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NR 302 Final Exam Review questions with answers

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NR 302 Final Exam Review questions with answers

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NR 302 Final Exam Review questions with
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The nurse notes documentation that a client is exhibiting Cheyne-
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\




Stokes respirations. On assessment of the client, the nurse should
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\




expect to note which finding?
|/\ |/\ |/\ |/\ |/\




1. Increasing rate and depth of respirations with periods of apnea
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\




2. Regular rapid and deep, sustained respirations
|/\ |/\ |/\ |/\ |/\ |/\




3. Totally irregular respiration in rhythm and depth
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\




4. Irregular respirations with pauses at the end of inspiration and
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\




expiration -
|/\ |/\ |/\ CORRECT ANSWERS ✔✔1. Increasing rate and |/\ |/\ |/\ |/\ |/\




depth of respirations with periods of apnea. pg. 434
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\




A client diagnosed with conductive hearing loss (physical
|/\ |/\ |/\ |/\ |/\ |/\ |/\




obstruction) 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?
|/\ |/\ |/\ |/\ |/\




1. A deficit in the cochlea
|/\ |/\ |/\ |/\ |/\




2. A deficit in cranial nerve VIII
|/\ |/\ |/\ |/\ |/\ |/\




1
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,3. A physical obstruction to the transmission of sound waves
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\




4. A defect in the sensory fibers that lead to the cerebral cortex -
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\




|/\ CORRECT ANSWERS ✔✔3. A physical obstruction to the |/\ |/\ |/\ |/\ |/\ |/\ |/\




transmission of sound waves
|/\ |/\ |/\ |/\




The nurse is testing the extra ocular 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?
|/\




1. Test corneal reflexes
|/\ |/\ |/\




2. Test 6 cardinal positions of gaze
|/\ |/\ |/\ |/\ |/\ |/\




3. Test visual acuity, using Snellen eye chart
|/\ |/\ |/\ |/\ |/\ |/\ |/\




4. Test sensory function by asking client to close the eyes and then
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\




lightly touching the forehead, cheeks, chin -
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ CORRECT ANSWERS |/\




✔✔2. Test 6 cardinal positions of gaze
|/\ |/\ |/\ |/\ |/\ |/\ |/\




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 a respiratory
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\




assessment on this client?
|/\ |/\ |/\ |/\




2
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, 1. Stridor
|/\




2. Crackles
|/\




3. Wheezes
|/\




4. Diminishe -
|/\ |/\ |/\ CORRECT ANSWERS ✔✔3. Wheezes |/\ |/\ |/\




high pitched squeaking sound |/\ |/\ |/\




The nurse is 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?
|/\ |/\ |/\ |/\ |/\ |/\




1. You have normal vision
|/\ |/\ |/\ |/\




2. You have some degree of blindness
|/\ |/\ |/\ |/\ |/\ |/\




3. You can read at a distance of 20 ft what a person with normal
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\




vision can read at 30 ft
|/\ |/\ |/\ |/\ |/\ |/\




4. You can read at a distance of 30 ft what a person with normal
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\




vision can read at 20 ft -
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ CORRECT ANSWERS ✔✔3. You can read |/\ |/\ |/\ |/\ |/\




at a distance of 20 ft what a person with normal vision can read at
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\




30 ft
|/\ |/\




The nurse performing a neurological exam is assessing eye
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\




movement to evaluate cranial nerves III, IV, VI. Using a flashlight,
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\




the nurse would perform which action to obtain assessment data?
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\




3
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