Nursing 110 Exam One Review Questions And Answers

NURSING 110 EXAM ONE REVIEW
QUESTIONS AND ANSWERS

Thejknursejkisjkvisitingjkthejkpatientjkforjkthejkfirstjktimejkthisjkshift.jkShejkintroducesjkherselfjka
ndjkasksjkthejkpatientjkseveraljkquestionsjkrelatedjktojkhisjkcondition.jkWhilejkdoingjkso,jkandjk
withoutjkbeingjkobvious,jkshejkisjklookingjkatjkthejkcolorjkofjkhisjkeyesjkandjkisjkassessingjkhisjk
earsjkandjknosejkforjkdischargejkandjkthejksymmetryjkofjkhisjkmouth.jkWhichjkassessmentjkte
chniquejkisjkthejknursejkusing?
A:jkpalpation
B:jkpercussion
C:jkinspection
D:jkauscultationjk-jkanswer--C:jkinspection

Thejkpatientjkisjkadmittedjkwithjkfeverjkandjkacutejklowerjkabdominaljkpain.jkHejkhasjktakenjkt
ylenoljkbutjksaysjkhejkstilljkfeelsjkfeverish.jkBeforejktakingjkthejkpatient'sjktemperature,jkthejkn
ursejkmay:
A:jktouchjkthejkpatientsjkskinjkwithjkthejkdorsaljkofjkherjkhand
B:jktouchjkthejkpatientsjkskinjkwithjkthejkpadsjkofjkherjkfinger
C:jkpalpatejkthejkskinjkusingjkthejkbimanualjkmethod
D:jktouchjkthejkpatientsjkskinjkwithjkthejkpalmarjksidejkofjkherjkhandjk-jkanswer--
A:jktouchjkthejkpatientsjkskinjkwithjkthejkdorsaljkofjkherjkhand

Whatjkshouldjkthejknursejkdojkwhenjkpreparingjktojkcompletejkanjkassessmentjkforjkajk16jkye
arjkoldjkpatient?
A:jkfocusjkonjkthejkillnessjkbehaviors
B:jkplanjkforjkajkdiminishedjkenergyjklevel
C:jktreatjkthejkpatientjkasjkanjkindividual
D:jkhavejkthejkparentsjkpresentjkthroughoutjk-jkanswer--
C:jktreatjkthejkpatientjkasjkanjkindividual

Thejkgeneraljksurveyjkbeginsjkwithjkajkreviewjkofjkthejkpatient'sjkprimaryjkhealthjkproblemsjka
ndjkanjkevaluationjkofjkthejkpatient'sjkvitaljksigns,jkheightjkandjkweight,jkgeneraljkbehavior,jka
ndjkappearance.jkItjkalsojkprovidesjkinformationjkaboutjkthejkpatient'sjkillness,jkhygiene,jkski
njkcondition,jkbodyjkimage,jkandjkemotionaljkstate.jkWhichjkofjkthejkfollowingjkcannotjkbejkdel
egatedjktojknursingjkassistivejkpersonnel?
A:jkreportingjksubjectivesjksignsjkandjksymptoms
B:jkmeasuringjkthejkpatientsjkheightjkandjkweight
C:jkmonitoringjkI&O
D:jkobtainingjkinitialjkvitaljksignsjk-jkanswer--D:jkobtainingjkinitialjkvitaljksigns

Thejknursejkisjkpreparingjktojkexaminejkajkpatientjkwhojkhasjkchronicjklungjkdisease.jkShejkre
alizesjkthatjkthejkpatientjkmostjklikelyjkwilljkneedjktojkbejkinjkwhichjkpositionjkforjkthejkexaminat
ion?
A:jkhighjkfowlers
B:jksupine

,C:jkside-lying
D:jkpronejk-jkanswer--A:jkHighjkfowlers

Nursingjkdiagnosesjkmeetjkspecificjkcriteriajksojktheyjkaccuratelyjkreflectjkbothjkthejkcelintsjk
problemjkandjkthejkpossiblejketiologyjkinvolved.jkOfjkthejkfollowingjkstatements,jkwhichjkonej
kisjkanjkexamplejkofjkanjkappropriatelyjkwrittenjknursingjkdiagnosis?

A:jkcardiacjkoutputjkdecreasedjkrelatedjktojkmotorjkvehiclejkaccidents
B:jkpotentialjkforjkinjuryjkrelatedjktojkimproperjkteachingjkinjkthejkusejkofjkcrutches
C:jkineffectivejkairwayjkclearancejkrelatedjktojkincreasedjksecretions
D:jkriskjkforjkchangejkinjkbodyjkimagejkrelatedjktojkcancerjk-jkanswer--
C:jkineffectivejkairwayjkclearancejkrelatedjktojkincreasedjksecretions

Wherejkisjkthejkpulmonicjkareajkforjkauscultationjkfound?
A:jksecondjkintercostaljkspacejkonjkthejkrightjkside
B:jksecondjkintercostaljkspacejkonjkthejkleftjkside
C:jkthirdjkintercostaljkspace
D:jkfourthjkintercostaljkspacejkalongjkthejksternumjk-jkanswer--
B:jksecondjkintercostaljkspacejkonjkthejkleftjkside

Whilejkperformingjkajkcardiovascularjkassessmentjkonjkajkpatientjkwithjksuspectedjkleft-
sidedjkcongestivejkheartjkfailure,jkthejknursejkisjkunablejktojkpalpatejkthejkPMIjkwithjkthejkpati
entjklyingjksupine.jkWhatjkmightjkherjknextjkstepjkbe?
A:jkhavejkthejkpatientjkturnjkontojkhisjkleftjkside
B:jkhavejkthejkpatientjkleanjkforward
C:jkhavejkthejkpatientjkmovejktojkajksittingjkposition
D:jkpalpatejkthejkPMIjktojkthejkrightjkofjkthejkmidclavicularjklinejk-jkanswer--
A:jkhavejkthejkpatientjkturnjkontojkhisjkleftjkside

Whichjkofjkthejkfollowingjkshouldjkthejknursejkimplementjkforjkassessmentjkofjkthejkcarotidjka
rtery?
A:jkmassagingjkthejkarteriesjkbriskly
B:jkusingjkthejkdiaphragmjkofjkthejkstethoscope
C:jkpalpatingjkeachjkcarotidjkarteryjkseparately
D:jkplacingjkthejkpatientjkinjkajksupinejkpositionjk-jkanswer--
C:jkPalpatingjkeachjkcarotidjkarteryjkseparately

Whichjkofjkthejkfollowingjkisjkanjkunexpectedjkfindingjkafterjkajkcardiacjkassessment?
A:jkajkpulsejkratejkofjk72jkbeatsjkperjkminute.
B:jkjugularjkveinjkpulsationjkwithjkthejkpatientjksupine.
C:jkPMIjkfoundjkatjkthejkmidclavicularjkline.
D:jkajksustainedjkswishingjksoundjkduringjksystolejkorjkdiastole.jk-jkanswer--
D:jkajksustainedjkswishingjksoundjkduringjksystolejkorjkdiastole

Howjkshouldjkthejknursejkdocumentjkanjkexaggerationjkofjkthejkposteriorjkcurvaturejkofjkthejk
thoracicjkspinejkfoundjkduringjkthejkassessmentjkofjkajk90jkyearjkoldjkpatient?
A:jklordosis.
B:jkosteoporosis.
C:jkscoliosis.
D:jkkyphosis.jk-jkanswer--D:jkkyphosis

, Ajknursejkisjkdocumentingjkajkpatient'sjkbreathjksounds.jkCracklesjkarejkheardjkas:
A:jkloud,jklow-pitched,jkcoarsejksounds.
B:jkhigh-pitched,jkmusicaljksqueaks.
C:jkdry,jkgrantingjksoundsjkonjkinspiration.
D:jkhigh-pitched,jkfinejksoundsjkatjkthejkendjkofjkinspirationjk-jkanswer--D:jkhigh-
pitched,jkfinejksoundsjkatjkthejkendjkofjkinspiration

Ajk53jkyearjkoldjkclientjkisjkseenjkatjkthejkclinicjkforjkajkyearlyjkphysicaljkexamination.jkInjkevalu
atingjkthejkclient'sjkweight,jkthejknursejkalsojkconsidersjkthejkagejkandjkheight.jkThisjkisjkanjke
xamplejkof:
A:jkdefiningjkthejkclientjkproblem.
B:jkrecognizingjkgapsjkinjkdatajkassessment.
C:jkcomparingjkdatajkwithjknormaljkhealthjkpatterns.
D:jkdrawingjkconclusionsjkaboutjkthejkclient'sjkresponse.jk-jkanswer--
C:jkcomparingjkdatajkwithjknormaljkhealthjkpatterns

Thejknursejkisjkpreparingjktojkperformjkajkfocusedjkrespiratoryjkassessmentjkonjkajkclient.jkT
hejknursejkshouldjkbejkcognizantjkofjkwhatjkanatomicaljkcharacteristicjkofjkthejklungs?
A:jkthejkleftjklungjkisjkapproximatelyjkone-thirdjklargerjkthanjkthejkrightjklung.
B:jkthejkrightjklungjkhasjkthreejklobes,jkwhilejkthejkleftjklungjkhasjktwojklobes.
C:jkthejklowerjklobesjkofjkbothjklungsjkarejkprimarilyjklocatedjktowardjkthejkanteriorjkchestjkwal
l.
D:jkthejklungsjkarejkstructurallyjksymmetricaljkbutjkfunctionallyjkdifferently.jk-jkanswer--
B:jkthejkrightjklungjkhasjkthreejklobesjkwhilejkthejkleftjklungjkhasjktwojklobes

Thejknursejkhasjkdiagnosedjkthejkclient'sjkproblemjkasjkalteredjkelimination.jkFormjkthejkdat
abasejkthejknursejkidentifiesjkalljkthejkfollowingjkasjkappropriatejketiologicsjkforjkthisjkdiagno
sisjkexcept:
A:jkpoorjkfiberjkintake.
B:jklimitedjkfluidjkintake.
C:jktotaljkhipjkreplacement.
D:jklowerjkabdominaljkdiscomfort.jk-jkanswer--C:jktotaljkhipjkreplacement

Thejknursejkisjkconcernedjkthatjkatelectasisjkmayjkdevelopjkasjkajkpostoperativejkcomplicati
on.jkWhichjkofjkthejkfollowingjkisjkanjkappropriatejkdiagnosticjklabeljkforjkthisjkproblemjkshoul
djkitjkoccur?
A:jkineffectivejkairwayjkclearance.
B:jkimpairedjkgasjkexchange.
C:jkdecreasedjkcardiacjkoutput
D:jkimpairedjkspontaneousjkventilationjk-jkanswer--B:jkimpairedjkgasjkexchange

Thejknursejkrecognizedjkthatjkwhichjkofjkthejkfollowingjkstatementsjkisjktruejkwithjkregardjktojk
thejkformulatingjkofjknursingjkdiagnoses?
A:jkthejketiologyjkofjkthejkdiagnosisjkmustjkbejkwithinjkthejkscopejkofjkthejkhealthjkcarejkteamsjk
practice.
B:jkthejkdiagnosisjkmustjkremainjkconstantjkduringjkthejkclient'sjkhospitalization.
C:jkthejkdiagnosisjkshouldjkincludejkthejkproblemjkandjkthejkrelatedjkcontributingjkconditions
.
D:jkthejkdiagnosisjkshouldjkidentifyjkajk"causejkandjkeffect"jkrelation.jk-jkanswer--
C:jkthejkdiagnosisjkshouldjkincludejkthejkproblemjkandjkthejkrelatedjkcontributingjkconditions