NUR218 Final Exam Actual study with
Questions and correct/verified Answers
Assess a set of vitals signs, listen to the patient's lung sounds, and call the provider updating him/her on
the client's change of condition and request an arterial blood gas (ABG) draw. - ANSWER-As a nurse you
are working in the Intensive Care Unit. A client with a history of chronic obstructive pulmonary disease
was recently admitted and was diagnosed with pneumonia. The client begins to become restless and
continuously attempts to climb out of bed. Your patient is wearing oxygen, oxygen saturation reads 95%
on 2 liters nasal canula. What action should the nurse take first?
3, 12 - ANSWER-Ordered: Lasix (furosemide) 120mg po QID
Available: Lasix 40mg Tabs
How many tabs will you give each dose [a] enter a numeric value only
How many tabs will you give in a 24hr period
Recognize that these are serious signs, and contact the clinician (physician, nurse practitioner, physician
assistant). - ANSWER-A mother brings her 3-month-old infant to the clinic for evaluation of a cold. She
tells the nurse that he has had "a runny nose for a week." When performing the physical assessment, the
nurse notes that the child has nasal flaring and sternal and intercostal retractions. The nurse's next
action should be to:
Person who has been on bed rest for 4 days - ANSWER-The nurse is reviewing the risk factors for venous
disease. Which of these situations best describes a person at highest risk for the development of venous
disease?
Frenulum - ANSWER-The tissue that connects the tongue to the floor of the mouth is the:
To provide a database of subjective information about the patient's past and current health - ANSWER-
The nurse is preparing to conduct a Health History. Which of these statements best describes the
purpose of a health history?
B. Provided consistent information and therefore is reliable. - ANSWER-When the nurse is evaluating the
reliability of a patient's responses, which of these statements would be correct? The patient:
B. Filter out dust and bacteria. - ANSWER-The primary purpose of the ciliated mucous membrane in the
nose is to:
A. "Do you perform testicular self-examinations?" - ANSWER-The nurse is obtaining a history from a 30-
year-old male patient and is concerned about health promotion activities. Which of these questions
would be appropriate to use to assess health promotion activities for this patient?
A. Unmanaged hypertension
B. Smoking
D. Diet high in fat - ANSWER-The nurse is presenting a class on risk factors for cardiovascular disease.
Which of these are considered modifiable risk factors for MI? Select all that apply.
, A. Sloughing B. Blistering
C. Weeping fluid - ANSWER-A patient with a second degree, partial thickness burn may exhibit signs of?
Check all that apply.
A. Can you tell me about where you moved from and who you live with now? - ANSWER-The nurse is
seeing a patient who is complaining about a cough for the past 3 months. The nurse learns the patient
recently moved to the United States. This information leads the nurse to ask the following question
D.
Dark brown raised lesion, with irregular border, on dorsum of right foot, 3 cm in size, with no drainage. -
ANSWER-The nurse notes a lesion during a skin assessment. Which is the best way to document this
finding?
B.
Refer the patient because of the suggestion of melanoma on the basis of her symptoms - ANSWER-A
patient reports a change in mole size accompanied by color changes, itching, burning, and bleeding over
the past month.The nurse would
A. Cardiovascular disease is the leading cause of death for women - ANSWER-The nurse working in the
emergency room admits a 50 year old woman complaining of chest pain. In developing a plan for this
patient, the nurse knows
Assessment - ANSWER-The nurse is caring for a patient diagnosed with Lyme disease. The patient tells
the nurse, "My heart seems to be skipping some beats. My doctor told me to let the nurse know if this
happens since it might be a complication of my disease." The nurse auscultates the heart and confirms
the palpitations. Which step of the nursing process does the nurse's action demonstrate?
B.
The patient can read at 20 feet what a person with normal vision can read at 30 feet. - ANSWER-A
patient's vision is recorded as 20/30 with the Snellen eye chart. The nurse interprets these results to
indicate that:
Nail bases with an angle of 180 degrees or greater and feel spongy - ANSWER-The nurse assess a patient
with COPD and recognizes which finding as positive for clubbing?
Decreased mobility of thorax - ANSWER-When assessing the older adult which of the following would
you expect?
J.M. is a 59-year-old man who states that he has been having "black stools" for the past 24 hours. -
ANSWER-A 59 year-old patient tells the nurse that he has ulcerative colitis. He has been having "black
stools" for the last 24 hours. How would the nurse best document his reason for seeking care?
A. The framework that nurses used to provide care. - ANSWER-The nursing process is the foundation of
professional nursing practice. As such, the nursing process can be defined as:
Blood flow turbulence - ANSWER-During assessment of a 68-year-old man, the nurse hears a blowing,
swishing sound with the bell of the stethoscope over the left carotid artery. This finding would indicate:
Questions and correct/verified Answers
Assess a set of vitals signs, listen to the patient's lung sounds, and call the provider updating him/her on
the client's change of condition and request an arterial blood gas (ABG) draw. - ANSWER-As a nurse you
are working in the Intensive Care Unit. A client with a history of chronic obstructive pulmonary disease
was recently admitted and was diagnosed with pneumonia. The client begins to become restless and
continuously attempts to climb out of bed. Your patient is wearing oxygen, oxygen saturation reads 95%
on 2 liters nasal canula. What action should the nurse take first?
3, 12 - ANSWER-Ordered: Lasix (furosemide) 120mg po QID
Available: Lasix 40mg Tabs
How many tabs will you give each dose [a] enter a numeric value only
How many tabs will you give in a 24hr period
Recognize that these are serious signs, and contact the clinician (physician, nurse practitioner, physician
assistant). - ANSWER-A mother brings her 3-month-old infant to the clinic for evaluation of a cold. She
tells the nurse that he has had "a runny nose for a week." When performing the physical assessment, the
nurse notes that the child has nasal flaring and sternal and intercostal retractions. The nurse's next
action should be to:
Person who has been on bed rest for 4 days - ANSWER-The nurse is reviewing the risk factors for venous
disease. Which of these situations best describes a person at highest risk for the development of venous
disease?
Frenulum - ANSWER-The tissue that connects the tongue to the floor of the mouth is the:
To provide a database of subjective information about the patient's past and current health - ANSWER-
The nurse is preparing to conduct a Health History. Which of these statements best describes the
purpose of a health history?
B. Provided consistent information and therefore is reliable. - ANSWER-When the nurse is evaluating the
reliability of a patient's responses, which of these statements would be correct? The patient:
B. Filter out dust and bacteria. - ANSWER-The primary purpose of the ciliated mucous membrane in the
nose is to:
A. "Do you perform testicular self-examinations?" - ANSWER-The nurse is obtaining a history from a 30-
year-old male patient and is concerned about health promotion activities. Which of these questions
would be appropriate to use to assess health promotion activities for this patient?
A. Unmanaged hypertension
B. Smoking
D. Diet high in fat - ANSWER-The nurse is presenting a class on risk factors for cardiovascular disease.
Which of these are considered modifiable risk factors for MI? Select all that apply.
, A. Sloughing B. Blistering
C. Weeping fluid - ANSWER-A patient with a second degree, partial thickness burn may exhibit signs of?
Check all that apply.
A. Can you tell me about where you moved from and who you live with now? - ANSWER-The nurse is
seeing a patient who is complaining about a cough for the past 3 months. The nurse learns the patient
recently moved to the United States. This information leads the nurse to ask the following question
D.
Dark brown raised lesion, with irregular border, on dorsum of right foot, 3 cm in size, with no drainage. -
ANSWER-The nurse notes a lesion during a skin assessment. Which is the best way to document this
finding?
B.
Refer the patient because of the suggestion of melanoma on the basis of her symptoms - ANSWER-A
patient reports a change in mole size accompanied by color changes, itching, burning, and bleeding over
the past month.The nurse would
A. Cardiovascular disease is the leading cause of death for women - ANSWER-The nurse working in the
emergency room admits a 50 year old woman complaining of chest pain. In developing a plan for this
patient, the nurse knows
Assessment - ANSWER-The nurse is caring for a patient diagnosed with Lyme disease. The patient tells
the nurse, "My heart seems to be skipping some beats. My doctor told me to let the nurse know if this
happens since it might be a complication of my disease." The nurse auscultates the heart and confirms
the palpitations. Which step of the nursing process does the nurse's action demonstrate?
B.
The patient can read at 20 feet what a person with normal vision can read at 30 feet. - ANSWER-A
patient's vision is recorded as 20/30 with the Snellen eye chart. The nurse interprets these results to
indicate that:
Nail bases with an angle of 180 degrees or greater and feel spongy - ANSWER-The nurse assess a patient
with COPD and recognizes which finding as positive for clubbing?
Decreased mobility of thorax - ANSWER-When assessing the older adult which of the following would
you expect?
J.M. is a 59-year-old man who states that he has been having "black stools" for the past 24 hours. -
ANSWER-A 59 year-old patient tells the nurse that he has ulcerative colitis. He has been having "black
stools" for the last 24 hours. How would the nurse best document his reason for seeking care?
A. The framework that nurses used to provide care. - ANSWER-The nursing process is the foundation of
professional nursing practice. As such, the nursing process can be defined as:
Blood flow turbulence - ANSWER-During assessment of a 68-year-old man, the nurse hears a blowing,
swishing sound with the bell of the stethoscope over the left carotid artery. This finding would indicate:
