NUR 190 Midterm Exam
While performing an admission assessment for a client to nurse the client has varicose veins
and ulceration sound lower extremity edema with a report a feeling of heaviness which
diagnosis is best - ✔✔impaired tissue perfusion
Well auscultating a clients heart sounds the nurse here's turbulence between the swan and S2
heart sounds the nurse should document this finding is which of the following - ✔✔systolic
murmur
A nurse is teaching a client about following a low cholesterol diet after coronary artery bypass
crafting. Which of the following client food choices reflects the clients understanding of these
dietary instructions - ✔✔Beans
A nurse is reviewing discharge instructions with a client who has Reynaud disease which of the
following client statements indicates an understanding of the teaching - ✔✔I am going to take a
stress management class
A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure
which of the following instruction should the nurse include in the teaching - ✔✔Exercise at
least three times per week
A nurse is providing discharge instructions to a client who develop deep vein Trumbo sis DVT
post operatively and is prescribed anticoagulant therapy which of the following instruction
should the nurse include - ✔✔Flexing her knees and feet frequently
The nurses auscultating the bread sounds of a client who has asthma when the client exhales
the nurse here is continuous high-pitched squeaking sounds then there should document this
as which sound - ✔✔Wheezes
, A nurse is completing the initial admission assessment in history for a client which of the
following is the priority action for the nurse to take - ✔✔Document the clients allergies in the
electronic medical record
When the nurse assesses an apical heart sound and those blank it is called tachycardia -
✔✔More than 100 bpm
A nurse is auscultating a clients heart sounds and here's an extra heart sound before what
should be considered the first heart sound S one. The nurse should document this as what -
✔✔The fourth heart sound S4
A nurse is teaching a class of older adults about the expected physiologic changes of aging
which of following changes - ✔✔More difficulty seeing due to a greater sensitivity to glare
Decreased cough reflex
Decreased bladder capacity
Dehydration of intravertebral disc's
A nurse in an ophthalmology clinic is interviewing a client who was referred by his primary care
provider for suspicion of cataracts. The nurse should expect the client to report - ✔✔Having a
decrease ability to perceive colors
A nurse is caring for a client who is unconscious and has a breathing pattern characterized by
alternating periods of hyperventilation and apnea. The nurse should document that the client
has which of the following respiratory alterations - ✔✔Cheyenne Stokes respirations
A clinic nurse is performing a physical assessment on a client who has systemic lupus which of
the following findings - ✔✔A dry red rash across the bridge of the nose and on the cheeks
A nurse is monitoring a client who is on telemetry which of the following findings on the ECG
strip should the nurse recognize as a normal sinus rhythm - ✔✔The P wave falls before the QRS
complex
While performing an admission assessment for a client to nurse the client has varicose veins
and ulceration sound lower extremity edema with a report a feeling of heaviness which
diagnosis is best - ✔✔impaired tissue perfusion
Well auscultating a clients heart sounds the nurse here's turbulence between the swan and S2
heart sounds the nurse should document this finding is which of the following - ✔✔systolic
murmur
A nurse is teaching a client about following a low cholesterol diet after coronary artery bypass
crafting. Which of the following client food choices reflects the clients understanding of these
dietary instructions - ✔✔Beans
A nurse is reviewing discharge instructions with a client who has Reynaud disease which of the
following client statements indicates an understanding of the teaching - ✔✔I am going to take a
stress management class
A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure
which of the following instruction should the nurse include in the teaching - ✔✔Exercise at
least three times per week
A nurse is providing discharge instructions to a client who develop deep vein Trumbo sis DVT
post operatively and is prescribed anticoagulant therapy which of the following instruction
should the nurse include - ✔✔Flexing her knees and feet frequently
The nurses auscultating the bread sounds of a client who has asthma when the client exhales
the nurse here is continuous high-pitched squeaking sounds then there should document this
as which sound - ✔✔Wheezes
, A nurse is completing the initial admission assessment in history for a client which of the
following is the priority action for the nurse to take - ✔✔Document the clients allergies in the
electronic medical record
When the nurse assesses an apical heart sound and those blank it is called tachycardia -
✔✔More than 100 bpm
A nurse is auscultating a clients heart sounds and here's an extra heart sound before what
should be considered the first heart sound S one. The nurse should document this as what -
✔✔The fourth heart sound S4
A nurse is teaching a class of older adults about the expected physiologic changes of aging
which of following changes - ✔✔More difficulty seeing due to a greater sensitivity to glare
Decreased cough reflex
Decreased bladder capacity
Dehydration of intravertebral disc's
A nurse in an ophthalmology clinic is interviewing a client who was referred by his primary care
provider for suspicion of cataracts. The nurse should expect the client to report - ✔✔Having a
decrease ability to perceive colors
A nurse is caring for a client who is unconscious and has a breathing pattern characterized by
alternating periods of hyperventilation and apnea. The nurse should document that the client
has which of the following respiratory alterations - ✔✔Cheyenne Stokes respirations
A clinic nurse is performing a physical assessment on a client who has systemic lupus which of
the following findings - ✔✔A dry red rash across the bridge of the nose and on the cheeks
A nurse is monitoring a client who is on telemetry which of the following findings on the ECG
strip should the nurse recognize as a normal sinus rhythm - ✔✔The P wave falls before the QRS
complex
