NURA 1100 Final Questions With Complete Solutions
What type of assessment is needed for a patient having SOB? - (ANSWER)Focused respiratory
assessment
What are some things you would assess during a focused respiratory assessment? -
(ANSWER)Respiratory rate, O2 sat, pattern, breath sounds, nasal flaring, chest expansion
List 3 adventitious breath sounds - (ANSWER)Crackles, rhonchi, and wheezing
List nursing interventions for crackles - (ANSWER)Diuretics, elevate HOB 90 degrees
List nursing interventions for rhonchi - (ANSWER)Encourage cough, increase fluids, avoid dairy
List nursing interventions for wheezing - (ANSWER)bronchodilators, anti-inflammatories
What adventitious breath sound CAN be cleared by coughing? - (ANSWER)Rhonchi
C/o leg pain, errythema, warmth, and swelling indicates? - (ANSWER)Deep vein thrombosis DVT
What medications are DVTs treated with? - (ANSWER)coumadin and heparin
How does the nurse assess vocal (tactile) fremitus? - (ANSWER)"99"
Define atelectasis - (ANSWER)collapse of the alveoli in the bases of the lungs
List interventions to prevent atelectasis - (ANSWER)TCDB, incentive spirometer, CPT, elevate HOB,
encourage fluids
Define pneumothorax - (ANSWER)collapse of whole lung
,NURA 1100 Final Questions With Complete Solutions
How is pneumothorax treated? - (ANSWER)chest tube
List symptoms of cardiovascular disease - (ANSWER)cyanosis, arrhythmia, edema, prolonged cap. refill,
angina, SOB; dyspnea, fatigue, thready pulse
How does a nurse assess chest excursion? - (ANSWER)place thumbs on back, instruct to "take a deep
breath," thumbs should move apart about 5"
What could be indicative of thumbs not moving about 5" on each side during an assessment of chest
excursion? - (ANSWER)a collapsed lung
What is the nurse's action when finding an irregular-shaped pupil in one eye? - (ANSWER)Ask, "were you
born with this?"
What would patient data of "smokes cigarettes" indicate? - (ANSWER)Need for a focused assessment
What questions would a nurse ask a smoker? - (ANSWER)How much? how long? What kind? Cough?
Productive? Color?
Name abnormal heart sounds - (ANSWER)Murmur, rub, gallop, S3, S4
What is a common abnormal heart sound after open heart surgery? - (ANSWER)Rub
Name the characteristics that are noted when assessing a radial pulse. - (ANSWER)Rate, rhythm,
strength, equality, and elasticity.
Where is the FIRST location that the nurse would place her stethoscope to auscultate heart valves? -
(ANSWER)Right second intercostal space
, NURA 1100 Final Questions With Complete Solutions
Where is the SECOND location that the nurse would place her stethoscope to auscultate heart valves? -
(ANSWER)Left second intercostal space
Where is the THIRD location that the nurse would place her stethoscope to auscultate heart valves? -
(ANSWER)Left third intercostal space
Where is the FOURTH location that the nurse would place her stethoscope to auscultate heart valves? -
(ANSWER)Left fourth intercostal space
Where is the FIFTH location that the nurse would place her stethoscope to auscultate heart valves? -
(ANSWER)Left fifth intercostal space midclavicular line
What is the name of the FIRST valve auscultated during a cardiovascular assessment? - (ANSWER)Aortic
What is the name of the SECOND valve auscultated during a cardiovascular assessment? -
(ANSWER)Pulmonic
What is the name of the THIRD valve auscultated during a cardiovascular assessment? - (ANSWER)Erb's
point
What is ANOTHER name for the THIRD valve auscultated during a cardiovascular assessment? -
(ANSWER)Second pulmonic
What is the name of the FOURTH valve auscultated during a cardiovascular assessment? -
(ANSWER)Tricuspid
What is the name of the FIFTH valve auscultated during a cardiovascular assessment? - (ANSWER)Mitral
What are OTHER common names of the FIFTH valve auscultated during a cardiovascular assessment? -
(ANSWER)Apex and point of maximal impulse (PMI)
What type of assessment is needed for a patient having SOB? - (ANSWER)Focused respiratory
assessment
What are some things you would assess during a focused respiratory assessment? -
(ANSWER)Respiratory rate, O2 sat, pattern, breath sounds, nasal flaring, chest expansion
List 3 adventitious breath sounds - (ANSWER)Crackles, rhonchi, and wheezing
List nursing interventions for crackles - (ANSWER)Diuretics, elevate HOB 90 degrees
List nursing interventions for rhonchi - (ANSWER)Encourage cough, increase fluids, avoid dairy
List nursing interventions for wheezing - (ANSWER)bronchodilators, anti-inflammatories
What adventitious breath sound CAN be cleared by coughing? - (ANSWER)Rhonchi
C/o leg pain, errythema, warmth, and swelling indicates? - (ANSWER)Deep vein thrombosis DVT
What medications are DVTs treated with? - (ANSWER)coumadin and heparin
How does the nurse assess vocal (tactile) fremitus? - (ANSWER)"99"
Define atelectasis - (ANSWER)collapse of the alveoli in the bases of the lungs
List interventions to prevent atelectasis - (ANSWER)TCDB, incentive spirometer, CPT, elevate HOB,
encourage fluids
Define pneumothorax - (ANSWER)collapse of whole lung
,NURA 1100 Final Questions With Complete Solutions
How is pneumothorax treated? - (ANSWER)chest tube
List symptoms of cardiovascular disease - (ANSWER)cyanosis, arrhythmia, edema, prolonged cap. refill,
angina, SOB; dyspnea, fatigue, thready pulse
How does a nurse assess chest excursion? - (ANSWER)place thumbs on back, instruct to "take a deep
breath," thumbs should move apart about 5"
What could be indicative of thumbs not moving about 5" on each side during an assessment of chest
excursion? - (ANSWER)a collapsed lung
What is the nurse's action when finding an irregular-shaped pupil in one eye? - (ANSWER)Ask, "were you
born with this?"
What would patient data of "smokes cigarettes" indicate? - (ANSWER)Need for a focused assessment
What questions would a nurse ask a smoker? - (ANSWER)How much? how long? What kind? Cough?
Productive? Color?
Name abnormal heart sounds - (ANSWER)Murmur, rub, gallop, S3, S4
What is a common abnormal heart sound after open heart surgery? - (ANSWER)Rub
Name the characteristics that are noted when assessing a radial pulse. - (ANSWER)Rate, rhythm,
strength, equality, and elasticity.
Where is the FIRST location that the nurse would place her stethoscope to auscultate heart valves? -
(ANSWER)Right second intercostal space
, NURA 1100 Final Questions With Complete Solutions
Where is the SECOND location that the nurse would place her stethoscope to auscultate heart valves? -
(ANSWER)Left second intercostal space
Where is the THIRD location that the nurse would place her stethoscope to auscultate heart valves? -
(ANSWER)Left third intercostal space
Where is the FOURTH location that the nurse would place her stethoscope to auscultate heart valves? -
(ANSWER)Left fourth intercostal space
Where is the FIFTH location that the nurse would place her stethoscope to auscultate heart valves? -
(ANSWER)Left fifth intercostal space midclavicular line
What is the name of the FIRST valve auscultated during a cardiovascular assessment? - (ANSWER)Aortic
What is the name of the SECOND valve auscultated during a cardiovascular assessment? -
(ANSWER)Pulmonic
What is the name of the THIRD valve auscultated during a cardiovascular assessment? - (ANSWER)Erb's
point
What is ANOTHER name for the THIRD valve auscultated during a cardiovascular assessment? -
(ANSWER)Second pulmonic
What is the name of the FOURTH valve auscultated during a cardiovascular assessment? -
(ANSWER)Tricuspid
What is the name of the FIFTH valve auscultated during a cardiovascular assessment? - (ANSWER)Mitral
What are OTHER common names of the FIFTH valve auscultated during a cardiovascular assessment? -
(ANSWER)Apex and point of maximal impulse (PMI)
