NSG 351 exam 2 review questions With Complete Solutions
A 23-year-old patient in the clinic appears anxious. Her speech
is rapid, and she is fidgety and in constant motion. Which of
these questions or statements would be most appropriate for the
nurse to use in this situation to assess attention span?
a. How do you usually feel? Is this normal behavior for you?
b. I am going to say four words. In a few minutes, I will ask you
to recall them.
c. Describe the meaning of the phrase, Looking through rose-
colored glasses.
d. Pick up the pencil in your left hand, move it to your right
hand, and place it on the table. Correct Answer d. Pick up the
pencil in your left hand, move it to your right hand, and place it
on the table.
A 25-year-old woman in her fifth month of pregnancy has a
blood pressure of 100/70 mm Hg. In reviewing her previous
examination, the nurse notes that her blood pressure in her
second month was 124/80 mm Hg. In evaluating this change,
what does the nurse know to be true?
a. This decline in blood pressure is the result of peripheral
vasodilatation and is an expected change.
b. Because of increased cardiac output, the blood pressure
should be higher at this time.
,c. This change in blood pressure is not an expected finding
because it means a decrease in cardiac output.
d. This decline in blood pressure means a decrease in circulating
blood volume, which is dangerous for the fetus. Correct Answer
a. This decline in blood pressure is the result of peripheral
vasodilatation and is an expected change.
A 26-year-old woman was robbed and beaten a month ago. She
is returning to the clinic today for a follow-up assessment. The
nurse will want to ask her which one of these questions?
a. How are things going with the trial?
b. How are things going with your job?
c. Tell me about your recent engagement!
d. Are you having any disturbing dreams? Correct Answer d.
Are you having any disturbing dreams?
A 32-year-old woman tells the nurse that she has noticed very
sudden, jerky movements mainly in her hands and arms. She
says, They seem to come and go, primarily when I am trying to
do something. I havent noticed them when Im sleeping. This
description suggests:
a. Tics.
b. Athetosis.
c. Myoclonus.
d. Chorea. Correct Answer d. Chorea.
,A 35-year-old recent immigrant is being seen in the clinic for
complaints of a cough that is associated with rust-colored
sputum, low-grade afternoon fevers, and night sweats for the
past 2 months. The nurses preliminary analysis, based on this
history, is that this patient may be suffering from:
a. Bronchitis.
b. Pneumonia.
c. Tuberculosis.
d. Pulmonary edema. Correct Answer c. Tuberculosis.
A 59-year-old patient has a herniated intervertebral disk. Which
of the following findings should the nurse expect to see on
physical assessment of this individual?
a. Hyporeflexia
b. Increased muscle tone
c. Positive Babinski sign
d. Presence of pathologic reflexes Correct Answer a.
Hyporeflexia
A 67-year-old patient states that he recently began to have pain
in his left calf when climbing the 10 stairs to his apartment. This
pain is relieved by sitting for approximately 2 minutes; then he
is able to resume his activities. The nurse interprets that this
patient is most likely experiencing:
a. Claudication.
, b. Sore muscles.
c. Muscle cramps.
d. Venous insufficiency. Correct Answer a. Claudication.
A 70-year-old patient is scheduled for open-heart surgery. The
surgeon plans to use the great saphenous vein for the coronary
bypass grafts. The patient asks, What happens to my circulation
when this vein is removed? The nurse should reply:
a. Venous insufficiency is a common problem after this type of
surgery.
b. Oh, you have lots of veinsyou wont even notice that it has
been removed.
c. You will probably experience decreased circulation after the
vein is removed.
d. This vein can be removed without harming your circulation
because the deeper veins in your leg are in good condition.
Correct Answer d. This vein can be removed without harming
your circulation because the deeper veins in your leg are in good
condition.
A 70-year-old patient with a history of hypertension has a blood
pressure of 180/100 mm Hg and a heart rate of 90 beats per
minute. The nurse hears an extra heart sound at the apex
immediately before the S1. The sound is heard only with the bell
of the stethoscope while the patient is in the left lateral position.
A 23-year-old patient in the clinic appears anxious. Her speech
is rapid, and she is fidgety and in constant motion. Which of
these questions or statements would be most appropriate for the
nurse to use in this situation to assess attention span?
a. How do you usually feel? Is this normal behavior for you?
b. I am going to say four words. In a few minutes, I will ask you
to recall them.
c. Describe the meaning of the phrase, Looking through rose-
colored glasses.
d. Pick up the pencil in your left hand, move it to your right
hand, and place it on the table. Correct Answer d. Pick up the
pencil in your left hand, move it to your right hand, and place it
on the table.
A 25-year-old woman in her fifth month of pregnancy has a
blood pressure of 100/70 mm Hg. In reviewing her previous
examination, the nurse notes that her blood pressure in her
second month was 124/80 mm Hg. In evaluating this change,
what does the nurse know to be true?
a. This decline in blood pressure is the result of peripheral
vasodilatation and is an expected change.
b. Because of increased cardiac output, the blood pressure
should be higher at this time.
,c. This change in blood pressure is not an expected finding
because it means a decrease in cardiac output.
d. This decline in blood pressure means a decrease in circulating
blood volume, which is dangerous for the fetus. Correct Answer
a. This decline in blood pressure is the result of peripheral
vasodilatation and is an expected change.
A 26-year-old woman was robbed and beaten a month ago. She
is returning to the clinic today for a follow-up assessment. The
nurse will want to ask her which one of these questions?
a. How are things going with the trial?
b. How are things going with your job?
c. Tell me about your recent engagement!
d. Are you having any disturbing dreams? Correct Answer d.
Are you having any disturbing dreams?
A 32-year-old woman tells the nurse that she has noticed very
sudden, jerky movements mainly in her hands and arms. She
says, They seem to come and go, primarily when I am trying to
do something. I havent noticed them when Im sleeping. This
description suggests:
a. Tics.
b. Athetosis.
c. Myoclonus.
d. Chorea. Correct Answer d. Chorea.
,A 35-year-old recent immigrant is being seen in the clinic for
complaints of a cough that is associated with rust-colored
sputum, low-grade afternoon fevers, and night sweats for the
past 2 months. The nurses preliminary analysis, based on this
history, is that this patient may be suffering from:
a. Bronchitis.
b. Pneumonia.
c. Tuberculosis.
d. Pulmonary edema. Correct Answer c. Tuberculosis.
A 59-year-old patient has a herniated intervertebral disk. Which
of the following findings should the nurse expect to see on
physical assessment of this individual?
a. Hyporeflexia
b. Increased muscle tone
c. Positive Babinski sign
d. Presence of pathologic reflexes Correct Answer a.
Hyporeflexia
A 67-year-old patient states that he recently began to have pain
in his left calf when climbing the 10 stairs to his apartment. This
pain is relieved by sitting for approximately 2 minutes; then he
is able to resume his activities. The nurse interprets that this
patient is most likely experiencing:
a. Claudication.
, b. Sore muscles.
c. Muscle cramps.
d. Venous insufficiency. Correct Answer a. Claudication.
A 70-year-old patient is scheduled for open-heart surgery. The
surgeon plans to use the great saphenous vein for the coronary
bypass grafts. The patient asks, What happens to my circulation
when this vein is removed? The nurse should reply:
a. Venous insufficiency is a common problem after this type of
surgery.
b. Oh, you have lots of veinsyou wont even notice that it has
been removed.
c. You will probably experience decreased circulation after the
vein is removed.
d. This vein can be removed without harming your circulation
because the deeper veins in your leg are in good condition.
Correct Answer d. This vein can be removed without harming
your circulation because the deeper veins in your leg are in good
condition.
A 70-year-old patient with a history of hypertension has a blood
pressure of 180/100 mm Hg and a heart rate of 90 beats per
minute. The nurse hears an extra heart sound at the apex
immediately before the S1. The sound is heard only with the bell
of the stethoscope while the patient is in the left lateral position.
