BSN 206 WEEK 3 TEST
The nurse is performing a morning assessment and notes the client to be experiencing
dyspnea. Which client assessment findings would most indicate this respiratory
condition? - answer ANSWER
Pulse oximetry 89%
Respirations 26 & shallow
Patient in orthopedic position
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Temperature 100.1 °F
Occasional productive cough
A nurse notes a client has abnormal vital signs. What action by the nurse is best? -
answerANSWER:
Compare with prior readings.
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Notify the provider.
Document the findings.
Retake the vital signs in 15 minutes.
A nurse assesses a client's radial pulse rate to be 110 beats/min and regular. What
action by the nurse is best? - answerAnswer
Assess the client for causes of tachycardia.
Document the findings in the client's chart.
Notify the client's health care provider.
Take an apical heart rate and compare the two.
A client has been given an opioid analgesic (e.g., morphine) for pain relief. Why does
the nurse assess the client's respiratory rate before administering the next dose? -
answerANSWER
Opioid analgesics may depress rate and depth of respirations.
To see if the client's complaints of pain are supported physiologically.
To reduce the addiction potential to unnecessary pain medication.
Assessment will provide the client with a sense of security and reduce anxiety.
A nursing student is assigned to take the vital signs on a client and finds the radial pulse
to be irregular. What action should the nursing student take? - answerCorrect answer:
Auscultate the client's apical pulse.
Ask a fellow student to assess the pulse.
The nurse is performing a morning assessment and notes the client to be experiencing
dyspnea. Which client assessment findings would most indicate this respiratory
condition? - answer ANSWER
Pulse oximetry 89%
Respirations 26 & shallow
Patient in orthopedic position
------
Temperature 100.1 °F
Occasional productive cough
A nurse notes a client has abnormal vital signs. What action by the nurse is best? -
answerANSWER:
Compare with prior readings.
-------
Notify the provider.
Document the findings.
Retake the vital signs in 15 minutes.
A nurse assesses a client's radial pulse rate to be 110 beats/min and regular. What
action by the nurse is best? - answerAnswer
Assess the client for causes of tachycardia.
Document the findings in the client's chart.
Notify the client's health care provider.
Take an apical heart rate and compare the two.
A client has been given an opioid analgesic (e.g., morphine) for pain relief. Why does
the nurse assess the client's respiratory rate before administering the next dose? -
answerANSWER
Opioid analgesics may depress rate and depth of respirations.
To see if the client's complaints of pain are supported physiologically.
To reduce the addiction potential to unnecessary pain medication.
Assessment will provide the client with a sense of security and reduce anxiety.
A nursing student is assigned to take the vital signs on a client and finds the radial pulse
to be irregular. What action should the nursing student take? - answerCorrect answer:
Auscultate the client's apical pulse.
Ask a fellow student to assess the pulse.
