NR302 Final Comprehensive Exam Questions and d d d d d
Answers - NR 302 Final Exam Latest d d d d d d d
Chamberlain College of Nursing 100% Correct Q & d d d d d d d
A d
1. While making rounds, the nurse finds a patient on the floor in the hall. Which should be
d d d d d d d d d d d d d d d d
d the nurse's initial response?
d d d
a. Inspect the patient for injury d d d d
b. Transfer the patient back to bed d d d d d
c. Move the patient to the closest chair
d d d d d d
d. Report the patient's condition to the nurse manager - ANSWER>>a
d d d d d d d d d
2. Which should the nurse do to avoid patient accidents?
d d d d d d d d
a. Provide a cane for walking if the patient is weak
d d d d d d d d d
b. Determine the strength of a patient before walking d d d d d d d
c. Apply a vest restraint when a patient is using the wheelchair
d d d d d d d d d d
d. Keep the overbed table in front of a patient sitting in a chair - ANSWER>>b
d d d d d d d d d d d d d d
3. Which assessment by the nurse most likely indicates that a patient is having difficulty
d d d d d d d d d d d d d
d breathing?
a. 18 breaths per minute and inhaled through the mouth
d d d d d d d d
b. 20 breaths per minute and shallow in character
d d d d d d d
c. 16 breaths per minute and deep in character
d d d d d d d
d. 28 breaths per minute and noisy - ANSWER>>d
d d d d d d d
4. Which should a nurse always do when taking a rectal temperature?
d d d d d d d d d d
a. Allow self-insertion of the thermometer
d d d d
b. Position the patient on the left side d d d d d d
c. Use an electronic thermometer
d d d
d. Lubricate the thermometer - ANSWER>>d d d d d
,5. A nurse is assessing a patient's ideal body weight. Which significant factor should be
d d d d d d d d d d d d d
d taken into consideration when performing this assessment?
d d d d d d
a. Daily intake d
b. Body height d
c. Clothing size d
d. Food preference - ANSWER>>b
d d d
6. A nurse asks a patient's wife specific questions about the patient's health status
d d d d d d d d d d d d
d before admission. When collecting this information, the nurse is seeking information for a:
d d d d d d d d d d d d
a. Primary source d
b. Tertiary source d
c. Subjective source d
d. Secondary source - ANSWER>>d d d d
7. A nurse is performing a physical assessment of a newly admitted patient. Which
d d d d d d d d d d d d
d patient statement communicates subjective data?
d d d d
a. "I have sores between my toes"
d d d d d
b. "I dye my hair but it is really gray"
d d d d d d d d
c. "My joints hurt when I get up in the morning"
d d d d d d d d d
d. "My left leg drags the floor when I am walking" - ANSWER>>c
d d d d d d d d d d d
8. Which is an example of nonverbal communications?
d d d d d d
a. Letter
b. Holding hands d
c. Noise in the room d d d
d. Telephone message - ANSWER>>b d d d
9. A nurse takes a patient's blood pressure and records a diastolic pressure of 120 mm
d d d d d d d d d d d d d d
d Hg. Which should the nurse do first?
d d d d d d
,a. Notify the primary health-care provider
d d d d
b. Retake the blood pressure d d d
c. Notify the nurse in charge
d d d d
d. Take the other vital signs - ANSWER>>b
d d d d d d
10. A patient returns to the surgical unit from the post anesthesia care unit after
d d d d d d d d d d d d d
d abdominal surgery. The primary health-care provider orders intravenous fluids, oxygen
d d d d d d d d d
d via nasal cannula at 2 L/min, I&O, and vital signs every 2 hours. Two hours after surgery
d d d d d d d d d d d d d d d d
d the patient voids 400 mL of amber urine. What should the nurse do with this information?
d d d d d d d d d d d d d d d
a. Report this information to the primary health-care provider.
d d d d d d d
b. Record this amount on the patient's intake and output flow sheet
d d d d d d d d d d
c. Document this information on the patient's vital signs flow sheet
d d d d d d d d d
d. Communicate this event verbally to the other members of the health-care team. -
d d d d d d d d d d d d
d ANSWER>>b
11. A patient had a brain attack (i.e., stroke, cerebrovascular accident) that resulted in
d d d d d d d d d d d d
d paralysis of the right side. When clustering data, the nurse grouped the following data
d d d d d d d d d d d d d
d together: drooling of saliva and slurred speech. Which information is most significant to
d d d d d d d d d d d d
d include with this clustered data.
d d d d
a. Receptive aphasia d
b. Inability to ambulate d d
c. Difficulty swallowing d
d. Incontinence of bowel movements - ANSWER>>c d d d d d
12. A nurse understands that pressure ulcers are most often associated with patients
d d d d d d d d d d d
d who:
a. Are immobilized
d
b. Have psychiatric diagnoses
d d
c. Experience respiratory distress d d
d. Need close supervision for safety - ANSWER>>a
d d d d d d
, 13. A nurse is caring for a dying patient who has a loss of appetite (anorexia), difficulty
d d d d d d d d d d d d d d d
d falling asleep (insomnia), and decreased interest in activities of daily living. Which
d d d d d d d d d d d
d feeling reflects these clinical findings?
d d d d
a. Anger
b. Denial
c. Depression
d. Acceptance - ANSWER>>c d d
14. A patient who is debilitated and unsteady when standing insists on walking to the
d d d d d d d d d d d d d
d bathroom without calling for assistance. This behavior best reflects a need to be:
d d d d d d d d d d d d
a. Alone
b. Accepted
c. Independent
d. Manipulative - ANSWER>>c d d
15. A nurse assesses that a postoperative patient has a decreased blood pressure and
d d d d d d d d d d d d
d weak, thready pulse and concludes that the patient may be hemorrhaging. For which
d d d d d d d d d d d d
d additional signs of hemorrhage should the nurse assess the patient?
d d d d d d d d d
a. Pain
b. Jaundice
c. Tachycardia
d. Hyperthermia - ANSWER>>c d d
16. A patient who experience a brain attack (i.e., stroke, cerebrovascular accident) has
d d d d d d d d d d d
d left-sided hemiparesis and is incontinent of urine. Which is an appropriately worded
d d d d d d d d d d d
d nursing diagnosis for this patient?
d d d d
a. The patient has a need to maintain skin integrity
d d d d d d d d
b. The patient has a stroke evidenced by hemiparesis and incontinence.
d d d d d d d d d
c. The patient will be clean and dry and will receive range-of-motion exercises ever four
d d d d d d d d d d d d d
d hours
Answers - NR 302 Final Exam Latest d d d d d d d
Chamberlain College of Nursing 100% Correct Q & d d d d d d d
A d
1. While making rounds, the nurse finds a patient on the floor in the hall. Which should be
d d d d d d d d d d d d d d d d
d the nurse's initial response?
d d d
a. Inspect the patient for injury d d d d
b. Transfer the patient back to bed d d d d d
c. Move the patient to the closest chair
d d d d d d
d. Report the patient's condition to the nurse manager - ANSWER>>a
d d d d d d d d d
2. Which should the nurse do to avoid patient accidents?
d d d d d d d d
a. Provide a cane for walking if the patient is weak
d d d d d d d d d
b. Determine the strength of a patient before walking d d d d d d d
c. Apply a vest restraint when a patient is using the wheelchair
d d d d d d d d d d
d. Keep the overbed table in front of a patient sitting in a chair - ANSWER>>b
d d d d d d d d d d d d d d
3. Which assessment by the nurse most likely indicates that a patient is having difficulty
d d d d d d d d d d d d d
d breathing?
a. 18 breaths per minute and inhaled through the mouth
d d d d d d d d
b. 20 breaths per minute and shallow in character
d d d d d d d
c. 16 breaths per minute and deep in character
d d d d d d d
d. 28 breaths per minute and noisy - ANSWER>>d
d d d d d d d
4. Which should a nurse always do when taking a rectal temperature?
d d d d d d d d d d
a. Allow self-insertion of the thermometer
d d d d
b. Position the patient on the left side d d d d d d
c. Use an electronic thermometer
d d d
d. Lubricate the thermometer - ANSWER>>d d d d d
,5. A nurse is assessing a patient's ideal body weight. Which significant factor should be
d d d d d d d d d d d d d
d taken into consideration when performing this assessment?
d d d d d d
a. Daily intake d
b. Body height d
c. Clothing size d
d. Food preference - ANSWER>>b
d d d
6. A nurse asks a patient's wife specific questions about the patient's health status
d d d d d d d d d d d d
d before admission. When collecting this information, the nurse is seeking information for a:
d d d d d d d d d d d d
a. Primary source d
b. Tertiary source d
c. Subjective source d
d. Secondary source - ANSWER>>d d d d
7. A nurse is performing a physical assessment of a newly admitted patient. Which
d d d d d d d d d d d d
d patient statement communicates subjective data?
d d d d
a. "I have sores between my toes"
d d d d d
b. "I dye my hair but it is really gray"
d d d d d d d d
c. "My joints hurt when I get up in the morning"
d d d d d d d d d
d. "My left leg drags the floor when I am walking" - ANSWER>>c
d d d d d d d d d d d
8. Which is an example of nonverbal communications?
d d d d d d
a. Letter
b. Holding hands d
c. Noise in the room d d d
d. Telephone message - ANSWER>>b d d d
9. A nurse takes a patient's blood pressure and records a diastolic pressure of 120 mm
d d d d d d d d d d d d d d
d Hg. Which should the nurse do first?
d d d d d d
,a. Notify the primary health-care provider
d d d d
b. Retake the blood pressure d d d
c. Notify the nurse in charge
d d d d
d. Take the other vital signs - ANSWER>>b
d d d d d d
10. A patient returns to the surgical unit from the post anesthesia care unit after
d d d d d d d d d d d d d
d abdominal surgery. The primary health-care provider orders intravenous fluids, oxygen
d d d d d d d d d
d via nasal cannula at 2 L/min, I&O, and vital signs every 2 hours. Two hours after surgery
d d d d d d d d d d d d d d d d
d the patient voids 400 mL of amber urine. What should the nurse do with this information?
d d d d d d d d d d d d d d d
a. Report this information to the primary health-care provider.
d d d d d d d
b. Record this amount on the patient's intake and output flow sheet
d d d d d d d d d d
c. Document this information on the patient's vital signs flow sheet
d d d d d d d d d
d. Communicate this event verbally to the other members of the health-care team. -
d d d d d d d d d d d d
d ANSWER>>b
11. A patient had a brain attack (i.e., stroke, cerebrovascular accident) that resulted in
d d d d d d d d d d d d
d paralysis of the right side. When clustering data, the nurse grouped the following data
d d d d d d d d d d d d d
d together: drooling of saliva and slurred speech. Which information is most significant to
d d d d d d d d d d d d
d include with this clustered data.
d d d d
a. Receptive aphasia d
b. Inability to ambulate d d
c. Difficulty swallowing d
d. Incontinence of bowel movements - ANSWER>>c d d d d d
12. A nurse understands that pressure ulcers are most often associated with patients
d d d d d d d d d d d
d who:
a. Are immobilized
d
b. Have psychiatric diagnoses
d d
c. Experience respiratory distress d d
d. Need close supervision for safety - ANSWER>>a
d d d d d d
, 13. A nurse is caring for a dying patient who has a loss of appetite (anorexia), difficulty
d d d d d d d d d d d d d d d
d falling asleep (insomnia), and decreased interest in activities of daily living. Which
d d d d d d d d d d d
d feeling reflects these clinical findings?
d d d d
a. Anger
b. Denial
c. Depression
d. Acceptance - ANSWER>>c d d
14. A patient who is debilitated and unsteady when standing insists on walking to the
d d d d d d d d d d d d d
d bathroom without calling for assistance. This behavior best reflects a need to be:
d d d d d d d d d d d d
a. Alone
b. Accepted
c. Independent
d. Manipulative - ANSWER>>c d d
15. A nurse assesses that a postoperative patient has a decreased blood pressure and
d d d d d d d d d d d d
d weak, thready pulse and concludes that the patient may be hemorrhaging. For which
d d d d d d d d d d d d
d additional signs of hemorrhage should the nurse assess the patient?
d d d d d d d d d
a. Pain
b. Jaundice
c. Tachycardia
d. Hyperthermia - ANSWER>>c d d
16. A patient who experience a brain attack (i.e., stroke, cerebrovascular accident) has
d d d d d d d d d d d
d left-sided hemiparesis and is incontinent of urine. Which is an appropriately worded
d d d d d d d d d d d
d nursing diagnosis for this patient?
d d d d
a. The patient has a need to maintain skin integrity
d d d d d d d d
b. The patient has a stroke evidenced by hemiparesis and incontinence.
d d d d d d d d d
c. The patient will be clean and dry and will receive range-of-motion exercises ever four
d d d d d d d d d d d d d
d hours
