ACCURATE ANSWERS
1. two-thirds correct answer BONUS question
To obtain an accurate blood pressure, the blood pressure cuff needs to fit the
patient properly. A nurse assessing a patient knows that a proper fitting blood
pressure cuff should cover________ of the distance from the patient's elbow to
the shoulder.
1. two-thirds
2. one-half
3. three-fourths
4. one-third
7 correct answer BONUS QUESTION
calculate the GCS of someone who opens their eyes only in respondence to pain,
they are making incomprehensible sounds, and they are abnormally flexing their
extremities towards the core.
a. 72 correct answer What is the pulse pressure of a BP of 137/65, and an apical
pulse of 78?
a. 72
b. -13
c. 59
d. 13
a. A method for organizing data based on the level of patient function in specific
areas. correct answer Gordans functional health patterns are used for what?
,a. A method for organizing data based on the level of patient function in specific
areas.
b. Identify nursing diagnoses, collaborative problems, or wellness diagnoses.
c. To evaluate the level of consciousness of the patient
d. To assess motor function and proprioception.
a. a. osteoporosis, lethargy, muscle spasms/tetany, calcium deposits in tissue,
cardiac arrhythmia, asystole, tingling in the lips or hands correct answer If calcium
levels come back at 5.3 what symptoms would you expect to see?
a. osteoporosis, lethargy, muscle spasms/tetany, calcium deposits in tissue,
cardiac arrhythmia, asystole, tingling in the lips or hands
b. thirst, polyuria, renal stones, decreased muscle tone and DTRs, tachycardia,
cardiac arrhythmia, asystole
c. flushing, warmth, weakness, hypotension, respiratory distress
d. tetany, tremors, restlessness
a. heart failure or volume overload. correct answer During a cardiac assessment
you hear a sound immediately after s2 what does this sound indicate?
a. heart failure or volume overload.
b. bradycardia
c. coronary artery disease, HTN, and
pulmonic stenosis.
d. embolism
a. Hypovolemia, shock, dehydration, CHF, MI, GI bleed, sepsis, renal failure
correct answer If the lab values for blood urea nitrogen (BUN) come back at 24
what would the cause of this be?
, a. Hypovolemia, shock, dehydration, CHF, MI, GI bleed, sepsis, renal failure
b. overhydration caused by fluid overload or SIADH, Nephrotic syndrome, liver
failure, malnutrition and starvation
c. malignant disorders, RA, Iron deficiency anemia
d. high altitude, dehydration, COPD, polycythemia vera
a. keep legs below heart level correct answer If edema is present in a patient we
should do all the following except
a. keep legs below heart level
b. weigh daily
c. reduce salt in diet
d. apply compression stockings
a. viral hepatitis correct answer ALT>AST in what situation?
a. viral hepatitis
b. Liver disease
c. alcoholic hepatitis
d. sepsis
b. 14 correct answer What is the pulse deficit if an apical pulse is 98, and the
radial pulse is 84?