NR302 FINAL COMPREHENSIVE EXAM
ACTUAL TEST QUESTIONS AND
ANSWERS VERIFIED 100% CORRECT Q &
A
1. While making rounds, the nurse finds a patient on the floor in the hall. Which should
be the nurse's initial response? a. Inspect the patient for injury
b. Transfer the patient back to bed
c. Move the patient to the closest chair
d. Report the patient's condition to the nurse manager - ANSWER>>a
2. Which should the nurse do to avoid patient accidents?
a. Provide a cane for walking if the patient is weak
b. Determine the strength of a patient before walking
,c. Apply a vest restraint when a patient is using the wheelchair
d. Keep the overbed table in front of a patient sitting in a chair - ANSWER>>b
3. Which assessment by the nurse most likely indicates that a patient is having difficulty
breathing?
a. 18 breaths per minute and inhaled through the mouth
b. 20 breaths per minute and shallow in character
c. 16 breaths per minute and deep in character
d. 28 breaths per minute and noisy - ANSWER>>d
4. Which should a nurse always do when taking a rectal temperature?
a. Allow self-insertion of the thermometer
b. Position the patient on the left side
c. Use an electronic thermometer
d. Lubricate the thermometer - ANSWER>>d
5. A nurse is assessing a patient's ideal body weight. Which significant factor should be
taken into consideration when performing this assessment? a. Daily intake
b. Body height
c. Clothing size
d. Food preference - ANSWER>>b
6. A nurse asks a patient's wife specific questions about the patient's health status
before admission. When collecting this information, the nurse is seeking information for
a:
a. Primary source
b. Tertiary source
c. Subjective source
d. Secondary source - ANSWER>>d
,7. A nurse is performing a physical assessment of a newly admitted patient. Which
patient statement communicates subjective data? a. "I have sores between my
toes"
b. "I dye my hair but it is really gray"
c. "My joints hurt when I get up in the morning"
d. "My left leg drags the floor when I am walking" - ANSWER>>c
8. Which is an example of nonverbal communications?
a. Letter
b. Holding hands
c. Noise in the room
d. Telephone message - ANSWER>>b
9. A nurse takes a patient's blood pressure and records a diastolic pressure of 120 mm
Hg. Which should the nurse do first?
a. Notify the primary health-care provider
b. Retake the blood pressure
c. Notify the nurse in charge
d. Take the other vital signs - ANSWER>>b
10. A patient returns to the surgical unit from the post anesthesia care unit after
abdominal surgery. The primary health-care provider orders intravenous fluids, oxygen
via nasal cannula at 2 L/min, I&O, and vital signs every 2 hours. Two hours after
surgery the patient voids 400 mL of amber urine. What should the nurse do with this
information?
a. Report this information to the primary health-care provider.
b. Record this amount on the patient's intake and output flow sheet
c. Document this information on the patient's vital signs flow sheet
d. Communicate this event verbally to the other members of the health-care team. -
ANSWER>>b
, 11. A patient had a brain attack (i.e., stroke, cerebrovascular accident) that resulted in
paralysis of the right side. When clustering data, the nurse grouped the following data
together: drooling of saliva and slurred speech. Which information is most significant to
include with this clustered data. a. Receptive aphasia
b. Inability to ambulate
c. Difficulty swallowing
d. Incontinence of bowel movements - ANSWER>>c
12. A nurse understands that pressure ulcers are most often associated with patients
who:
a. Are immobilized
b. Have psychiatric diagnoses
c. Experience respiratory distress
d. Need close supervision for safety - ANSWER>>a
13. A nurse is caring for a dying patient who has a loss of appetite (anorexia), difficulty
falling asleep (insomnia), and decreased interest in activities of daily living. Which
feeling reflects these clinical findings? a. Anger
b. Denial
c. Depression
d. Acceptance - ANSWER>>c
14. A patient who is debilitated and unsteady when standing insists on walking to the
bathroom without calling for assistance. This behavior best reflects a need to be: a.
Alone
b. Accepted
c. Independent
d. Manipulative - ANSWER>>c
ACTUAL TEST QUESTIONS AND
ANSWERS VERIFIED 100% CORRECT Q &
A
1. While making rounds, the nurse finds a patient on the floor in the hall. Which should
be the nurse's initial response? a. Inspect the patient for injury
b. Transfer the patient back to bed
c. Move the patient to the closest chair
d. Report the patient's condition to the nurse manager - ANSWER>>a
2. Which should the nurse do to avoid patient accidents?
a. Provide a cane for walking if the patient is weak
b. Determine the strength of a patient before walking
,c. Apply a vest restraint when a patient is using the wheelchair
d. Keep the overbed table in front of a patient sitting in a chair - ANSWER>>b
3. Which assessment by the nurse most likely indicates that a patient is having difficulty
breathing?
a. 18 breaths per minute and inhaled through the mouth
b. 20 breaths per minute and shallow in character
c. 16 breaths per minute and deep in character
d. 28 breaths per minute and noisy - ANSWER>>d
4. Which should a nurse always do when taking a rectal temperature?
a. Allow self-insertion of the thermometer
b. Position the patient on the left side
c. Use an electronic thermometer
d. Lubricate the thermometer - ANSWER>>d
5. A nurse is assessing a patient's ideal body weight. Which significant factor should be
taken into consideration when performing this assessment? a. Daily intake
b. Body height
c. Clothing size
d. Food preference - ANSWER>>b
6. A nurse asks a patient's wife specific questions about the patient's health status
before admission. When collecting this information, the nurse is seeking information for
a:
a. Primary source
b. Tertiary source
c. Subjective source
d. Secondary source - ANSWER>>d
,7. A nurse is performing a physical assessment of a newly admitted patient. Which
patient statement communicates subjective data? a. "I have sores between my
toes"
b. "I dye my hair but it is really gray"
c. "My joints hurt when I get up in the morning"
d. "My left leg drags the floor when I am walking" - ANSWER>>c
8. Which is an example of nonverbal communications?
a. Letter
b. Holding hands
c. Noise in the room
d. Telephone message - ANSWER>>b
9. A nurse takes a patient's blood pressure and records a diastolic pressure of 120 mm
Hg. Which should the nurse do first?
a. Notify the primary health-care provider
b. Retake the blood pressure
c. Notify the nurse in charge
d. Take the other vital signs - ANSWER>>b
10. A patient returns to the surgical unit from the post anesthesia care unit after
abdominal surgery. The primary health-care provider orders intravenous fluids, oxygen
via nasal cannula at 2 L/min, I&O, and vital signs every 2 hours. Two hours after
surgery the patient voids 400 mL of amber urine. What should the nurse do with this
information?
a. Report this information to the primary health-care provider.
b. Record this amount on the patient's intake and output flow sheet
c. Document this information on the patient's vital signs flow sheet
d. Communicate this event verbally to the other members of the health-care team. -
ANSWER>>b
, 11. A patient had a brain attack (i.e., stroke, cerebrovascular accident) that resulted in
paralysis of the right side. When clustering data, the nurse grouped the following data
together: drooling of saliva and slurred speech. Which information is most significant to
include with this clustered data. a. Receptive aphasia
b. Inability to ambulate
c. Difficulty swallowing
d. Incontinence of bowel movements - ANSWER>>c
12. A nurse understands that pressure ulcers are most often associated with patients
who:
a. Are immobilized
b. Have psychiatric diagnoses
c. Experience respiratory distress
d. Need close supervision for safety - ANSWER>>a
13. A nurse is caring for a dying patient who has a loss of appetite (anorexia), difficulty
falling asleep (insomnia), and decreased interest in activities of daily living. Which
feeling reflects these clinical findings? a. Anger
b. Denial
c. Depression
d. Acceptance - ANSWER>>c
14. A patient who is debilitated and unsteady when standing insists on walking to the
bathroom without calling for assistance. This behavior best reflects a need to be: a.
Alone
b. Accepted
c. Independent
d. Manipulative - ANSWER>>c
