GNRS 555: exam 1 M.H P & P Ch. 15, 16, 17, 18, 19, 20, 21,
24, 25, 26, 27, 28, 29, 30, 40, 46, 47, 48, 50 Questions With
Complete Solutions
A 52-year-old woman is admitted with dyspnea and
discomfort in her left chest with deep breaths. She
has smoked for 35 years and recently lost over 10
lbs. Her vital signs on admission are: HR 112, BP
138/82, RR 22, tympanic temperature 36.8° C
(98.2° F), and oxygen saturation 94%. She is
receiving oxygen at 2 L via a nasal cannula. Which
vital sign reflects a positive outcome of the oxygen
therapy?
1. Temperature: 37° C (98.6° F)
2. Radial pulse: 112
3. Respiratory rate: 24
4. Oxygen saturation: 96%
5. Blood pressure: 134/78 Correct Answers 4
CH. 30
A 55-year-old female patient was in a motor
vehicle accident and is admitted to a surgical unit
after repair of a fractured left arm and left leg. She
also has a laceration on her forehead. An
intravenous (IV) line is infusing in the right
antecubital fossa, and pneumatic compression
stockings are on the right lower leg. She is
receiving oxygen via a simple face mask. Which
,sites do you instruct the nursing assistant to use
for obtaining the patient's blood pressure and
temperature?
1. Right antecubital and tympanic membrane
2. Right popliteal and rectal
3. Left antecubital and oral
4. Left popliteal and temporal artery Correct
Answers 1
CH. 30
A 62-year-old patient had a portion of the large
colon removed and a colostomy created for
drainage of stool. The nurse has had repeated
problems with the patient's colostomy bag not
adhering to the skin and thus leaking. The nurse
wants to consult with the wound care nurse
specialist. Which of the following should the nurse
do? (Select all that apply.)
1. Assess condition of skin before making the call
2. Rely on the nurse specialist to know the type of
surgery the patient likely had
3. Explain the patient's response emotionally to the
repeated leaking of stool
4. Describe the type of bag being used and how
long it lasts before leaking
5. Order extra colostomy bags currently being used
Correct Answers 1, 3, 4
,CH. 18
A 72-year-old male patient comes to the health
clinic for an annual follow-up. The nurse enters the
patient's room and notices him to be diaphoretic,
holding his chest and breathing with difficulty. The
nurse immediately checks the patient's heart rate
and blood pressure and asks him, "Tell me where
your pain is." Which of the following assessment
approaches does this scenario describe?
1. Review of systems approach
2. Use of a structured database format
3. Back channeling
4. A problem-oriented approach Correct Answers
4
CH. 16
A couple who is caring for their aging parents are
concerned about factors that put them at risk for
falls. Which factors are most likely to contribute to
an increase in falls in the elderly? (Select all that
apply.)
1. Inadequate lighting
2. Throw rugs
3. Multiple medications
4. Doorway thresholds
, 5. Cords covered by carpets
6. Staircases with handrails Correct Answers 1, 2,
3, 4, 5
CH. 27
A faculty member is reviewing a nursing student's
plan of care, including the interventions the
student provided for a patient with dementia. The
student reviewed clinical guidelines on a
professional website to identify interventions
successful in reducing wandering in patients with
dementia. The faculty member should evaluate
which of the following? (Select all that apply.)
1. Number of interventions
2. Appropriateness of the intervention for the
patient
3. The prior use of interventions by other nursing
staff
4. Correct application of the intervention for the
patient care setting
5. The time it takes to provide interventions
Correct Answers 2, 4
CH. 20
A family member is providing care to a loved one
who has an infected leg wound. What should the
nurse instruct the family member to do after
24, 25, 26, 27, 28, 29, 30, 40, 46, 47, 48, 50 Questions With
Complete Solutions
A 52-year-old woman is admitted with dyspnea and
discomfort in her left chest with deep breaths. She
has smoked for 35 years and recently lost over 10
lbs. Her vital signs on admission are: HR 112, BP
138/82, RR 22, tympanic temperature 36.8° C
(98.2° F), and oxygen saturation 94%. She is
receiving oxygen at 2 L via a nasal cannula. Which
vital sign reflects a positive outcome of the oxygen
therapy?
1. Temperature: 37° C (98.6° F)
2. Radial pulse: 112
3. Respiratory rate: 24
4. Oxygen saturation: 96%
5. Blood pressure: 134/78 Correct Answers 4
CH. 30
A 55-year-old female patient was in a motor
vehicle accident and is admitted to a surgical unit
after repair of a fractured left arm and left leg. She
also has a laceration on her forehead. An
intravenous (IV) line is infusing in the right
antecubital fossa, and pneumatic compression
stockings are on the right lower leg. She is
receiving oxygen via a simple face mask. Which
,sites do you instruct the nursing assistant to use
for obtaining the patient's blood pressure and
temperature?
1. Right antecubital and tympanic membrane
2. Right popliteal and rectal
3. Left antecubital and oral
4. Left popliteal and temporal artery Correct
Answers 1
CH. 30
A 62-year-old patient had a portion of the large
colon removed and a colostomy created for
drainage of stool. The nurse has had repeated
problems with the patient's colostomy bag not
adhering to the skin and thus leaking. The nurse
wants to consult with the wound care nurse
specialist. Which of the following should the nurse
do? (Select all that apply.)
1. Assess condition of skin before making the call
2. Rely on the nurse specialist to know the type of
surgery the patient likely had
3. Explain the patient's response emotionally to the
repeated leaking of stool
4. Describe the type of bag being used and how
long it lasts before leaking
5. Order extra colostomy bags currently being used
Correct Answers 1, 3, 4
,CH. 18
A 72-year-old male patient comes to the health
clinic for an annual follow-up. The nurse enters the
patient's room and notices him to be diaphoretic,
holding his chest and breathing with difficulty. The
nurse immediately checks the patient's heart rate
and blood pressure and asks him, "Tell me where
your pain is." Which of the following assessment
approaches does this scenario describe?
1. Review of systems approach
2. Use of a structured database format
3. Back channeling
4. A problem-oriented approach Correct Answers
4
CH. 16
A couple who is caring for their aging parents are
concerned about factors that put them at risk for
falls. Which factors are most likely to contribute to
an increase in falls in the elderly? (Select all that
apply.)
1. Inadequate lighting
2. Throw rugs
3. Multiple medications
4. Doorway thresholds
, 5. Cords covered by carpets
6. Staircases with handrails Correct Answers 1, 2,
3, 4, 5
CH. 27
A faculty member is reviewing a nursing student's
plan of care, including the interventions the
student provided for a patient with dementia. The
student reviewed clinical guidelines on a
professional website to identify interventions
successful in reducing wandering in patients with
dementia. The faculty member should evaluate
which of the following? (Select all that apply.)
1. Number of interventions
2. Appropriateness of the intervention for the
patient
3. The prior use of interventions by other nursing
staff
4. Correct application of the intervention for the
patient care setting
5. The time it takes to provide interventions
Correct Answers 2, 4
CH. 20
A family member is providing care to a loved one
who has an infected leg wound. What should the
nurse instruct the family member to do after
