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2024 NURSE 251 EXAM 1 WITH CORRECT ANSWERS
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2024 NURSE 251 EXAM 1 WITH CORRECT ANSWERS
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2024 NURSE 251 EXAM 1 WITHCORRECT ANSWERS
Which of the following is NOT an example of chronic pain?
A. Arthritis
B. Lower back pain
C. Sprained ankle
D. Fibromyalgia - CORRECT-ANSWERSC (sprained ankle)
Acute pain can be described as short term and self-limiting; it comes on
suddenly and has a specific cause, and it is gone in less than 6 months.
Therefore, the sprained ankle would classify as a source of acute pain.
Chronic pain can be divided into malignant (cancer related) and
nonmalignant. It is diagnosed when pain continues for 6 months or longer.
Chronic nonmalignant pain is often associated with musculoskeletal
conditions.
The nurse is assessing a patient and palpated an irregular radial pulse of 72.
Upon auscultation, the nurse has recorded the apical heart rate as 92. What
is the pulse deficit?
A. 72
B. 164
C. 20
D. 1.3 - CORRECT-ANSWERSC (20)
Since the nurse palpated an irregular peripheral pulse, it was necessary to
auscultate the apical pulse. Pulse deficit is the difference between apical and
peripheral pulse. Since the apical heart rate was 92 and the radial pulse was
72, subtract the radial pulse from the apical pulse, and the pulse deficit
would be documented as 20.
A 30-year-old personal trainer has a resting heart rate of 48. The nurse is not
concerned, as this is an expected finding.
A. True
B. False - CORRECT-ANSWERSTrue
Although bradycardia can be concerning in most cases, in well-trained
athletes, the heart muscle can develop along with the skeletal muscles, thus
a slower heart rate is normal.
What is the normal oral temperature range in a resting person?
,A. 35.8 degrees C to 37.3 degrees C
B. 36.1 degrees C to 38.2 degrees C
C. 34.8 degrees C to 35.5 degrees C
D. 38.3 degrees C to 39.4 degrees C - CORRECT-ANSWERSA (35.8 degrees C
to 37.3 degrees C)
The normal oral temperature for a resting person is 37 degrees C, with the
normal range between 35.8 degrees C and 37.3 degrees C (96.4 degrees F
and 99.1 degrees F). Rectal
measures 0.4 degrees C to 0.5 degrees C higher
The nurse is taking a patient's blood pressure and records the systolic BP as
124 mmHg and the diastolic BP as 88 mmHg. What is the pulse pressure?
A. 1.4
B. 212
C. 36
D. 44 - CORRECT-ANSWERSC (36)
Pulse pressure reflects the stroke volume and is the difference between
systolic and diastolic blood pressure. To find the pulse pressure, subtract
diastolic blood pressure from the systolic blood pressure (124 - 88 = 36).
Which of the following are characteristics of visceral pain? Select all that
apply.
A. Nausea and vomiting
B. Can stem from direct injury to organ
C. Comes from tendons and muscles
D. Tachycardia and HTN
E. Can stem from stretching of organ from tumor, ischemia, distention, or
severe contraction - CORRECT-ANSWERSA, B, E
Visceral pain originates from larger interior organs. Classic signs and
symptoms of visceral pain include nausea and vomiting (also pallor and
diaphoresis). C and D are describing characteristics of deep somatic pain.
Which of the following Lobes is correctly
paired to the definition?
a. The Parietal Lobe contains the brain's primary center for tactile sensation
b. The Temporal Lobe Includes the center responsible for motor speech.
c. The Occipital Lobe includes the primary auditory reception center, and
also deals with taste and smell
d. The Frontal Lobe is the primary visual receptor center - CORRECT-
ANSWERSA
The lobes if the brain each have unique functions regarding the senses; a
failing in one sense can
, help providers determine the region of the brain being affected. The frontal
lobe is concerned with personality, behavior, and intellectual function (it also
includes Broca's area, which deals
with motor speech.) The Parietal lobe is the primary center for tactile
sensation. The Occipital lobe includes the visual receptor center, and the
Temporal lobe includes auditory reception, taste, smell, and Wernicke's area
(which deals with language comprehension.)
**Remember the anatomy of these structures and their basic function: Come
up with mnemonics to associate each lobe with a part of its function (for
example Occipital = Ocular)**
A patient who suffered a traumatic brain injury has lost the ability to self
regulate his temperature. The nurse knows that which part of the brain has
been damaged by the TBI?
a. The Thalamus
b. The Cerebellum
c. The Corpus Callosum
d. The Hypothalamus - CORRECT-ANSWERSD
The Hypothalamus includes many respiratory functions and also deals with
the body's sense of temperature regulation. Damage to this area may result
in a patient's inability to control their own temperature, leading them to be
chronically hot or cold.
** Like in the previous question, be able to associate the region of the brain
with a corresponding physiologic function. A good association might be
HYPO-Thalamus damage causes HYPO-Thermia (low body temperature) but
use whatever method works for you to associate
function with structure.**
A nurse preceptor is instructing a newly graduated RN in proper testing of
the cranial nerves. The nurse knows additional teaching is required after
which of the following statements?
a. "To test cranial nerve VII, I should ask the patient to puff out their cheeks
while observing
facial symmetry."
b. "I can assess Cranial nerves III, IV, and VI using a penlight to observe the
movement of the
eyes and pupils."
c. "I can test cranial nerve X by standing slightly behind the patient and
whispering."
d. "Asking the patient to repeat the phrase 'light, tight, dynamite' will allow
me to assess
cranial nerve XII." - CORRECT-ANSWERSC
Cranial nerve X, also called the Vagus nerve, is primarily a motor nerve; it
can be tested along with cranial nerve IX by observing movement of the
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