NURS 326 Final Exam Review
1.You observe a nursing student attach the cuff of a
sphygmomanometer to an adult client's arm. The width of the
cuff bladder covers about half of the length of the client's upper
arm. Which of the following most accurately describes the fit of
this cuff and the likely results of measurement, if completed?
1) The cuff is properly fitted and will produce an accurate blood
pressure reading.
2) The cuff is too narrow and will produce a reading that is too
high.
3) The cuff is too wide and will produce a reading that is too
low.
4) The cuff will be too tight and will put the client at risk of
vascular damage. Correct Answers 2) The cuff is too narrow
and will produce a reading that is too high.
10.You have just taken a client's radial pulse and found it absent.
The skin is cool and pale. Which of the following would be most
appropriate primary nursing diagnosis for this client?
1) Ineffective Tissue Perfusion (Peripheral)
2) Deficient Fluid Volume
3) Excess Fluid Volume
4) Risk for Impaired Skin Integrity Correct Answers 1)
Ineffective Tissue Perfusion (Peripheral)
12.You understand that the body has many mechanisms for
maintaining a stable body temperature. One of them involves a
narrowing of the blood vessels to reduce heat loss. This response
is known as which of the following?
1) Vasoconstriction
, 2) Vasodilation
3) Piloerection
4) Metabolism Correct Answers 1) Vasoconstriction
13.A client you are working with has just been diagnosed with
Stage I hypertension. Which of the following are lifestyle
changes you should recommend for managing the client's
condition?
SELECT ALL THAT APPLY.
1) Consume a diet high in sodium.
2) Consume a diet high in potassium.
3) Limit alcohol intake to three drinks per day for men and two
for women.
4) Lose weight (if overweight).
5) Eliminate smoking.
6) Avoid aerobic exercise. Correct Answers 2) Consume a diet
high in potassium.
4) Lose weight (if overweight).
5) Eliminate smoking.
15.A child was found after being lost for several hours in the
woods in Minnesota in the month of January. You have just
measured the child's temperature using a temporal artery scanner
and found it to be 85°F (29.4°C). The child is still conscious.
Which of the following interventions would be appropriate to
carry out for this patient?
SELECT ALL THAT APPLY.
1) Provide warm, dry clothing, warm blankets, and a warm
environment.
1.You observe a nursing student attach the cuff of a
sphygmomanometer to an adult client's arm. The width of the
cuff bladder covers about half of the length of the client's upper
arm. Which of the following most accurately describes the fit of
this cuff and the likely results of measurement, if completed?
1) The cuff is properly fitted and will produce an accurate blood
pressure reading.
2) The cuff is too narrow and will produce a reading that is too
high.
3) The cuff is too wide and will produce a reading that is too
low.
4) The cuff will be too tight and will put the client at risk of
vascular damage. Correct Answers 2) The cuff is too narrow
and will produce a reading that is too high.
10.You have just taken a client's radial pulse and found it absent.
The skin is cool and pale. Which of the following would be most
appropriate primary nursing diagnosis for this client?
1) Ineffective Tissue Perfusion (Peripheral)
2) Deficient Fluid Volume
3) Excess Fluid Volume
4) Risk for Impaired Skin Integrity Correct Answers 1)
Ineffective Tissue Perfusion (Peripheral)
12.You understand that the body has many mechanisms for
maintaining a stable body temperature. One of them involves a
narrowing of the blood vessels to reduce heat loss. This response
is known as which of the following?
1) Vasoconstriction
, 2) Vasodilation
3) Piloerection
4) Metabolism Correct Answers 1) Vasoconstriction
13.A client you are working with has just been diagnosed with
Stage I hypertension. Which of the following are lifestyle
changes you should recommend for managing the client's
condition?
SELECT ALL THAT APPLY.
1) Consume a diet high in sodium.
2) Consume a diet high in potassium.
3) Limit alcohol intake to three drinks per day for men and two
for women.
4) Lose weight (if overweight).
5) Eliminate smoking.
6) Avoid aerobic exercise. Correct Answers 2) Consume a diet
high in potassium.
4) Lose weight (if overweight).
5) Eliminate smoking.
15.A child was found after being lost for several hours in the
woods in Minnesota in the month of January. You have just
measured the child's temperature using a temporal artery scanner
and found it to be 85°F (29.4°C). The child is still conscious.
Which of the following interventions would be appropriate to
carry out for this patient?
SELECT ALL THAT APPLY.
1) Provide warm, dry clothing, warm blankets, and a warm
environment.
