FINAL EXAM L ATEST CHAMBERLAIN COLLEGE OF NURSING
ALL QUESTIONS WITH CORRECT ANSWERS
GRADED A+ 100% VERIFIED
A patient who experienced a stroke has left-sided hemiparesis and is
incontinent of urine. Which is an appropriately worded nursing diagnosis for
this patient?
a. The patient has a need to maintain skin integrity.
b. The patient has a stroked evidenced by hemiparesis and incontinence.
c. The patient will be clean and dry and will receive range-of-motion exercises
every four hours.
d. The patient is at risk for impaired skin integrity related to left-sided
hemiparesis and incontinence
d. The patient is at risk for impaired skin integrity related to left-sided hemiparesis
and incontinence
A patient had a stroke that resulted in paralysis of the right side. When
clustering data, the nurse grouped the following together: drooling of saliva
and slurred speech. Which information is most significant to include with this
clustered data?
a. Receptive aphasia
b. Inability to ambulate
c. Difficulty swallowing
d. Incontinence of bowel movements
c. Difficulty swallowing
A nurse usesthe interviewing process of clarification when interviewing a
patient. Which is the nurse doing when this communication technique is
used? a. Paraphrasing the patient's message
b. Restating what the patient has said
c. Reviewing the patient's communication
d. Verifying what isimplied by the patient
d. Verifying what isimplied by the patient
, Which assessment by the nurse most likely indicates that a patient is having
difficulty breathing?
a. 18 breaths per minute and inhaled through the mouth
b. 20 breathes per minute and shallow in character
c. 16 breaths per minute and deep in character
d. 28 breaths per minute and noisy
d. 28 breaths per minute and noisy
Which should a nurse always do when taking a rectal temperature?
a. Allow self-insertion of the thermometer.
b. Position the patient on the left side.
c. Use an electronic thermometer.
d. Lubricate the thermometer.
d. Lubricate the thermometer.
A nurse is assessing a patient'sideal body weight. Which significant factor
should be takin into consideration when performing this assessment?
a. Daily intake
b. Body height
c. Clothing size
d. Food preferences
b. Body height
A nurse asks a patient's wife specific questions about the patient's health
status before admission. When collecting this information, the nurse is
seeking information from a:
a. Primary source
b. Tertiary sources
c. Subjective source
d. Secondary source
d. Secondary source
A nurse is preforming a physical assessment of a newly admitted patient.
Which patient statement communicates subjective data?
a. "I have sores between my toes."
b. "I dye my hair but it isreally gray."
c. "My joints hurt when I get up in the morning."
d. "My left leg drags on the floor when I am walking."
ALL QUESTIONS WITH CORRECT ANSWERS
GRADED A+ 100% VERIFIED
A patient who experienced a stroke has left-sided hemiparesis and is
incontinent of urine. Which is an appropriately worded nursing diagnosis for
this patient?
a. The patient has a need to maintain skin integrity.
b. The patient has a stroked evidenced by hemiparesis and incontinence.
c. The patient will be clean and dry and will receive range-of-motion exercises
every four hours.
d. The patient is at risk for impaired skin integrity related to left-sided
hemiparesis and incontinence
d. The patient is at risk for impaired skin integrity related to left-sided hemiparesis
and incontinence
A patient had a stroke that resulted in paralysis of the right side. When
clustering data, the nurse grouped the following together: drooling of saliva
and slurred speech. Which information is most significant to include with this
clustered data?
a. Receptive aphasia
b. Inability to ambulate
c. Difficulty swallowing
d. Incontinence of bowel movements
c. Difficulty swallowing
A nurse usesthe interviewing process of clarification when interviewing a
patient. Which is the nurse doing when this communication technique is
used? a. Paraphrasing the patient's message
b. Restating what the patient has said
c. Reviewing the patient's communication
d. Verifying what isimplied by the patient
d. Verifying what isimplied by the patient
, Which assessment by the nurse most likely indicates that a patient is having
difficulty breathing?
a. 18 breaths per minute and inhaled through the mouth
b. 20 breathes per minute and shallow in character
c. 16 breaths per minute and deep in character
d. 28 breaths per minute and noisy
d. 28 breaths per minute and noisy
Which should a nurse always do when taking a rectal temperature?
a. Allow self-insertion of the thermometer.
b. Position the patient on the left side.
c. Use an electronic thermometer.
d. Lubricate the thermometer.
d. Lubricate the thermometer.
A nurse is assessing a patient'sideal body weight. Which significant factor
should be takin into consideration when performing this assessment?
a. Daily intake
b. Body height
c. Clothing size
d. Food preferences
b. Body height
A nurse asks a patient's wife specific questions about the patient's health
status before admission. When collecting this information, the nurse is
seeking information from a:
a. Primary source
b. Tertiary sources
c. Subjective source
d. Secondary source
d. Secondary source
A nurse is preforming a physical assessment of a newly admitted patient.
Which patient statement communicates subjective data?
a. "I have sores between my toes."
b. "I dye my hair but it isreally gray."
c. "My joints hurt when I get up in the morning."
d. "My left leg drags on the floor when I am walking."
