NUR 303 Final Exam Complete Solutions
A patient asks, "Why is bending at the hips and touching my toes necessary?", "This is a sports physical
examination, not exercise class." Which is the most appropriate response by the nurse?
A. "This is the best way to check for symmetry of your arms."
...
A patient asks, "Why is bending at the hips and touching my toes necessary?", "This is a sports physical
examination, not exercise class." Which is the most appropriate response by the nurse?
A. "This is the best way to check for symmetry of your arms."
B. "I am looking at the stretch of your hamstrings."
C. "This allows me to see how straight your spinal column is."
D. "I am assessing the flexion of your spine." ✅D. "I am assessing the flexion of your spine."
Which intervention is required for a patient who demonstrates signs of an obtunded level of
consciousness?
A. Gently shaking
B. Frequent reorientation
C. Protection from injury
D. Regular respiratory assessment ✅B. Frequent reorientation
During a focused assessment of the cardiovascular system, a patient reports difficulty falling asleep
unless they are in an upright position using 4-5 pillows in bed. Which symptom requires further
investigation by the nurse?
A. Chest pain
B. Shortness of breath
C. Palpitations
D. Edema ✅B. Shortness of breath
Which strategy should a nurse include in patient teaching about modifying risk factors associated with
hypertension?
,A. Consume a diet high in sodium and low in potassium.
B. Encourage increase consumption of dairy products.
C. Encourage the client to quit alcohol consumption.
D. Encourage increase consumption of potassium rich foods. ✅D. Encourage increase consumption of
potassium rich foods.
The nurse is listening to the patient's heart at the 2nd LSB. Which area is being auscultated?
A. Erb's point
B. Mitral area
C. Aortic area
D. Pulmonic area ✅D. Pulmonic area
Where should a nurse palpate the dorsalis pedis pulse?
A. Behind the knee in the popliteal fossa
B. The inner aspect of the ankle below and slightly behind the medial malleolus
C. Over the dorsum of the foot between the tendons of the first and second toes
D. The outer side of the ankle below and slightly behind the lateral malleolus ✅C. Over the dorsum of
the foot between the tendons of the first and second toes
During physical examination of the peripheral vascular system, a patient's foot is found to be pale when
elevated and dark red when in the dependent position. Which condition is the patient at risk for
developing?
A. Neuropathic ulcers
B. Venous insufficiency ulcers
C. Deep vein thrombosis
D. Peripheral artery insufficiency ulcers ✅D. Peripheral artery insufficiency ulcers
,What does the S2 heart sound represent?
A. The beginning of systole
B. The closure of the aortic and pulmonic valves.
C. The closure of the tricuspid and mitral valves.
D. A split heart sound on exhalation. ✅B. The closure of the aortic and pulmonic valves.
A nurse examines a patient's jaw movement by placing two fingers in front of each ear and asking the
patient to slowly open and close the mouth. Which movement of the jaw should the nurse ask the
patient to perform next?
A. Swallow.
B. Smile.
C. Clench the teeth together.
D. Move the jaw side to side. ✅D. Move the jaw side to side.
A nurse auscultates the heart sounds of a patient and hears a louder S1 when listening at the 4th
intercostal space, left sternal border. The nurse determines that this finding is consistent with closure of
which heart valve?
A. Aortic valve
B. Mitral valve
C. Tricuspid valve
D. Pulmonic valve ✅C. Tricuspid valve
Which assessment documentation describes a patient's level of consciousness?
A. "Patient was inattentive to the questions being asked."
B. "Patient answered questions both logically and coherently."
C. "Patient was alert and cooperative during the assessment."
, D. "Patient demonstrated difficulty with recalling events occurring this morning." ✅C. "Patient was alert
and cooperative during the assessment."
A nurse palpates a patient's lower leg to assess for the presence of pitting edema and notices a slight
imprint of his fingers where he palpated the patient's leg at a depth of 2 mm. How should the nurse
interpret this finding?
A. No edema
B. 1+ edema
C. 2+ edema
D. 3+ edema ✅B. 1+ edema
A nurse completes a health assessment on a patient who reports two episodes of fainting in the late
afternoon. Which assessment data should the nurse categorize as "subjective" data?
A. Increase in psycho-social stress.
B. Respiratory rate of 28 and shallow.
C. Blood pressure of 168/94 mm Hg.
D. Irregular heart rhythm. ✅A. Increase in psycho-social stress.
A 59 year old female patient is admitted to the hospital with a new diagnosis of breast cancer. Which
type of assessment should the nurse perform on this patient's admission?
A. A comprehensive assessment
B. A focused assessment
C. An episodic assessment
D. A screening assessment ✅A. A comprehensive assessment
A nurse documents which information in the patient's history?
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