NUR 235 Final Exam - Questions With Complete
Solutions (100% Accurate)
What is included in CBC labs (include normal findings)? Right Ans - Reb
Blood Cell count (RBC): 4.2-5.8
Hemoglobin (Hgb): 14-17
Hematocrit (Hct): 42-52%
White Blood Cell count (WBC): 4.5-11.1
Platelet count: 140-400
A patient's BUN is 60 mg/dL and serum creatinine is 3.0 mg/dL. these results
suggest what? Right Ans - Abnormal; high findings
Describe COLD SPA. What is it used for? Right Ans - C - Character (Describe
the sign or symptom: Is it sharp, burning, itchy? Etc)
O - Onset (When did it begin?)
L - Location (Where is it? Does it radiate?) (Point with one finger)
D - Duration (How long does it last/Does it recur?)
S - Severity (How bad is it? How much does it bother you?) [Use paint scale]
P - Pattern (What makes it better or worse?)
A - Associated factors (What other symptoms occur with it, and how does it
affect you?)
To further explore any further symptoms.
What is the working phase of an interview? Right Ans - Facilitate a client's
comments about their major biological data, the reasons or care, their history
(including past and family), their lifestyle of health practices, developmental
, level of functional health pattern responses. Use critical thinking skills to
listen for and observe cues, and to interpret and validate those data.
Describe SBAR. Right Ans - S: Situation - State only what you have to
communicate
B: Background - Events that lead to the situation
A: Assessment - State objective and subjective data that has to do with the
situation
R: Recommendation - What you believe needs to be done for the client
Clinically, which is worse: Stupor or Obtunded? Right Ans - Stupor
A 34 year old male's BP reads 140/90, what does this indicate? Right Ans -
Stage I Hypertension
During assessment of healthy adult, where would the nurse palpate the apical
pulse? Right Ans - Fifth left intercostal space - mid clavicular line
When should a nurse validate information? Right Ans - If there are any
discrepancies between subjective and objective data
How would a nurse validate information? Right Ans - Repeating
assessment
Clarify with additional questions
Verify with another HCP
How should a nurse document data? Right Ans - Clear, concise manner
using appropriate terminology.
Include subjective and objective data.
Report only data and be as descriptive as possible.
DO NOT write your interpretation of what the data means
A nurse is reading the report from the night shift nurse and notices in room
21B that the patient is stupor. Upon entering the patients room, the nurse
Solutions (100% Accurate)
What is included in CBC labs (include normal findings)? Right Ans - Reb
Blood Cell count (RBC): 4.2-5.8
Hemoglobin (Hgb): 14-17
Hematocrit (Hct): 42-52%
White Blood Cell count (WBC): 4.5-11.1
Platelet count: 140-400
A patient's BUN is 60 mg/dL and serum creatinine is 3.0 mg/dL. these results
suggest what? Right Ans - Abnormal; high findings
Describe COLD SPA. What is it used for? Right Ans - C - Character (Describe
the sign or symptom: Is it sharp, burning, itchy? Etc)
O - Onset (When did it begin?)
L - Location (Where is it? Does it radiate?) (Point with one finger)
D - Duration (How long does it last/Does it recur?)
S - Severity (How bad is it? How much does it bother you?) [Use paint scale]
P - Pattern (What makes it better or worse?)
A - Associated factors (What other symptoms occur with it, and how does it
affect you?)
To further explore any further symptoms.
What is the working phase of an interview? Right Ans - Facilitate a client's
comments about their major biological data, the reasons or care, their history
(including past and family), their lifestyle of health practices, developmental
, level of functional health pattern responses. Use critical thinking skills to
listen for and observe cues, and to interpret and validate those data.
Describe SBAR. Right Ans - S: Situation - State only what you have to
communicate
B: Background - Events that lead to the situation
A: Assessment - State objective and subjective data that has to do with the
situation
R: Recommendation - What you believe needs to be done for the client
Clinically, which is worse: Stupor or Obtunded? Right Ans - Stupor
A 34 year old male's BP reads 140/90, what does this indicate? Right Ans -
Stage I Hypertension
During assessment of healthy adult, where would the nurse palpate the apical
pulse? Right Ans - Fifth left intercostal space - mid clavicular line
When should a nurse validate information? Right Ans - If there are any
discrepancies between subjective and objective data
How would a nurse validate information? Right Ans - Repeating
assessment
Clarify with additional questions
Verify with another HCP
How should a nurse document data? Right Ans - Clear, concise manner
using appropriate terminology.
Include subjective and objective data.
Report only data and be as descriptive as possible.
DO NOT write your interpretation of what the data means
A nurse is reading the report from the night shift nurse and notices in room
21B that the patient is stupor. Upon entering the patients room, the nurse
