Nursing 152 Final Questions With Complete Solutions
(respiratory) percussing hyper resonance is consistent with
which condition? Correct Answer pneumothorax
14 year old with abdominal pain that is all over and no one area
hurts more than the other. the nurse shoud expect to discover
these diagnoses can be applied to patient's care plan: Correct
Answer acute pain
diarrhea
altered nutrition, less than body requirements
39 year old client with increasing fatigue, history of rheumatic
fever as a child; the nurse hears a diastolic murmur (rumble
without radiation) at the apex when the client is at left lateral
position. this description is most consistent with: Correct
Answer mitral stenosis
72 year old client has: peripheral edema, jugular venous
distention of 5 cm above the sternal angle when the client is at a
45 degree angle, and an enlarged liver.. these are all consistent
with what disorder: Correct Answer right-sided heart failure
79 year old anorexia, recent weight loss and epigastric pain
complaints using "mints" for stomach upset. what intervention is
needed: Correct Answer 1.Schedule the client for an
endoscopy as ordered.
2. Educate the client regarding the importance of taking antacids
after meals and at bedtime as suggested by the
healthcare provider.
3. Educate the client regarding Helicobacter pylori infections.
,a 1-month old primarily using abdominal muscles to breathe and
has an irregular breathing pattern is: Correct Answer a normal
finding
a 36 week pregnant woman has a RR of 24 breaths per minute
and she states that sometimes she has shortness of breath. the
nurse should say: Correct Answer during your last trimester, it
is normal for you to feel short of breath and to have a higher RR
a 37 year old client knows the risks associated with breast
cancer when she makes this comment: Correct Answer "i
know my risk for breast cancer increases with age"
a 70 year old with hypertension may have developed what
problem? Correct Answer left ventricular hypertrophy
a blood pressure of 138/86 is classified as: Correct Answer
prehypertension
a client has vertigo but the nurse wants to perform romberg,
what would the nurse tell the patient to do? Correct Answer
stand with your feet together, arms at your sides, and eyes open
a client is being prepared for a procedure and has already been
given a breathing treatment; the client is breathing in a shallow
manner and their hands are trembling. what will decrease patient
anxiety? Correct Answer the nurse should explain all
procedures in a calm and reassuring voice
, a finding of galactorrhea is: Correct Answer suggestive of
endocrine disorders
a healthy 5 year old has two enlarged lymph nodes on their neck
that are soft, mobile, non-tender and each is less than 1 cm
diameter. the nurse should: Correct Answer document this as
a normal finding
a healthy eldery adult should have THESE findings in
comparison to a middle aged adult: Correct Answer systolic
murmur
increased systolic blood pressure
increased SV
slight decrease in HR
a male voicing concern that he is at risk for breast cancer.. the
nurse should include what questions related to the following
factors: Correct Answer the client's mother having a history of
breast cancer, history of cirrhosis of the liver, history of
radiation treatment for lung cancer
a menopausal woman comes to the clinic with complaints of
thin, watery nipple discharge with blood present. this is suspect
for this disorder: Correct Answer intraductal papillomas
a mom of a 4 year old child with a RR of 30 per minute is
concerned because of the high number. a nurse should tell her:
Correct Answer this is normal for a child of that age
a mom of a 9 year old girl is concerned of her development and
that her breasts are tender. the nurse should respond: Correct
(respiratory) percussing hyper resonance is consistent with
which condition? Correct Answer pneumothorax
14 year old with abdominal pain that is all over and no one area
hurts more than the other. the nurse shoud expect to discover
these diagnoses can be applied to patient's care plan: Correct
Answer acute pain
diarrhea
altered nutrition, less than body requirements
39 year old client with increasing fatigue, history of rheumatic
fever as a child; the nurse hears a diastolic murmur (rumble
without radiation) at the apex when the client is at left lateral
position. this description is most consistent with: Correct
Answer mitral stenosis
72 year old client has: peripheral edema, jugular venous
distention of 5 cm above the sternal angle when the client is at a
45 degree angle, and an enlarged liver.. these are all consistent
with what disorder: Correct Answer right-sided heart failure
79 year old anorexia, recent weight loss and epigastric pain
complaints using "mints" for stomach upset. what intervention is
needed: Correct Answer 1.Schedule the client for an
endoscopy as ordered.
2. Educate the client regarding the importance of taking antacids
after meals and at bedtime as suggested by the
healthcare provider.
3. Educate the client regarding Helicobacter pylori infections.
,a 1-month old primarily using abdominal muscles to breathe and
has an irregular breathing pattern is: Correct Answer a normal
finding
a 36 week pregnant woman has a RR of 24 breaths per minute
and she states that sometimes she has shortness of breath. the
nurse should say: Correct Answer during your last trimester, it
is normal for you to feel short of breath and to have a higher RR
a 37 year old client knows the risks associated with breast
cancer when she makes this comment: Correct Answer "i
know my risk for breast cancer increases with age"
a 70 year old with hypertension may have developed what
problem? Correct Answer left ventricular hypertrophy
a blood pressure of 138/86 is classified as: Correct Answer
prehypertension
a client has vertigo but the nurse wants to perform romberg,
what would the nurse tell the patient to do? Correct Answer
stand with your feet together, arms at your sides, and eyes open
a client is being prepared for a procedure and has already been
given a breathing treatment; the client is breathing in a shallow
manner and their hands are trembling. what will decrease patient
anxiety? Correct Answer the nurse should explain all
procedures in a calm and reassuring voice
, a finding of galactorrhea is: Correct Answer suggestive of
endocrine disorders
a healthy 5 year old has two enlarged lymph nodes on their neck
that are soft, mobile, non-tender and each is less than 1 cm
diameter. the nurse should: Correct Answer document this as
a normal finding
a healthy eldery adult should have THESE findings in
comparison to a middle aged adult: Correct Answer systolic
murmur
increased systolic blood pressure
increased SV
slight decrease in HR
a male voicing concern that he is at risk for breast cancer.. the
nurse should include what questions related to the following
factors: Correct Answer the client's mother having a history of
breast cancer, history of cirrhosis of the liver, history of
radiation treatment for lung cancer
a menopausal woman comes to the clinic with complaints of
thin, watery nipple discharge with blood present. this is suspect
for this disorder: Correct Answer intraductal papillomas
a mom of a 4 year old child with a RR of 30 per minute is
concerned because of the high number. a nurse should tell her:
Correct Answer this is normal for a child of that age
a mom of a 9 year old girl is concerned of her development and
that her breasts are tender. the nurse should respond: Correct
