Download NSG 200 FINAL EXAM QUESTIONS WITH CORRECT VERIFIED SOLUTIONS 100% GUARANTEED PASS 2025/26 and more Exams Nursing in PDF only on Docsity!
NSG
NSG 200 FINAL EXAM QUESTIONS WITH CORRECT
VERIFIED SOLUTIONS 100% GUARANTEED PASS
When assessing CN IX and X, which of the following would the nurse consider as a normal finding? - ANS ✓uvula and soft palate rising bilaterally and symmetrically on phonation When documenting the findings of a neurologic assessment, which of the following would be most important? - ANS ✓describe the patient's response When explaining how the nurse would test graphesthesia, which of the following would the nurse include? - ANS ✓Patient will close the eyes and identify what number the nurse writes in the palm of the patient's hand with a blunt-ended object what is tested when the patient identifies the number of points felt when touched with the ends of two applicators at the same time? - ANS ✓two point discrimination what is tested by simultaneously touching the patient in the same area on both sides of the body at the same points and having the patient identify the area touched? - ANS ✓extinction what is tested by briefly touching the patient and then asking the patient to identify the points touched? - ANS ✓point localization what condition of the nails can signify buildup of tissue, perfusion and gas exchange issues, and the most common reason is chronic lung disease most commonly due to smoking? - ANS ✓clubbing
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what chest shape is common in a COPD patient? - ANS ✓barrel shaped chest what is a normal percussion sound on a COPD patient? - ANS ✓hyperresonance upon percussion of the lungs, what NORMAL sound is heard? - ANS ✓resonance what is a sign of a productive cough? - ANS ✓sputum production if the nurse suspects an abnormal pulse on the peripheral portion upon examination, what should be the next step? - ANS ✓listen to the apical pulse for a full minute what are some health promotion activities a nurse can give a patient with a perfusion/cardiac disorder? - ANS ✓cholesterol, BP screening, cardiac diet what signals the start of the GI system working? - ANS ✓intake of food T/F: a patient's daily intake and output should be of equal value. - ANS ✓true, it should be equal if a patient outputs more than they take in, what might this result in? - ANS ✓dehydration if a patient takes in more than they output, what might this result in? - ANS ✓fluid overload What is the normal capillary refill time? - ANS ✓less than 3 seconds
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when the nurse conducts a whisper test, what CN is she testing? - ANS ✓CN 8 (acoustic) when the nurse asks the patient to swallow, what CN is she testing for? - ANS ✓CN 9 (glossopharyngeal) when the nurse stimulates the gag reflex, which CN is she confirming is in tact? - ANS ✓CN 10 (vagus) when the patient shrugs their shoulders, what CN can the nurse confirm is in tact? - ANS ✓CN 11 (accessory) when the patient sticks out their tongue, what CN does the nurse realize is in tact? - ANS ✓CN 12 (hypoglossal) A nurse states that a patient is "oriented x4." What are these four criteria? - ANS ✓person, place, time and situation tapping quality, soft and clear, increase in intensity - ANS ✓korotkoff phase I no sound, silence for 30 to 40 mmHg during deflation; is an abnormal finding - period when korotkoff sounds disappear during auscultation - ANS ✓auscultatory gap swooshing quality, softer murmur follows tapping - ANS ✓korotkoff phase II knocking quality, crisp and high-pitched sounds - ANS ✓korotkoff phase III
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abrupt muffling quality, sound mutes to low-pitched, cushioned murmur; blowing quality - ANS ✓korotkoff phase IV silence, last sound of diastolic - ANS ✓korotkoff phase V when BP cuff is too small, it will result in what? - ANS ✓abnormally high reading when BP cuff is too big, it will result in what? - ANS ✓abnormally low reading what is the normal blood pressure range? - ANS ✓systolic <120 ; diastolic < physical pain when nociceptors are stimulated; response to trauma/inflammation/tissue damage. Characterized by sharp, burning, aching, cramping, or stabbing pain - ANS ✓nociceptive pain pain deriving from an actual nerve injury, normally caused by nerve damage; this pain continues after painful stimulation is gone and can be chronic/episodic - ANS ✓neuropathic pain an organized system of beliefs concerning the cause, nature and purpose of the universe, especially a divine or supernatural being to obey and worship as creator/ruler - a shared experience of spirituality - ANS ✓religion borne out of each person's unique life experience and his or her effort to find purpose in life; people use religion to meet these needs - ANS ✓spirituality a pattern of shared attitudes, beliefs, self-definitions, norms, roles and values that can occur among those who speak a particular language or live in a defined geographic region - ANS ✓culture
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left lobe of liver body of pancreas left kidney and adrenal gland splenic flexure of colon part of transverse and descending colon - ANS ✓LUQ cecum appendix right ovary and tube right ureter right spermatic cord - ANS ✓RLQ part of descending colon sigmoid colon left ovary and tube left ureter left spermatic cord - ANS ✓LLQ A student is performing a physical assessment on a patient. While assessing the abdomen, the student percusses the spleen. What sound would be normal for the student to hear? - ANS ✓tympany An emergency department nurse is caring for a 17 year old patient who has severe pain in the umbilical area. Documentation shows that the patient exhibits "Rovsing's sign." What might this patient's medical diagnosis be? - ANS ✓appendicitis When assessing a clinic patient, the nurse asks if the patient has ever had varicella. The nurse knows that varicella always precedes what? - ANS ✓shingles (herpes zoster)
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While auscultating a patient's abdomen, the student notes abnormal bowel sounds. The nurse's preceptor asks the student to describe the sounds. The student describes them as high-pitched, rushing sounds. The preceptor, an experienced nurse, would know that these sounds indicate what? - ANS ✓partial intestinal obstruction What does Healthy People have as its focus areas for the GI tract? (Mark all that apply.) - ANS ✓colorectal cancer, food-borne illness, and hepatitis A 13-year-old boy is brought to the emergency department with an injury to his left ankle after a skateboard accident. Diagnostic films show a fracture across the epiphyses. The doctor explains that the patient may not have full ROM and that his left leg may be shorter than his right leg. The parents ask why one leg may be shorter than the other. What would be the nurse's best answer? - ANS ✓the fracture crosses the part of the bone where the bone lengthens A 3-month-old girl has been diagnosed with congenital hip dislocation. What is a confirmatory test for this disease? - ANS ✓trendelenberg test A patient is admitted to the unit. The nurse notes that the medical record for this patient lists a fall risk of 75% per the Morris Fall Risk scale. What would be an appropriate nursing intervention? - ANS ✓use environmental cues A nurse has just finished assessing a patient's spine and neck muscles. How would the nurse document normal findings? - ANS ✓C7 and T1 spinous processes prominent. Paravertebral, sternocleidomastoid, and trapezius muscles fully developed, symmetrical and nontender An 87-year-old patient has been admitted to the unit. This patient has problems with fine motor movement. What would be important to do for this patient? - ANS ✓open all packages and arrange the meal tray while communicating actions to the patient
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a short, stiff gait with the thighs overlapping each other with each step - ANS ✓scissors gait The nurse is assessing brisk reflexes in a patient. The nurse would document this finding as which of the following? - ANS ✓3+ normal reflexes are said to be what? (number) - ANS ✓2+ When assessing a patient's deep tendon reflexes, which technique would be most appropriate for the nurse to use? - ANS ✓Hold the reflex hammer between the thumb and the index finger (so that it swings freely)
