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NUR 210 Exam 1:- Questions And Answers (Rated A+)
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NUR 210 Exam 1:- Questions And Answers (Rated A+)
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NUR 210 Exam 1:- Questions And Answers (Rated A+)The nurse is performing a general survey. Which action is a component of the
general
survey?
A) Observing the patient's body stature and nutritional status
B) Interpreting the subjective information the patient has reported
C) Measuring the patient's temperature, pulse, respirations, and blood
pressure
D) Observing specific body systems while performing the physical assessment
Right Ans - A
When measuring a patient's weight, the nurse keeps in mind which of these
guidelines?
A) Always weigh the patient with only his or her undergarments on.
B) It does not matter what type of scale is used, as long as the weights are
similar
from day to day.
C) The patient may leave on his or her jacket and shoes as long as this is
documented
next to the weight.
D) Attempt to weigh the patient at approximately the same time of day, if a
sequence
of weights is necessary. Right Ans - D
A patient's weekly blood pressure readings for 2 months have ranged
between 124/84 and
136/88 mm Hg, with an average reading of 126/86 mm Hg. The nurse knows
that this
blood pressure falls within which blood pressure category?
A) Normal blood pressure
B) Prehypertension
C) Stage I hypertension
D) Stage 2 hypertension Right Ans - B
During an examination of a child, the nurse considers that physical growth is
the best
,index of a child's:
A) general health.
B) genetic makeup.
C) nutritional status.
D) activity and exercise patterns. Right Ans - A
A 1-month-old infant has a head measurement of 34 cm and has a chest
circumference of
32 cm. Based on interpretation of these findings, the nurse would:
A) refer the infant to a physician for further evaluation.
B) consider this a normal finding for a 1-month-old infant.
C) expect the chest circumference to be greater than the head circumference.
D) ask the parent to return in 2 weeks to re-evaluate the head and chest
circumferences. Right Ans - A
The nurse is assessing an 80-year-old male patient. Which assessment
findings would be
considered normal?
A) An increase in body weight from younger years
B) Additional deposits of fat on the thighs and lower legs
C) The presence of kyphosis and flexion in the knees and hips
D) A change in overall body proportion, a longer trunk, and shorter
extremities Right Ans - C
The nurse should measure rectal temperatures in which of these patients?
A) School-age child
B) Elderly adult
C) Comatose adult
D) Patient receiving oxygen by nasal cannula Right Ans - C
The nurse is preparing to measure the length, weight, chest, and head
circumference of a
6-month-old infant. Which measurement technique is correct?
A) Measure the infant's length by using a tape measure.
B) Weigh the infant by placing him on an electronic standing scale.
C) Measure chest circumference at the nipple line with a tape measure.
D) Measure the head circumference by wrapping the tape measure over the
nose and
cheekbones Right Ans - C
,The nurse knows that one advantage of the tympanic thermometer is that:
A) its rapid measurement is useful for uncooperative younger children.
B) it is the most accurate method for measuring temperature in newborn
infants.
C) it is an inexpensive means of measuring temperature.
D) studies strongly support use of the tympanic route in children under age 6
years. Right Ans - A
When assessing an older adult, the nurse keeps in mind that which vital sign
changes
occur with aging?
A) Increase in pulse rate
B) Widened pulse pressure
C) Increase in body temperature
D) Decrease in diastolic blood pressure Right Ans - B
The nurse is examining a patient who is complaining of "feeling cold." Which
is a
mechanism of heat loss in the body?
A) Exercise
B) Radiation
C) Metabolism
D) Food digestion Right Ans - B
When measuring a patient's body temperature, the nurse keeps in mind that
body
temperature is influenced by:
A) constipation.
B) patient's emotional state.
C) the diurnal cycle.
D) the nocturnal cycle Right Ans - C
When evaluating the temperature of older adults, the nurse remembers which
aspect about
an older adult's body temperature?
A) It is lower than that of younger adults.
B) It is about the same as that of a young child.
C) It depends on the type of thermometer used.
, D) It varies widely because of less effective heat control mechanisms Right
Ans - A
A 60-year-old male patient has been treated for pneumonia for the past 6
weeks. He is
seen today in the clinic for an "unexplained" weight loss of 10 pounds over the
last 6
weeks. The nurse knows that:
A) his weight loss is probably from unhealthy eating habits.
B) chronic diseases such as hypertension cause weight loss.
C) unexplained weight loss often accompanies short-term illnesses.
D) his weight loss is probably the result of a mental health dysfunction.
Right Ans - C
When assessing a 75-year-old patient who has asthma, the nurse notes that he
assumes a
tripod position, leaning forward with arms braced on the chair. On the basis of
this
observation, the nurse should:
A) assume that the patient is eager and interested in participating in the
interview.
B) evaluate the patient for abdominal pain, which may be exacerbated in the
sitting
position.
C) assume that the patient is having difficulty breathing and assist him to a
supine
position.
D) recognize that a tripod position is often used when a patient is having
respiratory
difficulties. Right Ans - D
Which of these actions illustrates the correct technique the nurse should use
when
assessing oral temperature with a mercury thermometer?
A) Wait 30 minutes if the patient has ingested hot or iced liquids.
B) Leave the thermometer in place 3 to 4 minutes if the patient is afebrile.
C) Place the thermometer in front of the tongue and have the patient close his
or her
lips.
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