NUR120 Final Exam Study Questions and Answers Top Rated 2024 Graded A
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Course
NUR120
Institution
NUR120
When assessing a client's respirations, what is most important to include in the documentation? -Correct Answer presence of dyspnea
The nurse is performing vital signs during the routine assessment of an adult client who twisted his ankle during a mini-marathon. The client's pulse is 52 bpm. The...
NUR120 Final Exam Study Questions and
Answers Top Rated 2024 Graded A
When assessing a client's respirations, what is most important to include in the
documentation? -Correct Answer ✔presence of dyspnea
The nurse is performing vital signs during the routine assessment of an adult client who
twisted his ankle during a mini-marathon. The client's pulse is 52 bpm. The nurse
retakes the pulse; the finding is the same. The client tells the nurse that he has been
training for 6 months for this mini-marathon. What should the nurse do in regard to this
reading? -Correct Answer ✔document the finding
A nurse notes that the pulse rate of a client is less than 60 beats per minute. Which
question is appropriate for the nurse to ask the client in regards to this finding? -Correct
Answer ✔"have you been sitting for a long time?"
What action is appropriate for a nurse to perform when an irregular radial pulse is
palpated on a client? -Correct Answer ✔count the pulse for a full minute for an accurate
rate
The current blood pressure measurement on a 24-hour uncomplicated postoperative
patient while standing at the bedside is 105/65. The last two readings were 130/75 and
125/70 while resting in bed. The nurse should be alert for signs of -Correct Answer
✔orthostatic hypotension
When can the general inspection be started? -Correct Answer ✔As soon as the
examiner first sees the client
During the first assessment of the client, the nurse assesses the blood pressure in both
arms. Which of the following findings is an acceptable variation? -Correct Answer
✔118/78 mm Hg in the right arm and 122/80 mm Hg in the left arm
An 86-year-old male patient with a diagnosis of vascular dementia and cardiomyopathy
is exhibiting signs and symptoms of pneumonia. The nurse has attempted to assess his
temperature using an oral thermometer but the patient is unable to follow directions to
close his mouth and secure the thermometer sublingually. As well, he repeatedly
withdraws his head when the nurse attempts to use a tympanic thermometer. How
should the nurse proceed with assessment? -Correct Answer ✔Assess the patient's
temperature by axilla
Which of the following is an average normal temperature in centigrade for a healthy
adult? -Correct Answer ✔oral: 37.0°C
NUR120 Final Exam
, NUR120 Final Exam
The nurse assesses the amplitude of the client's radial pulse and finds it to be weak and
diminished. Which of the following scores should the nurse record? -Correct Answer
✔1+
A nurse observes that a young man's arm span appears to be greater than his height.
Which condition should the nurse suspect in this client? -Correct Answer ✔Marfan's
syndrome
The nurse is admitting an elderly client with a diagnosis of congestive heart failure.
Admission vital signs are respirations 38; pulse 172; blood pressure 86/72. How should
the nurse best respond? -Correct Answer ✔Notify the rapid response team
The nurse explains to the client that smoking has what effect on the body? Select all
that apply. -Correct Answer ✔Hypertension
Vasoconstriction
Peripheral vascular disease
As a nursing student you learn that the normal range for an adult pulse is what? -
Correct Answer ✔60-100 bpm
You are educating your patient on taking blood pressure at home. What would be
important to include in your patient education? -Correct Answer ✔Routine recalibration
of the device
A client has an oral temperature of 37.2 °C (99 °F). The nurse interviews the client.
Which of the following pieces of interview data could be an influence on this high body
temperature? -Correct Answer ✔The client has just run 4.82 km (3 miles) outside before
coming to the interview.
An elderly client is seen by the nurse in the neighborhood clinic. The nurse observes
that the client is dressed in several layers of clothing, although the temperature is warm
outside. The nurse suspects that the client's cold intolerance is a result of -Correct
Answer ✔decreased body metabolism.
The nurse assesses the client's vital signs as follows: respirations 20 breaths/minute,
tympanic temperature 100.9°F, pulse 88 beats/minute, and blood pressure 104/64 mm
Hg. The nurse should -Correct Answer ✔record the vital signs
A nurse has assessed the blood pressure of a recently admitted patient and obtained a
reading of 128/78 mm Hg. What is this patient's pulse pressure? -Correct Answer ✔50
mmHg
On which health problem should the nurse focus when assessing this client? -Correct
Answer ✔Cushing's syndrome
NUR120 Final Exam
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