NURSING FINAL EXAM ACTUAL QUESTIONS WITH DETAILED CORRECT ANSWERS RATED A+.

NURSING FINAL EXAM ACTUAL QUESTIONS WITH
DETAILED CORRECT ANSWERS RATED A+
HowAcanAyouAestimateAaAclient'sAtidalAvolume?A-
ACORRECTAANSWERSTidalAvolumeAcanAbeAestimatedAbyAobservingAtheAdepthAofAtheAclient'sArespir


ations.



WhatAisAtheArangeAofAnormalAforAanAadult'sArespiratoryArate?A-
ACORRECTAANSWERSAArateAofA12AtoA20AbreathsAperAminuteAisAnormalAforAadults




BesidesAtheArate,AwhatAotherAcharacteristicsAofAaAclient'sArespirationsAshouldAyouAobserve?A-
ACORRECTAANSWERSDepth,Arhythm,Aeffort,AbreathAsounds,AandAchestAmovementAshouldAbeAobse


rvedAinAadditionAtoArate.



WhatAareAsomeAcommonAclinicalAsignsAassociatedAwithApoorAoxygenation?A-
ACORRECTAANSWERSPallorAorAcyanosisAofAtheAnails,Alips,AorAskin;Arestlessness;Aapprehension;Aconf


usion;Adizziness;Afatigue;AchangesAinApulseAandAbloodApressure;AandAdecreasedAlevelAofAconscious
nessAareAassociatedAwithApoorAoxygenation.



WhichAofAtheAKorotkoffAsoundsAwouldAyouArecordAasAtheAsystolicApressure?A-
ACORRECTAANSWERSFirst




WhichAofAtheAKorotkoffAsoundsAwouldAyouArecordAasAtheAdiastolicApressure?A-
ACORRECTAANSWERSFifth




AAnurseAisAauscultatingAaABP.AHeAhearsAtheAfirstAsoundAatA170AmmAHg.ATheAsoundAdisappearsAimm
ediately.AAtA150AmmAHg,AtheAsoundAappearsAagainAandAcontinuesAuntilAthereAisAsilenceAatA80AmmA
Hg.ATheApressuresAwereAtakenAinAtheAclient'sArightAarmAwhileAtheAclientAwasAlyingAdown.
A



HowAshouldAtheAnurseArecordAtheseApressures?A-
ACORRECTAANSWERSBPARA,Asupine,A170/80AwithAanAauscultatoryAgapAfromA170AtoA150

,HowAdoAyouAexplainAwhatAhappened?A-
ACORRECTAANSWERSAnAauscultatoryAgapAoccurred.AAAgapAisAmostAcommonlyAheardAinAhypertensi


veAclients,AwhoseAsystolicAbloodApressureAisAhigherAthanAtheAadultAnormalAlimitAofA140AmmAHg.



WhichAofAtheAfollowingApatientsAhasAhypertension?AOneAwithAaABPAof:

150/80AonAtwoAseparateAoccasions

180/100AonAoneAoccasion

138/88AonAtwoAoccasionsA-ACORRECTAANSWERS150/80AonAtwoAseparateAoccasions



WhichAofAtheAfollowingAclient(s)Ahas/haveAprimaryAhypertension?

ClientAA,AwhoAisAobeseAandAhasAaAhighAsodiumAintake

ClientAB,AwhoAisAinArenalAfailure

ClientAC,AwhoAhasAhypertensionAinducedAbyApregnancy

ClientAD,AwhoAhasAaAfamilyAhistoryAofAhypertensionA-
ACORRECTAANSWERSClientAD,AwhoAhasAaAfamilyAhistoryAofAhypertension




WhatAareAfiveAfunctionsAofAtheAskin?A-
ACORRECTAANSWERSTheAskinAservesAfiveAfunctions:Aprotection,Asensation,AtemperatureAregulatio


n,Asecretion/excretion,AandAformationAofAvitaminAD.



HowAdoesAtheAskinAhelpAregulateAbodyAtemperature?A-
ACORRECTAANSWERSTheAskinAcontainsAsensoryAorgansAorAreceptorsAforAheatAandAcold.ATheAskinAre


gulatesAtemperatureAthroughAtheAprocessAofAdilatingAandAconstrictingAbloodAvesselsAandAactivatin
gAorAinactivatingAsweatAglands.ATheAsweatAglandsAfoundAinAtheAaxillaeAandAexternalAgenitaliaAsecre
teAfattyAacidsAandAproteinsAandAexcreteAperspiration,AwhichAproducesAaAcoolingAeffectAasAtheAmois
tureAevaporatesAfromAtheAskin.

,WhatAchangesAtakeAplaceAinAtheAskinAasAaApersonAagesA-
ACORRECTAANSWERSWithAage,AbothAlayersAofAtheAskinAbecomeAthinnerAandAmoreAfragile.AAsAcolla


genAandAelastinAfibersAinAtheAdermisAdeteriorate,AtheAskinAbecomesAwrinkled.ASebaceousAandAswe
atAglandAactivityAdecreases,AcausingAtheAskinAtoAbecomeAdry,Ascaly,AandAitchy,AandAtemperatureAre
gulationAinAhotAweatherAbecomesAmoreAdifficult.AAsAtheAnumberAandAactivityAofAhairAfolliclesAandA
pigmentAcellsA(melanocytes)Adiminishes,AhairAbecomesAthin,AturnsAgrayAorAwhite,AandAgrowsAmor
eAslowly.ANailsAthickenAandAgrowthAdecreases.ATheseAchangesAincreaseAtheAriskAforAskinAproblems.



TrueAorAfalse:ATheAprofessionalAnurseAisAresponsibleAforAmakingAassessments.A-
ACORRECTAANSWERSTrue




TrueAorAfalse:AAssistingAwithAtheAbathAisAanAexcellentAtimeAtoAassessAtheApatient.A-
ACORRECTAANSWERSTrue




ToAinspectAforApallorAinAaAdark-
skinnedAperson,AwhichAareasAwouldAyouAassessAforAanAashenAgrayAorAyellowAcolor?A-
ACORRECTAANSWERSForAdark-


skinnedApersons,AtheAconjunctivae,AbuccalAmucosa,Atongue,Alips,AnailAbeds,Apalms,AandAsolesAsho
uldAbeAassessedAforApallor.



WhatAisAtheAtermAthatAmeansA"aAbluishAcolorAofAtheAskin"?A-
ACORRECTAANSWERSCyanosisAmeansAaAbluishAdiscolorationAofAtheAskin.




NameAtwoAcausesAofAerythema.A-
ACORRECTAANSWERSVasodilationAandAinflammationAareAcausesAofAerythema.




WhereAcanAyouAbestAseeAjaundice?A-
ACORRECTAANSWERSTheAscleraAofAtheAeyesAisAtheAbestAplaceAtoAseeAjaundice




TrueAorAfalse:AHealthyAnailsAareAusuallyAclean,Asmooth,AandAconvexlyAcurvedA-
ACORRECTAANSWERSTrue

, ListAatAleastAthreeAnailAchangesAthatAoccurAwithAaging.A-
ACORRECTAANSWERSAsAaApersonAages,AtheAnailsAthicken,AbecomeAridged,AandAmayAyellowAorAbeco


meAconcaveAinAshape.



ListAatAleastAfourAthingsAyouAshouldAteachAclientsAaboutAself-careAofAtheirAnails.A-
ACORRECTAANSWERSAnswer:



ClientsAshouldAbeAtaughtAtheAfollowingAself-careAofAtheirAnails:

●AInspectAtheAnailsAdaily.

●ATrimAnailsAwithAaAnailAclipperA(peopleAwithAdiabetesAorAcirculatoryAproblemsAshouldAfileAonly,Aas
AcuttingAposesAaAriskAforAinjuryAtoAtheAtissues).



●AFileAtheAnailsAstraightAacross,AroundingAtheAcornersAslightlyAtoApreventAscratching;AdoAnotAcutAde
eplyAintoAtheAlateralAcorners,AasAthisAmayAcauseAingrownAnails.

●ARemoveAhangnailsAbyAcarefullyAcuttingAthemAoff.

●ACleanAunderAtheAnailsAwithAanAorangewoodAstickAorAotherAbluntAinstrument.

●APushAbackAtheAcuticlesAgently.

●AUseAaAmoisturizingAlotionAtoAsoftenAcuticles.

●AAvoidAbitingAnails.

●AConsultAaApodiatristAforAanyAingrownAtoenailsAorAotherAnailAproblems.

●ARecommendAtoApatientsAwithAdiabetes,AcirculatoryAinsufficiency,AorAnailAproblemsAthatAtheyAse
ekAnailAcareAfromAaApodiatrist.



ListAatAleastAfourAassessmentsAyouAshouldAmakeAofAaApatient'sAhair.A-
ACORRECTAANSWERSTheAfollowingAassessmentsAshouldAbeAmadeAonAaApatient'sAhair:



●AUseAofAspecialAproductsAorAmedicatedAshampoos

●AHistoryAofAhairAproblemsAorAcurrentAconditionsAnecessitatingAtreatmentA(e.g.,ApediculosisA[head
Alice])



●AHistoryAorApresenceAofAdiseaseAorAtherapyAthatAaffectAtheAhairA(e.g.,Achemotherapy)