NUR 1020C Final Exam Review –
Comprehensive Questions and Verified
Answers for Nursing Success
Communication in Nursing
A patient doesn’t make eye contact with the nurse and folds arms. What type of
communication does this represent?
A: Nonverbal communication.
Therapeutic communication involves what?
A: Arms not crossed, looks and listens.
Non-therapeutic communication is what?
A: Information that does not help the other person.
Verbal communication includes what?
A: Spoken or written words.
Non-verbal communication includes what?
A: Body language.
Miss-communication can be caused by what?
A: Texting and emails.
The nurse is conducting a health interview on a newly admitted patient. To establish a
trusting relationship, what should the nurse do?
A: Sit close and lean in slightly toward the patient.
A patient states, ”I had a bad nightmare. When I woke up, I felt emotionally drained.”
What is a good response?
A: Can you give me an example of what you mean by a bad nightmare?
A young wife says her husband is behaving differently after military service. What is
the best response?
A: Many times people need care for emotional trauma.
The nurse is performing an abdominal assessment on a postoperative patient. The nurse
notes the dressing needs changing and discusses times with the patient. In which phase
of the nurse-patient relationship does this occur?
1
, A: Working phase.
Referent in communication is what?
A: The starting event that leads to interaction.
Sender in communication is who?
A: The person who starts the message.
Receiver in communication is who?
A: The person who interprets the message.
Message in communication is what?
A: The content shared.
Channel in communication is what?
A: The method used, like speaking or writing.
Feedback in communication is what?
A: The response from the receiver.
Intimate space is how far?
A: 0 to 1.5 feet, like during assessments.
Personal space is how far?
A: 1.5 to 4 feet, like during health history.
Public space is how far?
A: 12 feet or more, like during conversations.
A nurse is working with a patient with limited English proficiency, what should she do?
A: Get a translator.
The nurse is interviewing a client about his reason for coming to the clinic. The nurse
says, ”Tell me more about how you have been taking your medicine.” What therapeutic
technique is the nurse utilizing?
A: Encouraging elaboration.
Therapeutic
A: The information build someone up.
Non-therapeutic
A: The information does not aid the other person.
2
,Vital Signs and Assessment
A 3 month old has a heart rate of 135 BPM. Is this normal?
A: Yes.
Vital signs for newborns?
A: Temp 96-99.5, Pulse 80-160, RR 30-80, BP 60-90/20-60.
Vital signs for young children?
A: Temp 98-98.6, Pulse 75-110, RR 15-25, BP 84-120/54-80.
Vital signs for adults?
A: Temp 95.9-99.5, Pulse 60-100, RR 12-20, BP 90-120/60-80.
Vital signs for older adults?
A: Temp 95-99, Pulse 60-100, RR 15-20, BP 90-120/60-80.
Auscultation for lungs uses what?
A: Diaphragm of stethoscope.
A 3 year old has palpable lymph nodes. Is this normal?
A: Yes, for ages 3-6.
Purpose of health history?
A: Learn current and past health info.
Technique for crepitus, swelling, pulsations?
A: Palpation.
Where is popliteal pulse?
A: Behind the knee.
Two heart valves near apex?
A: Mitral and tricuspid.
Purpose of stethoscope?
A: Block external sounds and amplify internal ones.
How long to listen to abnormal heart beat and where?
A: 1 minute at mitral valve.
Primary source of data?
3
, A: From the patient.
Secondary source?
A: Family members.
Straightening ear canal for 5+ years?
A: Up and back.
Straightening ear canal for 4 years and younger?
A: Down and back.
Cranial nerves for eye movement?
A: 3, 4, 6.
Best way to measure core temperature?
A: Rectal.
Signs of extreme hyperthermia?
A: Dry skin, confusion, swelling, high heart rate.
The nurse assesses vital signs of a 50-year-old female. Which are normal? Oral temp
98.2°F, apical pulse 88 regular, BP 116/78 sitting.
A: Yes for temp, pulse, BP.
When assessing PERRLA, what technique?
A: Shine light from side, check reaction, focus on object.
A 68-year-old has trouble reading, loss of central vision. What might this be?
A: Macular degeneration.
During ocular exam, movement of extraocular muscles controlled by?
A: CN 3, 4, 6.
A patient hears crunching when kneeling, stiffness in morning. Assess for what?
A: Joint issues.
A patient has 5 second capillary refill. What to do?
A: Assess for low oxygen.
Skin inspection includes?
A: Color, lesions, temperature.
Black patient in ICU, skin characteristics for poor perfusion?
4
Comprehensive Questions and Verified
Answers for Nursing Success
Communication in Nursing
A patient doesn’t make eye contact with the nurse and folds arms. What type of
communication does this represent?
A: Nonverbal communication.
Therapeutic communication involves what?
A: Arms not crossed, looks and listens.
Non-therapeutic communication is what?
A: Information that does not help the other person.
Verbal communication includes what?
A: Spoken or written words.
Non-verbal communication includes what?
A: Body language.
Miss-communication can be caused by what?
A: Texting and emails.
The nurse is conducting a health interview on a newly admitted patient. To establish a
trusting relationship, what should the nurse do?
A: Sit close and lean in slightly toward the patient.
A patient states, ”I had a bad nightmare. When I woke up, I felt emotionally drained.”
What is a good response?
A: Can you give me an example of what you mean by a bad nightmare?
A young wife says her husband is behaving differently after military service. What is
the best response?
A: Many times people need care for emotional trauma.
The nurse is performing an abdominal assessment on a postoperative patient. The nurse
notes the dressing needs changing and discusses times with the patient. In which phase
of the nurse-patient relationship does this occur?
1
, A: Working phase.
Referent in communication is what?
A: The starting event that leads to interaction.
Sender in communication is who?
A: The person who starts the message.
Receiver in communication is who?
A: The person who interprets the message.
Message in communication is what?
A: The content shared.
Channel in communication is what?
A: The method used, like speaking or writing.
Feedback in communication is what?
A: The response from the receiver.
Intimate space is how far?
A: 0 to 1.5 feet, like during assessments.
Personal space is how far?
A: 1.5 to 4 feet, like during health history.
Public space is how far?
A: 12 feet or more, like during conversations.
A nurse is working with a patient with limited English proficiency, what should she do?
A: Get a translator.
The nurse is interviewing a client about his reason for coming to the clinic. The nurse
says, ”Tell me more about how you have been taking your medicine.” What therapeutic
technique is the nurse utilizing?
A: Encouraging elaboration.
Therapeutic
A: The information build someone up.
Non-therapeutic
A: The information does not aid the other person.
2
,Vital Signs and Assessment
A 3 month old has a heart rate of 135 BPM. Is this normal?
A: Yes.
Vital signs for newborns?
A: Temp 96-99.5, Pulse 80-160, RR 30-80, BP 60-90/20-60.
Vital signs for young children?
A: Temp 98-98.6, Pulse 75-110, RR 15-25, BP 84-120/54-80.
Vital signs for adults?
A: Temp 95.9-99.5, Pulse 60-100, RR 12-20, BP 90-120/60-80.
Vital signs for older adults?
A: Temp 95-99, Pulse 60-100, RR 15-20, BP 90-120/60-80.
Auscultation for lungs uses what?
A: Diaphragm of stethoscope.
A 3 year old has palpable lymph nodes. Is this normal?
A: Yes, for ages 3-6.
Purpose of health history?
A: Learn current and past health info.
Technique for crepitus, swelling, pulsations?
A: Palpation.
Where is popliteal pulse?
A: Behind the knee.
Two heart valves near apex?
A: Mitral and tricuspid.
Purpose of stethoscope?
A: Block external sounds and amplify internal ones.
How long to listen to abnormal heart beat and where?
A: 1 minute at mitral valve.
Primary source of data?
3
, A: From the patient.
Secondary source?
A: Family members.
Straightening ear canal for 5+ years?
A: Up and back.
Straightening ear canal for 4 years and younger?
A: Down and back.
Cranial nerves for eye movement?
A: 3, 4, 6.
Best way to measure core temperature?
A: Rectal.
Signs of extreme hyperthermia?
A: Dry skin, confusion, swelling, high heart rate.
The nurse assesses vital signs of a 50-year-old female. Which are normal? Oral temp
98.2°F, apical pulse 88 regular, BP 116/78 sitting.
A: Yes for temp, pulse, BP.
When assessing PERRLA, what technique?
A: Shine light from side, check reaction, focus on object.
A 68-year-old has trouble reading, loss of central vision. What might this be?
A: Macular degeneration.
During ocular exam, movement of extraocular muscles controlled by?
A: CN 3, 4, 6.
A patient hears crunching when kneeling, stiffness in morning. Assess for what?
A: Joint issues.
A patient has 5 second capillary refill. What to do?
A: Assess for low oxygen.
Skin inspection includes?
A: Color, lesions, temperature.
Black patient in ICU, skin characteristics for poor perfusion?
4
