NUR2459 / NUR 2459 Final Exam 2 LATEST j j j j j j j
VERSIONS (Latest 2023) Mental & Behavioral Hea j j j j j j
lth Nursing - Rasmussen j j j
1. Thejnursejisjperformingjajgeneraljsurvey.jWhichjactionjisjajcomponentjofjthejgen
eral survey? j
Observing the patient’s body stature and nutritional status
j j j j j j j
2. Whenjmeasuringjajpatient’sjweight,jthejnursejisjawarejofjwhichjofjthesejgui
delines?
Attempts should be made to weigh the patient at approximately the same time of day,
j j j j j j j j j j j j j j
if a sequence of weights is necessary.
j j j j j j
3. Ajpatient’sjweeklyjbloodjpressurejreadingsjforj2jmonthsjhavejrangedjbetweenj12
4/84 mm Hg and 136/88 mm Hg, with an average reading of 126/86 mm Hg. The n
j j j j j j j j j j j j j j j j
urse knows that this blood pressure falls within which blood pressure category? P
j j j j j j j j j j j j
rehypertension
4. Duringjanjexaminationjofjajchild,jthejnursejconsidersjthatjphysicaljgrowthjisjthej
best index of a child’s: General health.
j j j j j j
5. Aj1-month-
old infant has a head measurement of 34 cm and has a chest circumference of
j j j j j j j j j j j j j j
32 cm. Based on the interpretation of these findings, the nurse would: Consid
j j j j j j j j j j j j j
er these findings normal for a 1-month-old infant.
j j j j j j j
6. Thejnursejisjassessingjanj80-year-
old male patient. Which assessment findings would be considered normal?
j j j j j j j j j
Presence of kyphosis and flexion in the knees and hips
j j j j j j j j j
7. Thejnursejshouldjmeasurejrectaljtemperaturesjinjwhichjofjthesejpatients?
Comatose adult j
8. Thejnursejisjpreparingjtojmeasurejthejlength,jweight,jchest,jandjheadjcircu
mference of a 6-month-old infant. Which measurement technique is
j j j j j j j j
correct?
Measuring the chest circumference at the nipple line with a tape measure
j j j j j j j j j j j
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,NUR2459 / NUR 2459: Final Exam (Latest ) Me j j j j j j j j j j
ntal & Behavioral Health Nursing - Rasmussen
j j j j j j
9. Thejnursejknowsjthatjonejadvantagejofjthejtympanicjmembranejthermometerj(T
MT) is that: Rapid measurement is useful for uncooperative younger children.
j j j j j j j j j j
10. When assessing an older adult, which vital sign changes occur with aging?
j j j j j j j j j j j
Widened pulse pressure j j
11. Thejnursejisjexaminingjajpatientjwhojisjcomplainingjofjfeelingjcold.jWhichjisjajm
echanism of heat loss in the body? Radiation j j j j j j j
12. Whenjmeasuringjajpatientsjbodyjtemperature,jthejnursejkeepsjinjmindjthatjbo
dy temperature is influenced by:
j j j j
Diurnal cycle. j
13. Whenjevaluatingjthejtemperaturejofjolderjadults,jthejnursejshouldjrememberjwh
ich aspect about an older adult’s body temperature
j j j j j j j
The body temperature of the older adult is lower than that of a younger adult.
j j j j j j j j j j j j j j
14. Aj60-year-
old male patient has been treated for pneumonia for the past 6 weeks. He is se
j j j j j j j j j j j j j j j
en today in the clinic for an unexplained weight loss of 10 pounds over the las
j j j j j j j j j j j j j j j
t 6 weeks. The nurse knows that:
j j j j j j
Unexplained weight loss often accompanies short-term illnesses.
j j j j j j
15. Whenjassessingjaj75-year-
old patient who has asthma, the nurse notes that he assumes a tripod position, lea
j j j j j j j j j j j j j j
ning forward with arms braced on the chair. On the basis of this observation, the
j j j j j j j j j j j j j j j
nurse should: j
d. Recognize that a tripod position is often used when a patient is having
j j j j j j j j j j j j
respiratory difficulties. j
16. Whichjofjthesejactionsjillustratesjthejcorrectjtechniquejthejnursejshouldjusejwh
en assessing oral temperature with a mercury thermometer?
j j j j j j j
b.jLeavejthejthermometerjinjplacej3jtoj4jminutesjifjthejpatientjisjafebrile.
17. ThejnursejisjtakingjtemperaturesjinjajclinicjwithjajTMT.jWhichjstatementjis
true regarding use of the TMT?
j j j j j
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,NUR2459 / NUR 2459: Final Exam (Latest ) Me j j j j j j j j j j
ntal & Behavioral Health Nursing - Rasmussen
j j j j j j
c. The risk of cross-contamination is reduced, compared with the rectal
j j j j j j j j j
route. 18. To
assess a j
rectal temperature accurately in an adult, the nurse would:
j j j j j j j j
a. Usejajlubricatedjbluntjtipjthermometer.
19. Whichjtechniquejisjcorrectjwhenjthejnursejisjassessingjthejradialjpulsejofjajpat
ient? The pulse is counted for:
j j j j j
a. 1jminute,jifjthejrhythmjisjirregular.
20. Whenjassessingjajpatient’sjpulse,jthejnursejshouldjalsojnoticejwhichjofjth
ese characteristics?
j
Force
21. When assessing the pulse of a 6-year- j j j j j j
old boy, the nurse notices that his heart rate varies with his respiratory cycle, speedin
j j j j j j j j j j j j j j
g up at the peak of inspiration and slowing to normal with expiration. The nurses nex
j j j j j j j j j j j j j j j
t action would be to:
j j j j
b. Considerjthisjfindingjnormaljinjchildrenjandjyoungjadults.
22. Whenjassessingjthejforce,jorjstrength,jofjajpulse,jthejnursejrecallsjthatjthejpul
se:
c. Isjajreflectionjofjthejheartsjstrokejvolume.
23. Thejnursejisjassessingjthejvitaljsignsjofjaj20-year-
old male marathon runner and documents the following vital signs: temperature36
j j j j j j j j j j j
C; pulse48 beats per minute; respirations14 breaths per minute; blood pressure104/
j j j j j j j j j j
68 mm Hg. Which statement is true concerning these results?
j j j j j j j j j
b.jThesejarejnormaljvitaljsignsjforjajhealthy,jathleticjadult.
24. The nurse is assessing the vital signs of a 3-year- j j j j j j j j j
old patient who appears to have an irregular respiratory pattern. How should the nu
j j j j j j j j j j j j j
rse assess this child’s respirations?
j j j j
a. Respirations should be counted for 1 full minute, noticing rate and
j j j j j j j j j j
rhythm. 25. Ajpatient’sj
blood pressure j
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, NUR2459 / NUR 2459: Final Exam (Latest ) Me j j j j j j j j j j
ntal & Behavioral Health Nursing - Rasmussen
j j j j j j
is 118/82 mm Hg. He asks the nurse, what do the numbers mean? The nurses best repl
j j j j j j j j j j j j j j j j
y is:
j
c. The top number is the systolic blood pressure and reflects the pressure
j j j j j j j j j j j
of the blood against the arteries when the heart contracts
j j . j j j j j j j
26. While measuring a patient’s blood pressure, the nurse recalls that certain faj j j j j j j j j j j
ctors, such as j , help determine blood pressure. j j j j j j
d. Peripheraljvascularjresistance
27. Ajnursejisjhelpingjatjajhealthjfairjatjajlocaljmall.jWhenjtakingjbloodjpre
ssures on a variety of people, the nurse keeps in mind that:
j j j j j j j j j j j
b. The blood pressure of a Black adult is usually higher than that of a
j j j j j j j j j j j j j
White adult of the same age. j j j j j
28. Thejnursejnoticesjajcolleaguejisjpreparingjtojcheckjthejbloodjpressurejofjajpat
ient who is obese by using a standard-
j j j j j j j
sized blood pressure cuff. The nurse should expect the reading to:
j j j j j j j j j j
b.jYieldjajfalselyjhighjbloodjpressure.
29. A student is late for his appointment and has rushed across campus to the hea
j j j j j j j j j j j j j j
lth clinic. The nurse should:
j j j j
a. Allow 5 minutes for him to relax and rest before checking his vital
j j j j j j j j j j j j
signs.
30. The nurse will perform a palpated pressure before auscultating blood pr
j j j j j j j j j j
essure. The reason for this is to:
j j j j j j
b.jDetectjthejpresencejofjanjauscultatoryjgap.
31. Thejnursejisjtakingjanjinitialjbloodjpressurejreadingjonjaj72-year-
old patient with documented hypertension. How should the nurse proceed?
j j j j j j j j j
c. Cuff should be inflated 30 mm Hg above the point at which the
j j j j j j j j j j j j
palpated pulse disappears. j j
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Distributionjofjthisjdocumentjisjillegal
VERSIONS (Latest 2023) Mental & Behavioral Hea j j j j j j
lth Nursing - Rasmussen j j j
1. Thejnursejisjperformingjajgeneraljsurvey.jWhichjactionjisjajcomponentjofjthejgen
eral survey? j
Observing the patient’s body stature and nutritional status
j j j j j j j
2. Whenjmeasuringjajpatient’sjweight,jthejnursejisjawarejofjwhichjofjthesejgui
delines?
Attempts should be made to weigh the patient at approximately the same time of day,
j j j j j j j j j j j j j j
if a sequence of weights is necessary.
j j j j j j
3. Ajpatient’sjweeklyjbloodjpressurejreadingsjforj2jmonthsjhavejrangedjbetweenj12
4/84 mm Hg and 136/88 mm Hg, with an average reading of 126/86 mm Hg. The n
j j j j j j j j j j j j j j j j
urse knows that this blood pressure falls within which blood pressure category? P
j j j j j j j j j j j j
rehypertension
4. Duringjanjexaminationjofjajchild,jthejnursejconsidersjthatjphysicaljgrowthjisjthej
best index of a child’s: General health.
j j j j j j
5. Aj1-month-
old infant has a head measurement of 34 cm and has a chest circumference of
j j j j j j j j j j j j j j
32 cm. Based on the interpretation of these findings, the nurse would: Consid
j j j j j j j j j j j j j
er these findings normal for a 1-month-old infant.
j j j j j j j
6. Thejnursejisjassessingjanj80-year-
old male patient. Which assessment findings would be considered normal?
j j j j j j j j j
Presence of kyphosis and flexion in the knees and hips
j j j j j j j j j
7. Thejnursejshouldjmeasurejrectaljtemperaturesjinjwhichjofjthesejpatients?
Comatose adult j
8. Thejnursejisjpreparingjtojmeasurejthejlength,jweight,jchest,jandjheadjcircu
mference of a 6-month-old infant. Which measurement technique is
j j j j j j j j
correct?
Measuring the chest circumference at the nipple line with a tape measure
j j j j j j j j j j j
Downloadedjby:jtiphanie_swanj|
Distributionjofjthisjdocumentjisjillegal
,NUR2459 / NUR 2459: Final Exam (Latest ) Me j j j j j j j j j j
ntal & Behavioral Health Nursing - Rasmussen
j j j j j j
9. Thejnursejknowsjthatjonejadvantagejofjthejtympanicjmembranejthermometerj(T
MT) is that: Rapid measurement is useful for uncooperative younger children.
j j j j j j j j j j
10. When assessing an older adult, which vital sign changes occur with aging?
j j j j j j j j j j j
Widened pulse pressure j j
11. Thejnursejisjexaminingjajpatientjwhojisjcomplainingjofjfeelingjcold.jWhichjisjajm
echanism of heat loss in the body? Radiation j j j j j j j
12. Whenjmeasuringjajpatientsjbodyjtemperature,jthejnursejkeepsjinjmindjthatjbo
dy temperature is influenced by:
j j j j
Diurnal cycle. j
13. Whenjevaluatingjthejtemperaturejofjolderjadults,jthejnursejshouldjrememberjwh
ich aspect about an older adult’s body temperature
j j j j j j j
The body temperature of the older adult is lower than that of a younger adult.
j j j j j j j j j j j j j j
14. Aj60-year-
old male patient has been treated for pneumonia for the past 6 weeks. He is se
j j j j j j j j j j j j j j j
en today in the clinic for an unexplained weight loss of 10 pounds over the las
j j j j j j j j j j j j j j j
t 6 weeks. The nurse knows that:
j j j j j j
Unexplained weight loss often accompanies short-term illnesses.
j j j j j j
15. Whenjassessingjaj75-year-
old patient who has asthma, the nurse notes that he assumes a tripod position, lea
j j j j j j j j j j j j j j
ning forward with arms braced on the chair. On the basis of this observation, the
j j j j j j j j j j j j j j j
nurse should: j
d. Recognize that a tripod position is often used when a patient is having
j j j j j j j j j j j j
respiratory difficulties. j
16. Whichjofjthesejactionsjillustratesjthejcorrectjtechniquejthejnursejshouldjusejwh
en assessing oral temperature with a mercury thermometer?
j j j j j j j
b.jLeavejthejthermometerjinjplacej3jtoj4jminutesjifjthejpatientjisjafebrile.
17. ThejnursejisjtakingjtemperaturesjinjajclinicjwithjajTMT.jWhichjstatementjis
true regarding use of the TMT?
j j j j j
Downloadedjby:jtiphanie_swanj|
Distributionjofjthisjdocumentjisjillegal
,NUR2459 / NUR 2459: Final Exam (Latest ) Me j j j j j j j j j j
ntal & Behavioral Health Nursing - Rasmussen
j j j j j j
c. The risk of cross-contamination is reduced, compared with the rectal
j j j j j j j j j
route. 18. To
assess a j
rectal temperature accurately in an adult, the nurse would:
j j j j j j j j
a. Usejajlubricatedjbluntjtipjthermometer.
19. Whichjtechniquejisjcorrectjwhenjthejnursejisjassessingjthejradialjpulsejofjajpat
ient? The pulse is counted for:
j j j j j
a. 1jminute,jifjthejrhythmjisjirregular.
20. Whenjassessingjajpatient’sjpulse,jthejnursejshouldjalsojnoticejwhichjofjth
ese characteristics?
j
Force
21. When assessing the pulse of a 6-year- j j j j j j
old boy, the nurse notices that his heart rate varies with his respiratory cycle, speedin
j j j j j j j j j j j j j j
g up at the peak of inspiration and slowing to normal with expiration. The nurses nex
j j j j j j j j j j j j j j j
t action would be to:
j j j j
b. Considerjthisjfindingjnormaljinjchildrenjandjyoungjadults.
22. Whenjassessingjthejforce,jorjstrength,jofjajpulse,jthejnursejrecallsjthatjthejpul
se:
c. Isjajreflectionjofjthejheartsjstrokejvolume.
23. Thejnursejisjassessingjthejvitaljsignsjofjaj20-year-
old male marathon runner and documents the following vital signs: temperature36
j j j j j j j j j j j
C; pulse48 beats per minute; respirations14 breaths per minute; blood pressure104/
j j j j j j j j j j
68 mm Hg. Which statement is true concerning these results?
j j j j j j j j j
b.jThesejarejnormaljvitaljsignsjforjajhealthy,jathleticjadult.
24. The nurse is assessing the vital signs of a 3-year- j j j j j j j j j
old patient who appears to have an irregular respiratory pattern. How should the nu
j j j j j j j j j j j j j
rse assess this child’s respirations?
j j j j
a. Respirations should be counted for 1 full minute, noticing rate and
j j j j j j j j j j
rhythm. 25. Ajpatient’sj
blood pressure j
Downloadedjby:jtiphanie_swanj|
Distributionjofjthisjdocumentjisjillegal
, NUR2459 / NUR 2459: Final Exam (Latest ) Me j j j j j j j j j j
ntal & Behavioral Health Nursing - Rasmussen
j j j j j j
is 118/82 mm Hg. He asks the nurse, what do the numbers mean? The nurses best repl
j j j j j j j j j j j j j j j j
y is:
j
c. The top number is the systolic blood pressure and reflects the pressure
j j j j j j j j j j j
of the blood against the arteries when the heart contracts
j j . j j j j j j j
26. While measuring a patient’s blood pressure, the nurse recalls that certain faj j j j j j j j j j j
ctors, such as j , help determine blood pressure. j j j j j j
d. Peripheraljvascularjresistance
27. Ajnursejisjhelpingjatjajhealthjfairjatjajlocaljmall.jWhenjtakingjbloodjpre
ssures on a variety of people, the nurse keeps in mind that:
j j j j j j j j j j j
b. The blood pressure of a Black adult is usually higher than that of a
j j j j j j j j j j j j j
White adult of the same age. j j j j j
28. Thejnursejnoticesjajcolleaguejisjpreparingjtojcheckjthejbloodjpressurejofjajpat
ient who is obese by using a standard-
j j j j j j j
sized blood pressure cuff. The nurse should expect the reading to:
j j j j j j j j j j
b.jYieldjajfalselyjhighjbloodjpressure.
29. A student is late for his appointment and has rushed across campus to the hea
j j j j j j j j j j j j j j
lth clinic. The nurse should:
j j j j
a. Allow 5 minutes for him to relax and rest before checking his vital
j j j j j j j j j j j j
signs.
30. The nurse will perform a palpated pressure before auscultating blood pr
j j j j j j j j j j
essure. The reason for this is to:
j j j j j j
b.jDetectjthejpresencejofjanjauscultatoryjgap.
31. Thejnursejisjtakingjanjinitialjbloodjpressurejreadingjonjaj72-year-
old patient with documented hypertension. How should the nurse proceed?
j j j j j j j j j
c. Cuff should be inflated 30 mm Hg above the point at which the
j j j j j j j j j j j j
palpated pulse disappears. j j
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Distributionjofjthisjdocumentjisjillegal
