NCLEX questions and - NR 302 Practice NCLEX questions and answers Exa...

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NR 302 Practice NCLEX questions and answers Exam 1-2022

WITH 14 Q&A

• Which of the following is an example of objective data?
• Alert and oriented
• Dizziness
• An earache
• A sore throat

• When completing a health assessment, which of the following actions most demonstrates cultural

competence?

• Ask about use of traditional, herbal, or folk remedies.
• Measure height and weight in a private room.
• Ask about family history of diseases.
• Make sure the blood pressure cuff fits appropriately.

• An example of an open-ended question or statement is
• “On a scale of 1 to 10, how would you rate your pain?”
• “Tell me about your pain.”
• “I can see that you are quite uncomfortable.”
• “You are upset about the level of pain, right?”

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• The nurse questions the reliability of the history provided by the patient. One method to verify

information within the context of the interview is to

• Review previous medical records.
• Ask the patient if there is someone who could verify the information.
• Call a family member to confirm information.
• Rephrase the same questions later in the interview.

• The “review of systems” in the health history is
• An evaluation of past and present health state of each body system.
• A documentation of the problem as perceived by the patient.
• A record of objective findings.
• A short statement of general health status.

• Although a full mental status examination may not be required for every patient, the health care

provider must address the four main components during a health history and physical examination. The four components are

• Memory, attention, content, and perceptions.
• Language, orientation, attention, and abstract reasoning.
• Appearance, behavior, cognition, and though processes.
• Mood, affect, consciousness, and orientation.

• What is an advantage for using SBAR during staff communication?
• It improves verbal communication and reduces medical errors.
• It provides complete patient health history.
• It focuses on a comprehensive physical examination.
• It avoids making recommendations.

• Which finding would require immediate action by the nurse if found during the physical

assessment?

• Systolic blood pressure of 132 mmHg
• Heart rate of 60 beats per minute

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• Oxygen saturation of 88%
• Respirations of 20

• The nurse is calling the health care provider about a patient’s changing condition. Which of the

following would be included in the SBAR communication?

• Situation, background, assessment, and recommendation.
• Subjective information, background, assessment, and revisions needed.
• Situation, background, all vitals, and review of orders.
• Summary, better plan, accurate diagnosis, and rights.

• Deep palpation is used to
• Identify abdominal contents
• Evaluate surface characteristics
• Elicit deep tendon reflexes
• Determine the density of a structure

• The general survey consists of four distinct areas. These areas include
• Mental status, speech, behavior, and mood and affect.
• Gait, range of motion, mental status, and behavior.
• Level of consciousness, personal hygiene, mental status, and physical condition.
• Physical appearance, body structure, mobility, and behavior.

• The nurse is completing a general survey assessing the level of consciousness of a person.

Which of the following findings are expected in this assessment?

• Patient appears drowsy and is having difficulty answering questions.
• No signs of acute distress are present
• Patient is alert and oriented to person, place, time, and situation.
• Facial features symmetric with movement.

• An adult patient’s pulse is 46 beats per minute. The term used to describe this rate is
• Tachycardia
• Bradycardia
• Weak and thready
• Sinus dysrhythmia

• Which of the following is the most reliable indicator for chronic pain?
• Magnetic resonance imaging (MRI) results
• Patient self-report
• Tissue enzyme levels
• Blood drug levels