NR302 Exam 1 Spring 23

The nurse should take a rectal temperature in which of these clients:

What statement is appropriate to tell caregivers before an interview of a 16 year old?

Which statement describes the development of one's culture?

What does the force and strength tell you about the pulse?

During a health history, what is the purpose for the nurse to complete a genogram?

For the general survey, the nurse documents which finding to describe body structure of the client?

What kind of sounds does the diaphram of the stethoscope listen for?

What technique should be used to assess the strength of a client's pulse?

Which of the following affects body temperature?

Which of the following is an example of a first-level priority problem?

Which of the statements is TRUE regarding the stethoscope and its use?

What part of the hand is used to check the client's skin temperature?

A nurse uses short, sharp strokes to asses/s the density of underlying structures. What technique is the nurse using

Which of the following information documented by the nurse is subjective data?

Which statement describes the reliabilty of the client's responses during an interview?

A nurse is using a regular BP cuff on an obese client. How would this likely affect the blood pressure?

Which nonverbal behavior is associated with chronic pain?

In an interview, a nurse asks the client "you said you are happy but you look angry?" Which verbal skill is used."

"How would you describe your shortness of breath?" Which communication technique is being used?

What part of the SBAR would include orientation, current BP and how taken and that the client is alert?

The general survey includes:

In a 6-year-old a nurse notices the heart rate varies with their respiratory cycle. What should the nurse do?

How should the physical environment be prepared for completing a health history?

What finding should the nurse anticipate when assessing a client with acute pain?

What are the sequential steps of the nursing process?

What nursing action is needed for a client who speaks limited English and is constantly looking away from the nurse?

The nurse documents the BP 180/92 and the client is experiencing blurred vision. What type of data is this?

The nurse assesses that the client does not know where they are and the time. What alteration is this?

What step of the nursing process will the nurse perform first when giving end of shift report?

What pain scale would be appropriat when assessing the pain of a 4-year-old.

The nurse introduces herself and asks about daily activities and health. What is the phase of the interview process?

What is the first step the nurse should use when performing a physical assessment?

Which statement is most appropriate when initiating cultural beliefs of an older American Indian client?

Which factor can cause and incorrect blood pressure reading?

What information should be placed in the review of systems section of the health history?

What is the specific and distinct knowledge, beliefs, customs, and skills aquired my memgers of society?

A cultural assessment needs to include:

Which of the following represents subjective data?

What is the most reliable indicator of a coherent and alert client's pain?

How should the nurse complete the review of systems when completing a complete health history of a client?

What should the nurse include in the assessment phase of the nursing process?

A client's BP is 146/89 and states they are afraid to take their BP medication. What is the nurses's best response?