NURS 307 ACTUAL EXAM 2 QUESTIONS WITH CORRECT

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NURS 307 ACTUAL EXAM 2 QUESTIONS WITH CORRECT

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When counting the client's pulse, what beats may be difficult to detect peripherally?

• Early beats
• Split beats
• Late beats
• Irregular beats
• Early beats

Beats that occur earlier than others may not be detected peripherally, and the heart rate can be seriously underestimated.You are educating your client on taking blood pressure at home. What would be important to include in your client education?

• Application of a thigh cuff
• Monthly replacement of batteries
• Routine recalibration of the device
• Use of a wrist cuff
• Routine recalibration of the device

Follow the guidelines listed, and advise your clients about how to choose the best cuff for home use. Urge them to have their home devices recalibrated routinely.Fatigue is considered a common symptom of what? (Mark all that apply.)

• Panhypopituitarism
• Infections
• Depression
• Mild anemia
• Hyperthyroidism 1 / 4

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• Panhypopituitarism
• Infections
• Depression

The nurse should know that some disease processes affect facial expression. What are they?(Mark all that apply.)

• Diabetes mellitus
• Depression
• Multiple sclerosis
• Hyperthyroidism
• Parkinsonism
• Depression
• Parkinsonism
• Hyperthyroidism

The stare of hyperthyroidism; the immobile face of parkinsonism; the flat or sad affect of depression. Decreased eye contact may be cultural, or may suggest anxiety, fear, or sadness.Asymmetry of the face could be a stroke, palsy, or injury to the cranial nerve.

As a nursing student you learn that the normal range for an adult pulse is what?

• 80-120 bpm
• 70-110 bpm
• 50-90 bpm
• 60-100 bpm
• 60-100 bpm

Counting Pulse 2 / 4

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3 If the rhythm is regular and the rate seems normal, count the rate for 30 seconds and multiply by 2. If the rate is unusually fast or slow, however, count it for 60 seconds. The range of normal is 60-100 beats per minute.A client with a subdural hematoma may have an odor of alcohol.

FALSE TRUE True Pain is frequently a motivator for people to seek health care and is considered the fifth vital sign.

FALSE TRUE True Ideally, when taking a blood pressure, the client should be instructed to what?

• Avoid smoking for 30 minutes prior to the assessment
• Abstain from drinking caffeine for 45 minutes prior to the assessment
• Take several deep breaths to help relax prior to the assessment
• Sit quietly for at least 10 minutes in a chair, rather than on the examining table, with feet

flat on the floor and legs uncrossed

• Avoid smoking for 30 minutes prior to the assessment

What should a client avoid before measuring blood pressure?smoking or drinking caffeinated beverages for 30 minutes before The current blood pressure measurement on a 24-hour uncomplicated postoperative client while standing at the bedside is 105/65. The last two readings were 130/75 and 125/70 while resting in bed. The nurse should be alert for signs of: 3 / 4

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• postural hypertension.
• supine hypotension.
• hypertensive crisis.
• orthostatic hypotension.
• orthostatic hypotension.

A client asks to have her temperature taken because she feels hot and is sweating. The previous oral temperature 3 hours ago was 101.6°F. The nurse would expect the new temperature reading to be

• higher than previous
• within an afebrile range
• within a subnormal range
• lower than previous
• lower than previous

Rising temperature Falling Temperature Feeling cold, goosebumps, and shivering feeling hot and sweating Mr. Smith presents to the clinic stating, "My face looks funny." You note that his face is asymmetric. What might you suspect is the client's problem?

• Muscular dystrophy
• Parafacial macrosomia
• Myocardial infarction
• Palsy
• Palsy

Asymmetry of the face could be a stroke, palsy, or injury to the cranial nerve.

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