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NURS 125 Final Exam Questions And Accurate Answers
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NURS 125 Final Exam Questions And Accurate AnswersA patient being cared for on a medical- surgical floor reports that he feels short of
breath. The nurse will conduct what kind of assessment? A problem-based/focused
assessment
Which of the following patients would need a shift assessment? The patient who had
abdominal surgery yesterday
Which of the following is an example of a secondary prevention level of health
promotion? Blood pressure screenings
Which of the following is an example of objective data? Answer Vomiting
A nurse suspects a patient is a victim of physical abuse. Which response by the nurse is
most likely to encourage the patient to confide in the nurse? Answer "I've seen people
who have been hurt by their significant others. Do you feel safe in your home?
A patient answers questions softly and appears to be sad. In an interview about her
marriage, she begins to cry. Which of the following is an appropriate response by the
nurse at this time? - Response "I can see that you are distressed. Would you like to talk
about something?"
A nurse is interviewing a patient. Which one of the following is an open-ended question?
- Response Can you describe to me how you have been feeling?
When taking a health history, you interview the patient by asking if the patient has
"dypsnea". Such a question can fall into which of the following systems? - Answer
Respiratory and Cardiovascular
A nurse asks the patient to rate their pain on a scale of "0-10". What is this part of the
,mnemonic for symptom analysis of "OLD CARTS"? - Answer Severity
When caring for a patient, the nurse remembers that the health care worker should
utilize which principle of Standard Precautions? - Answer Wear gloves if the health care
worker will be in contact with blood or other body fluids of the patient.
Which of the following statements is true regarding the LIGHT palpation technique?
Light palpation is - Answer Used to assess for tenderness
The nurse is unable to hear the patient's breath sounds. To troubleshoot this issue, the
nurse needs to check to see if the -Answer valve is open to the diaphragm on the head of
the stethoscope.
A nurse is going to obtain 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? - Answer Higher than the actual value
Where does the nurse attach the sensor probe of the pulse oximeter in order to obtain a
patient's oxygen saturation? - Answer Around the patient's index fingernail
The nurse is performing a physical assessment on an older adult and cannot feel the
patient's dorsalis pedis pulses. Which of the following would be helpful in performing the
assessment? - Answer Doppler
A client is admitted to the cardiac unit with complaints of chest pain. For what kind of
assessment would the nurse perform? - Answer A problem-based focused assessment
Primary prevention of Health Promotion would include which of the following? - Answer
Immunizations
Which of the following is an example of subjective (symptoms) data? - Answer Headache
, Which of the following is one of the goals of Healthy People 2020? - Answer To promote
quality of life & healthy behaviors across all life stages
Mental Health Assessment A woman begins to cry after the nurse inquires about her
marriage. Which is the most therapeutic response by the nurse? - Answer " I can see
that you are distressed. Can you talk about what's bothering you?"
Data Collection The nurse is collecting data about a patient and measures the patient's
vital signs. The nurse takes this measurement PRIMARILY for the purpose of - Answer
obtaining baseline indicators of the patient's health status.
A nurse is going to obtain a patient's temperature. The patient just drank a cup of hot
coffee. The nurse should : - Answer wait 10 minutes, then take the temperature.
To correctly position an adult's ear for a tympanic membrane temperature, the nurse
should - Answer pull the helix of the ear upward.
A nurse counts an irregular pulse for 15 seconds. What is the best thing for the nurse to
do now? - Answer Count the patient's pulse for a full minute.
A nurse counts the pulse of a patient. The nurse writes down "80 beats per minute and
regular"-
What does the "regular" refer to? - Answer Rhythm
A nurse is obtaining vital signs on an adult patient. The oxygen saturation is 96%. The
temperature is 102 F, the blood pressure is 120/77 pulse is 90 beats/min and the
respiratory rate is 26 breaths/min. Which factor may be contributing to the elevated
respiratory rate? - Answer Temperature
Which actions by the nurse results in the patient's blood pressure measurement being
falsely high?
1. Deflating the blood pressure cuff too rapidly
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