lOMoAR cPSD|19500986
NR304 FINAL EXAM 2023 ACTUAL EXAM COMPLETE
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+
WITH ANSWER KEY
- Which assessment by the nurse most likely indicates that a patient is having difficulty
breathing?
a. 18 breaths per minute and inhaled through the mouth
b. 20 breathes per minute and shallow in character
c. 16 breaths per minute and deep in character
d. 28 breaths per minute and noisy - Which should a nurse always do when taking a rectal temperature?
a. Allow self-insertion of the thermometer.
b. Position the patient on the left side.
c. Use an electronic thermometer.
d. Lubricate the thermometer. - A nurse is assessing a patient’s ideal body weight. Which significant factor
should be takin into consideration when performing this assessment?
a. Daily intake
b. Body height
c. Clothing size
d. Food preferences - A nurse asks a patient’s wife specific questions about the patient’s health status
before admission. When collecting this information, the nurse is seeking
information from a:
a. Primary source
b. Tertiary sources
lOMoAR cPSD|19500986
c. Subjective source
d. Secondary source
lOMoAR cPSD|19500986
- A nurse is preforming a physical assessment of a newly admitted patient. Which
patient statement communicates subjective data?
a. “I have sores between my toes.”
b. “I dye my hair but it isreally gray.”
c. “My joints hurt when I get up in the morning.”
d. “My left leg drags on the floor when I am walking.”
lOMoAR cPSD|19500986
- A nurse takes a patient’s blood pressure and records a diastolic pressure of 120 mm
Hg. Which should the nurse do first?
a. Notify the primary health-care provider.
b. Retake the blood pressure.
c. Notify the nurse in charge.
d. Take the other vitalsigns. - A patient had a stroke that resulted in paralysis of the right side. When clustering
data, the nurse grouped the following together: drooling of saliva and slurred
speech. Which information is most significant to include with this clustered data?
a. Receptive aphasia
b. Inability to ambulate
c. Difficulty swallowing
d. Incontinence of bowel movements - A patient who experienced a stroke has left-sided hemiparesis and is incontinent of
urine. Which is an appropriately worded nursing diagnosis for this patient?
a. The patient has a need to maintain skin integrity.
b. The patient has a stroked evidenced by hemiparesis and incontinence.
c. The patient will be clean and dry and will receive range-of-motion exercises every
four hours.
d. The patient is at risk for impaired skin integrity related to left-sided
hemiparesis and incontinence. - A nurse uses the interviewing process of clarification when interviewing a patient.
Which is the nurse doing when this communication technique is used?
a. Paraphrasing the patient’s message
b. Restating what the patient has said
c. Reviewing the patient’s communication
d. Verifying what is implied by the patient