NUR 218 Final Exam Questions with
Verified Answers Top Rated 2025
oral - Correct Ans-most convenient and accurate way to record temperature:
rectal - Correct Ans-most accurate way to record temp:
tympanic - Correct Ans-accurately measures body temp:
tympanic - Correct Ans-temp site used for unconscious patients:
37 degrees (98.6) but can be 96.4-99.1 - Correct Ans-normal oral temp reading:
cardiac output, peripheral vascular resistance, volume of circulating blood, viscosity,
elasticity of vessel walls *** ALL HAVE DIRECT RELATIONSHIP - Correct Ans-level of
BP is determined by what 5 factors?
80 - Correct Ans-BP cuff should cover --- % of arm:
high, low, blood supply to the thigh is below constriction - Correct Ans-with coarctation
of the aorta, arm pressure is ---- and thigh pressure is ---- because....
140/90 - Correct Ans-BP that is considered hypertension:
95/60 - Correct Ans-BP that is considered hypotension:
MI, shock, hemorrhage, vasodilation, addison's disease - Correct Ans-causes of
hypotension:
brief pain - Correct Ans-pain inventory that scales pain 0-10 in 24 hrs:
McGill pain questionairre - Correct Ans-pain inventory that ranks a list of descriptors in
terms of intensity:
92% or above - Correct Ans-normal pulse oxygen level:
renal disease, renal artery stenosis, aldosteronism, thyroid disorders, coarctation of the
aorta - Correct Ans-potential causes of secondary hypertension:
external intercostals, increase - Correct Ans-the ------ muscles are the primary muscles
of inspiration and they ------ AP chest diameter during inspiration
elevates systolic - Correct Ans-crying effect on BP:
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,NUR 218 Final Exam
falsely high - Correct Ans-when angry or anxious effect on BP:
falsely low BP - Correct Ans-arm above heart effect on BP:
falsely high BP - Correct Ans-arm below heart effect on BP:
falsely high diastolic - Correct Ans-when person supports their own arm effect on BP:
falsely high - Correct Ans-too narrow cuff effect on BP:
no - Correct Ans-is pain a normal process of aging?
falsely low - Correct Ans-too wide cuff effect on BP:
guarding, grimacing, diaphoresis, restlessness, agitation, moaning, stiffness - Correct
Ans-acute pain behaviors:
pain in infants - Correct Ans-what is kicking and legs drawn up a sign of?
dehydration, shock, bleeding - Correct Ans-reasons for a weak, thready pulse:
anxiety, exercise - Correct Ans-reasons for a full, bounding pulse:
bracing, rubbing, sighing, change in appetite - Correct Ans-behaviors with chronic pain:
true - Correct Ans-true of false: whites receive more analgesic therapy than black or
hispanics
abnormal processing of pain message - Correct Ans-neuropathic pain:
occurs in patients whose skin is exposed to bodily fluids such as stool, urine, or gastric
juices and places where skin rests on skin - Correct Ans-where does excoriation of the
skin usually occur?
people with diabetes that suffer from peripheral neuropathy - Correct Ans-what type of
people may not be able to differentiate between hot and cold?
Feet and hands are soaked briefly during the bath except for in diabetic patients have a
decreased ability to heal, and soaking their feet may lead to skin breakdown. - Correct
Ans-describe foot and hand care:
because of drying of the tissue and the risk of infection. - Correct Ans-why should
patients with peripheral neuropathy (diabetes, heart disease) not soak their feet?
B - Correct Ans-A young girl with long hair is experiencing a problem with matting. The
most appropriate action to take would be
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, NUR 218 Final Exam
A. Cutting the matted hair away.
B. Braiding the hair to reduce tangles.
C. Using a grease-type product to tame the hair.
D. Keeping the hair oil free by applying powder every morning.
they are susceptible to drying of the oral mucosa - Correct Ans-oral concern for Patients
who are NPO:
every 2 hours - Correct Ans-how often should oral care be provided for NPO and
unconscious patients?
immediately - Correct Ans-when should the nurse report coughing or choking symptoms
during oral care?
microbial keratitis - Correct Ans-Noncompliance with care of contact lenses is one of the
largest contributors to -----, a potentially very dangerous infection of the eye that can
result in loss of vision and most often results from contact lens wear.
Lower-body paralysis - Correct Ans-paraplegia:
cervical injury - Correct Ans-what causes quadriplegia?
Immobility may cause weakness, instability, anorexia, elimination alterations, decreased
muscle tone, circulatory stasis, and skin breakdown. - Correct Ans-effects of immobility:
Immobility predisposes a person to weakness, decreased muscle tone, decreased bone
and muscle mass, potential muscle atrophy and contracture. - Correct Ans-what does
immobility predispose a person to?
UTIs and Kidney stones - Correct Ans-immobility effect of urinary elimination:
pressure ulcers, necrosis - Correct Ans-impact of immobility on skin integrity:
A - Correct Ans-You notice a respiratory change in your immobilized postoperative
patient. The change you note is most consistent with:
A. Atelectasis.
B. Hypertension.
C. Orthostatic hypotension.
D. Coagulation of blood.
every 2 hours - Correct Ans-how often should you turn immobile patients?
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