NURS 305 Chapter 30 Test Questions with 100% Verified Answers
1. A patient has been Peripherally exposed areas such as the earlobes,
brought to the emer- nose, toes, and fingers are more susceptible to de-
gency department veloping frostbite because of poor circulation to those
(ED) after falling into areas. Generally, one does not find frostbite in the
a frozen lake. Which central areas such as the thighs, chest, and shin of
body parts should the the leg because of the rich blood supply.
nurse first assess for
the presence of frost- p. 491
bite in the patient?
2. In which patient The conditioning of athletes, especially runners, al-
would a resting lows a resting rate below 60 beats/minute without
heart rate of 55 interrupting the normal sinus rhythm of the heart.
beats/minute be con- A heart rate below 60 beats/minute is considered
sidered a normal find- bradycardia. Athletes often maintain heart rates con-
ing? sistent with sinus bradycardia because their heart is
an effective pump with a greater-than-normal stroke
volume. An obese person may experience an in-
crease in resting heart rate secondary to cardiac
demand. Bradycardia is not associated with diuretics
or weight less than 90 lbs.
p. 499
3. The nurse suspects Heatstroke is a condition in which the body tempera-
a patient of hav- ture is 104° F (40° C) or greater. It may happen due
ing heatstroke. Which to imbalance in heat loss mechanisms of the body
signs and symptoms caused by prolonged exposure to the sun or a high
should the nurse look environmental temperature. The signs and symptoms
for in the patient? of heatstroke include nausea, excessive thirst, and
visual disturbances. Bradycardia and cyanosed skin
are symptoms of severe hypothermia.
p. 491
4. Which drug class is Although corticosteroids are not used to treat fever,
mainly used to re- they reduce the production of heat by interfering with
duce heat produc- the hypothalamic response. Beta-adrenergic drugs
tion? are used to block the sympathetic nerve impulses.
,NURS 305 Chapter 30 Test Questions with 100% Verified Answers
Calcium channel blockers reduce peripheral vascu-
lar resistance by systemic vasodilation. Nonsteroidal
antiinflammatory drugs are used to reduce body tem-
perature.
p. 496
5. A patient on be- Benazepril is an angiotensin-converting enzyme
nazepril for hyperten- (ACE) inhibitor. It lowers blood pressure by lower-
sion asks the nurse ing the circulating blood volume, by producing va-
about how the med- sodilation of blood vessels, and by reducing aldos-
ication works. Which terone production and water retention. Beta-adrener-
statements are appro- gic blockers, not benazepril, act by reducing the heart
priate responses by rate and cardiac output.
the nurse?
p. 505
6. On examination, the When it is necessary to convert temperature read-
nurse finds that a pa- ings from Fahrenheit to Celsius, subtract 32 from the
tient has a tempera- Fahrenheit reading and multiply the result by 5/9. Use
ture of 104° Fahren- the formula C = (F - 32) × 5/9, where C represents
heit. What would the Celsius and F represents Fahrenheit. Thus, 104 - 32
temperature be in is 72, multiplied by 5/9 = 40° C.
Celsius?
7. A patient has a heart Cardiac output is the product of heart rate and stroke
rate of 80 beats per volume. Hence, the cardiac output in the patient is 80
minute and a stroke × 60 = 4800 mL.
volume of 60 mL per
beat. What is the car- p. 497
diac output that the
nurse records for the
patient? Record your
answer using a whole
number, and please
note, no comma is
needed.
8. The nurse has been The radial site is commonly used for assessing the
asked to record the nature of the pulse and is also used for assessing
, NURS 305 Chapter 30 Test Questions with 100% Verified Answers
nature of the pulse circulation to the hands. The carotid site is easily ac-
in a patient. What pe- cessible and is used during shock and cardiac arrest
ripheral pulse is the when other sites are not palpable. The brachial site
most common and is suitable for assessing circulation in the upper limb
easiest to assess for and auscultating blood pressure. The temporal site
pulse rate assess- is easily accessible and is suitable for assessing the
ment? pulse in children.
p. 497
9. The nurse is review- Fevers and fever patterns serve a diagnostic purpose.
ing the clinical data of Fever patterns differ depending on the causative py-
4 patients. Which pa- rogen. The increase or decrease in pyrogen activity
tient is experiencing results in fever spikes and declines at different times
a remittent pattern of of the day. In a remittent fever pattern, temperature
fever? spikes and falls without returning to acceptable tem-
perature levels as exemplified by patient C, whose
temperature fluctuates between 39.7° C (103.4° F)
and 38.7° C (101.6° F) for two days. Patient A with a
body temperature of 100.4° F throughout the day with
little fluctuation is experiencing a sustained fever. Pa-
tient B with a body temperature of 103.4° F through-
out the day and 98.4° F during the night is showing
signs of an intermittent fever pattern. Patient D with a
body temperature fluctuating between 101.3° F and
98.4° F every other day is experiencing a relapsing
fever.
p. 491
10. Bradypnea would The normal respiratory rate for an adult is 12 to 20
be defined by breaths/minute. Bradypnea is said to be present when
the nurse as breathing is regular and abnormally slow, in other
any respiratory rate words, less than 12 breaths/minute.
less than
breaths/minute. p. 502
11. Which heat loss Heat loss and heat production occur simultaneously.
mechanism involves There are four types of heat loss mechanisms: radi-
1. A patient has been Peripherally exposed areas such as the earlobes,
brought to the emer- nose, toes, and fingers are more susceptible to de-
gency department veloping frostbite because of poor circulation to those
(ED) after falling into areas. Generally, one does not find frostbite in the
a frozen lake. Which central areas such as the thighs, chest, and shin of
body parts should the the leg because of the rich blood supply.
nurse first assess for
the presence of frost- p. 491
bite in the patient?
2. In which patient The conditioning of athletes, especially runners, al-
would a resting lows a resting rate below 60 beats/minute without
heart rate of 55 interrupting the normal sinus rhythm of the heart.
beats/minute be con- A heart rate below 60 beats/minute is considered
sidered a normal find- bradycardia. Athletes often maintain heart rates con-
ing? sistent with sinus bradycardia because their heart is
an effective pump with a greater-than-normal stroke
volume. An obese person may experience an in-
crease in resting heart rate secondary to cardiac
demand. Bradycardia is not associated with diuretics
or weight less than 90 lbs.
p. 499
3. The nurse suspects Heatstroke is a condition in which the body tempera-
a patient of hav- ture is 104° F (40° C) or greater. It may happen due
ing heatstroke. Which to imbalance in heat loss mechanisms of the body
signs and symptoms caused by prolonged exposure to the sun or a high
should the nurse look environmental temperature. The signs and symptoms
for in the patient? of heatstroke include nausea, excessive thirst, and
visual disturbances. Bradycardia and cyanosed skin
are symptoms of severe hypothermia.
p. 491
4. Which drug class is Although corticosteroids are not used to treat fever,
mainly used to re- they reduce the production of heat by interfering with
duce heat produc- the hypothalamic response. Beta-adrenergic drugs
tion? are used to block the sympathetic nerve impulses.
,NURS 305 Chapter 30 Test Questions with 100% Verified Answers
Calcium channel blockers reduce peripheral vascu-
lar resistance by systemic vasodilation. Nonsteroidal
antiinflammatory drugs are used to reduce body tem-
perature.
p. 496
5. A patient on be- Benazepril is an angiotensin-converting enzyme
nazepril for hyperten- (ACE) inhibitor. It lowers blood pressure by lower-
sion asks the nurse ing the circulating blood volume, by producing va-
about how the med- sodilation of blood vessels, and by reducing aldos-
ication works. Which terone production and water retention. Beta-adrener-
statements are appro- gic blockers, not benazepril, act by reducing the heart
priate responses by rate and cardiac output.
the nurse?
p. 505
6. On examination, the When it is necessary to convert temperature read-
nurse finds that a pa- ings from Fahrenheit to Celsius, subtract 32 from the
tient has a tempera- Fahrenheit reading and multiply the result by 5/9. Use
ture of 104° Fahren- the formula C = (F - 32) × 5/9, where C represents
heit. What would the Celsius and F represents Fahrenheit. Thus, 104 - 32
temperature be in is 72, multiplied by 5/9 = 40° C.
Celsius?
7. A patient has a heart Cardiac output is the product of heart rate and stroke
rate of 80 beats per volume. Hence, the cardiac output in the patient is 80
minute and a stroke × 60 = 4800 mL.
volume of 60 mL per
beat. What is the car- p. 497
diac output that the
nurse records for the
patient? Record your
answer using a whole
number, and please
note, no comma is
needed.
8. The nurse has been The radial site is commonly used for assessing the
asked to record the nature of the pulse and is also used for assessing
, NURS 305 Chapter 30 Test Questions with 100% Verified Answers
nature of the pulse circulation to the hands. The carotid site is easily ac-
in a patient. What pe- cessible and is used during shock and cardiac arrest
ripheral pulse is the when other sites are not palpable. The brachial site
most common and is suitable for assessing circulation in the upper limb
easiest to assess for and auscultating blood pressure. The temporal site
pulse rate assess- is easily accessible and is suitable for assessing the
ment? pulse in children.
p. 497
9. The nurse is review- Fevers and fever patterns serve a diagnostic purpose.
ing the clinical data of Fever patterns differ depending on the causative py-
4 patients. Which pa- rogen. The increase or decrease in pyrogen activity
tient is experiencing results in fever spikes and declines at different times
a remittent pattern of of the day. In a remittent fever pattern, temperature
fever? spikes and falls without returning to acceptable tem-
perature levels as exemplified by patient C, whose
temperature fluctuates between 39.7° C (103.4° F)
and 38.7° C (101.6° F) for two days. Patient A with a
body temperature of 100.4° F throughout the day with
little fluctuation is experiencing a sustained fever. Pa-
tient B with a body temperature of 103.4° F through-
out the day and 98.4° F during the night is showing
signs of an intermittent fever pattern. Patient D with a
body temperature fluctuating between 101.3° F and
98.4° F every other day is experiencing a relapsing
fever.
p. 491
10. Bradypnea would The normal respiratory rate for an adult is 12 to 20
be defined by breaths/minute. Bradypnea is said to be present when
the nurse as breathing is regular and abnormally slow, in other
any respiratory rate words, less than 12 breaths/minute.
less than
breaths/minute. p. 502
11. Which heat loss Heat loss and heat production occur simultaneously.
mechanism involves There are four types of heat loss mechanisms: radi-
