TTC NUR 102 Exam Questions With
Complete Solutions
_________ __________ are tables that have vertical and
horizontal columns that allow nurses to document routine
assessments and procedures Correct Answers flow sheets
________________________ reports the patient's status at
discharge and gives instructions for diet, activity, home care,
and follow-up Correct Answers nursing discharge summary
A ___________ can cause superficial and deep burns, muscle
contractions, and cardiac and respiratory arrest Correct Answers
macroshock
A child is exhibiting marked trouble breathing and complains of
feeling short of breath. A high-pitched musical sound is heard
on inspiration and expiration. How would the nurse best classify
this dyspnea?
a. stridor
b. unlabored
c. exertional dyspnea
d. wheezing Correct Answers d
a combination of patient care elements that can be consistently
implemented to reduce harm is called Correct Answers bundle
short, focused list that is not not intended to replace any other
procedure or care already in place
,a fall in bp associated with a change in position from supine to
sitting or standing is called *** Correct Answers postural
(orthostatic) hypotension
a federally mandated tool for assessment in long-term care
settings designed to provide thorough and systematic appraisal
of residents Correct Answers Resident Assessment Instrument
(RIA)
A group of nurses are discussing a patient case in the elevator
when a group of people enter the elevator. Which aspect of
HIPAA is most directly in violation?
a. Patient education on privacy protection
b. Patient recourse if privacy protections are violated
c. Minimal disclosure of protected health information
d. Limit use of information to accomplish intended purpose
Correct Answers c
a harsh inspiratory sound due to obstruction that may be
compared to crowing Correct Answers stridor
a localized collection of white blood cells and cellular debris
(pus) that appears swollen and inflamed is called Correct
Answers abscess
A nurse calls a physician regarding a patient's increased output
to a surgical Jackson-Pratt (JP) drain. She relays the following
information: "The patient has had 600 cc of serosanguineous
drainage from his JP drain over the last two hours; the previous
,8 hour shift had a total of 160 cc. He is post-op day #1 for a
prostatectomy. He has had no increase in pain but is now
hypotensive with a BP of 100/64 and a HR of 98. I think he has
a urine leak." What is missing from this SBAR communication?
a. Situation
b. Background
c. Assessment
d. Recommendation Correct Answers d
A nurse determines that ascites is present in assessing a patient
with end-stage liver failure. Which of the following is congruent
with this finding? Select all that apply:
a. Striae
b. Scaphoid shape
c. Visible peristalsis
d. Borborygmi Correct Answers a
A nurse has administered 1 unit of glucose to the client as per
order. What is the correct documentation of this information?
Correct Answers 1 Unit of Glucose
no abbreviations!
A nurse is about to assess a patient's blood pressure while the
patient is out of bed in the chair. Which of the following should
be considered in relation to patient position?
a. The patient's arm should rest on the arm of the chair.
b. The patient should hold the arm even with the fourth
intercostal space.
, c. Blood pressure should not be taken while the patient is
upright.
d. The nurse should support the arm even with the fourth
intercostal space. Correct Answers d
A nurse is admitting a patient with congestive heart failure.
Which of the following describe appropriate aspects of
assessment?
a. Define patient goals for increasing ability for self-care.
b. Evaluate current therapeutic regimen at home.
c. Identify activities that exacerbate symptoms.
d. Apply oxygen therapy via nasal cannula. Correct Answers c
A nurse is assessing a patient receiving epidural pain
medication. Which of the following are related to the resultant
decrease in sensation and pain relief? Select all that apply:
a. Prolonged pressure on the heels
b. Risk for fall or injury
c. Need for focused dermatome assessment
d. Documentation of numbness and tingling Correct Answers a,
b, c, d
A nurse is assessing respiratory function on a patient with a
pneumothorax by asking him to say "99." This is a technique
used to determine which of the following?
a. Egophony
b. Fremitus
c. Excursion
Complete Solutions
_________ __________ are tables that have vertical and
horizontal columns that allow nurses to document routine
assessments and procedures Correct Answers flow sheets
________________________ reports the patient's status at
discharge and gives instructions for diet, activity, home care,
and follow-up Correct Answers nursing discharge summary
A ___________ can cause superficial and deep burns, muscle
contractions, and cardiac and respiratory arrest Correct Answers
macroshock
A child is exhibiting marked trouble breathing and complains of
feeling short of breath. A high-pitched musical sound is heard
on inspiration and expiration. How would the nurse best classify
this dyspnea?
a. stridor
b. unlabored
c. exertional dyspnea
d. wheezing Correct Answers d
a combination of patient care elements that can be consistently
implemented to reduce harm is called Correct Answers bundle
short, focused list that is not not intended to replace any other
procedure or care already in place
,a fall in bp associated with a change in position from supine to
sitting or standing is called *** Correct Answers postural
(orthostatic) hypotension
a federally mandated tool for assessment in long-term care
settings designed to provide thorough and systematic appraisal
of residents Correct Answers Resident Assessment Instrument
(RIA)
A group of nurses are discussing a patient case in the elevator
when a group of people enter the elevator. Which aspect of
HIPAA is most directly in violation?
a. Patient education on privacy protection
b. Patient recourse if privacy protections are violated
c. Minimal disclosure of protected health information
d. Limit use of information to accomplish intended purpose
Correct Answers c
a harsh inspiratory sound due to obstruction that may be
compared to crowing Correct Answers stridor
a localized collection of white blood cells and cellular debris
(pus) that appears swollen and inflamed is called Correct
Answers abscess
A nurse calls a physician regarding a patient's increased output
to a surgical Jackson-Pratt (JP) drain. She relays the following
information: "The patient has had 600 cc of serosanguineous
drainage from his JP drain over the last two hours; the previous
,8 hour shift had a total of 160 cc. He is post-op day #1 for a
prostatectomy. He has had no increase in pain but is now
hypotensive with a BP of 100/64 and a HR of 98. I think he has
a urine leak." What is missing from this SBAR communication?
a. Situation
b. Background
c. Assessment
d. Recommendation Correct Answers d
A nurse determines that ascites is present in assessing a patient
with end-stage liver failure. Which of the following is congruent
with this finding? Select all that apply:
a. Striae
b. Scaphoid shape
c. Visible peristalsis
d. Borborygmi Correct Answers a
A nurse has administered 1 unit of glucose to the client as per
order. What is the correct documentation of this information?
Correct Answers 1 Unit of Glucose
no abbreviations!
A nurse is about to assess a patient's blood pressure while the
patient is out of bed in the chair. Which of the following should
be considered in relation to patient position?
a. The patient's arm should rest on the arm of the chair.
b. The patient should hold the arm even with the fourth
intercostal space.
, c. Blood pressure should not be taken while the patient is
upright.
d. The nurse should support the arm even with the fourth
intercostal space. Correct Answers d
A nurse is admitting a patient with congestive heart failure.
Which of the following describe appropriate aspects of
assessment?
a. Define patient goals for increasing ability for self-care.
b. Evaluate current therapeutic regimen at home.
c. Identify activities that exacerbate symptoms.
d. Apply oxygen therapy via nasal cannula. Correct Answers c
A nurse is assessing a patient receiving epidural pain
medication. Which of the following are related to the resultant
decrease in sensation and pain relief? Select all that apply:
a. Prolonged pressure on the heels
b. Risk for fall or injury
c. Need for focused dermatome assessment
d. Documentation of numbness and tingling Correct Answers a,
b, c, d
A nurse is assessing respiratory function on a patient with a
pneumothorax by asking him to say "99." This is a technique
used to determine which of the following?
a. Egophony
b. Fremitus
c. Excursion
