ASU NUR 352 - Exam 2 Study
Guide||QUESTIONS AND CORRECT
ANSWERS||GRADED A+||DOWNLOAD
NO!!!
Terminology
A nurse is caring for a postoperative client who is weak and unable to walk to the
bathroom. The nurse plans to assist the client using a bedside commode.
Which of the following statements about a bedside commode are correct? (Select all
that apply)
a. It promotes safety for clients with limited mobility.
b. It is designed for patients who can ambulate independently.
c. It allows the client to toilet while seated near the bed.
d. It is used only in emergency situations.
e. It supports the client's independence and comfort. -CORRECT ASNWER a. It
promotes safety for clients with limited mobility.
c. It allows the client to toilet while seated near the bed.
e. It supports the client's independence and comfort.
Rationale: A bedside commode is a portable toileting device placed near the bed for
clients who have difficulty walking. It helps maintain dignity, promotes independence,
and reduces fall risk.
Terminology
During an ear assessment, the nurse inspects the auricle. What is the correct action?
a. Use an otoscope to look inside the ear canal
b. Inspect and palpate the external ear for symmetry, size, and tenderness
c. Ask the client to close their eyes and identify sounds
d. Examine the tympanic membrane for color and shape -CORRECT ASNWER b.
Inspect and palpate the external ear for symmetry, size, and tenderness
Rationale: The auricle (pinna) is the external part of the ear; it should be inspected and
palpated for abnormalities.
Terminology
A client with spinal cord injury exhibits rhythmic, involuntary contractions of the leg
muscles when the foot is dorsiflexed. The nurse recognizes this finding as _________. -
CORRECT ASNWER Clonus
,Rationale: Clonus indicates hyperreflexia and upper motor neuron damage.
Terminology
The nurse explains that cerumen serves what primary function?
a. To conduct sound waves
b. To balance air pressure
c. To maintain equilibrium
d. To protect and lubricate the ear canal -CORRECT ASNWER d. To protect and
lubricate the ear canal
Rationale: Cerumen traps debris and prevents infection in the ear canal.
Terminology
A bite block may be used in which of the following situations? (Select all that apply)
a. During an endoscopic procedure
b. For a patient having a seizure
c. To protect the airway during intubation
d. To prevent biting injury during oral procedures -CORRECT ASNWER a. During an
endoscopic procedure
c. To protect the airway during intubation
d. To prevent biting injury during oral procedures
Rationale: Bite blocks prevent oral injury or tube occlusion. It should not be used for a
patient having a seizure. Putting any object in the mouth of a person having a seizure
can cause severe injury to the mouth, break teeth, and lead to an airway emergency.
Terminology
When assessing convergence, the nurse should ask the client to:
a. Focus on a near object as it moves toward the nose
b. Follow a moving object from side to side
c. Track a light in a circle
d. Identify numbers on a vision chart -CORRECT ASNWER a. Focus on a near object
as it moves toward the nose
Rationale: Convergence tests the eyes' ability to move inward simultaneously for near
vision.
Terminology
The nurse is assessing tactile fremitus. Match each finding with its possible
interpretation:
Finding Possible Interpretation
,1. Increased fremitus a. Pleural effusion
2. Decreased fremitus b. Pneumonia
3. Absent fremitus c. Pneumothorax -CORRECT ASNWER 1 → b
2→a
3→c
Rationale: Increased fremitus occurs with consolidation (pneumonia); decreased or
absent fremitus occurs with fluid or air in the pleural space.
Terminology
The nurse documents a large purple discoloration on a client's arm after an IV
infiltration. Which term should be used?
a. Petechiae
b. Ecchymosis
c. Cyanosis
d. Erythema -CORRECT ASNWER b. Ecchymosis
Rationale: Ecchymosis refers to a large bruise from subcutaneous bleeding.
Terminology
While assessing a client's skin, the nurse notes small, pinpoint red spots on the chest
that do not blanch when pressed. The nurse documents this as:
a. Purpura
b. Ecchymosis
c. Petechiae
d. Hemangioma -CORRECT ASNWER c. Petechiae
Rationale: Petechiae are small, non-blanching red or purple spots caused by minor
bleeding under the skin.
Terminology
A nurse is assessing a client with chronic lung disease. The nurse observes bulbous
enlargement at the fingertips.
Select the correct CORRECT ASNWERs to complete the statement:
Finding:
a. Petechiae
b. Ecchymosis
c. Clubbing
Likely Cause:
a. Chronic hypoxia
b. Dehydration
, c. Hyperglycemia
Associated Condition:
a. COPD
b. Hypothyroidism
c. Hepatitis -CORRECT ASNWER Finding - c. Clubbing
Likely Cause - a. Chronic hypoxia
Associated Condition - a. COPD
Rationale: Clubbing is the enlargement of the fingertips caused by chronic hypoxia. It is
commonly seen in clients with long-term pulmonary diseases such as COPD, where
oxygen levels remain persistently low and stimulate tissue growth changes in the
fingers.
Terminology
The nurse understands that the atrioventricular (AV) node plays which role in the
cardiac conduction system?
a. Initiates the heartbeat
b. Contracts the ventricles
c. Stimulates atrial depolarization
d. Delays impulse conduction to allow ventricular filling -CORRECT ASNWER d. Delays
impulse conduction to allow ventricular filling
Rationale: The AV node delays the impulse from the atria to the ventricles, ensuring
proper filling before contraction.
Terminology
A nurse notes periorbital edema during an assessment. Which condition should the
nurse suspect?
a. Kidney dysfunction or fluid retention
b. Dehydration
c. Peripheral vascular disease
d. Allergic rhinitis only -CORRECT ASNWER a. Kidney dysfunction or fluid retention
Rationale: Periorbital edema often results from fluid retention related to renal or cardiac
problems.
Delegation: Yes or No
Delegate to your UAP to take the vitals of a patient with a new abnormal heart rhythm. -
CORRECT ASNWER No
Rationale: New or unstable findings require RN assessment; UAP can take routine
vitals for stable patients, but abnormal rhythms must be evaluated by the RN.
Guide||QUESTIONS AND CORRECT
ANSWERS||GRADED A+||DOWNLOAD
NO!!!
Terminology
A nurse is caring for a postoperative client who is weak and unable to walk to the
bathroom. The nurse plans to assist the client using a bedside commode.
Which of the following statements about a bedside commode are correct? (Select all
that apply)
a. It promotes safety for clients with limited mobility.
b. It is designed for patients who can ambulate independently.
c. It allows the client to toilet while seated near the bed.
d. It is used only in emergency situations.
e. It supports the client's independence and comfort. -CORRECT ASNWER a. It
promotes safety for clients with limited mobility.
c. It allows the client to toilet while seated near the bed.
e. It supports the client's independence and comfort.
Rationale: A bedside commode is a portable toileting device placed near the bed for
clients who have difficulty walking. It helps maintain dignity, promotes independence,
and reduces fall risk.
Terminology
During an ear assessment, the nurse inspects the auricle. What is the correct action?
a. Use an otoscope to look inside the ear canal
b. Inspect and palpate the external ear for symmetry, size, and tenderness
c. Ask the client to close their eyes and identify sounds
d. Examine the tympanic membrane for color and shape -CORRECT ASNWER b.
Inspect and palpate the external ear for symmetry, size, and tenderness
Rationale: The auricle (pinna) is the external part of the ear; it should be inspected and
palpated for abnormalities.
Terminology
A client with spinal cord injury exhibits rhythmic, involuntary contractions of the leg
muscles when the foot is dorsiflexed. The nurse recognizes this finding as _________. -
CORRECT ASNWER Clonus
,Rationale: Clonus indicates hyperreflexia and upper motor neuron damage.
Terminology
The nurse explains that cerumen serves what primary function?
a. To conduct sound waves
b. To balance air pressure
c. To maintain equilibrium
d. To protect and lubricate the ear canal -CORRECT ASNWER d. To protect and
lubricate the ear canal
Rationale: Cerumen traps debris and prevents infection in the ear canal.
Terminology
A bite block may be used in which of the following situations? (Select all that apply)
a. During an endoscopic procedure
b. For a patient having a seizure
c. To protect the airway during intubation
d. To prevent biting injury during oral procedures -CORRECT ASNWER a. During an
endoscopic procedure
c. To protect the airway during intubation
d. To prevent biting injury during oral procedures
Rationale: Bite blocks prevent oral injury or tube occlusion. It should not be used for a
patient having a seizure. Putting any object in the mouth of a person having a seizure
can cause severe injury to the mouth, break teeth, and lead to an airway emergency.
Terminology
When assessing convergence, the nurse should ask the client to:
a. Focus on a near object as it moves toward the nose
b. Follow a moving object from side to side
c. Track a light in a circle
d. Identify numbers on a vision chart -CORRECT ASNWER a. Focus on a near object
as it moves toward the nose
Rationale: Convergence tests the eyes' ability to move inward simultaneously for near
vision.
Terminology
The nurse is assessing tactile fremitus. Match each finding with its possible
interpretation:
Finding Possible Interpretation
,1. Increased fremitus a. Pleural effusion
2. Decreased fremitus b. Pneumonia
3. Absent fremitus c. Pneumothorax -CORRECT ASNWER 1 → b
2→a
3→c
Rationale: Increased fremitus occurs with consolidation (pneumonia); decreased or
absent fremitus occurs with fluid or air in the pleural space.
Terminology
The nurse documents a large purple discoloration on a client's arm after an IV
infiltration. Which term should be used?
a. Petechiae
b. Ecchymosis
c. Cyanosis
d. Erythema -CORRECT ASNWER b. Ecchymosis
Rationale: Ecchymosis refers to a large bruise from subcutaneous bleeding.
Terminology
While assessing a client's skin, the nurse notes small, pinpoint red spots on the chest
that do not blanch when pressed. The nurse documents this as:
a. Purpura
b. Ecchymosis
c. Petechiae
d. Hemangioma -CORRECT ASNWER c. Petechiae
Rationale: Petechiae are small, non-blanching red or purple spots caused by minor
bleeding under the skin.
Terminology
A nurse is assessing a client with chronic lung disease. The nurse observes bulbous
enlargement at the fingertips.
Select the correct CORRECT ASNWERs to complete the statement:
Finding:
a. Petechiae
b. Ecchymosis
c. Clubbing
Likely Cause:
a. Chronic hypoxia
b. Dehydration
, c. Hyperglycemia
Associated Condition:
a. COPD
b. Hypothyroidism
c. Hepatitis -CORRECT ASNWER Finding - c. Clubbing
Likely Cause - a. Chronic hypoxia
Associated Condition - a. COPD
Rationale: Clubbing is the enlargement of the fingertips caused by chronic hypoxia. It is
commonly seen in clients with long-term pulmonary diseases such as COPD, where
oxygen levels remain persistently low and stimulate tissue growth changes in the
fingers.
Terminology
The nurse understands that the atrioventricular (AV) node plays which role in the
cardiac conduction system?
a. Initiates the heartbeat
b. Contracts the ventricles
c. Stimulates atrial depolarization
d. Delays impulse conduction to allow ventricular filling -CORRECT ASNWER d. Delays
impulse conduction to allow ventricular filling
Rationale: The AV node delays the impulse from the atria to the ventricles, ensuring
proper filling before contraction.
Terminology
A nurse notes periorbital edema during an assessment. Which condition should the
nurse suspect?
a. Kidney dysfunction or fluid retention
b. Dehydration
c. Peripheral vascular disease
d. Allergic rhinitis only -CORRECT ASNWER a. Kidney dysfunction or fluid retention
Rationale: Periorbital edema often results from fluid retention related to renal or cardiac
problems.
Delegation: Yes or No
Delegate to your UAP to take the vitals of a patient with a new abnormal heart rhythm. -
CORRECT ASNWER No
Rationale: New or unstable findings require RN assessment; UAP can take routine
vitals for stable patients, but abnormal rhythms must be evaluated by the RN.
