Complete Questions and 100% Correct
Answers (Verified Pass)
• The nurse is preparing to auscultate the pulmonic area at which site should the
nurse place the stethoscope? -✓✓Left 2nd intercostal space
• Male Patient with back pain asks why the nurse needs so many details about his
hx what the most effective response by the nurse is -✓✓we need complete data for
nursing care
• The nurse is performing a neurological assessment in which patient behavior
demonstrates a level of consciousness within normal limits -✓✓responds to
questions spontaneously is alert and oriented
• hand washing technique of the NAP which behavior by the NAP requires
additional training by the nurse -✓✓rubs sudsy hands for 5-10 seconds
• The nurse assesses peripheral perfusion which does the nurse finds in a patient
with arterial insufficiency -✓✓pain upon exercise (vein is blocked in legs)
• The nurse is listening to the patients' lungs which information the nurse should
use to document normal patient lung sounds -✓✓no adventitious sounds
• The nurse documents the patients swollen lower extremities and measures the
depth of a four-millimeter indentation made one minute ago which is the best
description for the nurse to use to describe patients' lower extremities -✓✓2+
pitting eddema
• The nurse assesses the patient's lungs to find high pitched musical sounds on
inspiration and expiration which description does the nurse used to document this
the findings- -✓✓wheezing
• the nurse observes but the patients' eyes are yellow -✓✓jaundice
, • Patient with light skin and observed normally shaped nailbeds exhibiting pallor
and a slight blueish color which should the nurse implement -✓✓assess pt. O2 stats
• pt. s having decreased oxygenation what's the first or one of the first abnormal
assessments we find- -✓✓central cynaosis
• nurse knocks her sterile package onto the floor what she going to do- -✓✓replace
it
• For contact precautions what's the correct order for PPE -✓✓gown, cap, eyewear,
gloves
• nurse is having difficulty reading a med order what you going to do- -✓✓clarify
order with doctor
• The nurse is reviewing concepts of safe med prep and admin with a group of
nursing students which statement should the nurse include during review- -
✓✓verify dose is in a safe range
• The nurse is preparing a liquid medication which technique should the nurse use-
-✓✓Pour the dose will the scale is even with the fluid level at the base of the
meniscus
• what of the following medications can be crushed- -✓✓scored tablet
• The nurse teaches the patient how to administer eye ointment instruction by the
nurse has been correct if the patient demonstrates which technique- -✓✓thin line
on conjunctiva
• patient with major chest injury was originally alert and oriented after recovering
from surgery but is now becoming apprehensive and dizzy which assessment are
we going to do -✓✓Preform cardiopulmonary ax
• The nurse teaches patient-controlled coughing which should the nurse include in
patient teaching -✓✓inhale deeply with mouth open
• For oxygen therapy what goal is going to be set as a positive patient outcome of
airway maintenance what percentage to be wanted at minimum- -✓✓o2 at 95%