NUR 134 Final Exam Review Questions And Answers Graded A+.
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Course
NUR 134
Institution
NUR 134
NUR 134 Final Exam Review Questions And Answers Graded A+.
1. A 35 year old patient who is 4 days post hysterectomy days to the nurse "I wonder if after all this surgery, I will still feel like a woman?" Which of the following responses would most likely encourage the patient to expand on th...
NUR 134 Final Exam Review Questions
And Answers Graded A+.
1. A 35 year old patient who is 4 days post hysterectomy days to the nurse "I wonder if
after all this surgery, I will still feel like a woman?" Which of the following responses
would most likely encourage the patient to expand on this and express her concern in
more specific terms?
A. "When did you begin to wonder about this?"
B. "Do you want more children?"
C. "Feel like a woman..."
D. Remaining Silent - correct answer.C
The nurse is paraphrasing what was said in their own words to make sure information
has been accurately received. It allows the patient the opportunity to continue to discuss
what they are really thinking.
2. A visitor asks the nurse about the patient in the next room, who cries out frequently. "
That person must have a terrible disease. What is the matter with him?" The most
appropriate response would be:
A. "That patient has cancer and is quite uncomfortable."
B. "Mr. Jones is being kept as comfortable as possible."
C. Is the noise from the room bothering you?"
D. " I cannot reveal anything about his diagnosis. Why don't you ask his family when
they visit? I'm sure they would appreciate your concerns. - correct answer.C
The option states the obvious and focus on the visitors feelings, rather than on
confidential information concerning the uncomfortable person
3. "The patients son tells the nurse, "You people can't do anything right. Ever since my
father was admitted to this hospital, it has been one mistake after another. I am taking
him out of here before you kill him." The appropriate response by the nurse is:
A. "You feel that your father is not being well taken care of?"
B. "We have the best intentions for the patient."
C. "I'll get the supervisor."
D. "Your father hasn't complained about the care. What specifically is the problem?" -
correct answer.A
The nurse wants to clarify whether the message was interpreted correctly. This
statement gives the person an opportunity to continue talking
4. When nurse is making morning rounds, a client says, "I almost died last night." Which
of the following is a therapeutic response by the nurse?
,a. "Are you feeling okay now?"
b. "Clients do have dreams that they die when they are hospitalized."
c. "That must have been frightening for you. Tell me more about it."
d. "You made it through the night." - correct answer.C
This response directly addresses the concern of the patient. The nurse uses
communication tool of empathy in responding to the patients concerns and encourages
further communication with the patient about them.
5. The patient who has just been diagnosed with cancer tells the nurse that he would
rather be dead than go through the treatment for cancer. The most appropriate nursing
response would be which of the following?
A. "If you don't receive the treatment, you will get your wish."
B. "What is it about the cancer treatment that concerns you?"
C. "Why don't you talk to your doctor about your feelings?"
D. "That wouldn't be fair to your family, would it?" - correct answer.B
This response is therapeutic because it focuses on the patients feelings and concerns.
It encourages the patient to further express his feelings about cancer treatments
6. A 7-year-old girl is scheduled for a tonsillectomy. She asks the nurse if she will have
pain. Desiring to reassure the child the nurse may appropriately reply in which of the
following ways?
A. "It will not hurt because of the medication."
B. "You're a big girl, you can take a little pain."
C. "Think about something else now and let the doctor worry about the operation"
D. "There may be pain, but steps will be taken to control it." - correct answer.D
Be truthful with the patient. By telling the patient it will hurt, the patient will trust you later
when they need to ask you about something else
7. The nurse is caring for a patient who is obese and has hypertension. Which
statement by the nurse will promote effective communication?
A. "Why haven't you stayed on your diet in the past?"
B. "From what you've told me it seems that cutting out fried foods was the hardest part
of your diet plan. Is that right?"
C. "The best thing for you to do would be to join Weight watchers."
D. "It's really not good for your weight to keep going up and down like this." - correct
answer.B
The nurse is clarifying what the patient has said without judgment
8. The nurse checks the patient's blood pressure and notices the first sound at 186,
cessation of sound at 160, recurrence of sound at 138 significant muffling of sound at
88 with very soft sounds continuing until cessation at 50. Using the BP listen in the
situation above, what is the nurses best action to take regarding th patients blood
pressure reading?
, A. Place the patient in the bed with side rails raised to prevent falls from dizziness
B. Check the patients record for previous readings and medication orders
C. Tell the nursing assistant to monitor the patient closely
D. Call and notify the physician - correct answer.B
This could be normal for the patient. However he could also be on anti hypertensive
medication and knowing if and when he received the medication would help the nurse
make further decisions regarding this situation. Also, the patient could have an order for
further medication for BP higher than certain designated parameters
9. For which of the following patients with the nurse want to monitor the respiratory rate
more frequently?
A. The patient attends physical therapy sessions twice a day which caused the patient
some pain and discomfort
B. The patient has a temperature of 100.8 and has been given an anti-pyretic
medication to reduce the fever
C. The patient is receiving a continuous epidural drip of morphine a narcotic medication
into the epidural space around the spinal canal for pain relief
D. The patient has a history of elevated blood pressure and heart problems - correct
answer.C
Narcotic medication especially when given on a continuous basis can affect the
respiratory center and cause hypoventilation important to monitor respirations frequently
and intervene if they drop below an acceptable level usually eight breaths per minute
10. In the situation listed above which of the following is the best explanation for this
blood pressure reading? (Refer to question 8)
A. I the nurse was probably using equipment that was not functioning properly
B. The nurse noted an Auscultatory gap and a definite 4th diastolic sound
C. The nurse is unable to accurately take a blood pressure reading
D. The patient had most likely been exercising just prior to obtaining the blood pressure
reading - correct answer.B
An auscultatory gap can occur when sound completely disappears then returns at a
lower level the true systolic blood pressure is the higher reading the fourth diastolic
sound is the distinct muffling of sound
11. You are assigned to care for a 77-year-old in a long-term care facility. When you
enter his room to take his vital signs you note that the fan is on high speed and blowing
directly over him. He is perspiring and the bed linens are damp. What type of value
would you expect to find when you take his temperature?
A. A temperature lower than 97
B. A temperature that has remain elevated for several hours
C. A normal 98.6° temperature
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