Exam (elaborations)
NUR 133 ( LATEST 2024 / 2025 ) | QUESTIONS & ANSWERS (SOLVED)
- Course
- Institution
NUR 133 ( LATEST 2024 / 2025 ) | QUESTIONS & ANSWERS (SOLVED)
[Show more]
Content preview
NUR 1331. The nurse is performing an abdominal assessment on a client. The nurse determines that
which finding should be reported to the primary health care provider (PHCP)?
A. Absence of a bruit
B. Concave, midline umbilicus
C. Pulsation between the umbilicus and the pubis
D. Bowel sound frequency of 15 sounds per minute
Answer
C. Pulsation between the umbilicus and the pubis
2. A confrontation test is prescribed for a client seen in the eye and ear clinic. How should the
nurse perform this test? Arrange the actions in the order that they should be performed. All
options must be used.
A. Asks the client to cover 1 eye
B. Examiner covers eye opposite to the eye covered by the client.
C. Asks the client to report when object is first noted.
D. Stands 2 to 3 ft (60 to 90 cm) in front of client and faces the client.
E. The examiner brings in an object gradually from periphery
Answer
B,C,E,A,D
3. The clinic nurse prepares to perform a focused assessment on a client who is complaining of
symptoms of a cold, a cough, and lung congestion. Which should the nurse include for this type
of assessment? Select all that apply.
A. Auscultating lung sounds
B. Obtaining the client's temperature
C. Assessing the strength of peripheral pulses
D. Obtaining information about the client's respirations.
E. Performing a musculoskeletal and neurological examination
F. Asking the client about a familyhistory of any illness or disease
Answer
A,B,D
4. A chest x-ray report states that the client has a left apical pneumothorax. The nurse caring
for the client monitors the status of breath sounds in that area by placing the stethoscope at
which location?
A. Near the lateral 12th rib
B. Just under the left clavicle
, C. In the fifth intercostal space
D. Posteriorly under the left scapula
Answer
B
5. The nurse is monitoring a wound in a dark-skinned client for signs of erythema. How
should the nurse best determine the presence of erythema?
A. Assess for drainage from the wound.
B. Assess for redness around the wound edges.
C. Palpate for swelling around the wound edges.
D. Palpate for increased skin temperature around the wound edges.
Answer
D
6. While performing a cardiac assessment on a client with an incompetent heart valve, the
nurse auscultates a murmur. The nurse documents the finding and describes the sound as
which?
A. Lub-dub sounds
B. Scratchy, leathery heart noise
C. A blowing or swooshing noise
D. Abrupt, high-pitched snapping noise
Answer
B
7. The nurse is setting up the physical environment for an interview with a client and plans to
obtain subjective data regarding the client's health. Which interventions are appropriate? Select
all that apply
A. Set the room temperature at a comfortable level.
B. Remove distracting objects from the interviewing area.
C. Place a chair for the client across from the nurse's desk.
D. Ensure comfortable seating at eye level for the client and nurse.
E. Provide seating for theclient so that the client faces a strong light.
F. Ensure that the distance between the client andnurse is at least
2 feet (2.1 meters).
Answer
A,B,D
8. The registered nurse (RN) is educating a new RN on how to interpret vision tests using a
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller gradexam. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
82871 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now