Nur 2102 Final Exam Practice Questions and Answers

Nur 2102 Final Exam Practice Questions and Answers Which situation illustrates a screening assessment? a. a client visits an obstetric clinic for the first time and the nurse conducts a detailed history and physical examination b. a hospital sponsors a health fair at a local mall and provides cholesterol and blood pressure checks to mall patrons c. a client that is having a rash reevaluated after 10 days of using topical ointment d. a hospitalized client that had a left hip replacement yesterday B. a hospital sponsors a health fair at a local mall and provides cholesterol and blood pressure checks to mall patrons The nurse documents which information in the patient's history as subjective data? a. the patient's skin feels warm to the touch b. the patient is scratching his arm c. the patient's temperature is 100*F d. the patient complains of itching D. the patient complains of itching Which activity illustrates the concept of primary prevention? a. influenza vaccine b. blood pressure screening c. education on living with diabetes mellitus d. cardiac rehabilitation after coronary artery bypass surgery A. influenza vaccine When interviewing a client with dementia, the nurse should say which of the following? a. i see you are confused so i will get your information later b. i cannot obtain information from anyone else so please answer c. i need to ask you a few questions. If you do not know the answer, I will ask your family d. I've had the same symptoms that you've described C. i need to ask you a few questions. If you do not know the answer, I will ask your family Nurses are responsible for which of the below regarding cultural sensitivity? a. recognizing that people of the same race have a shared culture b. complying with the stated plan of treatment regardless of the patient's culture c. asking the patients their dietary preferences d. helping patients of different cultures adopt the beliefs and behaviors of the dominant culture C. asking the patients their dietary preferences A nurse suspects that a large skin lesion on the patient's forearm is a fungal infection. Which device does the nurse use to confirm his suspicion? a. pen light b. magnification device c. transilluminator d. wood lamp D. wood lamp A patient admitted with pneumonia reports that she takes insulin for diabetes mellitus. In which section of the history does the nurse document the insulin and diabetes? a. past health history b. present health status c. reason for seeking care (chief complaint) d. history of present illness B. present health status What symptoms is the nurse assessing when asking the patient to describe the pain? a. onset b. duration c. characteristics d. severity C. Characteristics The nurse is taking a patient's blood pressure and releases the valve 6-8 mmHg/second. What will the reading likely be? a. accurate, the actual value b. higher than the actual value c. lower than the actual value d. unable to determine accuracy with available data C. lower than the actual value Which statement is correct regarding taking or interpreting axillary temperature? a. it is preferred temperature measurement for adults b. readings may be less accurate c. axillary temperature readings are approximately 3 degrees higher than the oral temperature readings d. the thermometer is placed in the axilla with the shoulder abducted B. readings may be less accurate Nurses understand that a patient's diastolic pressure represents which physiologic function? a. The pressure needed to open the aortic and pulmonic valves b. The pressure in blood vessels when the ventricles contract c. The pressure of the blood returning to the heart from the venous system d. The pressure in blood vessels when the ventricles are relaxed D. the pressure in blood vessels when the ventricles are relaxed The client states they are allergic to penicillin. What should the nurse do next? a. ensure the client that many people are allergic to penicillin b. ask what happens when they take penicillin c. document the allergy in the electronic medical record (EMR) d. ask if they have any other allergies B. ask what happens when they take penicillin For which patient is a focused health history most appropriate? a. a new patient at the health clinic for an annual examination b. a patient admitted to the hospital with vomiting and abdominal pain c. a patient at the health care provider's office for a sport physical d. a patient for blood pressure check 2 weeks after starting blood pressure medications B. a patient admitted to the hospital with vomiting and abdominal pain A patient comes to the ambulatory surgery center and speaks limited English. How should the nurse proceed? a. use google or similar technology for translation assistance b. ask a family member to translate c. talk louder and slower to assist with understanding d. contact a interpreter on the approved hospital list D. contact a interpreter on the approved hospital list The diaphragm of the stethoscope is used to hear which sounds? a. bowel b. vascular c. extra heart sounds d. fetal A. bowel How does the nurse detect a pulse when using a doppler? a. the pulsation is felt b. the pulsation is heard c. the pulse wave is seen on a screen d. the pulse wave is printed out on special paper B. the pulsation is heard When examining a patient, the nurse remembers to follow which principle of Standard Precautions? a. wear gloves throughout the entire examination of the patient b. wear gloves when in contact with the patient's mucous membranes c. wear gloves to reduce the need for handwashing d. wear eye protection and a gown during the examination of the patient B. wear gloves when in contact with the patients mucous membranes Where does the nurse attach the sensor probe of the pulse oximeter to measure a patient's oxygen saturation? a. the chest over the patient's heart b. over the patient's abdominal aorta c. over the patient's radial pulse d. around the patient's index finger nail D. around the patient's index finger nail A nurse is preparing to assess a patient's ability to detect vibrations. Which piece of equipment is appropriate for this assessment? a. reflex hammer b. tunning fork c. goniometer d. monofilament B. tunning fork To test deep tendon reflexes, the nurse uses which instrument? a. goniometer b. calipers c. neurologic hammer d. monofilament C. Neurologic hammer The client with a respiratory rate that is within normal limits is the ___whose respiratory rate is ____breaths/min a. toddler; 18 b. school age; 20 c. adolescent; 26 d. adult; 28 B. school age; 20 Which data do nurse document under the heading of Personal and Psychosocial History? a. client's home address b. is allergic to milk and milk products c. smokes marijuana once weekly d. grandfather died from prostate cancer C. smokes marijuana once weekly Which Korotkoff sound is recorded as the systolic blood pressure? A. First B. Second C. Third D. Fourth E. Fifth A. first What is the preferred method to assess heart rate is the rhythm is regular? A. count the pulse for 10 seconds and multiply x 10 B. count the pulse for 15 seconds and multiply x 8 C. count the pulse for 20 seconds and multiply x 3 D. count the pulse for 30 seconds and multiply x 2 D. count the pulse for 30 seconds and multiply x 2 If pulse is irregular it must be counted for a full minute true or false? True A 52 year old male patient is admitted to the hospital with a new diagnosis of rectal cancer. Which type of assessment does the nurse conduct on his admission? 1. a comprehensive assessment 2. a problem-based health assessment 3. an episodic assessment ] 4. a screening assessment for colorectal cancer 1. a comprehensive assessment After collecting data, the nurse begins data analysis with which activity? 1. documenting information from the history 2. organizing the data collected 3. reporting data to other care providers 4. recording data from the physical examination 2. organizing the data collected Which situation illustrates a screening assessment? 1. a patient visits a clinic for the first time and the nurse completes a history and physical examination 2. a hospital sponsors a health fair in a community to measure blood pressure and cholesterol levels 3. a nurse at an urgent care center checks the blood pressure, pulse, temperature, and respiration of a patient reporting leg pain. 4. a patient with diabetes mellitus comes to the laboratory to get her blood glucose tested prior to a visit with a health care provider 3. a nurse at an urgent care center checks the blood pressure, pulse, The nurse documents which information in the patient's history? 1. the patient is scratching his left arm 2. the patient's skin feels warm 3. the patient reports itching of her eyes 4. the patient's temperature is 100 F (37.8 C) 3. the patient reports itching of her eyes Select the example given below that represents information a nurse collects from a patient during a physical examination. 1. shiny skin and lack of hair found on lower legs 2. Concerned about lack of money to pay for prescriptions 3. complains of tingling in both feet while sleeping 4. family history of colon and breast cancer 1. shiny skin and lack of hair found on lower legs The nurse is interviewing an adult Navajo woman. Which statement demonstrates cultural sensitivity and acceptance of the patient? 1. how often do you visit the medicine man for your health care 2. tell me about your health care beliefs and practices 3. many navajo people are afraid of hospitals. Are you afraid? 4. have you ever had a physical examination by a physician or a nurse practitioner 2. tell me about your health care beliefs and practices