FINAL!!!! NUR 2090 EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED
A 75 y/o female is being seen in the clinic for severe exacerbation of her CHF
(Congestive Heart Failure). Which of the following findings is the nurse most
likely to observe in this situation?
a- SOB, audible, wheeze, cyanosis, use of accessory muscles and retractions
b- rasping cough, thick mucoid sputum, wheezing, pallor, complexion, and
elevated temperature
c- dyspnea, orthopnea, crackles upon auscultation, jugular vein distention, and
bilateral pitting ankle edema
d- barrel chest, decreased breath sounds, weight loss, anorexia, and productive
cough
c- dyspnea, orthopnea, crackles upon auscultation, jugular vein distention, and bilateral
pitting ankle edema
The cranial nerve governs the sense of smell and is assessed by asking the
patient to identify a scented item with their eyes closed
a- glossopharyngeal; IX
b- olfactory; I
c- oculomotor; III
,d- trigeminal; V
e- facial; VII
b- olfactory; I
When doing a history on a patient with seizure disorder, you are assessing
whether or not they have an aura. Which of the following would be the best
question to obtain this information?
a- "does your muscle tone seem tense or limp"
b- "do you experience incontinence during the seizures"
c- "after the seizure do you spend a lot of time sleeping"
d- "do you have any warning signs before your seizure starts?"
d- "do you have any warning signs before your seizure starts?"
You're caring for a patient who has been on IV therapy. You assess the site to be
tender and warm with a slow infusion rate. You suspect _____ and the best action
is to_____
a- phlebitis; discontinue the IV
b- a common infusion reaction; continue to monitor
c- infiltration; reposition the patient's arm
d- air embolism; notify the physician
e- thrombus formation; flush the device with saline
a- phlebitis; discontinue the IV
, During the examination of a female patient, you notice her left breast is slightly
larger than her right breast. Which of the following is true?
a- this is not unusual finding, but you should verify that this change is not new
b- this finding is very unusual and means she has an inflammation or growth
c- this is due to breast-feeding and is nothing to worry about
d- breasts should always be symmetric
a- this is not unusual finding, but you should verify that this change is not new
A central line is being inserted into an elderly patient's right external jugular vein
by the medical resident. During the insertion, you assess the patient's sudden
shortness of breath. What does this symptoms most likely indicated?
a- pulmonary embolism
b- thromboembolism
c- cerebrovascular accident
d- myocardial infarction
a- pulmonary embolism
What is the most important information to share with the patient who has an IV
infusing in the right hand?
a- keep the iv fluids 8 inches above the extremity
b- instruct on ambulating with an IV pole
WITH COMPLETE SOLUTIONS VERIFIED
A 75 y/o female is being seen in the clinic for severe exacerbation of her CHF
(Congestive Heart Failure). Which of the following findings is the nurse most
likely to observe in this situation?
a- SOB, audible, wheeze, cyanosis, use of accessory muscles and retractions
b- rasping cough, thick mucoid sputum, wheezing, pallor, complexion, and
elevated temperature
c- dyspnea, orthopnea, crackles upon auscultation, jugular vein distention, and
bilateral pitting ankle edema
d- barrel chest, decreased breath sounds, weight loss, anorexia, and productive
cough
c- dyspnea, orthopnea, crackles upon auscultation, jugular vein distention, and bilateral
pitting ankle edema
The cranial nerve governs the sense of smell and is assessed by asking the
patient to identify a scented item with their eyes closed
a- glossopharyngeal; IX
b- olfactory; I
c- oculomotor; III
,d- trigeminal; V
e- facial; VII
b- olfactory; I
When doing a history on a patient with seizure disorder, you are assessing
whether or not they have an aura. Which of the following would be the best
question to obtain this information?
a- "does your muscle tone seem tense or limp"
b- "do you experience incontinence during the seizures"
c- "after the seizure do you spend a lot of time sleeping"
d- "do you have any warning signs before your seizure starts?"
d- "do you have any warning signs before your seizure starts?"
You're caring for a patient who has been on IV therapy. You assess the site to be
tender and warm with a slow infusion rate. You suspect _____ and the best action
is to_____
a- phlebitis; discontinue the IV
b- a common infusion reaction; continue to monitor
c- infiltration; reposition the patient's arm
d- air embolism; notify the physician
e- thrombus formation; flush the device with saline
a- phlebitis; discontinue the IV
, During the examination of a female patient, you notice her left breast is slightly
larger than her right breast. Which of the following is true?
a- this is not unusual finding, but you should verify that this change is not new
b- this finding is very unusual and means she has an inflammation or growth
c- this is due to breast-feeding and is nothing to worry about
d- breasts should always be symmetric
a- this is not unusual finding, but you should verify that this change is not new
A central line is being inserted into an elderly patient's right external jugular vein
by the medical resident. During the insertion, you assess the patient's sudden
shortness of breath. What does this symptoms most likely indicated?
a- pulmonary embolism
b- thromboembolism
c- cerebrovascular accident
d- myocardial infarction
a- pulmonary embolism
What is the most important information to share with the patient who has an IV
infusing in the right hand?
a- keep the iv fluids 8 inches above the extremity
b- instruct on ambulating with an IV pole
