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NUR 120 EXAM 1 NEWEST ACTUAL EXAM COMPLETE 170 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+$27.99
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NUR 120 EXAM 1 NEWEST 2024-2025 ACTUAL
EXAM COMPLETE 170 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
The nurse is caring for a pt with a temp of 103 F, respirations of
30 per min., pulse rate of 50 beats per minute, and BP of 100/60.
The pt is cold and clammy. What does the nurse conclude abt
these findings?
a. The temp is causing a lowered pulse rate; it will improve if
the temp. decreases.
b. The low pulse rate is causing a decreased cardiac output,
which has caused a low BP
c. The pulse rate and BP are compensatory mechanisms to
decrease the increased metabolic rate from the temp.
d. The cool, clammy skin will help to increase the BP and pulse
as the body tries to warm the skin - CORRECT ANSWER-B
Patient advocacy is best demonstrated by the nurse:
,2|Page
A. Learning how to do a new procedure
B. Returning with the client at the agreed-upon time.
C. Preparing the client's room for comfort and privacy.
D. Supporting the client's right to refuse treatment. - CORRECT
ANSWER-D
A nurse goes to another unit to see a friend who has been
admitted. The nurse goes to look at a friend's medical record.
This is an example of:
A. Invasion of privacy
B. Breach of confidentiality
C. Liability
D. Malpractice - CORRECT ANSWER-A
The nurse is caring for a pt who was burned in a house fire. The
right arm is heavily bandaged and there is an intravenous line
that was placed in the left forearm after 3 attempts. Which action
does the nurse take related to obtaining VS?
a. A BP is not needed because the pt is awake, alert, and talking
to the nurse.
,3|Page
b. A smaller cuff should be used to cover less of the upper arm
c. The BP should be taken on the popliteal artery
d. The systolic pressure should be palpated from the radial artery
- CORRECT ANSWER-C.
Nurses may be held liable for actions that are considered
unintentional torts. Which of the following actions is an example
of this type of tort?
A. Restraining a client who refuses care and wants to leave the
hospital.
B. Taking photos of a client surgical wound to post to a website.
C. Leaving the side rails down, leading to the pt falling and
becoming injured.
D. Discussing the clients sexually transmitted disease while
riding the elevator with visitors. - CORRECT ANSWER-C
Autonomy - CORRECT ANSWER-Every person has the right
to decide his or her own course of action
Which actions by the nurse could result in a BP measurement
error? SELECT ALL THAT APPLY
, 4|Page
a. Placing the diaphragm of the stethoscope over the brachial
artery
b. Using the same cuff for all pts
c. Wrapping the bottom edge of the cuff over the antecubital
space
d. Releasing the valve quickly to prevent pt discomfort
e. Taking a measurement after the pt rests quietly for 5 mins. -
CORRECT ANSWER-B, C, D
Prior to identifying accurate nursing diagnosis, which action
MUST be taken by the nurse?
A. Reading the patients history
B. Setting realistic, measurable goals
C. Comparing evidence- based practices
D. Clustering related patient data - CORRECT ANSWER-D
What phrase BEST describes the essence of critical thinking?
A. Understanding without conscious reasoning
B. Providing care based on nursing experience
C. Consulting with a primary care provider
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