NUR179 Final Review Questions With Complete Solutions
During assessment, the nurse asks the patient to watch a pen as
she moves it away from their face, and then back. What is the
nurse assessing? Correct Answers Accommodation
For patient learning to take place, the nurse much do what?
Correct Answers Go over the topic more than once for the
patient to remember it.
How does the respiratory system maintain acid-base balance in
the blood? Correct Answers Lungs remove excess carbon
dioxide to decrease the acidity of the blood
If the patient has not voided within 8 hours after an indwelling
catheter is removed, or has voided less than 240mLs, the nurse
should... Correct Answers Call the provider
Name 1 thing that contributions to and elderly patient
developing constipation. Correct Answers -Decreased activity,
immobility
-Taking multiple medications
-Feces remain in the large intestine longer
-Decreased peristalsis
Name 1 thing the nurse can do to evaluate patient learning.
Correct Answers -Have the patient restate the information
-Ask the patient to give a return demo of the task
-Ask questions to determine understanding
,Name 2 assessments, aside from head-to-toe, that is preformed
on residents in long term care Correct Answers -Level of
cognition
-Sleep habits
-Bowel and bladder elimination status/habits
-Ability to communicate
-General appearance
Name 2 things the nurse expects to see when the patient is
actively dying Correct Answers -Mottling of feet and legs
-Edema in the lower extremities
-Slow, thread pulse
-Nonresponsiveness
Name 2 things the nurse must do for a patient with fluid volume
excess (overload) Correct Answers -Provide diuretics per order
-Assess daily weights
-Provide a low sodium diet
-Document I&O each shift
-Enforce fluid restriction
Name 2 things to teach the patient with COPD to reduce
respiratory illness Correct Answers -Get flu shot every year
-Wash your hands a lot, especially out in public
-Take your meds or antibiotics as prescribed
-Avoid close contact with people who have respiratory illness
Name 2 ways the nurse can establish a trusting relationship with
the patient. Correct Answers -Convey confidence and
competence with care
-Communicate they are approachable and ready to listen
, -Communicate empathy to the patient
Name 3 complications the patient with diabetes is at risk for.
Correct Answers -Neuropathy
-Retinopathy
-Renal disease
-Heart disease
-Poor circulation
Name 3 things to include in a respiratory assessment. Correct
Answers -O2 sat
-Use of accessory muscles for breathing
-respiratory rate, rhythm, lung sounds
-Skin color
-Cough
Name the 3 systems in the body that work together to regulate
and maintain acid-base balance. Correct Answers -Renal system
-Respiratory system
-Bicarb buffer system
Name the sequence to follow when assessing the abdomen.
Correct Answers Inspection, auscultation, palpation, percussion.
New crutches are the correct height for the patient when...
Correct Answers 3 finger fit between the axilla and the axillary
pads at the top of the crutches
Older adults are easy prey from crimes and scams. What 2
things can the nurse teach the elderly patient to help protect
During assessment, the nurse asks the patient to watch a pen as
she moves it away from their face, and then back. What is the
nurse assessing? Correct Answers Accommodation
For patient learning to take place, the nurse much do what?
Correct Answers Go over the topic more than once for the
patient to remember it.
How does the respiratory system maintain acid-base balance in
the blood? Correct Answers Lungs remove excess carbon
dioxide to decrease the acidity of the blood
If the patient has not voided within 8 hours after an indwelling
catheter is removed, or has voided less than 240mLs, the nurse
should... Correct Answers Call the provider
Name 1 thing that contributions to and elderly patient
developing constipation. Correct Answers -Decreased activity,
immobility
-Taking multiple medications
-Feces remain in the large intestine longer
-Decreased peristalsis
Name 1 thing the nurse can do to evaluate patient learning.
Correct Answers -Have the patient restate the information
-Ask the patient to give a return demo of the task
-Ask questions to determine understanding
,Name 2 assessments, aside from head-to-toe, that is preformed
on residents in long term care Correct Answers -Level of
cognition
-Sleep habits
-Bowel and bladder elimination status/habits
-Ability to communicate
-General appearance
Name 2 things the nurse expects to see when the patient is
actively dying Correct Answers -Mottling of feet and legs
-Edema in the lower extremities
-Slow, thread pulse
-Nonresponsiveness
Name 2 things the nurse must do for a patient with fluid volume
excess (overload) Correct Answers -Provide diuretics per order
-Assess daily weights
-Provide a low sodium diet
-Document I&O each shift
-Enforce fluid restriction
Name 2 things to teach the patient with COPD to reduce
respiratory illness Correct Answers -Get flu shot every year
-Wash your hands a lot, especially out in public
-Take your meds or antibiotics as prescribed
-Avoid close contact with people who have respiratory illness
Name 2 ways the nurse can establish a trusting relationship with
the patient. Correct Answers -Convey confidence and
competence with care
-Communicate they are approachable and ready to listen
, -Communicate empathy to the patient
Name 3 complications the patient with diabetes is at risk for.
Correct Answers -Neuropathy
-Retinopathy
-Renal disease
-Heart disease
-Poor circulation
Name 3 things to include in a respiratory assessment. Correct
Answers -O2 sat
-Use of accessory muscles for breathing
-respiratory rate, rhythm, lung sounds
-Skin color
-Cough
Name the 3 systems in the body that work together to regulate
and maintain acid-base balance. Correct Answers -Renal system
-Respiratory system
-Bicarb buffer system
Name the sequence to follow when assessing the abdomen.
Correct Answers Inspection, auscultation, palpation, percussion.
New crutches are the correct height for the patient when...
Correct Answers 3 finger fit between the axilla and the axillary
pads at the top of the crutches
Older adults are easy prey from crimes and scams. What 2
things can the nurse teach the elderly patient to help protect
