NR 304 Final Exam practice Comprehensive 302/304 questions and Answers,100% CORRECT
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NR 304
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NR 304
NR 304 Final Exam practice Comprehensive 302/304 questions and Answers
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1. 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 cha...
nr 304 final exam practice comprehensive 302304 questions and answers
1 which assessment by the nurse most likely indicates that a patient is having difficulty breathing
2 which should a nurse alw
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NR 304 Final Exam practice
Comprehensive 302/304 questions and
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Answers on last page
1. 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
2. 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.
3. A nurse is assessing a patient’s ideal 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
4. 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
,5. 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 is really gray.”
c. “My joints hurt when I get up in the morning.”
d. “My left leg drags on the floor when I am walking.”
,6. A nurse takes a patient’s blood pressure and records a diastolic pressure of 120 mm
Hg. Which should the nurse do first?
a. Notify the primary health-care provider.
b. Retake the blood pressure.
c. Notify the nurse in charge.
d. Take the other vital signs.
7. 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 mostsignificant to include with this clustered data?
a. Receptive aphasia
b. Inability to ambulate
c. Difficulty swallowing
d. Incontinence of bowel movements
8. A patient who experienced a stroke has left-sided hemiparesis and is incontinent of
urine. Which is anappropriately 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.
9. A nurse uses the 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 is implied by the patient
10. A patient has dependent edema of the ankles and feet and is obese. Which diet
, should the nurse expect the primary health-care provider to order?
a. Low in sodium and high in fat
b. Low in sodium and low in calories
c. High in sodium and high in protein
d. High in sodium and low in carbohydrates
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