NUR2459 / NUR 2459: Final Exam (Latest )
d d d d d d d d d d
Mental & Behavioral Health Nursing - Rasmussen
d d d d d d
NUR2459 / NUR 2459: Final Exam (Latest ) Menta
d d d d d d d d d d
l & Behavioral Health Nursing - Rasmussen
d d d d d d
HEALTH ASSESSMENT EXAM 2 d d d
1. Thednursedisdperformingdadgeneraldsurvey.dWhichdactiondisdadcomponentdofdthedg
eneral survey? d
Observing the patient’s body stature and nutritional status
d d d d d d d
2. Whendmeasuringdadpatient’sdweight,dthednursedisdawaredofdwhichdofdthesedg
uidelines?
Attempts should be made to weigh the patient at approximately the same time of day, if
d d d d d d d d d d d d d d d d
a sequence of weights is necessary.
d d d d d
3. Adpatient’sdweeklydblooddpressuredreadingsdford2dmonthsdhavedrangeddbetweend
124/84 mm Hg and 136/88 mm Hg, with an average reading of 126/86 mm Hg. Th
d d d d d d d d d d d d d d d
e nurse knows that this blood pressure falls within which blood pressure category
d d d d d d d d d d d d
? Prehypertension
4. Duringdandexaminationdofdadchild,dthednursedconsidersdthatdphysicaldgrowthdisdt
he best index of a child’s: General health.
d d d d d d d
5. Ad1-month-
old infant has a head measurement of 34 cm and has a chest circumference of 32
d d d d d d d d d d d d d d d d
cm. Based on the interpretation of these findings, the nurse would: Consider thes
d d d d d d d d d d d d
e findings normal for a 1-month-old infant.
d d d d d d
6. Thednursedisdassessingdand80-year-
old male patient. Which assessment findings would be considered normal?
d d d d d d d d d
Presence of kyphosis and flexion in the knees and hips
d d d d d d d d d
7. Thednursedshoulddmeasuredrectaldtemperaturesdindwhichdofdthesedpatients?
Comatose adult d
8. Thednursedisdpreparingdtodmeasuredthedlength,dweight,dchest,danddheaddci
rcumference of a 6-month- d d d
old infant. Which measurement technique is correct?
d d d d d d
Measuring the chest circumference at the nipple line with a tape measure
d d d d d d d d d d d
9. Thednursedknowsdthatdonedadvantagedofdthedtympanicdmembranedthermometerd(
TMT) is that: Rapid measurement is useful for uncooperative younger children.
d d d d d d d d d d
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,NUR2459 / NUR 2459: Final Exam (Latest ) d d d d d d d d d d
Mental & Behavioral Health Nursing - Rasmussen
d d d d d d
10. Whendassessingdandolderdadult,dwhichdvitaldsigndchangesdoccurdwithdaging?
Widened pulse pressure d d
11. Thednursedisdexaminingdadpatientdwhodisdcomplainingdofdfeelingdcold.dWhichdisda
mechanism of heat loss in the body? Radiation
d d d d d d d d
12. Whendmeasuringdadpatientsdbodydtemperature,dthednursedkeepsdindminddthatd
body temperature is influenced by:
d d d d
Diurnal cycle. d
13. Whendevaluatingdthedtemperaturedofdolderdadults,dthednursedshoulddrememberd
which aspect about an older adult’s body temperature
d d d d d d d
The body temperature of the older adult is lower than that of a younger adult.
d d d d d d d d d d d d d d
14. Ad60-year-
old male patient has been treated for pneumonia for the past 6 weeks. He is seen t
d d d d d d d d d d d d d d d d
oday in the clinic for an unexplained weight loss of 10 pounds over the last 6 week
d d d d d d d d d d d d d d d d
s. The nurse knows that:
d d d d
Unexplained weight loss often accompanies short-term illnesses.
d d d d d d
15. Whendassessingdad75-year-
old patient who has asthma, the nurse notes that he assumes a tripod position, lea
d d d d d d d d d d d d d d
ning forward with arms braced on the chair. On the basis of this observation, the
d d d d d d d d d d d d d d d
nurse should: d
d.
Recognize that a tripod position is often used when a patient is having
d d d d d d d d d d d d d
respiratory difficulties. d
16. Whichdofdthesedactionsdillustratesdthedcorrectdtechniquedthednursedshoulddused
when assessing oral temperature with a mercury thermometer?
d d d d d d d
b. Leavedthedthermometerdindplaced3dtod4dminutesdifdthedpatientdisdafebrile.
17. ThednursedisdtakingdtemperaturesdindadclinicdwithdadTMT.dWhichdstatementdis
true regarding use of the TMT?
d d d d d
c. Thedriskdofdcross-
contamination is reduced, compared with the rectal route. d d d d d d d
Downloadeddby:dtiphanie_swand|
Distributiondofdthisddocumentdisdillegal
,NUR2459 / NUR 2459: Final Exam (Latest )
d d d d d d d d d d
Mental & Behavioral Health Nursing - Rasmussen
d d d d d d
18. Todassessdadrectaldtemperaturedaccuratelydindandadult,dthednursedwould:
a. Usedadlubricateddbluntdtipdthermometer.
19. Whichdtechniquedisdcorrectdwhendthednursedisdassessingdthedradialdpulsedofdad
patient? The pulse is counted for:
d d d d d
a. 1dminute,difdthedrhythmdisdirregular.
20. Whendassessingdadpatient’sdpulse,dthednursedshoulddalsodnoticedwhichdofdthesedc
haracteristics?
Force
21. Whendassessingdthedpulsedofdad6-year-
old boy, the nurse notices that his heart rate varies with his respiratory cycle, spe
d d d d d d d d d d d d d d
eding up at the peak of inspiration and slowing to normal with expiration. The n
d d d d d d d d d d d d d d
urses next action would be to:
d d d d d
b. Considerdthisdfindingdnormaldindchildrendanddyoungdadults.
22. Whendassessingdthedforce,dordstrength,dofdadpulse,dthednursedrecallsdthatdthedp
ulse:
c. Isdadreflectiondofdthedheartsdstrokedvolume.
23. Thednursedisdassessingdthedvitaldsignsdofdad20-year-
old male marathon runner and documents the following vital signs: temperature3
d d d d d d d d d d
6 C; pulse48 beats per minute; respirations14 breaths per minute; blood pressure
d d d d d d d d d d d
104/68 mm Hg. Which statement is true concerning these results?
d d d d d d d d d
b. Thesedarednormaldvitaldsignsdfordadhealthy,dathleticdadult.
24. Thednursedisdassessingdthedvitaldsignsdofdad3-year-
old patient who appears to have an irregular respiratory pattern. How should t
d d d d d d d d d d d d
he nurse assess this child’s respirations?
d d d d d
a. Respirationsdshoulddbedcounteddford1dfulldminute,dnoticingdratedanddr
hythm.
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Distributiondofdthisddocumentdisdillegal
, NUR2459 / NUR 2459: Final Exam (Latest ) d d d d d d d d d d
Mental & Behavioral Health Nursing - Rasmussen
d d d d d d
25. Adpatient’sdblooddpressuredisd118/82dmmdHg.dHedasksdthednurse,dwhatddodthedn
umbers mean? The nurses best reply is:
d d d d d d
c. Thedtopdnumberdisdthedsystolicdblooddpressuredanddreflectsdthedpressuredo
f the blood against the arteries when the heart contracts.
d d d d d d d d d
26. Whiledmeasuringdadpatient’sdblooddpressure,dthednursedrecallsdthatdcertaindf
actors, such as d d , help determine blood pressure.
d d d d
d. Peripheraldvasculardresistance
27. Adnursedisdhelpingdatdadhealthdfairdatdadlocaldmall.dWhendtakingdblooddp
ressures on a variety of people, the nurse keeps in mind that:
d d d d d d d d d d d
b.
The blood pressure of a Black adult is usually higher than that of a
d d d d d d d d d d d d d d
White adult of the same age.
d d d d d
28. Thednursednoticesdadcolleaguedisdpreparingdtodcheckdthedblooddpressuredofdad
patient who is obese by using a standard-
d d d d d d d
sized blood pressure cuff. The nurse should expect the reading to:
d d d d d d d d d d
b. Yielddadfalselydhighdblooddpressure.
29. Adstudentdisdlatedfordhisdappointmentdanddhasdrusheddacrossdcampusdtodthedh
ealth clinic. The nurse should:
d d d d
a. Allowd5dminutesdfordhimdtodrelaxdanddrestdbeforedcheckingdhisdvitaldsi
gns.
30. Thednursedwilldperformdadpalpateddpressuredbeforedauscultatingdbloodd
pressure. The reason for this is to:
d d d d d d
b. Detectdthedpresencedofdandauscultatorydgap.
31. Thednursedisdtakingdandinitialdblooddpressuredreadingdondad72-year-
old patient with documented hypertension. How should the nurse proceed?
d d d d d d d d d
Downloadeddby:dtiphanie_swand|
Distributiondofdthisddocumentdisdillegal
d d d d d d d d d d
Mental & Behavioral Health Nursing - Rasmussen
d d d d d d
NUR2459 / NUR 2459: Final Exam (Latest ) Menta
d d d d d d d d d d
l & Behavioral Health Nursing - Rasmussen
d d d d d d
HEALTH ASSESSMENT EXAM 2 d d d
1. Thednursedisdperformingdadgeneraldsurvey.dWhichdactiondisdadcomponentdofdthedg
eneral survey? d
Observing the patient’s body stature and nutritional status
d d d d d d d
2. Whendmeasuringdadpatient’sdweight,dthednursedisdawaredofdwhichdofdthesedg
uidelines?
Attempts should be made to weigh the patient at approximately the same time of day, if
d d d d d d d d d d d d d d d d
a sequence of weights is necessary.
d d d d d
3. Adpatient’sdweeklydblooddpressuredreadingsdford2dmonthsdhavedrangeddbetweend
124/84 mm Hg and 136/88 mm Hg, with an average reading of 126/86 mm Hg. Th
d d d d d d d d d d d d d d d
e nurse knows that this blood pressure falls within which blood pressure category
d d d d d d d d d d d d
? Prehypertension
4. Duringdandexaminationdofdadchild,dthednursedconsidersdthatdphysicaldgrowthdisdt
he best index of a child’s: General health.
d d d d d d d
5. Ad1-month-
old infant has a head measurement of 34 cm and has a chest circumference of 32
d d d d d d d d d d d d d d d d
cm. Based on the interpretation of these findings, the nurse would: Consider thes
d d d d d d d d d d d d
e findings normal for a 1-month-old infant.
d d d d d d
6. Thednursedisdassessingdand80-year-
old male patient. Which assessment findings would be considered normal?
d d d d d d d d d
Presence of kyphosis and flexion in the knees and hips
d d d d d d d d d
7. Thednursedshoulddmeasuredrectaldtemperaturesdindwhichdofdthesedpatients?
Comatose adult d
8. Thednursedisdpreparingdtodmeasuredthedlength,dweight,dchest,danddheaddci
rcumference of a 6-month- d d d
old infant. Which measurement technique is correct?
d d d d d d
Measuring the chest circumference at the nipple line with a tape measure
d d d d d d d d d d d
9. Thednursedknowsdthatdonedadvantagedofdthedtympanicdmembranedthermometerd(
TMT) is that: Rapid measurement is useful for uncooperative younger children.
d d d d d d d d d d
Downloadeddby:dtiphanie_swand|
Distributiondofdthisddocumentdisdillegal
,NUR2459 / NUR 2459: Final Exam (Latest ) d d d d d d d d d d
Mental & Behavioral Health Nursing - Rasmussen
d d d d d d
10. Whendassessingdandolderdadult,dwhichdvitaldsigndchangesdoccurdwithdaging?
Widened pulse pressure d d
11. Thednursedisdexaminingdadpatientdwhodisdcomplainingdofdfeelingdcold.dWhichdisda
mechanism of heat loss in the body? Radiation
d d d d d d d d
12. Whendmeasuringdadpatientsdbodydtemperature,dthednursedkeepsdindminddthatd
body temperature is influenced by:
d d d d
Diurnal cycle. d
13. Whendevaluatingdthedtemperaturedofdolderdadults,dthednursedshoulddrememberd
which aspect about an older adult’s body temperature
d d d d d d d
The body temperature of the older adult is lower than that of a younger adult.
d d d d d d d d d d d d d d
14. Ad60-year-
old male patient has been treated for pneumonia for the past 6 weeks. He is seen t
d d d d d d d d d d d d d d d d
oday in the clinic for an unexplained weight loss of 10 pounds over the last 6 week
d d d d d d d d d d d d d d d d
s. The nurse knows that:
d d d d
Unexplained weight loss often accompanies short-term illnesses.
d d d d d d
15. Whendassessingdad75-year-
old patient who has asthma, the nurse notes that he assumes a tripod position, lea
d d d d d d d d d d d d d d
ning forward with arms braced on the chair. On the basis of this observation, the
d d d d d d d d d d d d d d d
nurse should: d
d.
Recognize that a tripod position is often used when a patient is having
d d d d d d d d d d d d d
respiratory difficulties. d
16. Whichdofdthesedactionsdillustratesdthedcorrectdtechniquedthednursedshoulddused
when assessing oral temperature with a mercury thermometer?
d d d d d d d
b. Leavedthedthermometerdindplaced3dtod4dminutesdifdthedpatientdisdafebrile.
17. ThednursedisdtakingdtemperaturesdindadclinicdwithdadTMT.dWhichdstatementdis
true regarding use of the TMT?
d d d d d
c. Thedriskdofdcross-
contamination is reduced, compared with the rectal route. d d d d d d d
Downloadeddby:dtiphanie_swand|
Distributiondofdthisddocumentdisdillegal
,NUR2459 / NUR 2459: Final Exam (Latest )
d d d d d d d d d d
Mental & Behavioral Health Nursing - Rasmussen
d d d d d d
18. Todassessdadrectaldtemperaturedaccuratelydindandadult,dthednursedwould:
a. Usedadlubricateddbluntdtipdthermometer.
19. Whichdtechniquedisdcorrectdwhendthednursedisdassessingdthedradialdpulsedofdad
patient? The pulse is counted for:
d d d d d
a. 1dminute,difdthedrhythmdisdirregular.
20. Whendassessingdadpatient’sdpulse,dthednursedshoulddalsodnoticedwhichdofdthesedc
haracteristics?
Force
21. Whendassessingdthedpulsedofdad6-year-
old boy, the nurse notices that his heart rate varies with his respiratory cycle, spe
d d d d d d d d d d d d d d
eding up at the peak of inspiration and slowing to normal with expiration. The n
d d d d d d d d d d d d d d
urses next action would be to:
d d d d d
b. Considerdthisdfindingdnormaldindchildrendanddyoungdadults.
22. Whendassessingdthedforce,dordstrength,dofdadpulse,dthednursedrecallsdthatdthedp
ulse:
c. Isdadreflectiondofdthedheartsdstrokedvolume.
23. Thednursedisdassessingdthedvitaldsignsdofdad20-year-
old male marathon runner and documents the following vital signs: temperature3
d d d d d d d d d d
6 C; pulse48 beats per minute; respirations14 breaths per minute; blood pressure
d d d d d d d d d d d
104/68 mm Hg. Which statement is true concerning these results?
d d d d d d d d d
b. Thesedarednormaldvitaldsignsdfordadhealthy,dathleticdadult.
24. Thednursedisdassessingdthedvitaldsignsdofdad3-year-
old patient who appears to have an irregular respiratory pattern. How should t
d d d d d d d d d d d d
he nurse assess this child’s respirations?
d d d d d
a. Respirationsdshoulddbedcounteddford1dfulldminute,dnoticingdratedanddr
hythm.
Downloadeddby:dtiphanie_swand|
Distributiondofdthisddocumentdisdillegal
, NUR2459 / NUR 2459: Final Exam (Latest ) d d d d d d d d d d
Mental & Behavioral Health Nursing - Rasmussen
d d d d d d
25. Adpatient’sdblooddpressuredisd118/82dmmdHg.dHedasksdthednurse,dwhatddodthedn
umbers mean? The nurses best reply is:
d d d d d d
c. Thedtopdnumberdisdthedsystolicdblooddpressuredanddreflectsdthedpressuredo
f the blood against the arteries when the heart contracts.
d d d d d d d d d
26. Whiledmeasuringdadpatient’sdblooddpressure,dthednursedrecallsdthatdcertaindf
actors, such as d d , help determine blood pressure.
d d d d
d. Peripheraldvasculardresistance
27. Adnursedisdhelpingdatdadhealthdfairdatdadlocaldmall.dWhendtakingdblooddp
ressures on a variety of people, the nurse keeps in mind that:
d d d d d d d d d d d
b.
The blood pressure of a Black adult is usually higher than that of a
d d d d d d d d d d d d d d
White adult of the same age.
d d d d d
28. Thednursednoticesdadcolleaguedisdpreparingdtodcheckdthedblooddpressuredofdad
patient who is obese by using a standard-
d d d d d d d
sized blood pressure cuff. The nurse should expect the reading to:
d d d d d d d d d d
b. Yielddadfalselydhighdblooddpressure.
29. Adstudentdisdlatedfordhisdappointmentdanddhasdrusheddacrossdcampusdtodthedh
ealth clinic. The nurse should:
d d d d
a. Allowd5dminutesdfordhimdtodrelaxdanddrestdbeforedcheckingdhisdvitaldsi
gns.
30. Thednursedwilldperformdadpalpateddpressuredbeforedauscultatingdbloodd
pressure. The reason for this is to:
d d d d d d
b. Detectdthedpresencedofdandauscultatorydgap.
31. Thednursedisdtakingdandinitialdblooddpressuredreadingdondad72-year-
old patient with documented hypertension. How should the nurse proceed?
d d d d d d d d d
Downloadeddby:dtiphanie_swand|
Distributiondofdthisddocumentdisdillegal
