(Chamberlain) NR224 Fundamentals Exam 2: N224 exam 2 quiz Questions and Answers

NR224 Fundamentals Exam 2: N224 exam 2 quiz The second heart sound is a result of The nurse is performing an assessment on an adult. The adult's vital signs are normal and capillary refill is 5 seconds. What should the nurse do next? A pulse amplitude (or force) that is diminished to the point of being barely palpable would be graded as: The nurse is preparing to assess the dorsalis pedis artery. Where is the correct location for palpation? You are assessing the patient's pretibial edema. You note that the patient has deep pitting, indentation remains for a short time, leg looks swollen. You assign the pitting edema a grade of: To assess for a pulse deficit you would assess which sites? If you are unable to palpate a peripheral pulse, then the next step would be to: During assessment of the precordium of an adult patient, the nurse palpates the apical impulse at the 6th intercostal space and outside the midclavicular line. This finding most likely suggests: After detecting an irregular rhythm of a patient's heart beat, the nurse calculates the apical pulse at 92 beats per minute and the radial pulse at 80 beats per minute. The pulse deficit of 12 is caused by a weak contraction of the ventricles. The most likely cause is: Which of these is not a modifiable risk factor for cardiovascular disease? Which of these statements is true regarding the vertebra prominens? Which statement about the anterior apices of the lungs is true? The nurse is auscultating the chest in an adult. Which technique is correct? A patient has a long history of Chronic Obstructive Pulmonary Disease. During the assessment, the nurse will most likely observe which of these? During auscultation of breath sounds, the nurse should correctly use the stethoscope in which of the following ways? Where does the trachea bifurcate on the anterior chest? The nurse is listening to the breath sounds of a patient with severe asthma. Air passing through narrowed bronchioles would produce which of these adventitious sounds? The nurse is assessing the lungs of an older adult. Which of these changes are normal in the respiratory system of the older adult? He nurse is auscultating the lungs of a patient who had been sleeping and notices short, popping, crackling sounds that stop after a few breaths. What does this finding indicate? A patient comes to the clinic reporting a cough that is worse at night but not as bad during the day. What does the nurse suspect? A 50-year-old woman with an elevated total cholesterol level is visiting the clinic to find out about her laboratory results. What would be important for the nurse to include in the patient teaching in relation to these tests? Which of these conditions is due to an inadequate intake of both protein and calories? You are caring for a patient that says he is a practicing strict Orthodox Judaism. What food restrictions do you need to be aware of? The BMI of an adult that is considered overweight is: The nurse is assessing a female patient who is obese for signs of metabolic syndrome. This condition is diagnosed when three or more certain risk factors are present. Which of these assessment findings is a risk factor for metabolic syndrome? The absence of bowel sounds is established after listening for: The nurse notices that the patient is having dark, tarry stools and recalls that a possible cause would be: . A patient's abdomen is bulging and stretched in appearance. How should the nurse document this finding? A patient has hypoactive bowel sounds. What is a possible cause of this finding? What is the best description of hyperactive bowel sounds? Hematuria occurs with A 59-year-old patient has been diagnosed with prostatitis and is being seen at the clinic for reports of burning and pain during urination. How should the nurse document this finding? During a health history, a patient tells the nurse that he has trouble in starting his urine stream. How should the nurse document this finding? A 52-year-old patient states that when she sneezes or coughs, she "wets herself a little." She is very concerned that something may be wrong with her. What does this finding suggest? You are taking a nursing health history on a 75-year-old female with heart failure. The patient states her sleep is disrupted by having to frequently get up to urinate. What other questions should you ask? During an assessment, the nurse is unable to palpate pulses in the left lower leg. What should the nurse do next? During an assessment of a hospitalized patient, the nurse pinches a fold of skin under the clavicle or on the forearm to test: During your examination, which of the following findings need immediate attention? It is important for the patients to understand that nurses take infection control seriously. For that reason, it is important to: The nurse is giving report to the next shift and is using SBAR framework for communication. Which of these statements reflects the Background portion of the report?