NUR 112 quizzes UPDATED ACTUAL Questions
and CORRECT Answers
When evaluating the pts temperature levels, the nurse expects the pt's temperature to be lower:
in the morning.
after exercising.
during periods of stress.
during the postoperative period. - CORRECT ANSWER - in the morning
The pt is a 1-year-old male infant who is admitted with possible sepsis. The pt is irritable and agitates easily. What should
the nurse do to assess the pt's temperature?
Take an oral temperature before doing anything else.
Take an axillary temperature using the upper axilla.
Place the child in the Sims position for a rectal temperature.
Take a rectal temperature as the last vital sign. - CORRECT ANSWER - Take a rectal temperature as the last vital
sign.
The nurse is caring for an infant in the NICU. While taking vital signs, the nurse finds that the baby's heart rate is 195.
The nurse calls the physician, knowing that the normal heart rate should be:
60-100 beats per minute
Less than 160
Less than 100
The heart rate is normal - CORRECT ANSWER - Less than 160
The patient has been in the hospital for several days for urosepsis. He has been responding favorably to treatment, and his
vital signs have been "normal" for 2 days. When the nurse takes his vital signs, however, the patient's apical pulse is 152
and regular. Which of the following would cause the elevated heart rate? Choose all that apply.
The patient is having a reaction to his narcotic medication.
The patient may be suffering from hypothermia.
The patient's fever may have returned.
The patient may be experiencing an cardiac dysrhythmia. - CORRECT ANSWER - The patient's fever may have
returned.
The patient may be experiencing an cardiac dysrhythmia.
The patient is complaining of a severe headache. The nurse takes the patient's blood pressure and finds it to be 240/110.
What is the pulse pressure?
110
240
130
350 - CORRECT ANSWER - 130
The patient is an 86-year-old woman who is being admitted for dehydration and pneumonia. The patient is lying in bed
but tells the nurse that she needs to go to the bathroom. The nurse tells the patient that she will stay with her and will help
her get there. The patient states, "That's OK. I can make it on my own." The nurse should:
help the pt to the washroom and stay with her.
allow the pt to get up on her own and go to the bathroom.
allow the pt to go to the washroom and call for help if needed.
insert a Foley cathete - CORRECT ANSWER - help the pt to the washroom and stay with her.
The nurse is working on the general surgical unit and is caring for a patient who has a right total mastectomy. To take the
patient's vital signs and to accurately assess the patient's blood pressure, it will be necessary to:
place the cuff on the left upper arm.
place the cuff on the right upper arm.
place the cuff on the right lower arm.
use direct (invasive) blood pressure measurement. - CORRECT ANSWER - place the cuff on the left upper arm.
When the benefits of the different types of blood pressure monitoring devices are compared, which of the following
patients would be the best candidate for noninvasive electronic blood pressure measurement?
A 49-year-old post-surgical patient with no history of heart disease on q15min vital signs
A 22-year-old patient undergoing active grand mal seizures
, A 68-year-old patient with diagnosed peripheral vascular disease
A 54-year-old patient with an irregular heart beat. - CORRECT ANSWER - A 49-year-old post-surgical patient
with no history of heart disease on q15min vital signs
The patient is admitted in a near comatose state with a blood glucose level of 750. His respiratory rate is 42 breaths per
minute, and his respiratory pattern is deep and regular. What is this type of breathing known as?
Cheyne-Stokes respiration
Biots Respiration.
Bradypnea
Kussmaul's respirations - CORRECT ANSWER - Kussmaul's respirations
The nurse is taking a rectal temperature on an adult patient. She expects to insert the thermometer __________ inches. -
CORRECT ANSWER - 1.5, 1 1/2, one and a half
Which is the appropriate location to palpate the point of maximal impulse?
Right midclavicular line, 4th intercostal space
Right midclavicular line, 5th intercostal space
left midclavicular line, 3rd intercostal space
Left midclavicular line, 5th intercostal space - CORRECT ANSWER - Left midclavicular line, 5th intercostal
space
Based on Charles' most recent blood pressure (100/60), what is the MAP? Round to the nearest whole number. -
CORRECT ANSWER - 73
Charles is admitted with congestive heart failure and a 10 pound weight gain. How many liters of fluid does this equate
to? Round to the nearest tenth. - CORRECT ANSWER - 4.5
Charles is on 2L per nasal cannula, which of the following correlates to his FiO2?
21%
25%
28%
35% - CORRECT ANSWER - 28%
Based on the patient chart, which of the following lab values aids in diagnosing heart failure?
Creatinine
BNP
Potassium
WBC - CORRECT ANSWER - BNP
Charles has a CXR done, which of the following can be seen on the film?
The bronchioles are constricted
His heart is enlarged
He has asthma
There is air in the pleural space - CORRECT ANSWER - His heart is enlarged
The patient has orders for which of the following diets?
NPO
Cardiac Diet
Low K, Low Phos diet
2 gm Na restricted, low cholesterol diet - CORRECT ANSWER - 2 gm Na restricted, low cholesterol diet
Based on the nurse's note, treatment for Charles condition includes
Increasing exercise
Increasing urine output
Decreasing urine output
Increasing heart rate and blood pressure - CORRECT ANSWER - Increasing urine output
Based on the problem list from Dr. West, which of the following statements is true? Choose all that apply.
The patient has poor perfusion to his lower extremities
The patient's oxygen saturation was low.
and CORRECT Answers
When evaluating the pts temperature levels, the nurse expects the pt's temperature to be lower:
in the morning.
after exercising.
during periods of stress.
during the postoperative period. - CORRECT ANSWER - in the morning
The pt is a 1-year-old male infant who is admitted with possible sepsis. The pt is irritable and agitates easily. What should
the nurse do to assess the pt's temperature?
Take an oral temperature before doing anything else.
Take an axillary temperature using the upper axilla.
Place the child in the Sims position for a rectal temperature.
Take a rectal temperature as the last vital sign. - CORRECT ANSWER - Take a rectal temperature as the last vital
sign.
The nurse is caring for an infant in the NICU. While taking vital signs, the nurse finds that the baby's heart rate is 195.
The nurse calls the physician, knowing that the normal heart rate should be:
60-100 beats per minute
Less than 160
Less than 100
The heart rate is normal - CORRECT ANSWER - Less than 160
The patient has been in the hospital for several days for urosepsis. He has been responding favorably to treatment, and his
vital signs have been "normal" for 2 days. When the nurse takes his vital signs, however, the patient's apical pulse is 152
and regular. Which of the following would cause the elevated heart rate? Choose all that apply.
The patient is having a reaction to his narcotic medication.
The patient may be suffering from hypothermia.
The patient's fever may have returned.
The patient may be experiencing an cardiac dysrhythmia. - CORRECT ANSWER - The patient's fever may have
returned.
The patient may be experiencing an cardiac dysrhythmia.
The patient is complaining of a severe headache. The nurse takes the patient's blood pressure and finds it to be 240/110.
What is the pulse pressure?
110
240
130
350 - CORRECT ANSWER - 130
The patient is an 86-year-old woman who is being admitted for dehydration and pneumonia. The patient is lying in bed
but tells the nurse that she needs to go to the bathroom. The nurse tells the patient that she will stay with her and will help
her get there. The patient states, "That's OK. I can make it on my own." The nurse should:
help the pt to the washroom and stay with her.
allow the pt to get up on her own and go to the bathroom.
allow the pt to go to the washroom and call for help if needed.
insert a Foley cathete - CORRECT ANSWER - help the pt to the washroom and stay with her.
The nurse is working on the general surgical unit and is caring for a patient who has a right total mastectomy. To take the
patient's vital signs and to accurately assess the patient's blood pressure, it will be necessary to:
place the cuff on the left upper arm.
place the cuff on the right upper arm.
place the cuff on the right lower arm.
use direct (invasive) blood pressure measurement. - CORRECT ANSWER - place the cuff on the left upper arm.
When the benefits of the different types of blood pressure monitoring devices are compared, which of the following
patients would be the best candidate for noninvasive electronic blood pressure measurement?
A 49-year-old post-surgical patient with no history of heart disease on q15min vital signs
A 22-year-old patient undergoing active grand mal seizures
, A 68-year-old patient with diagnosed peripheral vascular disease
A 54-year-old patient with an irregular heart beat. - CORRECT ANSWER - A 49-year-old post-surgical patient
with no history of heart disease on q15min vital signs
The patient is admitted in a near comatose state with a blood glucose level of 750. His respiratory rate is 42 breaths per
minute, and his respiratory pattern is deep and regular. What is this type of breathing known as?
Cheyne-Stokes respiration
Biots Respiration.
Bradypnea
Kussmaul's respirations - CORRECT ANSWER - Kussmaul's respirations
The nurse is taking a rectal temperature on an adult patient. She expects to insert the thermometer __________ inches. -
CORRECT ANSWER - 1.5, 1 1/2, one and a half
Which is the appropriate location to palpate the point of maximal impulse?
Right midclavicular line, 4th intercostal space
Right midclavicular line, 5th intercostal space
left midclavicular line, 3rd intercostal space
Left midclavicular line, 5th intercostal space - CORRECT ANSWER - Left midclavicular line, 5th intercostal
space
Based on Charles' most recent blood pressure (100/60), what is the MAP? Round to the nearest whole number. -
CORRECT ANSWER - 73
Charles is admitted with congestive heart failure and a 10 pound weight gain. How many liters of fluid does this equate
to? Round to the nearest tenth. - CORRECT ANSWER - 4.5
Charles is on 2L per nasal cannula, which of the following correlates to his FiO2?
21%
25%
28%
35% - CORRECT ANSWER - 28%
Based on the patient chart, which of the following lab values aids in diagnosing heart failure?
Creatinine
BNP
Potassium
WBC - CORRECT ANSWER - BNP
Charles has a CXR done, which of the following can be seen on the film?
The bronchioles are constricted
His heart is enlarged
He has asthma
There is air in the pleural space - CORRECT ANSWER - His heart is enlarged
The patient has orders for which of the following diets?
NPO
Cardiac Diet
Low K, Low Phos diet
2 gm Na restricted, low cholesterol diet - CORRECT ANSWER - 2 gm Na restricted, low cholesterol diet
Based on the nurse's note, treatment for Charles condition includes
Increasing exercise
Increasing urine output
Decreasing urine output
Increasing heart rate and blood pressure - CORRECT ANSWER - Increasing urine output
Based on the problem list from Dr. West, which of the following statements is true? Choose all that apply.
The patient has poor perfusion to his lower extremities
The patient's oxygen saturation was low.
