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NURS 125 Final Exam 2024/2025 Questions With Completed & Verified Solutions.
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NURS 125 Final Exam 2024/2025 Questions With Completed & Verified Solutions.
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NURS 125 FinalA patient on a medical- surgical floor reports having shortness of breath. The nurse needs to
conduct which type of assessment? - ANS A problem-based/focused assessment
For which patient is a shift assessment indicated? - ANS The person who had abdominal
surgery yesterday
Which of the following examples represents a secondary prevention level of health promotion? -
ANS Blood pressure screenings
Which of the following is an example of objective data? - ANS 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? - ANS "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? - ANS
"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? -
ANS 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? - ANS 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"? - ANS Severity
When examining a patient, the nurse remembers to follow which principle of Standard
Precautions? - ANS 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 - ANS 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 - ANS 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? - ANS
Higher than the actual value
Where does the nurse attach the sensor probe of the pulse oximeter to measure a patient's
oxygen saturation? - ANS 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? -
ANS Doppler
A patient on a cardiac floor is complaining of chest pain. The nurse needs to conduct which type
of assessment? - ANS A problem-based focused assessment
An example of Primary prevention of Health Promotion is: - ANS Immunizations
Which of the following is an example of subjective (symptoms) data? - ANS Headache
Which of the following is one of the goals of Healthy People 2020? - ANS 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? - ANS " 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 -
ANS 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 : - ANS wait 10 minutes, then take the temperature.
To position an adult's ear correctly for a tympanic membrane temperature, the nurse should -
ANS tug the ear's helix in an upward direction.
A nurse assesses an irregular pulse while counting for 15 seconds. What is the most
appropriate action for the nurse to take at this time? - ANS Count the patient's pulse for a full
minute.
A nurse takes a patient's pulse. The nurse documents "80 beats per minute and regular"-
What does the "regular" refer to? - ANS Rhythm
A nurse is taking vital signs of an adult patient whose oxygen saturation is 96%. The patient's
temperature is 102 F, blood pressure is 120/77 pulse is 90 beats/min, and respiratory rate is 26
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