NUR 303 Final Exam With
Complete Solution
A patient asks, "Why is bending at the hips and touching my toes
necessary?", "This is a sports physical examination, not exercise class." Which
is the most appropriate response by the nurse?
A. "This is the best way to check for symmetry of your arms."
B. "I am looking at the stretch of your hamstrings."
C. "This allows me to see how straight your spinal column is."
D. "I am assessing the flexion of your spine." - ANSWER D. "I am assessing
the flexion of your spine."
Which intervention is required for a patient who demonstrates signs of an
obtunded level of consciousness?
A. Gently shaking
B. Frequent reorientation
C. Protection from injury
D. Regular respiratory assessment - ANSWER B. Frequent reorientation
During a focused assessment of the cardiovascular system, a patient reports
difficulty falling asleep unless they are in an upright position using 4-5
pillows in bed. Which symptom requires further investigation by the nurse?
A. Chest pain
,B. Shortness of breath
C. Palpitations
D. Edema - ANSWER B. Shortness of breath
Which strategy should a nurse include in patient teaching about modifying
risk factors associated with hypertension?
A. Consume a diet high in sodium and low in potassium.
B. Encourage increase consumption of dairy products.
C. Encourage the client to quit alcohol consumption.
D. Encourage increase consumption of potassium rich foods. - ANSWER D.
Encourage increase consumption of potassium rich foods.
The nurse is listening to the patient's heart at the 2nd LSB. Which area is
being auscultated?
A. Erb's point
B. Mitral area
C. Aortic area
D. Pulmonic area - ANSWER D. Pulmonic area
Where should a nurse palpate the dorsalis pedis pulse?
A. Behind the knee in the popliteal fossa
B. The inner aspect of the ankle below and slightly behind the medial
malleolus
C. Over the dorsum of the foot between the tendons of the first and second
,toes
D. The outer side of the ankle below and slightly behind the lateral malleolus
- ANSWER C. Over the dorsum of the foot between the tendons of the first
and second toes
During physical examination of the peripheral vascular system, a patient's
foot is found to be pale when elevated and dark red when in the dependent
position. Which condition is the patient at risk for developing?
A. Neuropathic ulcers
B. Venous insufficiency ulcers
C. Deep vein thrombosis
D. Peripheral artery insufficiency ulcers - ANSWER D. Peripheral artery
insufficiency ulcers
What does the S2 heart sound represent?
A. The beginning of systole
B. The closure of the aortic and pulmonic valves.
C. The closure of the tricuspid and mitral valves.
D. A split heart sound on exhalation. - ANSWER B. The closure of the aortic
and pulmonic valves.
A nurse examines a patient's jaw movement by placing two fingers in front
of each ear and asking the patient to slowly open and close the mouth.
Which movement of the jaw should the nurse ask the patient to perform
, next?
A. Swallow.
B. Smile.
C. Clench the teeth together.
D. Move the jaw side to side. - ANSWER D. Move the jaw side to side.
A nurse auscultates the heart sounds of a patient and hears a louder S1 when
listening at the 4th intercostal space, left sternal border. The nurse
determines that this finding is consistent with closure of which heart valve?
A. Aortic valve
B. Mitral valve
C. Tricuspid valve
D. Pulmonic valve - ANSWER C. Tricuspid valve
Which assessment documentation describes a patient's level of
consciousness?
A. "Patient was inattentive to the questions being asked."
B. "Patient answered questions both logically and coherently."
C. "Patient was alert and cooperative during the assessment."
D. "Patient demonstrated difficulty with recalling events occurring this
morning." - ANSWER C. "Patient was alert and cooperative during the
Complete Solution
A patient asks, "Why is bending at the hips and touching my toes
necessary?", "This is a sports physical examination, not exercise class." Which
is the most appropriate response by the nurse?
A. "This is the best way to check for symmetry of your arms."
B. "I am looking at the stretch of your hamstrings."
C. "This allows me to see how straight your spinal column is."
D. "I am assessing the flexion of your spine." - ANSWER D. "I am assessing
the flexion of your spine."
Which intervention is required for a patient who demonstrates signs of an
obtunded level of consciousness?
A. Gently shaking
B. Frequent reorientation
C. Protection from injury
D. Regular respiratory assessment - ANSWER B. Frequent reorientation
During a focused assessment of the cardiovascular system, a patient reports
difficulty falling asleep unless they are in an upright position using 4-5
pillows in bed. Which symptom requires further investigation by the nurse?
A. Chest pain
,B. Shortness of breath
C. Palpitations
D. Edema - ANSWER B. Shortness of breath
Which strategy should a nurse include in patient teaching about modifying
risk factors associated with hypertension?
A. Consume a diet high in sodium and low in potassium.
B. Encourage increase consumption of dairy products.
C. Encourage the client to quit alcohol consumption.
D. Encourage increase consumption of potassium rich foods. - ANSWER D.
Encourage increase consumption of potassium rich foods.
The nurse is listening to the patient's heart at the 2nd LSB. Which area is
being auscultated?
A. Erb's point
B. Mitral area
C. Aortic area
D. Pulmonic area - ANSWER D. Pulmonic area
Where should a nurse palpate the dorsalis pedis pulse?
A. Behind the knee in the popliteal fossa
B. The inner aspect of the ankle below and slightly behind the medial
malleolus
C. Over the dorsum of the foot between the tendons of the first and second
,toes
D. The outer side of the ankle below and slightly behind the lateral malleolus
- ANSWER C. Over the dorsum of the foot between the tendons of the first
and second toes
During physical examination of the peripheral vascular system, a patient's
foot is found to be pale when elevated and dark red when in the dependent
position. Which condition is the patient at risk for developing?
A. Neuropathic ulcers
B. Venous insufficiency ulcers
C. Deep vein thrombosis
D. Peripheral artery insufficiency ulcers - ANSWER D. Peripheral artery
insufficiency ulcers
What does the S2 heart sound represent?
A. The beginning of systole
B. The closure of the aortic and pulmonic valves.
C. The closure of the tricuspid and mitral valves.
D. A split heart sound on exhalation. - ANSWER B. The closure of the aortic
and pulmonic valves.
A nurse examines a patient's jaw movement by placing two fingers in front
of each ear and asking the patient to slowly open and close the mouth.
Which movement of the jaw should the nurse ask the patient to perform
, next?
A. Swallow.
B. Smile.
C. Clench the teeth together.
D. Move the jaw side to side. - ANSWER D. Move the jaw side to side.
A nurse auscultates the heart sounds of a patient and hears a louder S1 when
listening at the 4th intercostal space, left sternal border. The nurse
determines that this finding is consistent with closure of which heart valve?
A. Aortic valve
B. Mitral valve
C. Tricuspid valve
D. Pulmonic valve - ANSWER C. Tricuspid valve
Which assessment documentation describes a patient's level of
consciousness?
A. "Patient was inattentive to the questions being asked."
B. "Patient answered questions both logically and coherently."
C. "Patient was alert and cooperative during the assessment."
D. "Patient demonstrated difficulty with recalling events occurring this
morning." - ANSWER C. "Patient was alert and cooperative during the
