NURS 310 Health & Illness Exam 3 – Accurate
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Terms in this set (171)
The nurse is explaining to a student B. "Central perfusion involves the entire body."
nurse about impaired central
perfusion. The charge nurse knows the
student understands the teaching
when the student makes which
statement?
A. "Central perfusion is monitored
only by the physician."
B. "Central perfusion involves the
entire body."
C. "Central perfusion is decreased
with hypertension."
D. "Central perfusion is toxic to the
cardiac system."
Which nursing intervention related to C. Teaching relaxation techniques
perfusion can be performed
independently by a student nurse?
A. Administration of medication
B. Insertion of device to measure
central venous pressure (CVP)
C. Teaching relaxation techniques
D. Thoracentesis
,The nurse would identify which body A. Neurological system
systems as primarily involved in the C. Pulmonary system
process of normal gas exchange? E. Cardiovascular system
Select the 3 answer choices that apply
A. Neurological system
B. Endocrine system
C. Pulmonary system
D. Reproductive system
E. Cardiovascular system
F. Hepatic system
The nurse is completing an C. Swelling in one leg.
assessment on a newly admitted
client. What finding would alert the
nurse that the client may be
experiencing a deep venous
thrombosis (DVT)?
A. Shortness of breath after activity.
B. Palpable pedal pulses.
C. Swelling in one leg.
D. No pain.
The nurse is instructing a client on B. Reduce saturated fats in the diet.
lifestyle changes to promote a healthy C. Avoid cigarette smoking.
cardiovascular system. Which of the
following should be included in this
teaching session? Select the 2 answer
choices that apply.
A. Limit exercise to 5 minutes a day
B. Reduce saturated fats in the diet.
C. Avoid cigarette smoking.
D. Wear tight clothing.
E. Limit fluid intake.
,An adult client diagnosed with C. "Hypertension can happen from arterial changes
hypertension asks the nurse how this that block the blood flow in the body."
disease could have happened to
them. What is the nurse's best
response?
A. "Hypertension happens to
everyone sooner or later. Don't be
concerned about it."
B. "Hypertension can only happen
from eating a poor diet, so change
what you are eating."
C. "Hypertension can happen from
arterial changes that block the blood
flow in the body."
D. "Hypertension happens only when
people do not exercise, so you should
walk every day."
An older client is receiving B. Assess postural blood pressures.
medications for hypertension and had
a recent fall at home. Which
intervention should the nurse ensure
to include in this client's plan of care?
A. Monitoring serum sodium levels.
B. Assess postural blood pressures.
C. Draw blood for serum creatinine
levels.
D. Monitor blood pressure every 1/2
hour.
, A nurse is assessing a client who has D. Pallor on elevation of the limbs and rubor (redness
chronic peripheral arterial disease of the skin) when the limbs are dependent
(PAD). Which of the following findings
should the nurse expect?
A. Periorbital edema.
B. Skin ulceration around the left
medial phalange.
C. Scaling eczema of the lower
extremities.
D. Pallor on elevation of the limbs and
rubor (redness of the skin) when the
limbs are dependent
Which risk factor for hypertension is D. Tobacco use
modifiable?
A. Age
B. Ethnicity
C. Family medical history
D. Tobacco use
The nurse is assessing an adult client B. Oxygen saturation level is 98% on room air.
for adequacy of ventilation. What E. Nail beds are pink with good capillary refill (under
assessment findings would indicate 2-3 seconds).
the client has effective ventilation? F. There is presence of clear, effortless breath sounds
(Select the correct 3 answer choices at the lung bases bilaterally upon auscultation.
that apply.)
A. Respiratory rate is 28 breaths/min.
B. Oxygen saturation level is 98% on
room air.
C. The right side of the thorax expands
slightly more than the left.
D. Trachea is to the left of the sternal
notch.
E. Nail beds are pink with good
capillary refill (under 2-3 seconds).
F. There is presence of clear, effortless
breath sounds at the lung bases
bilaterally upon auscultation.
Answers To All Questions
Save
Terms in this set (171)
The nurse is explaining to a student B. "Central perfusion involves the entire body."
nurse about impaired central
perfusion. The charge nurse knows the
student understands the teaching
when the student makes which
statement?
A. "Central perfusion is monitored
only by the physician."
B. "Central perfusion involves the
entire body."
C. "Central perfusion is decreased
with hypertension."
D. "Central perfusion is toxic to the
cardiac system."
Which nursing intervention related to C. Teaching relaxation techniques
perfusion can be performed
independently by a student nurse?
A. Administration of medication
B. Insertion of device to measure
central venous pressure (CVP)
C. Teaching relaxation techniques
D. Thoracentesis
,The nurse would identify which body A. Neurological system
systems as primarily involved in the C. Pulmonary system
process of normal gas exchange? E. Cardiovascular system
Select the 3 answer choices that apply
A. Neurological system
B. Endocrine system
C. Pulmonary system
D. Reproductive system
E. Cardiovascular system
F. Hepatic system
The nurse is completing an C. Swelling in one leg.
assessment on a newly admitted
client. What finding would alert the
nurse that the client may be
experiencing a deep venous
thrombosis (DVT)?
A. Shortness of breath after activity.
B. Palpable pedal pulses.
C. Swelling in one leg.
D. No pain.
The nurse is instructing a client on B. Reduce saturated fats in the diet.
lifestyle changes to promote a healthy C. Avoid cigarette smoking.
cardiovascular system. Which of the
following should be included in this
teaching session? Select the 2 answer
choices that apply.
A. Limit exercise to 5 minutes a day
B. Reduce saturated fats in the diet.
C. Avoid cigarette smoking.
D. Wear tight clothing.
E. Limit fluid intake.
,An adult client diagnosed with C. "Hypertension can happen from arterial changes
hypertension asks the nurse how this that block the blood flow in the body."
disease could have happened to
them. What is the nurse's best
response?
A. "Hypertension happens to
everyone sooner or later. Don't be
concerned about it."
B. "Hypertension can only happen
from eating a poor diet, so change
what you are eating."
C. "Hypertension can happen from
arterial changes that block the blood
flow in the body."
D. "Hypertension happens only when
people do not exercise, so you should
walk every day."
An older client is receiving B. Assess postural blood pressures.
medications for hypertension and had
a recent fall at home. Which
intervention should the nurse ensure
to include in this client's plan of care?
A. Monitoring serum sodium levels.
B. Assess postural blood pressures.
C. Draw blood for serum creatinine
levels.
D. Monitor blood pressure every 1/2
hour.
, A nurse is assessing a client who has D. Pallor on elevation of the limbs and rubor (redness
chronic peripheral arterial disease of the skin) when the limbs are dependent
(PAD). Which of the following findings
should the nurse expect?
A. Periorbital edema.
B. Skin ulceration around the left
medial phalange.
C. Scaling eczema of the lower
extremities.
D. Pallor on elevation of the limbs and
rubor (redness of the skin) when the
limbs are dependent
Which risk factor for hypertension is D. Tobacco use
modifiable?
A. Age
B. Ethnicity
C. Family medical history
D. Tobacco use
The nurse is assessing an adult client B. Oxygen saturation level is 98% on room air.
for adequacy of ventilation. What E. Nail beds are pink with good capillary refill (under
assessment findings would indicate 2-3 seconds).
the client has effective ventilation? F. There is presence of clear, effortless breath sounds
(Select the correct 3 answer choices at the lung bases bilaterally upon auscultation.
that apply.)
A. Respiratory rate is 28 breaths/min.
B. Oxygen saturation level is 98% on
room air.
C. The right side of the thorax expands
slightly more than the left.
D. Trachea is to the left of the sternal
notch.
E. Nail beds are pink with good
capillary refill (under 2-3 seconds).
F. There is presence of clear, effortless
breath sounds at the lung bases
bilaterally upon auscultation.
