NR302 Week 6 Final Exam 2 Year 2022
1. The general survey consists of four distinct areas. These areas include:
A. mental status, speech, behavior,
... [Show More] and mood and affect.
A general survey does not include assessment of mental status.
B. gait, range of motion, mental status, and behavior.
A general survey does not include assessment of mental status.
C. physical appearance, body structure, mobility, and behavior. Correct
The general survey is a study of the whole person, covering the general health state and any obvious physical characteristics. The four areas of the general survey are physical appearance, body structure, mobility, and behavior.
D. level of consciousness, personal hygiene, mental status, and physical condition.
A general survey does not include assessment of mental status and physical condition.
2. Incorrect
3. Awarded 0.0 points out of 1.0 possible points.
4. 2.ID: 298133853
A common error in blood pressure measurement includes:
A. taking the blood pressure in an arm that is at the level of the heart.
The patient’s arm should be positioned at the level of the heart when obtaining a blood pressure.
B. waiting less than 1 to 2 minutes before repeating the blood pressure reading on
the same arm. Correct
Waiting less than 1 to 2 minutes before repeating the blood pressure reading on the same arm will result in a falsely high diastolic pressure related to venous congestion in the forearm.
C. deflating the cuff about 2 mm Hg per heart beat.
The cuff should be deflated at a rate of 2 mm Hg per heart beat.
D. using a blood pressure cuff whose bladder length is 80% of the arm
circumference.
The blood pressure cuff bladder length should be about 80% of the arm circumference.
Incorrect Awarded 0.0 points out of 1.0 possible points.
5. 3.ID: 298133863
Data collection for the general survey begins:
A. at the first encounter. Correct
The general survey is initiated at the first encounter with the patient.
B. at the beginning of the physical examination.
Refer to feedback in Option A.
C. while taking vital signs.
Refer to feedback in Option A.
D. during the mental status examination.
Refer to feedback in Option A.
Incorrect Awarded 0.0 points out of 1.0 possible points.
6. 4.ID: 298133855
The Doppler technique:
A. is used to assess the apical pulse.
A stethoscope is used to assess an apical pulse.
B. augments Korotkoff sounds during blood pressure measurement. Correct
The Doppler technique may be used to locate peripheral pulse sites and for blood pressure measurement to augment Korotkoff sounds.
C. provides an easy and accurate measure of the diastolic pressure.
The systolic blood pressure is more easily identified with the Doppler technique than is the diastolic pressure.
D. measures arterial oxygenation saturation.
A pulse oximeter measures arterial oxygenation saturation.
Incorrect Awarded 0.0 points out of 1.0 possible points.
7. 5.ID: 298133851
The tympanic membrane thermometer:
A. provides an accurate measurement of core body temperature. Correct
The tympanic membrane thermometer (TMT) is an accurate measurer of core body temperature.
B. senses the infrared emissions of the cerebral cortex.
The TMT senses the infrared emissions of the tympanic membrane; the tympanic membrane shares the same vascular supply that perfuses the hypothalamus.
C. is not used in unconscious patients.
The TMT is used with unconscious patients or those in the emergency department, recovery areas, and labor and delivery units.
D. accurately measures temperature in 20 to 30 seconds.
The temperature is displayed in 2 to 3 seconds.
Incorrect Awarded 0.0 points out of 1.0 possible points.
8. 6.ID: 298133849
Endogenous obesity is:
A. due to inadequate secretion of cortisol by the adrenal glands.
Adrenocorticotropin (ACTH) stimulates the adrenal cortex to secrete excess cortisol and causes Cushing syndrome, which is characterized by weight gain and edema with central trunk and cervical obesity.
B. caused by excess adrenocorticotropin production by the pituitary gland. Correct
Endogenous obesity is caused by either the administration of adrenocorticotropin (ACTH) or excessive production of ACTH by the pituitary.
C. characterized by evenly distributed excess body fat.
Excessive catabolism causes muscle wasting with thin arms and legs. Body fat is evenly distributed in exogenous obesity due to excessive caloric intake.
D. a result of excessive secretion of growth hormone in adulthood.
Acromegaly is caused by an excessive secretion of growth hormone in adulthood.
Incorrect Awarded 0.0 points out of 1.0 possible points.
9. 7.ID: 298133861
To perform an accurate assessment of respirations, the examiner should:
A. inform the person of the procedure and count for 1 minute.
Patients have conscious control over respirations; the examiner should not mention that respirations will be counted.
B. count for 15 seconds while keeping fingers on the pulse and then multiply by
four.
Avoid counting respirations for 15 seconds because the results can vary +4 or 4 with such a small number.
C. count for 30 seconds after completing a pulse assessment and multiply by
two. Correct
Respirations should be counted for 30 seconds (if regular) and multiplied by two. The respirations should be counted after the pulse assessment.
D. assess respirations for a full 2 minutes if an abnormality is suspected.
Respirations should be counted for 1 minute if abnormalities are suspected.
Incorrect Awarded 0.0 points out of 1.0 possible points.
10. 8.ID: 298133847
Physical appearance includes statements that compare appearance with:
A. mood and affect.
Behavior is compared with mood and affect.
B. stated age. Correct
Physical appearance includes statements that compare appearance with age, sex, level of consciousness, skin color, and facial features.
C. gait.
Mobility is compared with gait.
D. nutrition.
Body structure is compared with nutrition.
Incorrect Awarded 0.0 points out of 1.0 possible points.
11. 9.ID: 298133865
An adult patient’s pulse is 46 beats per minute. The term used to describe this rate is:
A. tachycardia.
A heart rate of greater than 90 beats per minute in an adult is tachycardia.
B. bradycardia. Correct
A heart rate of less than 50 beats per minute in an adult is bradycardia.
C. weak and thready.
Weak and thready describes the force of the pulse reflecting a decreased stroke volume.
D. sinus arrhythmia.
Sinus arrhythmia is a pulse that is irregular; the heart rate varies with the respiratory cycle. Incorrect Awarded 0.0 points out of 1.0 possible points.
12. 10.ID: 298133857
The nurse records that the patient’s pulse is 3+ or full and bounding. Which of the following could be the cause?
A. Dehydration
A weak, thready pulse may reflect a decreased stroke volume, as with dehydration.
B. Shock
A weak, thready pulse may reflect a decreased stroke volume, as with shock.
C. Bleeding
A weak, thready pulse reflects a decreased stroke volume, as with bleeding.
D. Anxiety Correct
A full, bounding pulse (3+) reflects an increased stroke volume, as with anxiety and exercise.
Incorrect Awarded 0.0 points out of 1.0 possible points.
1. 1.ID: 298130071
Pain signals are carried to the central nervous system by way of:
A. perception.
Perception indicates the conscious awareness of a painful sensation.
B. afferent fibers. Correct
Nociceptors carry the pain signal to the central nervous system by two primary sensory (or afferent) fibers.
C. modulation. [Show Less]