NUR 305 Final Exam Study Guide.
Newest Edition 2025-2026. Questions
& Correct Answers. Graded A
Abdominal Aorta Assessment – ANS
- Blood to lower part of body
- Lightly palpate; listen for vascular sounds that indicate bruits (turbulent
blood flow (may be aneurysm)
- Indications that tell you to auscultate for Bruit = Peripheral pulses
diminished, cool limb(s), pulsations
Active Listening - ANS- Ability to focus on pt's & their perspectives
Activity Intolerance - ANS- Assess Charac = Report of pain or claudication,
Fatigue, Weakness
- Nu Interv = Gradually increase activity, Refer to therapy or rehab, Allow
periods of rest before & after activity
Activity Intolerance Nu Dx - ANS- Assess Charac = Dyspneic with minimal
activity, SaO2 decreases & RR increases with activity
- Nu Interv = Teach energy-conserving measures, Evaluate need for
supplemental O2, Teach slow & steady walking with gradual increase in
distance
Activity Intolerance Nu Dx - ANS- Assess Charac = Report of fatigue or
weakness, Abnormal pulse or BP, SOB, Dizziness, Chest pain
,- Nu Interv = Determine cause of intolerance, Promote reconditioning when
the result of immobility, Gradually increase activity according to symptoms
Acute Confusion Nu Dx - ANS- Asses Charac = Fluctuation in cognition,
Increased agitation or restlessness, Lack of follow-through in behavior
- Nu Interv = Perofrm mental status exam, Provide environmental cues,
Orient to time, place, & person frequently
Appropriate techniques of Lung Auscultation - ANS- Listen for a full breath
- Scope to skin
- 4 Anterior
- 2 Lateral
- 6 Posterior
- Start at top & move down (comparing sides)
Assessing Level of Consciousness - ANS- GSC
- Eye, motor & verbal response
Blood Flow through Heart - ANS- Sup/Inf Vena Cava - R Atrium - Tricuspid
Valve - R Ventricle - Pulmonic Valve - Pulmonary Trunk - Pulmonary
Arteries - LUNGS
- Pulmonary Veins - L Atrium - Mitral Valve - L Ventricle - Aortic Valve -
BODY
Blumberg Sign - ANS- Assessment technique elicited during abdominal
assessment to check for Peritonitis
- Checks rebound tenderness
, - In a site away from painful area, push down slowly & deeply then lift
quickly
Brawny - ANS- Dark, leathery appearance
- Indication of CVI
Bronchial Breath Sound - ANS- Loud & high-pitched
- Larynx & trachea
Bronchovesicular Breath Sound - ANS- More centrally located over bronchi
with fewer alveoli
Carotid Evaluation - ANS- Listen with bell
- Never palpate at same time
Clarification - ANS- When pt's words are unclear
- The nurse can restate the basic message or confess confusion and ask
the client to repeat or restate the message
Closing Interview - ANS- A conversation at the end of an evaluation
session in which the clinician informs the client or family of her findings,
makes recommendations for the future, and elicits questions
- Summarizing/stating 2-3 most important problems
- Let pt know next steps & thank pt/family
- Save most invasive/ embarrassing procedure for last
Newest Edition 2025-2026. Questions
& Correct Answers. Graded A
Abdominal Aorta Assessment – ANS
- Blood to lower part of body
- Lightly palpate; listen for vascular sounds that indicate bruits (turbulent
blood flow (may be aneurysm)
- Indications that tell you to auscultate for Bruit = Peripheral pulses
diminished, cool limb(s), pulsations
Active Listening - ANS- Ability to focus on pt's & their perspectives
Activity Intolerance - ANS- Assess Charac = Report of pain or claudication,
Fatigue, Weakness
- Nu Interv = Gradually increase activity, Refer to therapy or rehab, Allow
periods of rest before & after activity
Activity Intolerance Nu Dx - ANS- Assess Charac = Dyspneic with minimal
activity, SaO2 decreases & RR increases with activity
- Nu Interv = Teach energy-conserving measures, Evaluate need for
supplemental O2, Teach slow & steady walking with gradual increase in
distance
Activity Intolerance Nu Dx - ANS- Assess Charac = Report of fatigue or
weakness, Abnormal pulse or BP, SOB, Dizziness, Chest pain
,- Nu Interv = Determine cause of intolerance, Promote reconditioning when
the result of immobility, Gradually increase activity according to symptoms
Acute Confusion Nu Dx - ANS- Asses Charac = Fluctuation in cognition,
Increased agitation or restlessness, Lack of follow-through in behavior
- Nu Interv = Perofrm mental status exam, Provide environmental cues,
Orient to time, place, & person frequently
Appropriate techniques of Lung Auscultation - ANS- Listen for a full breath
- Scope to skin
- 4 Anterior
- 2 Lateral
- 6 Posterior
- Start at top & move down (comparing sides)
Assessing Level of Consciousness - ANS- GSC
- Eye, motor & verbal response
Blood Flow through Heart - ANS- Sup/Inf Vena Cava - R Atrium - Tricuspid
Valve - R Ventricle - Pulmonic Valve - Pulmonary Trunk - Pulmonary
Arteries - LUNGS
- Pulmonary Veins - L Atrium - Mitral Valve - L Ventricle - Aortic Valve -
BODY
Blumberg Sign - ANS- Assessment technique elicited during abdominal
assessment to check for Peritonitis
- Checks rebound tenderness
, - In a site away from painful area, push down slowly & deeply then lift
quickly
Brawny - ANS- Dark, leathery appearance
- Indication of CVI
Bronchial Breath Sound - ANS- Loud & high-pitched
- Larynx & trachea
Bronchovesicular Breath Sound - ANS- More centrally located over bronchi
with fewer alveoli
Carotid Evaluation - ANS- Listen with bell
- Never palpate at same time
Clarification - ANS- When pt's words are unclear
- The nurse can restate the basic message or confess confusion and ask
the client to repeat or restate the message
Closing Interview - ANS- A conversation at the end of an evaluation
session in which the clinician informs the client or family of her findings,
makes recommendations for the future, and elicits questions
- Summarizing/stating 2-3 most important problems
- Let pt know next steps & thank pt/family
- Save most invasive/ embarrassing procedure for last
