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NURS 204 Final Exam: Questions and Answers, Exams of Physics

A collection of questions and answers related to the nurs 204 final exam. It covers various topics in nursing, including communication, documentation, infection control, vital signs, skin and wound care, activity and immobility, and head, neck, and neuro assessment. The questions are presented in a multiple-choice format, with the correct answers highlighted. This resource can be valuable for students preparing for their final exam in nurs 204.

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2024/2025

Available from 12/07/2024

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NURS 204 Final Exam Latest Update
Questions with Answers
what demonstrates ineffective communication? - Correct Ans:
โœ”โœ”Giving your personal opinion
While the patient is talking, which of the following demonstrates the
nurse is actively listening?
a. the nurses arms are crossed while the patient is talking
b. the nurse is sitting, facing the patient
c. the nurse is standing at the foot of the patient's bed
d. the nurse is leaning away from the patient - Correct Ans: โœ”โœ”b. the
nurse is sitting, facing the patient
which of the following demonstrates effective communication, when
caring for a patient who is hearing impaired?
a. checking the patient for hearing aids and /or glasses
b. asks closed ended questions
c. speak to the patient at a higher volume
d. heave a family member with the patient at all times - Correct Ans:
โœ”โœ”a. checking the patient for hearing aids and/or glasses
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NURS 204 Final Exam Latest Update

Questions with Answers

what demonstrates ineffective communication? - Correct Ans: โœ”โœ”Giving your personal opinion While the patient is talking, which of the following demonstrates the nurse is actively listening? a. the nurses arms are crossed while the patient is talking b. the nurse is sitting, facing the patient c. the nurse is standing at the foot of the patient's bed d. the nurse is leaning away from the patient - Correct Ans: โœ”โœ”b. the nurse is sitting, facing the patient which of the following demonstrates effective communication, when caring for a patient who is hearing impaired? a. checking the patient for hearing aids and /or glasses b. asks closed ended questions c. speak to the patient at a higher volume d. heave a family member with the patient at all times - Correct Ans: โœ”โœ”a. checking the patient for hearing aids and/or glasses

during an assessment, an abdominal heart rate is heard. the nurse needs to perform which of the following documentation? a. the nurse will chart by exception b. a new care plan will be created c. an incident report will be made d. past history will be included in notes - Correct Ans: โœ”โœ”a. chart by exception Which of the following does the nurse recognize as part of QSEN? a. the nurse is the source of control in patient centered care b. use past evidence based practice to deliver care c. examine commonly used unsafe practices d. only collaborate with nurses on the same unit - Correct Ans: โœ”โœ”c. examine commonly used unsafe practices proper sequence of donning ppe - Correct Ans: โœ”โœ”gown, mask, goggles, gloves proper sequence of doffing ppe - Correct Ans: โœ”โœ”gloves, goggles, gown mask

a. the patient with a foley catheter in place for the past 5 days b. the patient who was admitted to the hospital with hypertension c. the pediatric patient who had an outpatient tonsillectomy d. the patient who is NPO prior to a colonoscopy - Correct Ans: โœ”โœ”a. the patient with a foley catheter in place for the past 5 days which patient will be most likely to have anti-embolism stockings ordered by the healthcare provider? a. the patient post surgical on bedrest b. the patient with severe peripheral neuropathy c. the patient out of bed with no restrictions d. the patient with a recent skin graft - Correct Ans: โœ”โœ”a. the patient post surgical bed rest the patient is performing self-care. which of the following would the nurse recognize as improper hygiene? a. the patient places their dentures in warm water b. the patient wipes their eyes from inner to outer with a washcloth c. the patient cleans their hands with a hand sanitizer, before they eat

d. the patient wipes their perineum from back to front - Correct Ans: โœ”โœ”d. the patient wipes their perineum from back to front which of the following precautions would the nurse adhere to, when caring for a patient with Tuberculosis? a. contact b. standard c. airborne d. droplet - Correct Ans: โœ”โœ”c. airborne VITAL SIGNS which of the following vital signs would be of concern to the nurse? a. temp-100.2 orally, patient started antibiotics 2 hours ago b. respiratory rate- 36 one day after surgery c. pulse-100, patient complaining of pain scale 8/ d. BP-110/60, patient positioned on their left side - Correct Ans: โœ”โœ”b. respiratory rate- 36 one day after surgery the patient has an irregular radial pulse after 30 seconds. which of the following would the nurse do next?

SKIN AND WOUND CARE

which abnormal skin color finding would indicate redness in face or areas of pressure ulcers? a. pallor b. ecchymosis c. erythema d. petechiae - Correct Ans: โœ”โœ”c. erythema a nurse suspects a wound infection after noting what type of drainage? a. sanguineous b. serous c. serosanguineous d. purulent - Correct Ans: โœ”โœ”d. purulent a wound fails to heal properly and begins to separate. the nurse documents this as a. dehiscence b. granulation tissue

c. evisceration d. approximation - Correct Ans: โœ”โœ”a. dehiscence which of the following is recommended for wound healing? a. Protein and Vit C b. Vit D and zinc c. Vit C and Potassium d. Vit D and Magnesium - Correct Ans: โœ”โœ”a. protein and Vit C a pressure ulcer with full thickness skin loss, but no visible bone, tendon, or muscle exposed, is classified as: a. stage 2 pressure ulcer b. stage 4 pressure ulcer c. stage 1 pressure ulcer d. stage 3 pressure ulcer - Correct Ans: โœ”โœ”d. stage 3 pressure ulcer redness and swelling to a wound with serous exudate are which part of the healing process in tissue trauma? a. inflammatory response

the nurse demonstrates good body mechanics in which situation? a. raising the bed to her waist level b. keeping feet firmly together c. locking her knees d. bending at the waist - Correct Ans: โœ”โœ”a. raising the bed to her waist level what nursing diagnosis takes highest priority for a patient who is immobile? a. impaired skin integrity b. risk for injury c. ineffective airway clearance d. social isolation - Correct Ans: โœ”โœ”c. ineffective airway clearance what is the best nursing intervention to maintain skin integrity for a patient on bedrest? a. changing the bed linens every two hours b. maintaining good oral care c. encouraging 1000mL fluid intake daily

d. Turning the patient every two hours - Correct Ans: โœ”โœ”d. turning the patient every 2 hours What type of range-of-motion exercises are performed for an unconscious patient? a. active ROM b. active-assistive ROM c. passive ROM - Correct Ans: โœ”โœ”c. passive ROM the nurse observes a patient walking with a cane. which of the following would indicate the need for further teaching? a. the patient walks with the cane 6-12 inches in front of them b. the patient walks with the cane on their weaker side c. the patient moves the cane forward before the weaker leg d. the patient advances the stronger leg past the cane - Correct Ans: โœ”โœ”b. the patient walks with the cane on their weaker side prior to assisting a patient out of bed, the nurse identifies the patient by which of the following identifiers? a. date of birth and room number

d. prone and supine - Correct Ans: โœ”โœ”a. sitting and supine which of the following would the nurse perform as the first part of a physical assessment? a. auscultation b. palpation c. inspection d. percussion - Correct Ans: โœ”โœ”c. inspection the dorsal part of the nurse's hand can detect which characteristic on a patient? a. temperature changes b. turgor and elasticity c. presence of masses d. symmetry and mobility - Correct Ans: โœ”โœ”a. temperature changes the nurse notes loss of pigmentation on the patient's hands and arms. the nurse recognizes this skin variation as: a. pallor b. vitiligo

c. erythema d. cyanosis - Correct Ans: โœ”โœ”b. vitiligo which of the following does the nurse recognize as an indicator of poor skin turgor? a. vascularity b. pigmentation c. infection d. dehydration - Correct Ans: โœ”โœ”d. dehydration the nurse is. performing an eye exam on her patient. how would the nurse test for visual acuity? a. ask the patient to gaze at a distant object then a close one b. ask the patient to cover one eye and follow your hand as it moves c. have the patient read the snellen eye chart d. bring a penlight from side of face directing the light onto the pupil - Correct Ans: โœ”โœ”c. have the patient read the snellen eye chart a patient comes into the ED very intoxicated. which of the following reflexes will the patient exhibit during exam?

CARDIAC

which of the following occurs during the S1 phase of the cardiac cycle? a. the mitral and tricuspid valve close b. the pulmonic and aortic valve close c. the ventricular pressure falls d. blood fills the coronary arteries - Correct Ans: โœ”โœ”a. the mitral and tricuspid valve close which of the following areas will the nurse place her stethoscope to assess for tricuspid heart sounds? a. 3rd intercostal, mid sternal border b. 4th intercostal, left sternal border c. 2nd intercostal, right sternal border d. 5th intercostal, mid-clavicular - Correct Ans: โœ”โœ”b. 4th intercostal, left sternal border which of the following is the correct sequence when performing a cardiac assessment? a. inspection, palpation, auscultation

b. inspection, auscultation, palpation c. palpation, percussion, auscultation d. inspection, percussion, auscultation - Correct Ans: โœ”โœ”a. inspection, palpation, auscultation which of the following positions are best to auscultate heart sounds? a. supine, prone, right lateral b. supine, right lateral, standing c. semi fowlers, supine, left lateral d. prone, left lateral, sims - Correct Ans: โœ”โœ”c. semi fowlers, supine, left lateral the nurse assesses an abnormal radial pulse. which of the following would the nurse perform next? a. palpate all of the peripheral pulses b. obtain a pulse oximetry reading c. notify the healthcare provider d. auscultate the apical pulse - Correct Ans: โœ”โœ”d. auscultate the apical pulse

c. auscultate the carotid artery with the diaphragm of the stethoscope d. encourage the patient to take deep breaths during auscultation - Correct Ans: โœ”โœ”a. ask the patient to hold their breath for a few seconds during auscultation the nurse is palpating the femoral arteries and notes a decrease pulse. the nurse would document this finding as: a. + b. + c.+ d. +2 - Correct Ans: โœ”โœ”a. + the nurse is using a doppler to assess pedal pulses. which of the following indicates need for further teaching? a. the nurse applies a thin layer of transducer gel to the site of the pulse b. the nurse turns the volume on the doppler before she places in onto the skin c. the nurse moves the transducer until she hears a pulsating sound d. the tip of the transducer is held at a 25 degree angle during assessment - Correct Ans: โœ”โœ”d. the tip of the transducer is held at a 25 degree angle

the nurse is assessing the patient for DVT. which of the following would indicate suspicion of a DVT? a. warmth at site, redness, pain b. bruising, bounding pulse, shiny skin c. cool to touch, pale skin, increased pulse d. absent pulse, pale skin, tenderness - Correct Ans: โœ”โœ”a. warmth at site, redness, pain which of the following does the nurse recognize as a reason for a patient's blood pressure to be elevated? a. eating a well balanced diet b. a diet low in sodium c. family history d. daily exercise - Correct Ans: โœ”โœ”c. family exercise the nurse is reviewing the lab results. which lab result would indicate if a patient was experiencing a heart attack? a. complete blood count b. troponin c. triglycerides