparinggtogcheckgthegbloodgpressuregofg
agpatientgwhogisgobesegbygusinggagstandard-
sizedgbloodgpressuregcuff.gThegnursegshouldgexpectgthegreadinggto:
b.gYieldgagfalselyghighgbloodgpressure.
29. Agstudentgisglategforghisgappointmentgandghasgrushedgacrossgcampusgtogth
eghealthgclinic.gThegnursegshould:
a. Allowg5gminutesgforghimgtogrelaxgandgrestgbeforegcheckingghisgvital
signs.
30. Thegnursegwillgperformgagpalpatedgpressuregbeforegauscultatinggbloo
dgpressure.gThegreasongforgthisgisgto:
b.gDetectgthegpresencegofgangauscultatoryggap.
31. Thegnursegisgtakingganginitialgbloodgpressuregreadinggongag72-year-
oldgpatientgwithgdocumentedghypertension.gHowgshouldgthegnursegproceed?
c. Cuffgshouldgbeginflatedg30gmmgHggabovegthegpointgatgwhichgthe
palpatedgpulsegdisappears.
Downloadedgby:gtiphanie_swang|
m
Distributiongofgthisgdocumentgisgillegal
