NURS 3320 STUDY GUIDE EXAM 2025 QUESTIONS WITH
SOLUTIONS RATED A+
✔✔What is the NRS (Numeric rating scale) used for? - ✔✔best for adults without
cognitive impairment
✔✔What does the holistic health approach of nursing include? - ✔✔addressing the
client's needs for their mind, body, and spirit
✔✔What is the proper placement and technique for measuring a patient's BP? - ✔✔-
Palpate radial pulse
-inflate cuff until pulse disappears
-deflate cuff until you feel the pulse again
✔✔How to assess for orthostatic hypotension - what are the parameters for that? What
are they at high risk for? - ✔✔-if a patient stands up and their blood pressure drops 20
mmHg below baseline
-patients are at risk for falls
✔✔What is the correct BP cuff placement? - ✔✔about an inch above antecubital, with
bladder midline over pulsation area
✔✔What is pulse pressure? - ✔✔the difference between systolic and diastolic BP
-<30 may signal CV disease
✔✔What is a pulse deficit? - ✔✔the number difference between apical and peripheral
pulse rates
-usually caused by dysrhythmia
✔✔How do you assess orientation/LOC? - ✔✔AO x4
✔✔What are remote memories? - ✔✔happened a long time ago
✔✔What are examples of remote memories? - ✔✔-when did you get your first job?
-When is your birthday?
✔✔What are recent memories? - ✔✔within the last 24 hrs
✔✔What are examples of recent memories? - ✔✔-What did you have to eat today?
-What is the weather like today?
✔✔How to assess for new memories? - ✔✔repeat after me
✔✔What to ask to assess judgement - ✔✔What do you do if you have pain?
, ✔✔What is abstract reasoning? - ✔✔comparing and contrasting
✔✔What are examples of abstract reasoning? - ✔✔how are an apple and an orange the
same?
✔✔How to assess for visual, perceptual, and constructional abilities? - ✔✔Ask the client
to draw a face of a clock or copy a simple figure
✔✔What is delirium? - ✔✔acute onset, disorganized thinking, recent and immediate
memory impaired
✔✔What is dementia? - ✔✔Chronic onset, recent and remote memory impaired,
difficulty finding words and poor judgement
✔✔How do you obtain history from a poor historian? - ✔✔Give the patient a laundry list
✔✔What are the symptoms of COPD? - ✔✔-chronic hypoxia
-clubbing
-inflammation caused in the airways to constrict after air is in the lungs causing
prolonged expiration
-wheezing
-tripod position
-Barrel chest is often common with this condition
✔✔What are the symptoms of pneumonia? - ✔✔crackles/consolidation
✔✔What are the symptoms of asthma? - ✔✔wheezing
✔✔What are the symptoms of emphysema? - ✔✔hyperinflation/diminished lung sounds
✔✔What are adventitious sounds? - ✔✔additional sounds heard over normal breath
sounds (wheezing, crackles)
✔✔What should you do if you hear adventitious sounds? - ✔✔have the client cough to
clear the airway and listen again
✔✔What are fine crackles? - ✔✔high pitched crackling
-popping sounds during inspiration NOT cleared by cough
✔✔What should be considered if fine crackles are heard on late inspiration? - ✔✔-
Pneumonia
-CHF
SOLUTIONS RATED A+
✔✔What is the NRS (Numeric rating scale) used for? - ✔✔best for adults without
cognitive impairment
✔✔What does the holistic health approach of nursing include? - ✔✔addressing the
client's needs for their mind, body, and spirit
✔✔What is the proper placement and technique for measuring a patient's BP? - ✔✔-
Palpate radial pulse
-inflate cuff until pulse disappears
-deflate cuff until you feel the pulse again
✔✔How to assess for orthostatic hypotension - what are the parameters for that? What
are they at high risk for? - ✔✔-if a patient stands up and their blood pressure drops 20
mmHg below baseline
-patients are at risk for falls
✔✔What is the correct BP cuff placement? - ✔✔about an inch above antecubital, with
bladder midline over pulsation area
✔✔What is pulse pressure? - ✔✔the difference between systolic and diastolic BP
-<30 may signal CV disease
✔✔What is a pulse deficit? - ✔✔the number difference between apical and peripheral
pulse rates
-usually caused by dysrhythmia
✔✔How do you assess orientation/LOC? - ✔✔AO x4
✔✔What are remote memories? - ✔✔happened a long time ago
✔✔What are examples of remote memories? - ✔✔-when did you get your first job?
-When is your birthday?
✔✔What are recent memories? - ✔✔within the last 24 hrs
✔✔What are examples of recent memories? - ✔✔-What did you have to eat today?
-What is the weather like today?
✔✔How to assess for new memories? - ✔✔repeat after me
✔✔What to ask to assess judgement - ✔✔What do you do if you have pain?
, ✔✔What is abstract reasoning? - ✔✔comparing and contrasting
✔✔What are examples of abstract reasoning? - ✔✔how are an apple and an orange the
same?
✔✔How to assess for visual, perceptual, and constructional abilities? - ✔✔Ask the client
to draw a face of a clock or copy a simple figure
✔✔What is delirium? - ✔✔acute onset, disorganized thinking, recent and immediate
memory impaired
✔✔What is dementia? - ✔✔Chronic onset, recent and remote memory impaired,
difficulty finding words and poor judgement
✔✔How do you obtain history from a poor historian? - ✔✔Give the patient a laundry list
✔✔What are the symptoms of COPD? - ✔✔-chronic hypoxia
-clubbing
-inflammation caused in the airways to constrict after air is in the lungs causing
prolonged expiration
-wheezing
-tripod position
-Barrel chest is often common with this condition
✔✔What are the symptoms of pneumonia? - ✔✔crackles/consolidation
✔✔What are the symptoms of asthma? - ✔✔wheezing
✔✔What are the symptoms of emphysema? - ✔✔hyperinflation/diminished lung sounds
✔✔What are adventitious sounds? - ✔✔additional sounds heard over normal breath
sounds (wheezing, crackles)
✔✔What should you do if you hear adventitious sounds? - ✔✔have the client cough to
clear the airway and listen again
✔✔What are fine crackles? - ✔✔high pitched crackling
-popping sounds during inspiration NOT cleared by cough
✔✔What should be considered if fine crackles are heard on late inspiration? - ✔✔-
Pneumonia
-CHF
