Nurs 2725: Final Exam Questions With Complete Solutions
A father brings 15-year old Randy into the physicians office for
his sports physical examination. This is the first time you have
met the family. According to his chart, Randy has not had a
health assessment in 4 years. There have been a lot of changes in
the household. The father reports that he is now the primary
caregiver since he lost his job over 1 year ago. The mother lives
with the family but works long hours and is unavailable for child
care issues. While performing the health history, you observe
that Randy has become anxious during the sexual history,
avoiding eye contact with you and his father and answering your
questions with hesitation. What is the best action for you to
take?
A. continue asking probing questions because you don't want to
attract attention to Randy's behavior
B. provide Randy with the opportunity to complete the health
history without the father present
C. assure Randy that although co Correct Answers B
A female patient placed in the dorsal recumbant position for the
insertion of an indwelling urinary catheter tells the nurse that she
"doesn't feel comfortable in this position" and that her "back
really hurts." What is the nurses best response?
A. reassure the patient that the procedure will take only a few
minutes
B. promise to reposition the patient as soon as the catheter has
been inserted
,C. reposition the patient in a side-lying position, with her upper
leg flexed at the knee and hip
D. explain to the patient that the position will allow the catheter
insertion to be more efficient Correct Answers C
A key reason for mistrust between people of color and health
care institutions is:
A. health providers have run medical experiments on people of
color without their consent
B. health providers who mistreated people of color are still
honored today
C. other institutions outside the health system treat people of
color unfairly
D. all of the above Correct Answers D
A mother stated her one-day-old newborn slept for seven hours
during the night. How should the nurse respond?
A. support the mother's decision to allow the newborn to sleep
to recover from the birthing experience
B. educate the mother that the newborn needs to feed at least
one time during the night for the first month
C. explain to the mother that the newborn needs to feed every
four to five hours during a 24-hour period
D. explain a sleepy newborn needs to be wakened at least every
three to four hours during the night for the first week Correct
Answers D
A nurse is assessing a patients neck with the patient seated.
Which of the following is considered an unexpected finding?
,A. jugular vein distention
B. midline trachea
C. lack of bruits in carotid arteries
D. thyroid symmetry bilaterally Correct Answers A
A nurse is inspecting the patients ears with an otoscope. Which
of the following findings would be considered normal?
A. a small plastic bead
B. brownish black tympanic membrane
C. perforation of the tympanic membrane
D. small amount of cerumen Correct Answers D
A nurse is irrigating a patients abdominal wound 2 days
postoperatively. Which finding would need to be reported to the
HCP?
A. drainage that was not present previously
B. redness at the abdominal suture line
C. granulation tissue in the wound bed
D. the patient reports less pain Correct Answers A
A parent says, "how do I clean my baby's penis after his
circumcision?"
How should you respond? Correct Answers "It is important to
wash your hands before beginning care. When changing his
diaper, check the area to see if there is any bleeding or signs of
infection such as redness or discharge. If you see signs of
infection, call your primary heath care provider. Wash the area
, gently using warm water to remove any urine, feces, or
discharge. You should not use any soap, until his penis has
healed. Soap can irritate the area. After cleaning, the new diaper
should be applied loosely."
A parent says, "I'm feeling really nervous about bathing my
baby for the first time by myself."
How should you respond? Correct Answers "Feeling nervous is
a normal response that many mothers have the first time they
bathe their baby on their own. Let's bathe the baby together and
I'll assist when you need me to. Is there anything specific that
makes you feel nervous?"
A parent says, "my baby jumps when there's a loud noise. Is this
normal?"
How should you respond? Correct Answers "Yes, this is a
normal response for newborns when they hear high frequency
noises. Your baby will respond with a startle by extending arms
and legs out and then will relax again. This is called the Moro
reflex and is a normal response in newborns up to 6 months of
age."
A parent says, "my baby seems to cry often, is she in pain?"
How should you respond? Correct Answers "She may or may
not be in pain. Crying is how your baby communicates to you
about what she needs and can have various meanings, for
example, hunger, wanting attention, responding to something in
the environment, fussiness or pain. Responding each time your
A father brings 15-year old Randy into the physicians office for
his sports physical examination. This is the first time you have
met the family. According to his chart, Randy has not had a
health assessment in 4 years. There have been a lot of changes in
the household. The father reports that he is now the primary
caregiver since he lost his job over 1 year ago. The mother lives
with the family but works long hours and is unavailable for child
care issues. While performing the health history, you observe
that Randy has become anxious during the sexual history,
avoiding eye contact with you and his father and answering your
questions with hesitation. What is the best action for you to
take?
A. continue asking probing questions because you don't want to
attract attention to Randy's behavior
B. provide Randy with the opportunity to complete the health
history without the father present
C. assure Randy that although co Correct Answers B
A female patient placed in the dorsal recumbant position for the
insertion of an indwelling urinary catheter tells the nurse that she
"doesn't feel comfortable in this position" and that her "back
really hurts." What is the nurses best response?
A. reassure the patient that the procedure will take only a few
minutes
B. promise to reposition the patient as soon as the catheter has
been inserted
,C. reposition the patient in a side-lying position, with her upper
leg flexed at the knee and hip
D. explain to the patient that the position will allow the catheter
insertion to be more efficient Correct Answers C
A key reason for mistrust between people of color and health
care institutions is:
A. health providers have run medical experiments on people of
color without their consent
B. health providers who mistreated people of color are still
honored today
C. other institutions outside the health system treat people of
color unfairly
D. all of the above Correct Answers D
A mother stated her one-day-old newborn slept for seven hours
during the night. How should the nurse respond?
A. support the mother's decision to allow the newborn to sleep
to recover from the birthing experience
B. educate the mother that the newborn needs to feed at least
one time during the night for the first month
C. explain to the mother that the newborn needs to feed every
four to five hours during a 24-hour period
D. explain a sleepy newborn needs to be wakened at least every
three to four hours during the night for the first week Correct
Answers D
A nurse is assessing a patients neck with the patient seated.
Which of the following is considered an unexpected finding?
,A. jugular vein distention
B. midline trachea
C. lack of bruits in carotid arteries
D. thyroid symmetry bilaterally Correct Answers A
A nurse is inspecting the patients ears with an otoscope. Which
of the following findings would be considered normal?
A. a small plastic bead
B. brownish black tympanic membrane
C. perforation of the tympanic membrane
D. small amount of cerumen Correct Answers D
A nurse is irrigating a patients abdominal wound 2 days
postoperatively. Which finding would need to be reported to the
HCP?
A. drainage that was not present previously
B. redness at the abdominal suture line
C. granulation tissue in the wound bed
D. the patient reports less pain Correct Answers A
A parent says, "how do I clean my baby's penis after his
circumcision?"
How should you respond? Correct Answers "It is important to
wash your hands before beginning care. When changing his
diaper, check the area to see if there is any bleeding or signs of
infection such as redness or discharge. If you see signs of
infection, call your primary heath care provider. Wash the area
, gently using warm water to remove any urine, feces, or
discharge. You should not use any soap, until his penis has
healed. Soap can irritate the area. After cleaning, the new diaper
should be applied loosely."
A parent says, "I'm feeling really nervous about bathing my
baby for the first time by myself."
How should you respond? Correct Answers "Feeling nervous is
a normal response that many mothers have the first time they
bathe their baby on their own. Let's bathe the baby together and
I'll assist when you need me to. Is there anything specific that
makes you feel nervous?"
A parent says, "my baby jumps when there's a loud noise. Is this
normal?"
How should you respond? Correct Answers "Yes, this is a
normal response for newborns when they hear high frequency
noises. Your baby will respond with a startle by extending arms
and legs out and then will relax again. This is called the Moro
reflex and is a normal response in newborns up to 6 months of
age."
A parent says, "my baby seems to cry often, is she in pain?"
How should you respond? Correct Answers "She may or may
not be in pain. Crying is how your baby communicates to you
about what she needs and can have various meanings, for
example, hunger, wanting attention, responding to something in
the environment, fussiness or pain. Responding each time your
