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A detailed solution and resources for the NUR 2115 Final Exam, which covers topics related to the fundamentals of professional nursing. The exam includes multiple-choice questions that assess the student's knowledge of nursing assessment techniques, client care, and health history. The questions cover a range of topics, including pediatric assessment, genitourinary history, and neurological responses. answers to each question, along with explanations and resources for further study.
Typology: Exams
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Question 1
1.5 out of 1.5 points
When assessing a 2-3 year old child, what is important to consider?
Answers: Assess least invasive to most invasive.
Start with examining the ears and mouth.
Make sure to examine the child lying on the exam table.
It’s easier to examine the child if the parent is not in the room.
Question 2
0 out of 1.5 points
The nurse notes an audible, crunching/grating sound on the client’s knee while climbing the stairs. Choose the best term.
Answers :
Crepitus
Bulge sign
Ballottemen t
Inversion
Question 3
1.5 out of 1.5 points
The nurse palpates the left upper quadrant of abdomen with the knowledge that which organs are located in that area?
Answers :
Liver and gallbladder.
Pancreas and spleen
Large intestine and liver
Left ureter and gallbladder
Question 4
1.5 out of 1.5 points
Identify which reflex is being tested in this picture.
Answers :
Plantar
Patellar
Triceps
Achille’s
Question 5
1.5 out of 1.5 points
The clinic nurse assesses the skin of a white client with a diagnosis of psoriasis. The nurse understands that which characteristic is associated with this skin disorder?
Answers :
Clear, thin nail beds
Red-purple raised areas
Oily skin and no episodes of pruritus
Silvery-white scaly patches on the scalp, elbows, knees, and sacral regions
Question 6
1.5 out of 1.5 points
"When testing stool for occult blood, the nurse is aware that a false-positive result may occur with:"
Answers :
a large amount of red meat within the last 3 days.
absent bile
increased fat content
increased ingestion of fruit
Question 7
1.5 out of 1.5 points
The nurse is preparing to complete a musculoskeletal examination on a client. Which two assessment techniques would the nurse plan to use during this exam?
Answers :
Inspection and percussion
Percussion and palpation
Auscultation and percussion
Inspection and palpation
Question 8
1.5 out of 1.5 points
While assessing edema on a client’s lower leg, the nurse notices a deep imprint of his fingers where the leg was palpated which takes several minutes to resolve. How would the nurse document this finding?
Answers :
No edema
1+ edema
3+ edema
4+ edema
Question 9
1.5 out of 1.5 points
The nurse is performing an assessment on an older client having difficulty sleeping at night. Which statement indicates that teaching about improving sleep is necessary?
Answers: "I drink hot chocolate before bed"
"I swim three times a week"
"I have stopped smoking cigars"
"I read for 40 minutes before bed"
Question 10
1.5 out of 1.5 points
"After completing a comprehensive health assessment of a client, which of the following statement is subjective data?"
Answers :
The client complains of itching
The client s skin feels warm to the touch
The client is scratching his arm
The client s temperature is 100°F
Question 11
0 out of 1.5 points
Which of the following statements is most appropriate when the nurse is obtaining a genitourinary history from an elderly man?
Answers :
Do you need to get up at night to urinate?
" Do you experience nocturnal emissions, or wet dreams? "
Do you know how to perform urinary self-examination?
Has anyone ever touched your genitals and you did not want them to?
Question 12
1.5 out of 1.5 points
"During a breast health interview, a client states that she has noticed pain in her left breast. The nurse s most appropriate response to this would be:"
Answers: I would like some more information about the pain in your left breast.
Don t worry about the pain; breast cancer is not painful.
I would like some more information about the pain in your right breast.
Breast pain is almost always the result of benign breast disease and so let s just ignore it.
Question 13
0 out of 1.5 points
The Glasgow Coma Scale is used to grade neurological responses to which three parameters?
Answers :
Eye opening, verbal response, motor response
Verbal response, pain response, reflexes
Pupil response, motor response, reflexes
Motor movement and strength, reflexes, pupillary size and reaction
Question 14
1.5 out of 1.5 points
If a nurse uses their hand to press down into the abdomen to assess for tenderness, the nurse is performing which technique?
Answers :
Palpation
Inspection
Auscultation
Percussion
Question 15
0 out of 1.5 points
"While obtaining a history of a 3-month old infant from the mother, the nurse asks about the baby s ability to suck and grasp the mother s finger. What is the nurse assessing?"
Answers :
Reflexes
Intelligence
Cranial atrophy
Thalmus function
Question 16
1.5 out of 1.5 points
An 85-year-old patient comments during his annual physical that he seems to be getting shorter as he ages. The nurse should explain that decreased height occurs with aging because:
Answers :
of the shortening of the vertebral column.
long bones tend to shorten with age.
there is a significant loss of subcutaneous fat.
there is a thickening of the intervertebral discs.
Question 17
1.5 out of 1.5 points
A client asks, “Why is touching my toes necessary? This is a sports physical examination not an exercise class.” How would the nurse reply?
Answers :
“This is the best way to check for symmetry of your arms.”
“I am looking at the stretch of your ham strings.”
“This allows me to see how straight your spinal column is.”
“It is considered abnormal if you can’t touch your toes from this position.”
Question 18
1.5 out of 1.5 points
Medication administration or procedural errors can be prevented by completing which task?
Answers :
Ensuring the room is temperature controlled
Closing the door and curtain
Washing your hands
Asking the client to give their name and date of birth
Question 19
1.5 out of 1.5 points
The nurse is assessing an older adult’s functional ability. What is the definition of functional ability?
Answers :
The measure of the expected changes of aging that one is experiencing
The individual’s motivation to live independently
The level of cognition present in an older person
One’s ability to perform activities necessary to live in modern society
Question 20
0 out of 1.5 points
A client s respirations are 44. These respirations are considered to be which of the following?
Answers :
Tachypneic
Apneic
Eupneic
Bradypneic
Question 21
1.5 out of 1.5 points
The client complains of ringing, crackling or buzzing in the ear. Choose the best term.
Answers :
Tinnitus
Tympanic
Otitis media
Pinna
Question 22
1.5 out of 1.5 points
Which data do nurses document under the category of Family Health History?
Answers :
Present illness
Allergies to medications
Maternal Diseases
Name and date of birth
Question 23
0 out of 1.5 points
The client has stiffness and fixation of a joint. Choose the correct term for this.
Answers :
Contracture
Ankylosis
Dislocation
Subluxation
Question 24
1.5 out of 1.5 points
The most important technique when progressing from one auscultatory site on the thorax to another is:
Answers: side-to-side comparison.
top-to-bottom comparison.
posterior-to- anterior comparison.
interspace-by- interspace comparison.