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NU 518 Exam 1 Actual Exam 2025 | Complete
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Mr. W. is a 51-year-old auto mechanic who comes to the emergency room wanting to be checked out for the symptom of chest pain. As you listen to him describe his symptom in more detail, you say "Go on," and later, "Mm-hmmm." This is an example of which of the following skilled interviewing techniques? A) Echoing B) Nonverbal communication C) Facilitation D) Empathic response ---------CORRECT ANSWER-----------------C Mrs. R. is a 92-year-old retired teacher who comes to your clinic accompanied by her daughter. You ask Mrs. R. why she came to your clinic today. She looks at her daughter and doesn't say anything in response to your question. This is an example of which type of challenging patient?
A) Talkative patient B) Angry patient C) Silent patient D) Hearing-impaired patient ---------CORRECT ANSWER-----------------C Mrs. T. comes for her regular visit to the clinic. She is on your schedule because her regular provider is on vacation and she wanted to be seen. You have heard about her many times from your colleague and are aware that she is a very talkative person. Which of the following is a helpful technique to improve the quality of the interview for both the provider and the patient? A) Allow the patient to speak uninterrupted for the duration of the appointment. B) Briefly summarize what you heard from the patient in the first 5 minutes and then try to have her focus on one aspect of what she told you. C) Set the time limit at the beginning of the interview and stick with it, no matter what occurs in the course of the interview. D) Allow your impatience to show so that the patient picks up on your nonverbal cue that the appointment needs to end. ---------CORRECT ANSWER-----------------B Mrs. H. comes to your clinic, wanting antibiotics for a sinus infection. When you enter the
Mr. Q. is a 45-year-old salesman who comes to your office for evaluation of fatigue. He has come to the office many times in the past with a variety of injuries, and you suspect that he has a problem with alcohol. Which one of the following questions will be most helpful in diagnosing this problem? A) You are an alcoholic, aren't you? B) When was your last drink? C) Do you drink 2 to 3 beers every weekend? D) Do you drink alcohol when you are supposed to be working? ---------CORRECT ANSWER-----------------B The nurse should measure rectal temperatures in which of these patients? a School-age child b Older adult c Comatose adult d Patient receiving oxygen by nasal cannula ---------CORRECT ANSWER----------------
- C The nurse is preparing to measure the length, weight, chest, and head circumference of a 6-
month-old infant. Which measurement technique is correct? a Measuring the infants length by using a tape measure b Weighing the infant by placing him or her on an electronic standing scale c Measuring the chest circumference at the nipple line with a tape measure d Measuring the head circumference by wrapping the tape measure over the nose and cheekbones ---------CORRECT ANSWER-----------------C The nurse knows that one advantage of the tympanic membrane thermometer (TMT) is that: a Rapid measurement is useful for uncooperative younger children. b Using the TMT is the most accurate method for measuring body temperature in newborn infants. c Measuring temperature using the TMT is inexpensive. d Studies strongly support the use of the TMT in children under the age 6 years. -- -------CORRECT ANSWER-----------------A When assessing an older adult, which vital sign changes occur with aging? A Increase in pulse rate B Widened pulse pressure C Increase in body temperature d Decrease in diastolic blood pressure ---------CORRECT ANSWER-----------------B
D In the older adult, the body temperature varies widely because of less effective heat control mechanisms. ---------CORRECT ANSWER-----------------A A 60-year-old male patient has been treated for pneumonia for the past 6 weeks. He is seen today in the clinic for an unexplained weight loss of 10 pounds over the last 6 weeks. The nurse knows that: a Weight loss is probably the result of unhealthy eating habits. B Chronic diseases such as hypertension cause weight loss. C Unexplained weight loss often accompanies short-term illnesses. D Weight loss is probably the result of a mental health dysfunction. --------- CORRECT ANSWER-----------------C When assessing a 75-year-old patient who has asthma, the nurse notes that he assumes a tripod position, leaning forward with arms braced on the chair. On the basis of this observation, the nurse should: a Assume that the patient is eager and interested in participating in the interview. B Evaluate the patient for abdominal pain, which may be exacerbated in the sitting position. C Assume that the patient is having difficulty breathing and assist him to a supine position.
D Recognize that a tripod position is often used when a patient is having respiratory difficulties. ---------CORRECT ANSWER-----------------D Which of these actions illustrates the correct technique the nurse should use when assessing oral temperature with a mercury thermometer? A Wait 30 minutes if the patient has ingested hot or iced liquids. B Leave the thermometer in place 3 to 4 minutes if the patient is afebrile. C Place the thermometer in front of the tongue, and ask the patient to close his or her lips. D Shake the mercury-in-glass thermometer down to below 36.6 C before taking the temperature. ---------CORRECT ANSWER-----------------B The nurse is taking temperatures in a clinic with a TMT. Which statement is true regarding use of the TMT? A A tympanic temperature is more time consuming than a rectal temperature. B The tympanic method is more invasive and uncomfortable than the oral method. C The risk of cross-contamination is reduced, compared with the rectal route. D The tympanic membrane most accurately reflects the temperature in the ophthalmic artery. ---------CORRECT ANSWER-----------------C
When assessing the pulse of a 6-year-old boy, the nurse notices that his heart rate varies with his respiratory cycle, speeding up at the peak of inspiration and slowing to normal with expiration. The nurses next action would be to: a Immediately notify the physician. b Consider this finding normal in children and young adults. c Check the childs blood pressure, and note any variation with respiration. d Document that this child has bradycardia, and continue with the assessment. --- ------CORRECT ANSWER-----------------B When assessing the force, or strength, of a pulse, the nurse recalls that the pulse: a Is usually recorded on a 0- to 2-point scale. b Demonstrates elasticity of the vessel wall. c Is a reflection of the hearts stroke volume. d Reflects the blood volume in the arteries during diastole. ---------CORRECT ANSWER-----------------C The nurse is assessing the vital signs of a 20-year-old male marathon runner and documents the following vital signs: temperature36 C; pulse48 beats per minute; respirations14 breaths per
minute; blood pressure104/68 mm Hg. Which statement is true concerning these results? A The patient is experiencing tachycardia. B These are normal vital signs for a healthy, athletic adult. C The patients pulse rate is not normalhis physician should be notified. d On the basis of these readings, the patient should return to the clinic in 1 week. ---------CORRECT ANSWER-----------------B The nurse is assessing the vital signs of a 3-year-old patient who appears to have an irregular respiratory pattern. How should the nurse assess this childs respirations? A Respirations should be counted for 1 full minute, noticing rate and rhythm. B Childs pulse and respirations should be simultaneously checked for 30 seconds. C Childs respirations should be checked for a minimum of 5 minutes to identify any variations in his or her respiratory pattern. D Patients respirations should be counted for 15 seconds and then multiplied by 4 to obtain the number of respirations per minute. ---------CORRECT ANSWER--------- --------A A patients blood pressure is 118/82 mm Hg. He asks the nurse, What do the numbers mean? The nurses best reply is: A The numbers are within the normal range and are nothing to worry about. B The bottom number is the diastolic pressure and reflects the stroke volume of
Is the following information subjective or objective? Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity and relieved by rest. A) Subjective B) Objective ---------CORRECT ANSWER-----------------A Is the following information subjective or objective? Mr. M. has a respiratory rate of 32 and a pulse rate of 120. A) Subjective B) Objective ---------CORRECT ANSWER-----------------B The following information is recorded in the health history: "The patient has had abdominal pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7 to 9 on a scale of 1 to 10. It is accompanied by nausea and vomiting. It is located in the midepigastric area." Which of these categories does it belong to? A) Chief complaint B) Present illness C) Personal and social history D) Review of systems ---------CORRECT ANSWER-----------------B
The following information is recorded in the health history: "The patient completed 8th grade. He currently lives with his wife and two children. He works on old cars on the weekend. He works in a glass factory during the week." Which category does it belong to? A) Chief complaint B) Present illness C) Personal and social history D) Review of systems ---------CORRECT ANSWER-----------------C The following information is recorded in the health history: "I feel really tired." Which category does it belong to? A) Chief complaint B) Present illness C) Personal and social history D) Review of systems ---------CORRECT ANSWER-----------------A The following information is recorded in the health history: "Patient denies chest pain, palpitations, orthopnea, and paroxysmal nocturnal dyspnea." Which category does it belong to?
"The patient was treated for an asthma exacerbation in the hospital last year; the patient has never been intubated." A) Adult illnesses B) Surgeries C) Obstetrics/gynecology D) Psychiatric ---------CORRECT ANSWER-----------------A After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and his pulse is 58 beats per minute. These types of data would be: A Objective. B Reflective. C Subjective. D Introspective. ---------CORRECT ANSWER-----------------A A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would be: a Objective. B Reflective. C Subjective. D Introspective. ---------CORRECT ANSWER-----------------C
The patients record, laboratory studies, objective data, and subjective data combine to form the: a Data base. B Admitting data. C Financial statement. D Discharge summary. ---------CORRECT ANSWER-----------------A When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next action should be to: a Immediately notify the patients physician. B Document the sound exactly as it was heard. C Validate the data by asking a coworker to listen to the breath sounds. D Assess again in 20 minutes to note whether the sound is still present. --------- CORRECT ANSWER-----------------C The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should keep in mind that novice nurses, without a background of skills and experience from which to draw, are more likely to make their decisions using:
The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example of a first-level priority problem? A Patient with postoperative pain B Newly diagnosed patient with diabetes who needs diabetic teaching C Individual with a small laceration on the sole of the foot D Individual with shortness of breath and respiratory distress ---------CORRECT ANSWER-----------------D When considering priority setting of problems, the nurse keeps in mind that second-level priority problems include which of these aspects? A Low self-esteem B Lack of knowledge C Abnormal laboratory values D Severely abnormal vital signs ---------CORRECT ANSWER-----------------C Which critical thinking skill helps the nurse see relationships among the data? A Validation B Clustering related cues C Identifying gaps in data D Distinguishing relevant from irrelevant ---------CORRECT ANSWER-----------------B
The nurse knows that developing appropriate nursing interventions for a patient relies on the appropriateness of the diagnosis. a Nursing b Medical c Admission d Collaborative ---------CORRECT ANSWER-----------------A The nursing process is a sequential method of problem solving that nurses use and includes which steps? a Assessment, treatment, planning, evaluation, discharge, and follow-up b Admission, assessment, diagnosis, treatment, and discharge planning c Admission, diagnosis, treatment, evaluation, and discharge planning d Assessment, diagnosis, outcome identification, planning, implementation, and evaluation ---------CORRECT ANSWER-----------------D A newly admitted patient is in acute pain, has not been sleeping well lately, and is having difficulty breathing. How should the nurse prioritize these problems? A Breathing, pain, and sleep B Breathing, sleep, and pain C Sleep, breathing, and pain
