Exam Review
- 112.2 lb. = _____kg
- During an assessment of an older adult, the nurse should expect to which finding as a normal physiologic change associated with the aging process?A)Narrowing of the inferior vena cava, causing low blood flow and increases in venous pressure resulting in varicositiesB)Progressive atrophy of the intramuscular calf veins, causing venous insufficiencyC)Peripheral blood vessels growing more rigid with age, producing a rise in systolic blood pressureD)Hormonal changes causing vasodilation and a resulting drop in blood pressure
- A nurse plans to take a patient's radial pulse. Which method of examination should be used by the nurse?A)AuscultationB)PercussionC)PalpationD)Inspection
- Covert 102.5 Fahrenheit to C (round to tenths)
Exam Review
- The nursing student is obtaining the patient's vital signs (VS). The patient has gone to the clinic seeking help because she is having chest pain. Which of the following vital signs are most important to obtain?A)Temperature, pulse, respirations, BPB)Temperature, pulse, respirations, BP, painC)BP. respirations, temperature, pulseD)Temperature, pulse, respirations, blood pressure, O2 sat, pain
- A nurse is preparing to administer an opioid agonist to a client who has acute pain. For which of the following manifestations should the nurse monitor as an adverse effect of this medication?A)Irritating coughB)TachypneaC)HypertensionD)Urinary retention
- A nurse is caring for client who has a new prescription for Lisinopril for hypertension. The nurse should monitor the client for which of the following as a side effect of this medication?A)Elevated blood pressureB)AngioedemaC)Intestinal ileusD)Delirium
- When auscultating the blood pressure of a 25-year-old, the nurse hears the phase I Korotkoff sounds begin at 200 mm Hg. At 100 mm Hg the Korotkoff sounds muffle. At 92 mm Hg the Korotkoff sounds disappear. How should the nurse record this patient's blood pressure?A)200/92B)100/200/92C)200/100D)200/100/92
Exam Review
- A postoperative patient is using patient-controlled analgesia (PCA) pump. You will evaluate the effectiveness of the medication whenA)Family members report that pain has subsidedB)Vital signs have returned to baselineC)Body language is incongruent with reports of pain reliefD)You compare assessed pain with baseline pain
- While inserting a rectal thermometer, the nurse encounters resistance. The nurse should:A)Ask the client to take deep breathsB)Remove the thermometer and reinsert more forcefullyC)Apply mild pressure to advanceD)Remove the thermometer immediately
- Which technique will provide the most accurate measurement of the patient's core temperature?A)AxillaryB)RectalC)ForeheadD)Oral
- What findings does the nurse expect when assessing the cardiovascular system of a healthy adult? Select the 3 correct answers. (Select All that Apply.)(SATA)A)Pulse of smooth contour with 2+ amplitudeB)Heart rate of 62 beats/minC)S1 and S2 present with regular rhythmD)Mild, pedal edema
Exam Review
- A nurse is assessing a patient's bilateral pulses for symmetry. Which pulse site should not be assessed on both sides of the body at the same time?A)CarotidB)RadialC)BrachialD)Femoral
- Exhibits Mrs. Watson tells Lana that she is worried about getting addicted to the morphine because she has heard that it can happen. How should Lana respond? (Case Study #2)A)"Don't worry. The cancer prevents you from becoming addicted."B)"That is a valid worry. I wouldn't want to become addicted."C)"My cousin was addicted to pain killers when he had cancer."D)Because you have severe pain, the medication is necessary. There is little chance of addiction as long as you take the medication as prescribed.
- Which assessment requires the nurse to assess the patient further?A)40-year-old with a pulse of 88B)18-year-old with a pulse rate of 140 after riding 2 miles on an exercise bikeC)50-year-old man with a BP of 112/60 mmHg on awakening in the morningD)65-year-old with a respiratory rate of 10/min
- Your 95-year-old client's vital signs are as follows: oral T 98.6 F: P (radial) 84 with irregularity: R 18. normal depth, & regular: BP (left arm, sitting) 140/86. Which nursing assessment(s) would be done to obtain more data at this time?A)Positional BP readingsB)Carotid pulse and temperatureC)Full respiratory system assessmentD)Apical pulse for one minute
Exam Review
- The client has taken an overdose of an opioid. The nurse knows the client must be carefully observed for which effect on respirations?A)HyperventilationB)EupneaC)BradypneaD)Hyperpnea
- The physician orders Neupogen 400mcg SC daily. The medication is supplied in 300 mcg/mL. How many milliliters will the nurse administer?_(SHADE SYRING #1 ON SUPPLEMENT HANDOUT-round to tenths place)
- When a smiling and cooperative patient complains of discomfort, nurses caring for this patient often harbor misconceptions about the patient's pain. Which of the following is true?A)Regular use of narcotic analgesics leads to drug addictionB)Amount of pain is reflective of actual tissue damageC)Patients are the best judges of their painD)Chronic pain is psychological in nature
- The nurse is caring for a patient who came to the emergency department with confusion and muscle cramps after working outside on a hot day. What is the priority action of the nurse?A)Remove fans to prevent premature chilling.B)Apply a hyperthermia blanket to lower temperature slowly.C)Take the patient's temperature and vital signs.D)Place the patient in a tub of iced water.