Exam (elaborations)
Final Exam: NURS120/ NURS 120 (Latest 2024/ 2025 Update) Introduction to Medical Surgical Nursing | Qs & As| Grade A| 100% Correct (Verified Answers)- WCU
Final Exam: NURS120/ NURS 120 (Latest 2024/ 2025 Update) Introduction to Medical Surgical Nursing | Qs & As| Grade A| 100% Correct (Verified Answers)- WCU
Q: The nurse palpates the posterior chest while the patient says 99 and notes absent fremitus. Which action should the nurse take next?
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what patient education should the nurse provide ab
the nurse palpates the posterior chest while the p
nurs110 nurs 110 professional nursing midterm exa
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1. Exam (elaborations) - Final exam: nurs120/ nurs 120 (latest 2024/ 2025 update) introduction to medical surg...
2. Exam (elaborations) - Midterm exam: nurs120/ nurs 120 (latest 2024/ 2025 update) introduction to medical su...
3. Exam (elaborations) - Midterm exam: nurs120/ nurs 120 (latest 2024/ 2025 update) introduction to medical su...
4. Exam (elaborations) - Final exam: nurs120/ nurs 120 (latest 2024/ 2025 update) introduction to medical surg...
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1. Exam (elaborations) - Final exam: nurs120/ nurs 120 (latest 2024/ 2025 update) introduction to medical surg...
2. Exam (elaborations) - Final exam: nurs120/ nurs 120 (latest 2024/ 2025 update) introduction to medical surg...
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FinallExam:lNURS120/lNURSl120l(Latestl
Update)lIntroductionltolMedicallSurgical
lNursingl|lQsl&lAs|lGradelA|l100%lCorrectl
(VerifiedlAnswers)-lWCU
Q:lThelnurselpalpateslthelposteriorlchestlwhilelthelpatientlsaysl99landlnoteslabsentlfremitus.l
Whichlactionlshouldlthelnurseltakelnext?
a.lPalpatelthelanteriorlchestlandlobservelforlbarrellchest.
b.lEncouragelthelpatientltolturn,lcough,landldeeplbreathe.
c.lReviewlthelchestlx-raylreportlforlevidenceloflpneumonia.l
d.lAuscultatelanteriorlandlposteriorlbreathlsoundslbilaterally.
Answer:
d.lAuscultatelanteriorlandlposteriorlbreathlsoundslbilaterally.
Tolassesslforltactilelfremitus,lthelnurselshouldluselthelpalmsloflthelhandsltolassesslforlvibration
lwhenlthelpatientlrepeatslalwordlorlphraselsuchlasl99.lAfterlnotinglabsentlfremitus,lthelnurselsh
ouldlthenlauscultatelthellungsltolassesslforlthelpresencelorlabsenceloflbreathlsounds.lAbsentlfre
mituslmaylbelnotedlwithlpneumothoraxlorlatelectasis.
Q:lThelnurselcompleteslalshiftlassessmentlonlalpatientladmittedlinlthelearlylphaseloflheartlfail
ure.lWhenlauscultatinglthelpatientsllungs,lwhichlfindinglwouldlthelnurselmostllikelylhear?
a.lContinuouslrumbling,lsnoring,lorlrattlinglsoundslmainlylonlexpiration
b.lContinuouslhigh-pitchedlmusicallsoundslonlinspirationlandlexpiration
c.lDiscontinuous,lhigh-pitchedlsoundsloflshortldurationlheardlonlinspiration
d.lAlserieslofllong-duration,ldiscontinuous,llow-pitchedlsoundslduringlinspiration
Answer:
c.lDiscontinuous,lhigh-pitchedlsoundsloflshortldurationlheardlonlinspiration
,Finelcrackleslarellikelyltolbelheardlinlthelearlylphaseloflheartlfailure.lFinelcrackleslareldisconti
nuous,lhigh-
lpitchedlsoundsloflshortldurationlheardlonlinspiration.lRhonchilarelcontinuouslrumbling,lsnorin
g,lorlrattlinglsoundslmainlylonlexpiration.lCourselcrackleslarelalserieslofllong-
duration,ldiscontinuous,llow-pitchedlsoundslduringlinspiration.lWheezeslarelcontinuouslhigh-
pitchedlmusicallsoundslonlinspirationlandlexpiration.
Q:lThelnurselteacheslalpatientlaboutlpulmonarylfunctionltestingl(PFT).lWhichlstatement,liflm
adelbylthelpatient,lindicateslteachinglwasleffective?
a.lIlwillluselmylinhalerlrightlbeforeltheltest.
b.lIlwontleatlorldrinklanythingl8lhourslbeforeltheltest.
c.lIlshouldlinhaleldeeplylandlblowloutlaslhardlaslIlcanlduringltheltest.
d.lMylbloodlpressurelandlpulselwilllbelcheckedleveryl15lminuteslafterltheltest.
Answer:
c.lIlshouldlinhaleldeeplylandlblowloutlaslhardlaslIlcanlduringltheltest.
ForlPFT,lthelpatientlshouldlinhaleldeeplylandlexhalelasllong,lhard,landlfastlaslpossible.lTheloth
erlactionslarelnotlneededlwithlPFT.lTheladministrationloflinhaledlbronchodilatorslshouldlbelavo
idedl6lhourslbeforelthelprocedure.
Q:lThelnurselobserveslalstudentlwholisllisteningltolalpatientsllungslwholislhavinglnolproblem
slwithlbreathing.lWhichlactionlbylthelstudentlindicateslalneedltolreviewlrespiratorylassessmentl
skills?
a.lThelstudentlstartslatlthelapicesloflthellungslandlmovesltolthelbases.
b.lThelstudentlcompareslbreathlsoundslfromlsideltolsidelavoidinglbonylareas.
c.lThelstudentlplaceslthelstethoscopeloverlthelposteriorlchestlandllistenslduringlinspiration.
d.lThelstudentlinstructslthelpatientltolbreathelslowlylandlallittlelmoreldeeplylthanlnormallthroug
hlthelmouth.
Answer:
c.lThelstudentlplaceslthelstethoscopeloverlthelposteriorlchestlandllistenslduringlinspiration.
,Listeninglonlylduringlinspirationlindicateslthelstudentlneedslalreviewloflrespiratorylassessmentl
skills.lAtleachlplacementloflthelstethoscope,llistenltolatlleastlonelcycleloflinspirationlandlexpira
tion.lDuringlchestlauscultation,linstructlthelpatientltolbreathelslowlylandlallittleldeeperlthanlnor
mallthroughlthelmouth.lAuscultationlshouldlproceedlfromlthellunglapicesltolthelbases,lcompari
ngloppositelareasloflthelchest,lunlesslthelpatientlislinlrespiratoryldistresslorlwillltireleasily.lIflso
,lstartlatlthelbasesl(seelFig.l26-
7).lPlacelthelstethoscopeloverllungltissue,lnotloverlbonylprominences.
Q:lThelpatientlhaslsicklelcelllcrisislandlislbeingldischargedlwhatlshouldlyoulinstructlthem?
Answer:
H.O.P
Hydration
Q:lWhatlareladverselreactionsloflreceivinglblood?
Answer:
-llowlbacklpain
-lchills
-ltachycardia
Q:lWhatlwouldlalpatientlwithlulcerativelcollitislhavelanemia?
Answer:
chroniclbloodllosslcauseslanemia
Q:lWhatlarelpossiblelrisklfactorslforlperniciouslanemia?
, Answer:
-lgastriclbypass
-lalcoholism
-lPPIllongltermluse
Q:lWhatlarelsymptomsloflangina?
Answer:
-ldiaphoresis
-lfatigue
-ldizziness
-ltachycardial
-labdominallissue
NOlHEADACHE
NOlORTHOPNEA
Q:lWhatlpatientleducationlshouldlthelnurselprovidelaboutlthelmedicationlCaptopril?
Answer:
Avoidlsaltlsubstitutes
Q:lWhatlisltheluselofllisinopril?
Answer:
antihypertensivel
-ldecreaseslBP
Q:lWhatldoeslthelabsenceloflthelPlwavelindicate?