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NR304 EXAM 1 AND 2 QUESTIONS AND ACCURATE ANSWERS
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NR304 EXAM 1 AND 2 QUESTIONS AND ACCURATEANSWERS 2024-2025
Atelectasis-what is it? -Answer is a partial or complete collapse of the whole lung or
area/lobe of the lung
A nurse is caring for a client who has a lacerated spleen and has been on bedrest for
several days, the nurse auscultates decreased breath sounds in the lobes of both lungs,
the nurse should realize that this finding is most likely an indication of? -Answer
atelectasis
Which of the following statements by the nurse correctly describes the mechanism of
venous blood return to the heart? - Answer The intraluminal valve controls the flow in
one direction towards the heart
During a peripheral vascular and lymphatic assessment of an older adult client, the
following physiological changes can be expected. - Answer Loss of lymphatic tissue
Loss of arterial elasticity
Dilation of the veins in the calf
deposition of fatty plaques on the entema of the arteries
The nurse is caring for a client with arterial insufficiency, which characteristics of the
pulse would the nurse expect to find in this client? - Answer a weak gritty pulse
While performing a physical examination on a patient, the nurse looks at an ulcer of the
leg and determines that it is pale, has well-defined edges, and no bleeding is present.
, Which of the following additional assessment findings would the nurse expect to find? -
Answer decreased peripheral pulses
Which of the following examinations should the nurse perform to aid in determining if the
patient has arterial obstruction of the right ulnar artery? - Answer Modified Allen Test
The nurse is performing initial assessment and palpates the dorsalis pedis at 2+ for a
client who is 30 mins post op following femoral surgery. Two hours later, the pulse is no
longer palpable. What is the first action the nurse should take? Answer Assess the pulse
with a doppler probe
The nurse identifies which normal physiological change in the older adult may have
contributed to the following client's problem? An older adult client is admitted to the
hospital with a tender swollen right calf that is warm to touch and tender.
Which of the following is an additional assessment finding that the nurse would expect to
find when evaluating a client with an ulcer with bloody drainage, wet wound base, and
irregular edges? - Answer Pain is relieved with elevation
(because of venous insufficiency)
Which of the following client statements leads the nurse to believe that this client has
Raynaud's Disease? - Answer "My fingers turn blue when i go out in the cold"
A client experiences pain in his legs when walking that is relieved by rest. Based on the
client's clinical manifestations, which of the following assessment findings should the
nurse expect? ANS Feet that are cold to touch w/ diminished pulses
The RN is teaching the nursing student while performing an abdominal assessment on a
client who had abdominal surgery 1 day ago due to periostitis. Which of the following
statements is correct regarding the auscultation of bowel sounds? Answer Normal
bowel sounds are high pitched, gurgling, and occur 5-30 times per minute.
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