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Exam (elaborations)

NUR 158 Final Exam – Updated Actual Exam Questions with Verified Correct Answers

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This document provides the full set of updated and verified questions with correct answers for the NUR 158 Final Exam, designed for nursing students nearing the completion of a foundational clinical course. Topics include pharmacological principles, medical-surgical nursing, patient safety, fluid and electrolyte balance, pain management, prioritization and delegation, and nursing interventions across body systems. All answers are aligned with current NCLEX-PN/NCLEX-RN standards, making it an essential tool for exam success and clinical application.

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List the normal systolic and diastolic blood pressure ranges for an adult.

Systolic Pressure: 120
Diastolic: 80


When measuring blood pressure, describe when you would hear the systolic and diastolic readings.

Systolic Pressure Sound: faint but clear tapping sounds, first tapping is systolic pressure


Diastolic Pressure: last sound heard before continuous silence, diastolic pressure


Describe the procedure for counting respirations.
Best to count respirations right after pulse with your fingers still on the wrist; it is easy for the patient or reside
breathing; watching the chest rise and fall or the stomach


Define the rhythm of a pulse and the quality. Give examples.

Pulse Rhythm: The pattern of pulsations and pauses between them


Quality: smooth and regular with the same amount of time in between each pulsation


Example: irregular pulse- dysrhythmia

,Describe the procedure for taking an apical pulse.

taken by listening over the apex of the heart with a stethoscope (pulse point is the chest)


What is a normal adult pulse rate and what would be reported to the nurse?
adult: 60- 100 beats


A pulse rate that is more than a 100 beats and less than 60 beets


In taking a resident's temperature, describe 5 instances in which an oral temperature route cannot be
Is unconscious
Is unable to keep his mouth closed (necessary in order to keep the thermometer in place)
Is unable to breathe through his nose
Is likely to bite the oral thermometer (for example, a child younger than 5 years, a disoriented person, or a pe
history of seizures)
Is coughing or sneezing
Has recently had mouth surgery or an injury to the mouth
Is receiving oxygen by a face mask (because the oxygen may cause the temperature measurement to be ina


Where is a tympanic thermometer inserted and what is another name for the tympanic membrane?

,Tympanic Thermometer or ear thermometer


it is inserted into the ear


Define the term asepsis

involves physically removing or killing pathogens


Define immunity
The ability of organisms to resist infection by protecting against disease-causing microorganisms or their toxi
invade their bodies.


Define a healthcare acquired infection. What is another name for this infection?

Healthcare Acquired Infection: Infections people get while a patient or resident
Another name: nosocomial infections


In the chain of infection: what starts the infection?

Pathogen


Name ways to prevent the spread of infection.

, oMedical asepsis
oSurgical asepsis
oBarrier methods
oIsolation precautions
- washing our hands
-sanitizing hands


Name some signs and symptoms of an infection
Fever, inflammation, warmth, and redness at the site of infection


Name at least 4 nursing assistant responsibilities and why wouldn't discussing the resident's conditi
family be one of them

dressing
bathing
grooming
feeding
exercising
assessment
It is not apart of our responsibility and out of our scope of practice


Name the 5 steps of the nursing process and in which step the nursing assistant would participate.

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