Final Exam NR 304 - Chamberlain College of Nursing
Latest 2023 / 2024
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- Subjective source
- Secondary source
- A nurse is preforming a physical assessment of a newly admitted patient. Which patient statement
- “I have sores between my toes.”
communicates subjective data?
- “I dye my hair but it is really gray.”
- “My joints hurt when I get up in the morning.”
- “My left leg drags on the floor when I am walking.”
- A nurse takes a patient’s blood pressure and records a diastolic pressure of 120 mm Hg. Which should
- Notify the primary health-care provider.
the nurse do first?
- Retake the blood pressure.
- Notify the nurse in charge.
- Take the other vital signs.
- A patient had a stroke that resulted in paralysis of the right side. When clustering data, the nurse
- Receptive aphasia
grouped the following together: drooling of saliva and slurred speech. Which information is most significant to include with this clustered data?
- Inability to ambulate
- Difficulty swallowing 2 / 3
- Incontinence of bowel movements
Rest Answers KEY on last page
- A patient who experienced a stroke has left-sided hemiparesis and is incontinent of urine. Which is an
- The patient has a need to maintain skin integrity.
appropriately worded nursing diagnosis for this patient?
- The patient has a stroked evidenced by hemiparesis and incontinence.
- The patient will be clean and dry and will receive range-of-motion exercises every four hours.
- The patient is at risk for impaired skin integrity related to left-sided hemiparesis and
incontinence.
- A nurse uses the interviewing process of clarification when interviewing a patient. Which is the nurse
- Paraphrasing the patient’s message
doing when this communication technique is used?
- Restating what the patient has said
- Reviewing the patient’s communication
- Verifying what is implied by the patient
- A patient has dependent edema of the ankles and feet and is obese. Which diet should the nurse
- Low in sodium and high in fat
expect the primary health-care provider to order?
- Low in sodium and low in calories
- High in sodium and high in protein
- High in sodium and low in carbohydrates
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