NURS 125 Final Exam Questions and Answers.
A patient on a medical- surgical floor reports having shortness of breath. The nurse needs to conduct which type of assessment?
For which patient is a shift assessment indicated?
Which of the following examples represents a secondary prevention l...
NURS 125 Final Exam Questions and Answers.
A patient on a medical- surgical floor reports having shortness of breath. The nurse needs to conduct which type of assessment? -* A problem-based/focused assessment
For which patient is a shift assessment indicated? -* The person who had abdominal surgery yesterday
Which of the following examples represents a secondary prevention level of health promotion? -* Blood pressure screenings
Which of the following is an example of objective data? -* Vomiting
A nurse suspects a patient is a victim of physical abuse. Which response by the nurse will most likely encourage the patient to confide in the nurse? -* "I've seen people who have been hurt by their significant others. Do you feel safe in your home?"
A patient answers questions quietly and appears sad. While answering questions about her marriage, she begins to cry. Which response by the nurse is appropriate in this situation? -* "I see that you are upset. Is there something you'd like to discuss?"
A nurse is interviewing a patient. Which of the following questions is an open-ended question? -* Can you tell me how you have been feeling?
When interviewing a patient to obtain a health history, asking if the patient has "dypsnea" can fall into which of the following systems? -* Respiratory and Cardiovascular
A nurse asks a patient to rate their pain on a scale of "0-10". This is which part of the mnemonic for symptom analysis of "OLD CARTS"? -* Severity
When examining a patient, the nurse remembers to follow which principle of Standard Precautions? -* Wear gloves when in contact with the patient's blood or other body fluids.
Which of the following is a correct statement regarding the technique LIGHT palpation? Light palpation is -* Used to assess tenderness The nurse is unable to hear the patient's breath sounds. To determine the cause of this problem the nurse needs to ensure that the -* valve is open to the diaphragm on the head of the stethoscope.
A nurse is preparing to take a patient's blood pressure. The blood pressure cuff is too narrow (small). How accurate will this patient's blood pressure be using this blood pressure cuff? -* Higher than the actual value
Where does the nurse attach the sensor probe of the pulse oximeter to measure a patient's oxygen saturation? -* Around the patient's index fingernail
During a physical assessment of an elderly adult, the nurse has difficulty palpating the patient's dorsalis pedis pulses. Which piece of equipment would be helpful during this assessment? -* Doppler
A patient on a cardiac floor is complaining of chest pain. The nurse needs to conduct which type of assessment? -* A problem-based focused assessment
An example of Primary prevention of Health Promotion is: -* Immunizations
Which of the following is an example of subjective (symptoms) data? -* Headache
Which of the following is one of the goals of Healthy People 2020? -* To promote quality of life & healthy behaviors across all life stages
During a mental health assessment, a women begins to cry when the nurse asks about her marriage. Which action by the nurse is most therapeutic? -* " I see that you're upset. Can you discuss why you're feeling this way?"
While collecting data on a patient, the nurse obtains vital signs. This is done PRIMARILY to -* obtain baseline indicators of the patient's health status.
A nurse is about to take a patient's temperature. The patient has just finished a cup of hot coffee. The nurse should : -* wait 10 minutes, then take the temperature.
To position an adult's ear correctly for a tympanic membrane temperature, the nurse should -* tug the ear's helix in an upward direction.
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