NUR2459 / NUR 2459 Final Exam 2 LATEST n n n n n n n
VERSIONS (Latest 2023) Mental & Behavioral He n n n n n n
alth Nursing - Rasmussen 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,
n n n n n n n n n n n n n n
if a sequence of weights is necessary.
n 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.
n n n n n n n n n n n n n n n
The nurse knows that this blood pressure falls within which blood pressure cat
n n n n n n n n n n n n
egory? Prehypertension n
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 circumferenc
n n n n n n n n n n n n n
e of 32 cm. Based on the interpretation of these findings, the nurse would:
n n n n n n n n n n n n n n
Consider these findings normal for a 1-month-old infant.
n 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,nandnheadncirc
umference of a 6-month-old infant. Which measurement technique is
n n n n n n n n
correct?
Measuring the chest circumference at the nipple line with a tape measure
n 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
9. Thennursenknowsnthatnonenadvantagenofnthentympanicnmembranenthermometern(
TMT) is that: Rapid measurement is useful for uncooperative younger children.
n n n n n n n n n n
10. When assessing an older adult, which vital sign changes occur with aging?
n n n n n n n n n n n
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 i
n n n n n n n n n n n n n n
s seen today in the clinic for an unexplained weight loss of 10 pounds over
n n n n n n n n n n n n n n n
the last 6 weeks. The nurse knows that:
n n n 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, l
n n n n n n n n n n n n n n
eaning forward with arms braced on the chair. On the basis of this observation
n n n n n n n n n n n n n
, the nurse should:
n n n
d. Recognizenthatnantripodnpositionn isn often n usedn when n an patient n isn having
respiratory difficulties. n
16. Whichnofnthesenactionsnillustratesnthencorrectntechniquenthennursenshouldnusen
when assessing oral temperature with a mercury thermometer?
n n n n n n n
b.n Leaven then thermometern in n placen 3n ton 4n minutesn ifn then patient n isn afebrile.
17. ThennursenisntakingntemperaturesninnanclinicnwithnanTMT. nWhichnstatementnis
true regarding use of the TMT?
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
c. The risk of cross-contamination is reduced, compared with the rectal
n n n n n n n n n
route. 18. To
assess a n
rectal temperature accurately in an adult, the nurse would:
n n n n n n n n
a. Usen an lubricatedn blunt n tipn thermometer.
19. Whichntechniquenisncorrectnwhennthennursenisnassessingnthenradialnpulsenofnan
patient? The pulse is counted for:
n n n n n
a. 1n minute, n ifn then rhythm n isn irregular.
20. Whennassessingnanpatient’snpulse,nthennursenshouldnalsonnoticenwhichnofn
these characteristics?
n
Force
21. When assessing the pulse of a 6-year- n n n n n n
old boy, the nurse notices that his heart rate varies with his respiratory cycle, spee
n n n n n n n n n n n n n n
ding up at the peak of inspiration and slowing to normal with expiration. The nurs
n n n n n n n n n n n n n n
es next action would be to:
n n n n n
b. Considernthisn findingn normalnin n children n andnyoungn adults.
22. Whennassessingnthenforce, nornstrength, nofnanpulse, nthennursenrecallsnthatnthen
pulse:
c. Isn an reflection n ofn then heartsn 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.n Thesen aren normaln vitaln signsn forn an healthy, n athleticn adult.
24. The nurse is assessing the vital signs of a 3-year-
n n n n n n n n n
old patient who appears to have an irregular respiratory pattern. How should the
n n n n n n n n n n n n n
nurse assess this child’s respirations?
n n n n
a. Respirations should be counted for 1 full minute, noticing rate and
n n n n n n n n n n
rhythm. 25. A patient’s n
blood pressur n n
e
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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
is 118/82 mm Hg. He asks the nurse, what do the numbers mean? The nurses best r
n n n n n n n n n n n n n n n n
eply is: n
c. The top number is the systolic blood pressure and reflects the pressure
n n n n n n n n n n n
of the blood against the arteries when the heart contracts.
n n n n n n n n n
26. While measuring a patient’s blood pressure, the nurse recalls that certain
n n n n n n n n n n n
factors, such as , help determine blood pressure.
n n n n n n n
d. Peripheralnvascularnresistance
27. Annursenisnhelpingnatnanhealthnfairnatnanlocalnmall.nWhenntakingnbloodn
pressures 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
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.n Yieldn an falselyn high n bloodn pressure.
29. A student is late for his appointment and has rushed across campus to the
n n n n n n n n n n n n n n
health clinic. The nurse should:
n n n n
a. Allow 5 minutes for him to relax and rest before checking his vital
n n n n n n n n n n n n
signs.
30. The nurse will perform a palpated pressure before auscultating blood
n n n n n n n n n n
pressure. The reason for this is to: n n n n n n
b.n Detect n then presencen ofn an 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
c. Cuff should be inflated 30 mm Hg above the point at which the
n n n n n n n n n n n n
palpated pulse disappears. n n
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Distribution nofnthis ndocumentnis nillegal
VERSIONS (Latest 2023) Mental & Behavioral He n n n n n n
alth Nursing - Rasmussen 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,
n n n n n n n n n n n n n n
if a sequence of weights is necessary.
n 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.
n n n n n n n n n n n n n n n
The nurse knows that this blood pressure falls within which blood pressure cat
n n n n n n n n n n n n
egory? Prehypertension n
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 circumferenc
n n n n n n n n n n n n n
e of 32 cm. Based on the interpretation of these findings, the nurse would:
n n n n n n n n n n n n n n
Consider these findings normal for a 1-month-old infant.
n 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,nandnheadncirc
umference of a 6-month-old infant. Which measurement technique is
n n n n n n n n
correct?
Measuring the chest circumference at the nipple line with a tape measure
n n n n n n n n n n n
Downloadednby:ntiphanie_swann|
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
9. Thennursenknowsnthatnonenadvantagenofnthentympanicnmembranenthermometern(
TMT) is that: Rapid measurement is useful for uncooperative younger children.
n n n n n n n n n n
10. When assessing an older adult, which vital sign changes occur with aging?
n n n n n n n n n n n
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 i
n n n n n n n n n n n n n n
s seen today in the clinic for an unexplained weight loss of 10 pounds over
n n n n n n n n n n n n n n n
the last 6 weeks. The nurse knows that:
n n n 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, l
n n n n n n n n n n n n n n
eaning forward with arms braced on the chair. On the basis of this observation
n n n n n n n n n n n n n
, the nurse should:
n n n
d. Recognizenthatnantripodnpositionn isn often n usedn when n an patient n isn having
respiratory difficulties. n
16. Whichnofnthesenactionsnillustratesnthencorrectntechniquenthennursenshouldnusen
when assessing oral temperature with a mercury thermometer?
n n n n n n n
b.n Leaven then thermometern in n placen 3n ton 4n minutesn ifn then patient n isn afebrile.
17. ThennursenisntakingntemperaturesninnanclinicnwithnanTMT. nWhichnstatementnis
true regarding use of the TMT?
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
c. The risk of cross-contamination is reduced, compared with the rectal
n n n n n n n n n
route. 18. To
assess a n
rectal temperature accurately in an adult, the nurse would:
n n n n n n n n
a. Usen an lubricatedn blunt n tipn thermometer.
19. Whichntechniquenisncorrectnwhennthennursenisnassessingnthenradialnpulsenofnan
patient? The pulse is counted for:
n n n n n
a. 1n minute, n ifn then rhythm n isn irregular.
20. Whennassessingnanpatient’snpulse,nthennursenshouldnalsonnoticenwhichnofn
these characteristics?
n
Force
21. When assessing the pulse of a 6-year- n n n n n n
old boy, the nurse notices that his heart rate varies with his respiratory cycle, spee
n n n n n n n n n n n n n n
ding up at the peak of inspiration and slowing to normal with expiration. The nurs
n n n n n n n n n n n n n n
es next action would be to:
n n n n n
b. Considernthisn findingn normalnin n children n andnyoungn adults.
22. Whennassessingnthenforce, nornstrength, nofnanpulse, nthennursenrecallsnthatnthen
pulse:
c. Isn an reflection n ofn then heartsn 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.n Thesen aren normaln vitaln signsn forn an healthy, n athleticn adult.
24. The nurse is assessing the vital signs of a 3-year-
n n n n n n n n n
old patient who appears to have an irregular respiratory pattern. How should the
n n n n n n n n n n n n n
nurse assess this child’s respirations?
n n n n
a. Respirations should be counted for 1 full minute, noticing rate and
n n n n n n n n n n
rhythm. 25. A patient’s n
blood pressur n n
e
Downloadednby:ntiphanie_swann|
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
is 118/82 mm Hg. He asks the nurse, what do the numbers mean? The nurses best r
n n n n n n n n n n n n n n n n
eply is: n
c. The top number is the systolic blood pressure and reflects the pressure
n n n n n n n n n n n
of the blood against the arteries when the heart contracts.
n n n n n n n n n
26. While measuring a patient’s blood pressure, the nurse recalls that certain
n n n n n n n n n n n
factors, such as , help determine blood pressure.
n n n n n n n
d. Peripheralnvascularnresistance
27. Annursenisnhelpingnatnanhealthnfairnatnanlocalnmall.nWhenntakingnbloodn
pressures 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
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.n Yieldn an falselyn high n bloodn pressure.
29. A student is late for his appointment and has rushed across campus to the
n n n n n n n n n n n n n n
health clinic. The nurse should:
n n n n
a. Allow 5 minutes for him to relax and rest before checking his vital
n n n n n n n n n n n n
signs.
30. The nurse will perform a palpated pressure before auscultating blood
n n n n n n n n n n
pressure. The reason for this is to: n n n n n n
b.n Detect n then presencen ofn an 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
c. Cuff should be inflated 30 mm Hg above the point at which the
n n n n n n n n n n n n
palpated pulse disappears. n n
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Distribution nofnthis ndocumentnis nillegal
