NRSG 2220 Exam Questions With Complete Solutions
A client presents to the emergency department with profuse
bleeding from a crushing injury while at work. Which set of
vital signs does the nurse anticipate finding in such this client?
Blood pressure 80/50 mm Hg, heart rate 120 beats/min,
respiratory rate 24 breaths/min
When administering beta blocker medications, the health care
provider adds an order to hold medication when the client is
bradycardic. Which statement explains this order?
The client's pulse rate is below 60 beats per minute.
The nurse is assessing the pulse of a young adult who is training
for a triathlon. The pulse rate is 48 beats/min. What education
should the nurse provide to the client?
"Your heart rate is within normal limits due to the exercise
regimen you are following"
The nurse is teaching an adult client how to monitor the pulse
rate. Which statement by the client demonstrates understanding
of a normal pulse rate?
"If my pulse is higher than 100 beats/min at rest, that is
considered abnormal."
A nurse is assessing a client who has a fever, has an infection of
a flank incision, and is in severe pain. What type of pulse rate
would the client most likely exhibit?
tachycardia
, A client with an significantly elevated body temperature is
prescribed a hypothermia blanket. Which action(s) is appropriate
for the nurse to take when using such a device? Select all that
apply
- position blanket under the client so the top edge aligns with the
clients neck
- turn and position client every 30 min- 1 hour
The nurse is caring for a 5- year-old child who is postoperative
after having surgical removal of the tonsils and adenoids. When
assessing the client's temperature, which method(s ) is
appropriate and least invasive for this child? Select all that
apply.
- using a temporal artery thermometer
-using the axillary site
A nurse is teaching the caregiver of a client how to monitor the
client's blood pressure using the auscultatory method. The nurse
describes the sounds that the caregiver will hear when assessing
the client's blood pressure. Place the description of the sounds in
the order that the nurse would describe them from first to last.
1. Faint, clear tapping sounds increasing in intensity
2. Muffled, swishing sounds that may temporarily disappear
3. Distinct loud sounds
4. Distinct, abrupt, muffling sounds of a blowing quality
5. Sound followed by loss of all sounds
A client presents to the emergency department with profuse
bleeding from a crushing injury while at work. Which set of
vital signs does the nurse anticipate finding in such this client?
Blood pressure 80/50 mm Hg, heart rate 120 beats/min,
respiratory rate 24 breaths/min
When administering beta blocker medications, the health care
provider adds an order to hold medication when the client is
bradycardic. Which statement explains this order?
The client's pulse rate is below 60 beats per minute.
The nurse is assessing the pulse of a young adult who is training
for a triathlon. The pulse rate is 48 beats/min. What education
should the nurse provide to the client?
"Your heart rate is within normal limits due to the exercise
regimen you are following"
The nurse is teaching an adult client how to monitor the pulse
rate. Which statement by the client demonstrates understanding
of a normal pulse rate?
"If my pulse is higher than 100 beats/min at rest, that is
considered abnormal."
A nurse is assessing a client who has a fever, has an infection of
a flank incision, and is in severe pain. What type of pulse rate
would the client most likely exhibit?
tachycardia
, A client with an significantly elevated body temperature is
prescribed a hypothermia blanket. Which action(s) is appropriate
for the nurse to take when using such a device? Select all that
apply
- position blanket under the client so the top edge aligns with the
clients neck
- turn and position client every 30 min- 1 hour
The nurse is caring for a 5- year-old child who is postoperative
after having surgical removal of the tonsils and adenoids. When
assessing the client's temperature, which method(s ) is
appropriate and least invasive for this child? Select all that
apply.
- using a temporal artery thermometer
-using the axillary site
A nurse is teaching the caregiver of a client how to monitor the
client's blood pressure using the auscultatory method. The nurse
describes the sounds that the caregiver will hear when assessing
the client's blood pressure. Place the description of the sounds in
the order that the nurse would describe them from first to last.
1. Faint, clear tapping sounds increasing in intensity
2. Muffled, swishing sounds that may temporarily disappear
3. Distinct loud sounds
4. Distinct, abrupt, muffling sounds of a blowing quality
5. Sound followed by loss of all sounds
