NUR2459 / NUR 2459: Final Exam (Latest ) n n n n n n n n n n
Mental & Behavioral Health Nursing - Rasmussen
n n n n n n
NUR2459 / NUR 2459: Final Exam (Latest ) Mentan n n n n n n n n n
l & Behavioral Health Nursing - Rasmussen
n n n n n n
HEALTH ASSESSMENT EXAM 2 n n n
1. Thennursenisnperformingnangeneralnsurvey. nWhichnactionnisnancomponentnofntheng
eneral survey? n
Observing the patient’s body stature and nutritional status
n n n n n n n
2. Whennmeasuringnanpatient’snweight, nthennursenisnawarenofnwhichnofntheseng
uidelines?
Attempts should be made to weigh the patient at approximately the same time of day, if
n n n n n n n n n n n n n n n n
a sequence of weights is necessary.
n n n n n
3. Anpatient’snweeklynbloodnpressurenreadingsnforn2nmonthsnhavenrangednbetweenn
124/84 mm Hg and 136/88 mm Hg, with an average reading of 126/86 mm Hg. Th
n n n n n n n n n n n n n n n
e nurse knows that this blood pressure falls within which blood pressure category
n n n n n n n n n n n n
? Prehypertension
4. Duringnannexaminationnofnanchild, nthennursenconsidersnthatnphysicalngrowthnisnt
he best index of a child’s: General health.
n n n n n n n
5. An1-month-
old infant has a head measurement of 34 cm and has a chest circumference of 32
n n n n n n n n n n n n n n n n
cm. Based on the interpretation of these findings, the nurse would: Consider thes
n n n n n n n n n n n n
e findings normal for a 1-month-old infant.
n n n n n n
6. Thennursenisnassessingnann80-year-
old male patient. Which assessment findings would be considered normal?
n n n n n n n n n
Presence of kyphosis and flexion in the knees and hips
n n n n n n n n n
7. Thennursenshouldnmeasurenrectalntemperaturesninnwhichnofnthesenpatients?
Comatose adult n
8. Thennursenisnpreparingntonmeasurenthenlength, nweight, nchest,nandnheadnci
rcumference of a 6-month- n n n
old infant. Which measurement technique is correct?
n n n n n n
Measuring the chest circumference at the nipple line with a tape measure
n n n n n n n n n n n
9. Thennursenknowsnthatnonenadvantagenofnthentympanicnmembranenthermometern(
TMT) is that: Rapid measurement is useful for uncooperative younger children.
n n n n n n n n n n
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,NUR2459 / NUR 2459: Final Exam (Latest ) n n n n n n n n n n
Mental & Behavioral Health Nursing - Rasmussen
n n n n n n
10. Whennassessingnannoldernadult, nwhichnvitalnsignnchangesnoccurnwithnaging?
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:
n n n n
Diurnal cycle. n
13. Whennevaluatingnthentemperaturenofnoldernadults, nthennursenshouldnremembern
which aspect about an older adult’s body temperature
n n n n n n n
The body temperature of the older adult is lower than that of a younger adult.
n n n n n n n n n n n n n n
14. An60-year-
old male patient has been treated for pneumonia for the past 6 weeks. He is seen t
n n n n n n n n n n n n n n n n
oday in the clinic for an unexplained weight loss of 10 pounds over the last 6 week
n n n n n n n n n n n n n n n n
s. The nurse knows that:
n n n n
Unexplained weight loss often accompanies short-term illnesses.
n n n n n n
15. Whennassessingnan75-year-
old patient who has asthma, the nurse notes that he assumes a tripod position, lea
n n n n n n n n n n n n n n
ning forward with arms braced on the chair. On the basis of this observation, the
n n n n n n n n n n n n n n n
nurse should: n
d.
Recognize that a tripod position is often used when a patient is having
n n n n n n n n n n n n n
respiratory difficulties. n
16. Whichnofnthesenactionsnillustratesnthencorrectntechniquenthennursenshouldnusen
when assessing oral temperature with a mercury thermometer?
n n n n n n n
b. Leaven then thermometern in nplacen 3n ton4n minutesn ifnthen patient n isn afebrile.
17. ThennursenisntakingntemperaturesninnanclinicnwithnanTMT. nWhichnstatementnis
true regarding use of the TMT?
n n n n n
c. Then riskn ofn cross-
contamination is reduced, compared with the rectal route. n n n n n n n
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,NUR2459 / NUR 2459: Final Exam (Latest ) n n n n n n n n n n
Mental & Behavioral Health Nursing - Rasmussen
n n n n n n
18. Tonassessnanrectalntemperaturenaccuratelyninnannadult, nthennursenwould:
a. Usenanlubricatedn blunt ntipn thermometer.
19. Whichntechniquenisncorrectnwhennthennursenisnassessingnthenradialnpulsenofnan
patient? The pulse is counted for:
n n n n n
a. 1n minute, nifnthen rhythm nisn irregular.
20. Whennassessingnanpatient’snpulse, nthennursenshouldnalsonnoticenwhichnofnthesenc
haracteristics?
Force
21. Whennassessingnthenpulsenofnan6-year-
old boy, the nurse notices that his heart rate varies with his respiratory cycle, spe
n n n n n n n n n n n n n n
eding up at the peak of inspiration and slowing to normal with expiration. The n
n n n n n n n n n n n n n n
urses next action would be to:
n n n n n
b. Considernthisn findingnnormalnin nchildren n andnyoungn adults.
22. Whennassessingnthenforce, nornstrength, nofnanpulse,nthennursenrecallsnthatnthenp
ulse:
c. Isn an reflection n ofn thenheartsn stroken volume.
23. Thennursenisnassessingnthenvitalnsignsnofnan20-year-
old male marathon runner and documents the following vital signs: temperature3
n n n n n n n n n n
6 C; pulse48 beats per minute; respirations14 breaths per minute; blood pressure
n n n n n n n n n n n
104/68 mm Hg. Which statement is true concerning these results?
n n n n n n n n n
b. Thesenarennormalnvitalnsignsn forn anhealthy, n athleticn adult.
24. Thennursenisnassessingnthenvitalnsignsnofnan3-year-
old patient who appears to have an irregular respiratory pattern. How should t
n n n n n n n n n n n n
he nurse assess this child’s respirations?
n n n n n
a. Respirationsn shouldnbencountednforn1n fullnminute,nnoticingnraten andn r
hythm.
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, NUR2459 / NUR 2459: Final Exam (Latest ) n n n n n n n n n n
Mental & Behavioral Health Nursing - Rasmussen
n n n n n n
25. Anpatient’snbloodnpressurenisn118/82nmmnHg.nHenasksnthennurse,nwhatndonthenn
umbers mean? The nurses best reply is:
n n n n n n
c. Then topnnumbernisnthensystolicnbloodn pressurenandnreflectsnthenpressuren o
f the blood against the arteries when the heart contracts.
n n n n n n n n n
26. Whilenmeasuringnanpatient’snbloodnpressure, nthennursenrecallsnthatncertainnf
actors, such as n n , help determine blood pressure.
n n n n
d. Peripheralnvascularnresistance
27. Annursenisnhelpingnatnanhealthnfairnatnanlocalnmall.nWhenntakingnbloodnp
ressures on a variety of people, the nurse keeps in mind that:
n n n n n n n n n n n
b.
The blood pressure of a Black adult is usually higher than that of a
n n n n n n n n n n n n n n
White adult of the same age.
n n n n n
28. Thennursennoticesnancolleaguenisnpreparingntonchecknthenbloodnpressurenofnan
patient who is obese by using a standard-
n n n n n n n
sized blood pressure cuff. The nurse should expect the reading to:
n n n n n n n n n n
b. Yieldn anfalselyn high n bloodnpressure.
29. Anstudentnisnlatenfornhisnappointmentnandnhasnrushednacrossncampusntonthenh
ealth clinic. The nurse should:
n n n n
a. Allown 5n minutesnforn himntonrelaxnandnrestnbeforencheckingnhisnvitaln si
gns.
30. Thennursenwillnperformnanpalpatednpressurenbeforenauscultatingnbloodn
pressure. The reason for this is to:
n n n n n n
b. Detect nthenpresencenofnan n auscultatoryn gap.
31. Thennursenisntakingnanninitialnbloodnpressurenreadingnonnan72-year-
old patient with documented hypertension. How should the nurse proceed?
n n n n n n n n n
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Mental & Behavioral Health Nursing - Rasmussen
n n n n n n
NUR2459 / NUR 2459: Final Exam (Latest ) Mentan n n n n n n n n n
l & Behavioral Health Nursing - Rasmussen
n n n n n n
HEALTH ASSESSMENT EXAM 2 n n n
1. Thennursenisnperformingnangeneralnsurvey. nWhichnactionnisnancomponentnofntheng
eneral survey? n
Observing the patient’s body stature and nutritional status
n n n n n n n
2. Whennmeasuringnanpatient’snweight, nthennursenisnawarenofnwhichnofntheseng
uidelines?
Attempts should be made to weigh the patient at approximately the same time of day, if
n n n n n n n n n n n n n n n n
a sequence of weights is necessary.
n n n n n
3. Anpatient’snweeklynbloodnpressurenreadingsnforn2nmonthsnhavenrangednbetweenn
124/84 mm Hg and 136/88 mm Hg, with an average reading of 126/86 mm Hg. Th
n n n n n n n n n n n n n n n
e nurse knows that this blood pressure falls within which blood pressure category
n n n n n n n n n n n n
? Prehypertension
4. Duringnannexaminationnofnanchild, nthennursenconsidersnthatnphysicalngrowthnisnt
he best index of a child’s: General health.
n n n n n n n
5. An1-month-
old infant has a head measurement of 34 cm and has a chest circumference of 32
n n n n n n n n n n n n n n n n
cm. Based on the interpretation of these findings, the nurse would: Consider thes
n n n n n n n n n n n n
e findings normal for a 1-month-old infant.
n n n n n n
6. Thennursenisnassessingnann80-year-
old male patient. Which assessment findings would be considered normal?
n n n n n n n n n
Presence of kyphosis and flexion in the knees and hips
n n n n n n n n n
7. Thennursenshouldnmeasurenrectalntemperaturesninnwhichnofnthesenpatients?
Comatose adult n
8. Thennursenisnpreparingntonmeasurenthenlength, nweight, nchest,nandnheadnci
rcumference of a 6-month- n n n
old infant. Which measurement technique is correct?
n n n n n n
Measuring the chest circumference at the nipple line with a tape measure
n n n n n n n n n n n
9. Thennursenknowsnthatnonenadvantagenofnthentympanicnmembranenthermometern(
TMT) is that: Rapid measurement is useful for uncooperative younger children.
n n n n n n n n n n
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,NUR2459 / NUR 2459: Final Exam (Latest ) n n n n n n n n n n
Mental & Behavioral Health Nursing - Rasmussen
n n n n n n
10. Whennassessingnannoldernadult, nwhichnvitalnsignnchangesnoccurnwithnaging?
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:
n n n n
Diurnal cycle. n
13. Whennevaluatingnthentemperaturenofnoldernadults, nthennursenshouldnremembern
which aspect about an older adult’s body temperature
n n n n n n n
The body temperature of the older adult is lower than that of a younger adult.
n n n n n n n n n n n n n n
14. An60-year-
old male patient has been treated for pneumonia for the past 6 weeks. He is seen t
n n n n n n n n n n n n n n n n
oday in the clinic for an unexplained weight loss of 10 pounds over the last 6 week
n n n n n n n n n n n n n n n n
s. The nurse knows that:
n n n n
Unexplained weight loss often accompanies short-term illnesses.
n n n n n n
15. Whennassessingnan75-year-
old patient who has asthma, the nurse notes that he assumes a tripod position, lea
n n n n n n n n n n n n n n
ning forward with arms braced on the chair. On the basis of this observation, the
n n n n n n n n n n n n n n n
nurse should: n
d.
Recognize that a tripod position is often used when a patient is having
n n n n n n n n n n n n n
respiratory difficulties. n
16. Whichnofnthesenactionsnillustratesnthencorrectntechniquenthennursenshouldnusen
when assessing oral temperature with a mercury thermometer?
n n n n n n n
b. Leaven then thermometern in nplacen 3n ton4n minutesn ifnthen patient n isn afebrile.
17. ThennursenisntakingntemperaturesninnanclinicnwithnanTMT. nWhichnstatementnis
true regarding use of the TMT?
n n n n n
c. Then riskn ofn cross-
contamination is reduced, compared with the rectal route. n n n n n n n
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Distribution nofnthis ndocumentnis nillegal
,NUR2459 / NUR 2459: Final Exam (Latest ) n n n n n n n n n n
Mental & Behavioral Health Nursing - Rasmussen
n n n n n n
18. Tonassessnanrectalntemperaturenaccuratelyninnannadult, nthennursenwould:
a. Usenanlubricatedn blunt ntipn thermometer.
19. Whichntechniquenisncorrectnwhennthennursenisnassessingnthenradialnpulsenofnan
patient? The pulse is counted for:
n n n n n
a. 1n minute, nifnthen rhythm nisn irregular.
20. Whennassessingnanpatient’snpulse, nthennursenshouldnalsonnoticenwhichnofnthesenc
haracteristics?
Force
21. Whennassessingnthenpulsenofnan6-year-
old boy, the nurse notices that his heart rate varies with his respiratory cycle, spe
n n n n n n n n n n n n n n
eding up at the peak of inspiration and slowing to normal with expiration. The n
n n n n n n n n n n n n n n
urses next action would be to:
n n n n n
b. Considernthisn findingnnormalnin nchildren n andnyoungn adults.
22. Whennassessingnthenforce, nornstrength, nofnanpulse,nthennursenrecallsnthatnthenp
ulse:
c. Isn an reflection n ofn thenheartsn stroken volume.
23. Thennursenisnassessingnthenvitalnsignsnofnan20-year-
old male marathon runner and documents the following vital signs: temperature3
n n n n n n n n n n
6 C; pulse48 beats per minute; respirations14 breaths per minute; blood pressure
n n n n n n n n n n n
104/68 mm Hg. Which statement is true concerning these results?
n n n n n n n n n
b. Thesenarennormalnvitalnsignsn forn anhealthy, n athleticn adult.
24. Thennursenisnassessingnthenvitalnsignsnofnan3-year-
old patient who appears to have an irregular respiratory pattern. How should t
n n n n n n n n n n n n
he nurse assess this child’s respirations?
n n n n n
a. Respirationsn shouldnbencountednforn1n fullnminute,nnoticingnraten andn r
hythm.
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Distribution nofnthis ndocumentnis nillegal
, NUR2459 / NUR 2459: Final Exam (Latest ) n n n n n n n n n n
Mental & Behavioral Health Nursing - Rasmussen
n n n n n n
25. Anpatient’snbloodnpressurenisn118/82nmmnHg.nHenasksnthennurse,nwhatndonthenn
umbers mean? The nurses best reply is:
n n n n n n
c. Then topnnumbernisnthensystolicnbloodn pressurenandnreflectsnthenpressuren o
f the blood against the arteries when the heart contracts.
n n n n n n n n n
26. Whilenmeasuringnanpatient’snbloodnpressure, nthennursenrecallsnthatncertainnf
actors, such as n n , help determine blood pressure.
n n n n
d. Peripheralnvascularnresistance
27. Annursenisnhelpingnatnanhealthnfairnatnanlocalnmall.nWhenntakingnbloodnp
ressures on a variety of people, the nurse keeps in mind that:
n n n n n n n n n n n
b.
The blood pressure of a Black adult is usually higher than that of a
n n n n n n n n n n n n n n
White adult of the same age.
n n n n n
28. Thennursennoticesnancolleaguenisnpreparingntonchecknthenbloodnpressurenofnan
patient who is obese by using a standard-
n n n n n n n
sized blood pressure cuff. The nurse should expect the reading to:
n n n n n n n n n n
b. Yieldn anfalselyn high n bloodnpressure.
29. Anstudentnisnlatenfornhisnappointmentnandnhasnrushednacrossncampusntonthenh
ealth clinic. The nurse should:
n n n n
a. Allown 5n minutesnforn himntonrelaxnandnrestnbeforencheckingnhisnvitaln si
gns.
30. Thennursenwillnperformnanpalpatednpressurenbeforenauscultatingnbloodn
pressure. The reason for this is to:
n n n n n n
b. Detect nthenpresencenofnan n auscultatoryn gap.
31. Thennursenisntakingnanninitialnbloodnpressurenreadingnonnan72-year-
old patient with documented hypertension. How should the nurse proceed?
n n n n n n n n n
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