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NSG 207 Exam 2: Verified Questions and Answers for Nursing Students, Exams of Nursing

A comprehensive set of verified questions and answers for nsg 207 exam 2, covering essential nursing concepts and procedures. It includes detailed explanations of assessment techniques, vital signs, and common nursing interventions. Particularly useful for nursing students preparing for their exams.

Typology: Exams

2024/2025

Available from 03/11/2025

LennieDavis
LennieDavis 🇺🇸

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NSG 207 EXAM 2 2025 VERIFIED QUESTIONS
AND ANSWERS GRADED A+
What does each letter stand for pertaining to the HEADS assessment tool?
H- Home and environment
E- Education and employment
A- Activities
D- Drugs
S- Suicide/depression
What are nursing actions are done in preparation of the physically setting before conducting an
assessment?
- comfortable, warm temperature
- warm blanket if room temp can't be adjusted
- private area free of interruption
- quiet area with adequate lighting
- firm examination table at proper height
- bedside table/tray to hold equipment
How does a nurse prepare oneself before performing an assessment?
assess own feelings and anxieties before exam. Prevent transmission of infectious agents
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NSG 207 EXAM 2 2025 VERIFIED QUESTIONS

AND ANSWERS GRADED A+

What does each letter stand for pertaining to the HEADS assessment tool?

H- Home and environment

E- Education and employment

A- Activities

D- Drugs

S- Suicide/depression

What are nursing actions are done in preparation of the physically setting before conducting an assessment?

  • comfortable, warm temperature
  • warm blanket if room temp can't be adjusted
  • private area free of interruption
  • quiet area with adequate lighting
  • firm examination table at proper height
  • bedside table/tray to hold equipment

How does a nurse prepare oneself before performing an assessment?

assess own feelings and anxieties before exam. Prevent transmission of infectious agents

What are the standard precautions for all patients?

Hand hygiene, gloves, skin and nail care, respiratory hygiene

What is the best position for the patient to be in when the nurse is auscultating the lungs?

sitting or standing

Explain the nursing process of insepection.

The use of sense, vision, smell, and hearing. Look and observe before touching. Expose only the body part that is being examined.

Define palpation

using parts of the hand to touch and feel for texture, temperature, moisture, mobility, consistency, and strength of pulses.

What are the different types of palpation?

light, moderate, deep, and bimanual

What are the different types of percussion?

direct, blunt, and indirect/mediate

What is the first part of a physical examination?

general survey

What is included in a general survey?

Physical development and body build

Gender and sexual development

Apparent age as compared to reported age

Skin condition and color

Dress and hygiene

Posture and gait

Level of consciousness

Behaviors, body movements, and affect

Facial expression

Speech

Vital signs

What is normal temperature? Hypothermia? Hyperthermia?

normal: 36.7°C - 37.7°C

Hypothermia: <36.5°C (96°F)

Hyperthermia: >38.0°C (100°F)

What is the normal pulse rate?

Tachycardia? Bradycardia?

Normal: 60-100 bpm

Tachycardia: >100 bpm

Bradycardia: <60 bpm

When taking a patients pulse, how is amplitude classified?

0: Absent

1+: weak, diminished

2+: normal

3+: bounding

What is a normal oxygen level? What about a patient who suffers from chronic disease?

94%-99%

chronic disease: 85%-93%

What is a typically blood pressure reading?

120/

What are factors that affect blood pressure?

cardiac output, elasticity of arteries, blood volume, blood velocity, and blood viscosity

What is Tissue or Local Perfusion?

The volume of blood that flows to target tissue

What is required for adequate tissue/local perfusion?

patent vessels, adequate hydrostatic pressure, and capillary permeability

Impaired Central Perfusion (what is it? what happens when left untreated?

Impaired central perfusion occurs when cardiac output is inadequate. Reduced cardiac output results in a reduction of oxygenated blood reaching the body tissues (systemic effect)

Severe cases are associated with shock. If left untreated, leads to ischemia, cell injury, and even cell death.

Impaired Tissue (local) Perfusion (what is it? what happens when left untreated?

impairment of tissue perfusion is associated with loss of vessel patency or permeability, or inadequate central perfusion.

Results in impaired blood flow to the affected body tissue (localized effect)

If untreated, leads to ischemia and ultimately cell death

Who is at greatest risk for impaired perfusion?

middle-ages and older adults, men, and african americans

What are the s/s of inadequate central perfusion in infants?

poor feeding, poor weight gain, failure to thrive, and dusky color

What are the s/s of inadequate central perfusion in toddlers and children?

squatting and fatigue as well as developmental delay (failure to hit milestones)

What diagnosis tests could be performed on a patient suspected of having impaired perfusion?

Laboratory tests (creatine kinase, latic dehydrogenase, troponin, C-reactive protein, serum lipids, platelets, PT, PTT, INR), electrocardiogram, cardiac stress tests (exercise or pharmacological tests), and radiographic studies (chest x-ray, ultrasound, arteriogram).

What are collaborative interventions for a patient that has been diagnosis with impaired perfusion?

diet modification, smoking cessation, increased activity (conditioning), and/or pharmocotherapy

What types of pharmacotherapy can be used to treat impaired CENTRAL perfusion?

antihypertensives, antiarrhythmics, inotropics, antianginal agents, vasopressors, vasodilators

What types of pharmacotherapy can be used to treat impaired TISSUE (LOCAL) perfusion?

Anticoagulants, thrombolytics, vasodilators, lipid-lowering agents, anti-platelet agents, and platelet inhibitors

Define anoxia

severe hypoxia or no oxygen

What are potential causes of impaired gas exchange?

ineffective ventilation

inadequate perfusion

reduced capacity for gas transportation (reduced hemoglobin and/or red blood cells)

What are individual risk factors for impaired gas exchange?

age, smoking, brain injury, decreased cognitive state, prolonged, immunosuppression, prescence of chronic medical conditions (COPD, CF, HF)

What is the nurse assessing when performing the history portion of a respiratory assessment?

past medical history/family medical history

current medication

lifestyle behaviors

social environment

occupation

problem based history

What is a nurse assessing during the examination portion of a respiratory assessment?

vital signs (HR, RR, BP, temp., and oxygen saturation)

Inspection (breathing effort, skin color, thorax, and extremities)

Auscultation of lung sounds.

What are common diagnostic tests for a patient with impaired gas exchange?

Laboratory tests (arterial blood gases, CBC, and sputum biopsy)

Radiologic studies (chest x-ray, CT and MRI scans, and ventilation/perfusion scan, positron emission tomography (PET) scan)

Endoscopy

pulmonary function studies.

What are collaborative interventions that can be put in place for a patient diagnosed with impaired gas exchange?

smoking cessation, pharmacology, nutrition therapy, positioning, chest physiotherapy, postural drainage, oxygen therapy, airway suctioning, mechanical intubation, endotracheal tubes/tracheostomy tubes, and chest tube management.

Define mental status

the level of cognitive functioning (thinking, knowledge, problem solving) and emotional functioning (feelings, mood, behaviors, stability)

What is the nursing role pertaining to mental heath?

What objective data should be collected pertaining to mental health?

posture, gait, body movements

behavior and affect

dress and grooming

hygiene

facial expresions

speech (pitch, volume clarity, logical),

moods,

cognitive abilities

the use of an assessment tool (glasgow coma scale, C-SSRS), SAD PERSONS suicide risk assessment tool, SLUMS, etc...)

What is SLUMS used for?

mental status

What are the three aspects of the Glasgow coma scale?

eye opening response

most appropriate verbal response

most integral motor respose

What does a score of 8 or less indicate when using the Glasgow coma scale?

comatose patient

What does each letter stand for in SAD PERSONS

Sex

Age

Depression

Previous attempt

Ethanol abuse

Rational thinking loss

Social support loss

Organized plan

No spouse

Sickness

What are some of the warnings of Alzheimer Disease?

asking same question over and over

repeating the same story, word for word, over and over

forgetting how to cook, do repairs, play cards, other tasks that were done regularly

losing ability to pay bills/balance checkbook

Getting lost in familiar surroundings/misplacing items

What does the Clinical Institute Withdrawal Assessment Scale assess?

Define coma

unresponsive to stimuli

Define dysarthria

defect in the muscles that control speech

define aphasia

difficultly producing and/or understanding language

What is wernicke aphasia?

rapid speech that doesn't make sense

what is broca aphasia?

person is aware of speech and language but speech is stunted

What are some physiologic responses to pain?

anxiety, fear, hopelessness, sleeplessness, thoughts of suicide.

decrease in cognitive function mental confusion, altered temperament.

increased RR and sputum retention, resulting in infection and atelectasis.

Decreases gastric and intestinal motility.

What is psychological pain

emotional or mental pain

What is psychosomatic or psychogenic pain?

psychological pain that becomes physical

what is nociceptive pain?

nerve receptors detecting harmful stimuli

What is neuropathic pain?

damage or dysfunction of any level of nervous system

What is inflammatory pain?

two aspects- inflammatory and immune responses accompanying and causing both nociceptive and neurologic pain and inflammatory pain syndromes

what is somatic pain?

Tool for cognitive impairment: FACES pain scale

What is a nursing assessing during a pain assessment?

location, intensity, quality, pattern, precipitating factors, pain relief, effect on ADLs, coping strategies.

What are tools used for pain assessment?

visual analog scale

numeric rating scale

numeric pain intensity scale

behavioral pain scale

verbal descriptor scale

simple descriptive pain intensity scale

graphic rating scale

verbal rating scale

memorial pain assessment card

McCaffrey Initial pain assessment tool

FACES pain scale

Explain the physiological process of addiction

neurochemical interacts within reward centers of brain. Addictice substances link to this reward center.

Neurotransmitters involved in the reward system are: dopamine, Y-aminobutyric acid (GABA), Glutamine, Acetylcholine, norepinephrine, serotonin.

What are the four consequences of addiction?

habituation, adaptation, tolerance, and withdrawal

What are the common symptoms seen with addiction?

fatigue, insomnia, headaches, anorexia, reported sexual dysfunction, reported change in mood, reported weight loss, and vague physical complaints.