NUR 150 Test 1- Nclex Questions

NUR 150 Test 1- Nclex Questions Leave the first rating Terms in this set (58) Science MedicineNursing Save Body Image Client is often less anxious when the interview progresses from information that is less personal information to information that is more personal, like body image.Education level, occupation, housing, religion, and language are relatively impersonal and readily revealed by the client.Which area for assessing the client profile should be addressed last?Occupation Environment Education Body Image <18.5 Additionally, higher mortality rates in hospitalized patients and community dwelling elderly are associated with individuals who have a low BMI.Those who have a BMI 25-29 are considered overweight. Those who have a BMI 30-39 are considered obese.Those who have a BMI >40 reconsidered extremely obese.At which BMI value are patients considered to have increased risk for problems associated with poor nutritional status?>40

30-39.9

25-29.9

<18.5

100lb for 5ft of height To calculate the ideal body weight of a woman, the nurse allows 100lb for 5ft of height and adds 5lb for each additional inch over 5ft. The nurse allows 106lb for 5ft of height in calculating the ideal body weight for a man adding 6lb for each additional inch over 5ft.To calculate the ideal body weight for a woman, the nurse allows...106lb for 5ft of height 6lb for each additional inch over 5ft 100lb for 5ft of height 80lb for 5ft Using the back of hand When palpating, the nurse uses the back of the hand to determine the temperature, the fingertips to detect pulsations or to differentiate surfaces, and the surface of the palm to sense vibrations. Percussion means tapping a portion of the body to determine whether there is tenderness or to elicit sounds that vary according to the density of underlying structures.The nurse determines the clients temperature through palpation by using the back of the hand using the fingertips using the surface of the palm tapping a portion of the body

Establish rapport with the client and the family members The preinterview period determines the direction of the interview process. The nurse should start by establishing rapport with the client and family members and ensuring the client is comfortable. During the introduction, the nurse should address the client by his or her surname. The nurse should avoid tiring older clients by allowing rest periods during the physical examination and should keep the room warm and free from drafts.Which factor is important for the nurse to consider during the pre-interview period with an adult client?Establish rapport with the client and family members Allow rest during the interview Address the client by his or her first name Keep the room cold and drafty Maintain standard precautions The nurse should ensure adequate lighting, provide a warm room for the examination, and maintain standard precautions. It is not essential for the patients family member to be present during the physical examination. The nurse should also maintain the patients privacy.Which nursing measure should be considered when performing a physical examination on a client using the inspection technique?Ensure the clients family member is present Provide a cool room for examination Use adequate lighting Maintain standard precautions

Empathy helps the nurse become effective while remaining detached.Empathy helps the nurse become effective in providing for the clients needs while remaining detached. In the role as an educator, the nurse avoids giving advice, reserves the right of each person to make his or her own choices, shares information or potential alternatives, and supports the client's ultimate decision. Typicaly, nurses have information about all the health services available in the community.Such information empowers clients to become more involved with self- help groups.Why should the nurse be empathetic when caring for a client Empathy supports the clients ultimate decision.Empathy empowers clients to become involved with self-help groups.Empathy helps reserve the right the client in making choices.Empathy helps the nurse become effective while remaining detached.Overinflated lung tissue Hyperresonance is audible when overinflated lung tissue is percussed, such as in clients with emphysema.Percussion over the liver produces a dull sound, the thigh produces a flat sound, tympany is the dreamlike sound produced by percussing an air filled stomach.Hyperresonance is audible when which area is percussed?Liver Thigh Overinflated lung tissue Air-filled stomach