NRSG 100 Ch 24 Practice Questions And Cor
A cnurse cis cassessing cthe cpulse cvolume cof ca cclient cwith cinfluenza. cThe cnurse cnotes cthat cthe c
cWhat cdescribes ca cthread cpulse?
a. cPulse cis cstrong, cand clight cpressure ccauses cit cto cdisappear
b. cPulse cis cfelt cwith cdifficulty cand cdisappears cwith cslight cpressure
c. cPulse cis cfelt ceasily, cand cmoderate cpressure ccauses cit cto cdisappear
d. cPulse cis cstrong cand cremains cstrong cdespite cmoderate cpressure c- cCORRECT cANS✔✔Pulse
cdisappears cwith cslight cpressure
Vital csigns cinclude c- cCORRECT cANS✔✔~ ctemperature c
~ cBP
~ cpulse c
~ cRR
~ cpain
Which ccondition cwill clead cto can cincrease cin ccardiac coutput?
a. cExercise
b. cSleep
c. cDecrease cin cblood cpressure
d. cDehydration c- cCORRECT cANS✔✔exercise
A cnurse cis cassessing cthe cblood cpressure cof ca cclient cusing cthe cKorotkoff csound ctechnique. cTh
cI csound cdisappears cfor c2 cseconds. cWhat cshould cthe cnurse cdocument con cthe cprogress crecord
a. cThere cis ca cnonauscultatory cgap.
b. cThere cis ca cwidening cin cthe cdiameter cof cthe cartery.
c. cThere cis can causcultatory cgap.
d. cThere cis can cadult cdiastolic cpressure. c- cCORRECT cANS✔✔There cis can causcultatory cgap.
A cnurse cneeds cto cmeasure cthe cblood cpressure cof ca cclient cwho chas cjust cundergone ca cbilatera
cthe cnurse cmeasure cthe cblood cpressure?
, d. cdecrease cthe crespiratory crate. c- cCORRECT cANS✔✔decrease cthe capical cpulse.
A cnurse ccan cmost caccurately cassess ca cclient's cheart crate cand crhythm cby cwhich cof cthe cfollow
a. cListen cwith cthe cstethoscope cat cthe cfifth cintercostal cspace cleft cmid-clavicular cline.
b. cListen cwith cthe cstethoscope cat cthe cfifth cintercostal cspace cat cthe csternum.
c. cListen cwith ca cstethoscope cat cthe cneck cto cthe cright cof cthe ccoracoid cprocess.
d. cListen cwith ca cstethoscope cat cthe csecond cintercostal cspace cleft csternum. c- cCORRECT cANS
cstethoscope cat cthe cfifth cintercostal cspace cleft cmid-clavicular cline.
A cclient chas csmoked cmost cof chis clife cand chas clabored crespirations. cHe cis cexperiencing:
a. cDyspnea
b. cFremitus
c. cStridor
d. cWheeze c- cCORRECT cANS✔✔Dyspnea
Which cperipheral cpulse csite cis cgenerally cused cin cemergency csituations?
a. cCarotid
b. cApical
c. cRadial
d. cTemporal c- cCORRECT cANS✔✔Carotid
A cnurse cis ccalculating cthe ccardiac coutput cof can cadult cwith ca cstroke cvolume cof c75 cmL c(75 c× c
cbeats/min. cWhat cnumber cwould cthe cnurse cdocument cfor cthis cassessment? c
a. c5,000 cmL c(5,000 c× c109/L)
b. c5,550 cmL c(5,500 c× c109/L)
c. c5,850 cmL c(5,850 c× c109/L)
d. c6,000 cmL c(6,000 c× c109/L) c- cCORRECT cANS✔✔5,850 cmL c(5,850 c× c109/L)
The cnurse cis ctaking ca crectal ctemperature con ca cclient cwho creports cfeeling clightheaded cduring c
cthe cnurse's cpriority caction cin cthis csituation?
a. cLeave cthe cthermometer cin cand cnotify cthe cphysician.
b. cRemove cthe cthermometer cand cassess cthe cblood cpressure cand cheart crate.
c. cRemove cthe cthermometer cand cassess cthe ctemperature cvia canother cmethod.
d. cCall cfor cassistance cand canticipate cthe cneed cfor cCPR. c- cCORRECT cANS✔✔Remove cthe cth
cblood cpressure cand cheart crate.
A cnurse cis cassessing cthe crespirations cof ca c60-year-old cfemale cclient cand cfinds cthat cthe cclient
cthe crespirations ccannot cbe ccounted. cWhat cwould cbe cthe cappropriate cinitial cnursing cinterventio
a. cNotify cthe cprimary ccare cprovider.
b. cPerform ca cpain cassessment.
c. cAdminister coxygen.
d. cAuscultate cthe clung csounds cand ccount crespirations. c- cCORRECT cANS✔✔Auscultate cthe clu
crespirations.
A cnurse cneeds cto cassess cthe ctemperature cof ca cclient cwith chigh cfever. cWhich csite cwill cmost cc
ctemperature cof cthe cclient?
a. cear
b. cmouth
A cnurse cis cassessing cthe cpulse cvolume cof ca cclient cwith cinfluenza. cThe cnurse cnotes cthat cthe c
cWhat cdescribes ca cthread cpulse?
a. cPulse cis cstrong, cand clight cpressure ccauses cit cto cdisappear
b. cPulse cis cfelt cwith cdifficulty cand cdisappears cwith cslight cpressure
c. cPulse cis cfelt ceasily, cand cmoderate cpressure ccauses cit cto cdisappear
d. cPulse cis cstrong cand cremains cstrong cdespite cmoderate cpressure c- cCORRECT cANS✔✔Pulse
cdisappears cwith cslight cpressure
Vital csigns cinclude c- cCORRECT cANS✔✔~ ctemperature c
~ cBP
~ cpulse c
~ cRR
~ cpain
Which ccondition cwill clead cto can cincrease cin ccardiac coutput?
a. cExercise
b. cSleep
c. cDecrease cin cblood cpressure
d. cDehydration c- cCORRECT cANS✔✔exercise
A cnurse cis cassessing cthe cblood cpressure cof ca cclient cusing cthe cKorotkoff csound ctechnique. cTh
cI csound cdisappears cfor c2 cseconds. cWhat cshould cthe cnurse cdocument con cthe cprogress crecord
a. cThere cis ca cnonauscultatory cgap.
b. cThere cis ca cwidening cin cthe cdiameter cof cthe cartery.
c. cThere cis can causcultatory cgap.
d. cThere cis can cadult cdiastolic cpressure. c- cCORRECT cANS✔✔There cis can causcultatory cgap.
A cnurse cneeds cto cmeasure cthe cblood cpressure cof ca cclient cwho chas cjust cundergone ca cbilatera
cthe cnurse cmeasure cthe cblood cpressure?
, d. cdecrease cthe crespiratory crate. c- cCORRECT cANS✔✔decrease cthe capical cpulse.
A cnurse ccan cmost caccurately cassess ca cclient's cheart crate cand crhythm cby cwhich cof cthe cfollow
a. cListen cwith cthe cstethoscope cat cthe cfifth cintercostal cspace cleft cmid-clavicular cline.
b. cListen cwith cthe cstethoscope cat cthe cfifth cintercostal cspace cat cthe csternum.
c. cListen cwith ca cstethoscope cat cthe cneck cto cthe cright cof cthe ccoracoid cprocess.
d. cListen cwith ca cstethoscope cat cthe csecond cintercostal cspace cleft csternum. c- cCORRECT cANS
cstethoscope cat cthe cfifth cintercostal cspace cleft cmid-clavicular cline.
A cclient chas csmoked cmost cof chis clife cand chas clabored crespirations. cHe cis cexperiencing:
a. cDyspnea
b. cFremitus
c. cStridor
d. cWheeze c- cCORRECT cANS✔✔Dyspnea
Which cperipheral cpulse csite cis cgenerally cused cin cemergency csituations?
a. cCarotid
b. cApical
c. cRadial
d. cTemporal c- cCORRECT cANS✔✔Carotid
A cnurse cis ccalculating cthe ccardiac coutput cof can cadult cwith ca cstroke cvolume cof c75 cmL c(75 c× c
cbeats/min. cWhat cnumber cwould cthe cnurse cdocument cfor cthis cassessment? c
a. c5,000 cmL c(5,000 c× c109/L)
b. c5,550 cmL c(5,500 c× c109/L)
c. c5,850 cmL c(5,850 c× c109/L)
d. c6,000 cmL c(6,000 c× c109/L) c- cCORRECT cANS✔✔5,850 cmL c(5,850 c× c109/L)
The cnurse cis ctaking ca crectal ctemperature con ca cclient cwho creports cfeeling clightheaded cduring c
cthe cnurse's cpriority caction cin cthis csituation?
a. cLeave cthe cthermometer cin cand cnotify cthe cphysician.
b. cRemove cthe cthermometer cand cassess cthe cblood cpressure cand cheart crate.
c. cRemove cthe cthermometer cand cassess cthe ctemperature cvia canother cmethod.
d. cCall cfor cassistance cand canticipate cthe cneed cfor cCPR. c- cCORRECT cANS✔✔Remove cthe cth
cblood cpressure cand cheart crate.
A cnurse cis cassessing cthe crespirations cof ca c60-year-old cfemale cclient cand cfinds cthat cthe cclient
cthe crespirations ccannot cbe ccounted. cWhat cwould cbe cthe cappropriate cinitial cnursing cinterventio
a. cNotify cthe cprimary ccare cprovider.
b. cPerform ca cpain cassessment.
c. cAdminister coxygen.
d. cAuscultate cthe clung csounds cand ccount crespirations. c- cCORRECT cANS✔✔Auscultate cthe clu
crespirations.
A cnurse cneeds cto cassess cthe ctemperature cof ca cclient cwith chigh cfever. cWhich csite cwill cmost cc
ctemperature cof cthe cclient?
a. cear
b. cmouth
