Nu 518 Exam 1 Question Bank (Actua) All Possible Questions And Correct Answers 2024/2025, Exams of Nursing

Download Nu 518 Exam 1 Question Bank (Actua) All Possible Questions And Correct Answers 2024/2025 and more Exams Nursing in PDF only on Docsity!

Nu 518 Exam 1

Question Bank

(Actual Exam)

All Possible

Questions And

Correct Answers

Graded A+

Latest Update

NU 518 EXAM 1 Question Bank

A 55-year-old bookkeeper comes to your office for a routine visit. You note that on a previous visit for treatment of contact dermatitis, her blood pressure was elevated. She does not have prior elevated readings and her family history is negative for hypertension. You measure her blood pressure in your office today. Which of the following factors can result in a false high reading? A) Blood pressure cuff is tightly fitted. B) Patient is seated quietly for 10 minutes prior to measurement. C) Blood pressure is measured on a bare arm. D) Patient's arm is resting, supported by your arm at her mid-chest level as you stand to measure the blood pressure. - ANSWER: A A 49-year-old truck driver comes to the emergency room for shortness of breath and swelling in his ankles. He is diagnosed with congestive heart failure and admitted to the hospital. You are the student assigned to do the patient's complete history and physical examination. When you palpate the pulse, what do you expect to feel? A) Large amplitude, forceful

B) Attribute this to wearing different clothing. C) Attribute this to body fluid. D) Attribute this to instrument inaccuracy. - ANSWER: C Mr. Curtiss has a history of obesity, diabetes, osteoarthritis of the knees, HTN, and obstructive sleep apnea. His BMI is 43 and he has been discouraged by his difficulty in losing weight. He is also discouraged that his goal weight is 158 pounds away. What would you tell him? A) "When you get down to your goal weight, you will feel so much better." B) "Some people seem to be able to lose weight and others just can't, no matter how hard they try." C) "We are coming up with new medicines and methods to treat your conditions every day." D) "Even a weight loss of 10% can make a noticeable improvement in the problems you mention." - ANSWER: D Jenny is one of your favorite patients who usually shares a joke with you and is nattily dressed. Today she is dressed in old jeans, lacks makeup, and avoids eye contact. To what do you attribute these changes? A) She is lacking sleep. B) She is fatigued from work. C) She is running into financial difficulty.

D) She is depressed. - ANSWER: D You are seeing an older patient who has not had medical care for many years. Her vital signs taken by your office staff are: T 37.2, HR 78, BP 118/92, and RR 14, and she denies pain. You notice that she has some hypertensive changes in her retinas and you find mild proteinuria on a urine test in your office. You expected the BP to be higher. She is not on any medications. What do you think is causing this BP reading, which doesn't correlate with the other findings? A) It is caused by an "auscultatory gap." B) It is caused by a cuff size error. C) It is caused by the patient's emotional state. D) It is caused by resolution of the process which caused her retinopathy and kidney problems. - ANSWER: A Despite having high BP readings in the office, Mr. Kelly tells you that his readings at home are much lower. He checks them twice a day at the same time of day and has kept a log. How do you respond? A) You diagnose "white coat hypertension." B) You assume he is quite nervous when he comes to your office. C) You question the accuracy of his measurements. D) You question the accuracy of your measurements. - ANSWER: C

health assessment and found no problems whatsoever. He says he is classified as "high risk" because of obesity. What should you do next? A) Explain that even small amounts of weight gain can classify you as obese. B) Place him on a high-protein, low-fat diet. C) Advise him to increase his aerobic exercise for calorie burning. D) Measure his waist. - ANSWER: D Ms. Wright comes to your office, complaining of palpitations. While checking her pulse you notice an irregular rhythm. When you listen to her heart, every fourth beat sounds different. It sounds like a triplet rather than the usual "lub dup." How would you document your examination? A) Regular rate and rhythm B) Irregularly irregular rhythm C) Regularly irregular rhythm D) Bradycardia - ANSWER: C The nurse is performing a general survey. Which action is a component of the general survey? A Observing the patients body stature and nutritional status B Interpreting the subjective information the patient has reported C Measuring the patients temperature, pulse, respirations, and blood pressure D Observing specific body systems while performing the physical assessment - ANSWER: A

When measuring a patients weight, the nurse is aware of which of these guidelines? A The patient is always weighed wearing only his or her undergarments. B The type of scale does not matter, as long as the weights are similar from day to day. c The patient may leave on his or her jacket and shoes as long as these are documented next to the weight. D Attempts should be made to weigh the patient at approximately the same time of day, if a sequence of weights is necessary. - ANSWER: D A patients weekly blood pressure readings for 2 months have ranged between 124/84 mm Hg and 136/88 mm Hg, with an average reading of 126/86 mm Hg. The nurse knows that this blood pressure falls within which blood pressure category? A Normal blood pressure B Prehypertension C Stage 1 hypertension D Stage 2 hypertension - ANSWER: B During an examination of a child, the nurse considers that physical growth is the best index of a childs: a General health. B Genetic makeup. C Nutritional status.

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 - 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. - 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 - ANSWER: B The nurse is examining a patient who is complaining of feeling cold. Which is a mechanism of heat loss in the body?

A Exercise B Radiation C Metabolism D Food digestion - ANSWER: B When measuring a patients body temperature, the nurse keeps in mind that body temperature is influenced by: a Constipation. B Patients emotional state. C Diurnal cycle. D Nocturnal cycle. - ANSWER: C When evaluating the temperature of older adults, the nurse should remember which aspect about an older adults body temperature? A The body temperature of the older adult is lower than that of a younger adult. B An older adults body temperature is approximately the same as that of a young child. C Body temperature depends on the type of thermometer used. D In the older adult, the body temperature varies widely because of less effective heat control mechanisms. - 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

D Shake the mercury-in-glass thermometer down to below 36.6 C before taking the temperature. - 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. - ANSWER: C To assess a rectal temperature accurately in an adult, the nurse would: A Use a lubricated blunt tip thermometer. B Insert the thermometer 2 to 3 inches into the rectum. C Leave the thermometer in place up to 8 minutes if the patient is febrile. D Wait 2 to 3 minutes if the patient has recently smoked a cigarette. - ANSWER: A Which technique is correct when the nurse is assessing the radial pulse of a patient? The pulse is counted for: A 1 minute, if the rhythm is irregular. B 15 seconds and then multiplied by 4, if the rhythm is regular. C 2 full minutes to detect any variation in amplitude. D 10 seconds and then multiplied by 6, if the patient has no history of cardiac

abnormalities. - ANSWER: A When assessing a patients pulse, the nurse should also notice which of these characteristics? A Force B Pallor C Capillary refill time D Timing in the cardiac cycle - ANSWER: A 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. - 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. - ANSWER: C

the heart. C The top number is the systolic blood pressure and reflects the pressure of the blood against the arteries when the heart contracts. D The concept of blood pressure is difficult to understand. The primary thing to be concerned about is the top number, or the systolic blood pressure. - ANSWER: C A 19-year-old college student, Todd, is brought to your clinic by his mother. She is concerned that there is something seriously wrong with him. She states for the past 6 months his behavior has become peculiar and he has flunked out of college. Todd denies any recent illness or injuries. His past medical history is remarkable only for a broken foot. His parents are both healthy. He has a paternal uncle who had similar symptoms in college. The patient admits to smoking cigarettes and drinking alcohol. He also admits to marijuana use but none in the last week. He denies using any other substances. He denies any feelings of depression or anxiety. While speaking with Todd and his mother you do a complete physical examination, which is essentially normal. When you question him on how he is feeling, he says that he is very worried that Microsoft has stolen his software for creating a better browser. He tells you he has se - ANSWER: D A 24-year-old secretary comes to your clinic, complaining of difficulty sleeping, severe

nightmares, and irritability. She states it all began 6 months ago when she went to a fast food restaurant at midnight. While she was waiting in her car a man entered through the passenger door and put a gun to her head. He had her drive to a remote area, where he took her money and threatened to kill her. When the gun jammed he panicked and ran off. Ever since this occurred the patient has been having these symptoms. She states she jumps at every noise and refuses to drive at night. She states her anxiety has had such a marked influence on her job performance she is afraid she will be fired. She denies any recent illnesses or injuries. Her past medical history is unremarkable. On examination you find a nervous woman appearing her stated age. Her physical examination is unremarkable. You recommend medication and counseling. What - ANSWER: C A 75-year-old homemaker brings her 76-year-old husband to your clinic. She states that 4 months ago he had a stroke and ever since she has been frustrated with his problems with communication. They were at a restaurant after church one Sunday when he suddenly became quiet. When she realized something was wrong he was taken to the hospital by EMS. He spent 2 weeks in the hospital with right-sided weakness and difficulty speaking. After hospitalization he

has had a history of mental illness. On examination you see a woman appearing her st - ANSWER: C A 27-year-old woman is brought to your office by her mother. The mother tells you that her daughter has been schizophrenic for the last 8 years and is starting to decompensate despite medication. The patient states that she has been taking her antipsychotic and she is doing just fine. Her mother retorts that her daughter has become quite paranoid. When asked why, the mother gives an example about the mailman. She says that her daughter goes and gets the mail every day and then microwaves the letters. The patient agrees that she does this but only because she sees the mailman flipping through the envelopes and she knows he's putting anthrax on the letters. Her mother turns to her and says, "He's only sorting the mail!" Which best describes the patient's abnormality of perception? A) Illusion B) Hallucination C) Fugue state - ANSWER: A A 22-year-old man is brought to your office by his father to discuss his son's mental health disorder. The patient was diagnosed with schizophrenia 6 months ago and has been taking medication since. The father states that his son's dose isn't high enough and you need to raise it.

He states that his son has been hearing things that don't exist. You ask the young man what is going on and he tells you that his father is just jealous because his sister talks only to him. His father turns to him and says, "Son, you know your sister died 2 years ago!" His son replies "Well, she still talks to me in my head all the time!" Which best describes this patient's abnormality of perception? A) Illusion B) Hallucination C) Fugue state - ANSWER: B A 26-year-old violinist comes to your clinic, complaining of anxiety. He is a first chair violinist in the local symphony orchestra and has started having symptoms during performances, such as sweating, shaking, and hyperventilating. It has gotten so bad that he has thought about giving up his first chair status so he does not have to play the solo during one of the movements. He says that he never has these symptoms during rehearsals or when he is practicing. He denies having any of these symptoms at any other time. His past medical history is unremarkable. He denies any tobacco use, drug use, or alcohol abuse. His parents are both healthy. On examination you see a young man who appears worried. His vital signs and physical examination are unremarkable.