NUR 2017 Comprehensive Quiz
Quiz by Deana Nunes
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25 questions
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- Q1The nurse is assessing a client's pulse and determines that the pulse is irregular. What is the best action the nurse should take?Assess the apical pulse for one full minuteAssess the pedal pulse with a DopplerAssess the radial pulse for one full minuteAssess the radial pulse with a Doppler45s
- Q2When assessing a sacral pressure injury, which action should the nurse take first?Palpate the wound bed texture to determine depthVisualize the wound characteristicsNote the presence of wound drainage odorMeasure the wound depth by probing with a sterile cotton swab45s
- Q3The nurse is assessing an 80 year old client with osteoarthritis. The client reports 8/10 pain in their knees by the end of the day. The nurse knows:older adults have a high tolerance to pain, therefore 8/10 pain will have minimal impact on ADLsolder adults do not experience painpain is an abnormal process in aging indicating something is wrongpain is an expected finding in older adults as osteoporosis a part of aging45s
- Q4The nurse is conducting suicide risk screening assessments. The nurse should identify which client poses the highest risk for self harm or suicidal ideation?A client with a suicide attempt history stating they plan to intentionally crash their carAn recent widow who reports feeling lonely and depressedA client in 10/10 back pain screaming "I can't take it any more!"A client who is inconsolable after a fight with their spouse45s
- Q5A client who had a stroke is trying to speak to you. They state "Igaboo chew down this road ice Jack." Their words are enunciated and easy to understand, but do not make sense. The nurses suspects the client is suffering from:Wernicke's aphasiaBroca's aphasiaEcholaliaGlobal aphasia45s
- Q6The nurse knows characteristics of venous insufficiency include:swollen, reddened, lower legsthin, pale, lower legsaching pain with lower legs elevationpain with lower leg elevation45s
- Q7The nurses is auscultating the client's heart sounds and notices a gentle blowing and whooshing sound when listening to the mitral valve. The nurse suspects:ventricular gallopsystolic ejection clicka valve prolapsea heart murmur45s
- Q8The nurse is assessing the hands of a client with an acute flare up of inflammatory arthritis. The nurse expects to find:cool, pale, swollen jointsswollen joints without temperature changewarm, red, swollen painful jointsswollen joints without color change45s
- Q9The nurse is auscultating heart sounds. The nurse identifies S1 and S2, and explains to the client that S1 sound is created by:closure of the AV valvesopening of the AV valvesclosure of the SL valvesopening of the SL valves45s
- Q10During an assessment, the nurse notes a client's foreskin is fixed and tight, and will not retract over the glans. The nurse documents this finding as:priapismphimosisurethral stricturehypospadias45s
- Q11The nurse is admitting a client with a fractured femur. The initial blood pressure reading is 198/94. The client has no history of hypertension. Which action should the nurse take first?ask the client if they are experiencing painrecheck the blood pressure every 30 minutesrequest a prescription for an antianxiety medicationrequest a prescription for an antihypertensive medication45s
- Q12The nurse is assessing a client who complains of RLQ tenderness for the past 2 days. You examine the client, concerned about inflammation of which organ?gallbladderliversigmoid colonappendix45s
- Q13The nurse is completing a integumentary assessment on a client in the emergency department. Which finding should the nurse recognize as requiring an immediate intervention?pallorerythemacyanosisjaundice45s
- Q14During the respiratory assessment of an adult the nurse notes unequal chest expansion. The nurse suspects this finding is caused by:obesitya partial lung obstruction or collapseaccessory muscle usebulging of the intercostal spaces45s
- Q15The nurse is evaluating a client's family medical history. A graphic representation of family relationships and illnesses is known as:a family treea genograma family review of systemsa past family medical history45s