NUR 101 FINAL EXAM CCTC SPRING 2024
QUESTIONS WITH COMPLETE SOLUTIONS
02 Correct Answer Oxygen
24 hour urine collection Correct Answer used to collect the
total volume of urine excreted in 24 hours for diagnostic
examination.
If you start at 7, the first time you pee will be discarded. From
then on collect all urine and place it in urine container. Store in
cold area, away from sun.
A nurse forgets to raise the railings of the bed of a patient who is
confused after taking pain medications. The patient attempts to
get out of bed and suffers a minor fall. The nurse asks a
colleague who witnessed the fall not to mention it to anyone
because the patient only had minor bruises. What would be an
appropriate action by the colleague? Correct Answer Report to
the nursing supervisor immediately.
A nurse is ambulating a patient when they complain of sudden
dizziness. What do you do? Correct Answer -Immediately try
and find somewhere nearby to sit the patient down. Try and get
back to room if you can.
-Get in protective position behind patient holding the gait belt,
with one leg in between the patient's legs.
A nurse is teaching a patient who has congested lungs how to
keep secretions thin and more easily expectorated. What would
be one self care measure to teach? Correct Answer Increase
fluid intake
,A terminally ill client states to the nurse, "My situation is
hopeless. I have no control over anything." What interventions
would the nurse implement to enable hope for the client?
Correct Answer -Teach her about the disease
-Give her more control over decisions such as food,
medications, and treatments.
-Encourage family to visit more.
active communication Correct Answer A set of behaviors
including active listening and active speaking that shows you are
fully engaged in the conversation and encourages the other
person to also communicate in a positive manner. (18)
Active ROM Correct Answer Performed by client without
assistance
Maintains mobility of joints
Adaptation for Older adults in physical assessment Correct
Answer -Limit Movement
-Provide Rest Periods
-Don't give many options or ask too many questions
Adventitious lung sounds Correct Answer added sounds or
vibrations produced by the movement of air through abnormal
airways
AEB Correct Answer as evidenced by
affective outcomes Correct Answer describes changes in
patient values, beliefs, and attitudes
, An elderly patient has been moved into a long term care facility.
The nurse's notice she is having a hard time adjusting to her new
environment and is depressed. What can be suggested by the
nurse's to help the patient adjust to her new way of living?
Correct Answer -Suggest her family visit more often.
-Suggest she bring items from home.
-Suggest she make friends with other patients.
An older adult client requests visits by the hospital chaplain and
reads the bible each day he is hospitalized due to heart problems.
What is the individual illustrating? Correct Answer -Spiritual
Healing
OR
-Making peace with God and making amends before or if he was
to die.
An older adults bath is scheduled in the A.M. at the long term
care facility. At home, her baths were at night. Now she has
trouble sleeping at night. What intervention is appropriate?
Correct Answer Move her scheduled bath time to nights.
apical-radial pulse deficit Correct Answer Difference between
apical and radial pulse
AR Correct Answer relating to
blood pressure Correct Answer the pressure that is exerted by
the blood against the walls of blood vessels
BM Correct Answer bowel movement
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