NUR 2459 NUR2459 Exam 2(Latest ) Mental And Behavioral Health Nursing - Rasmussen.pdf

NUR2459 / NUR 2459 Final Exam 2 LATEST n n n n n n n



VERSIONS (Latest 2023) Mental & Behavioral He n n n n n n



alth Nursing - Rasmussen n n n




1. Thennursenisnperformingnangeneralnsurvey. nWhichnactionnisnancomponentnofntheng
eneral survey? n




Observing the patient’s body stature and nutritional status
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2. Whennmeasuringnanpatient’snweight, nthennursenisnawarenofnwhichnofntheseng
uidelines?

Attempts should be made to weigh the patient at approximately the same time of day,
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if a sequence of weights is necessary.
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3. Anpatient’snweeklynbloodnpressurenreadingsnforn2nmonthsnhavenrangednbetweenn
124/84 mm Hg and 136/88 mm Hg, with an average reading of 126/86 mm Hg.
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The nurse knows that this blood pressure falls within which blood pressure cat
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egory? Prehypertension n




4. Duringnannexaminationnofnanchild, nthennursenconsidersnthatnphysicalngrowthnisnt
he best index of a child’s: General health.
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5. An1-month-
old infant has a head measurement of 34 cm and has a chest circumferenc
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e of 32 cm. Based on the interpretation of these findings, the nurse would:
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Consider these findings normal for a 1-month-old infant.
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6. Thennursenisnassessingnann80-year-
old male patient. Which assessment findings would be considered normal?
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Presence of kyphosis and flexion in the knees and hips
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7. Thennursenshouldnmeasurenrectalntemperaturesninnwhichnofnthesenpatients?

Comatose adult n




8. Thennursenisnpreparingntonmeasurenthenlength, nweight, nchest,nandnheadncirc
umference of a 6-month-old infant. Which measurement technique is
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correct?

Measuring the chest circumference at the nipple line with a tape measure
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Mental & Behavioral Health Nursing - Rasmussen
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9. Thennursenknowsnthatnonenadvantagenofnthentympanicnmembranenthermometern(
TMT) is that: Rapid measurement is useful for uncooperative younger children.
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10. When assessing an older adult, which vital sign changes occur with aging?
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Widened pulse pressure n n




11. Thennursenisnexaminingnanpatientnwhonisncomplainingnofnfeelingncold.nWhichnisna
n mechanism of heat loss in the body? Radiation n n n n n n n




12. Whennmeasuringnanpatientsnbodyntemperature, nthennursenkeepsninnmindnthatn
body temperature is influenced by:
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Diurnal cycle. n




13. Whennevaluatingnthentemperaturenofnoldernadults, nthennursenshouldnremembern
which aspect about an older adult’s body temperature
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The body temperature of the older adult is lower than that of a younger adult.
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14. An60-year-
old male patient has been treated for pneumonia for the past 6 weeks. He i
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s seen today in the clinic for an unexplained weight loss of 10 pounds over
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the last 6 weeks. The nurse knows that:
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Unexplained weight loss often accompanies short-term illnesses.
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15. Whennassessingnan75-year-
old patient who has asthma, the nurse notes that he assumes a tripod position, l
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eaning forward with arms braced on the chair. On the basis of this observation
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, the nurse should:
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d. Recognizenthatnantripodnpositionn isn often n usedn when n an patient n isn having
respiratory difficulties. n




16. Whichnofnthesenactionsnillustratesnthencorrectntechniquenthennursenshouldnusen
when assessing oral temperature with a mercury thermometer?
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b.n Leaven then thermometern in n placen 3n ton 4n minutesn ifn then patient n isn afebrile.

17. ThennursenisntakingntemperaturesninnanclinicnwithnanTMT. nWhichnstatementnis
true regarding use of the TMT?
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Mental & Behavioral Health Nursing - Rasmussen
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c. The risk of cross-contamination is reduced, compared with the rectal
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route. 18. To
assess a n


rectal temperature accurately in an adult, the nurse would:
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a. Usen an lubricatedn blunt n tipn thermometer.


19. Whichntechniquenisncorrectnwhennthennursenisnassessingnthenradialnpulsenofnan
patient? The pulse is counted for:
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a. 1n minute, n ifn then rhythm n isn irregular.
20. Whennassessingnanpatient’snpulse,nthennursenshouldnalsonnoticenwhichnofn
these characteristics?
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Force

21. When assessing the pulse of a 6-year- n n n n n n

old boy, the nurse notices that his heart rate varies with his respiratory cycle, spee
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ding up at the peak of inspiration and slowing to normal with expiration. The nurs
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es next action would be to:
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b. Considernthisn findingn normalnin n children n andnyoungn adults.


22. Whennassessingnthenforce, nornstrength, nofnanpulse, nthennursenrecallsnthatnthen
pulse:

c. Isn an reflection n ofn then heartsn stroken volume.

23. Thennursenisnassessingnthenvitalnsignsnofnan20-year-
old male marathon runner and documents the following vital signs: temperature3
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6 C; pulse48 beats per minute; respirations14 breaths per minute; blood pressure
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104/68 mm Hg. Which statement is true concerning these results?
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b.n Thesen aren normaln vitaln signsn forn an healthy, n athleticn adult.


24. The nurse is assessing the vital signs of a 3-year-
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old patient who appears to have an irregular respiratory pattern. How should the
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nurse assess this child’s respirations?
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a. Respirations should be counted for 1 full minute, noticing rate and
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rhythm. 25. A patient’s n

blood pressur n n

e
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Mental & Behavioral Health Nursing - Rasmussen
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is 118/82 mm Hg. He asks the nurse, what do the numbers mean? The nurses best r
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eply is: n




c. The top number is the systolic blood pressure and reflects the pressure
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of the blood against the arteries when the heart contracts.
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26. While measuring a patient’s blood pressure, the nurse recalls that certain
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factors, such as , help determine blood pressure.
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d. Peripheralnvascularnresistance
27. Annursenisnhelpingnatnanhealthnfairnatnanlocalnmall.nWhenntakingnbloodn
pressures on a variety of people, the nurse keeps in mind that:
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b. The blood pressure of a Black adult is usually higher than that of a
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White adult of the same age. n n n n n




28. Thennursennoticesnancolleaguenisnpreparingntonchecknthenbloodnpressurenofnan
patient who is obese by using a standard-
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sized blood pressure cuff. The nurse should expect the reading to:
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b.n Yieldn an falselyn high n bloodn pressure.

29. A student is late for his appointment and has rushed across campus to the
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health clinic. The nurse should:
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a. Allow 5 minutes for him to relax and rest before checking his vital
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signs.

30. The nurse will perform a palpated pressure before auscultating blood
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pressure. The reason for this is to: n n n n n n




b.n Detect n then presencen ofn an n auscultatoryn gap.

31. Thennursenisntakingnanninitialnbloodnpressurenreadingnonnan72-year-
old patient with documented hypertension. How should the nurse proceed?
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c. Cuff should be inflated 30 mm Hg above the point at which the
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palpated pulse disappears. n n




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