NR304 FINAL EXAM 2023 ACTUAL EXAM COMPLETE

l OM oAR cP SD | 19 50 0 98 6

NR304 FINAL EXAM 2023 ACTUAL EXAM COMPLETE

EXAM QUESTIONS AND CORRECT DETAILED

ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED

A+

WITH ANSWER KEY

• Which assessment by the nurse most likely indicates that a patient is having difficulty

breathing?

• 18 breaths per minute and inhaled through the mouth
• 20 breathes per minute and shallow in character
• 16 breaths per minute and deep in character
• 28 breaths per minute and noisy

• Which should a nurse always do when taking a rectal temperature?
• Allow self-insertion of the thermometer.
• Position the patient on the left side.
• Use an electronic thermometer.
• Lubricate the thermometer.

• A nurse is assessing a patient’s ideal body weight. Which significant factor

should be takin into consideration when performing this assessment?

• Daily intake
• Body height
• Clothing size
• Food preferences

• A nurse asks a patient’s wife specific questions about the patient’s health status

before admission. When collecting this information, the nurse is seeking

information from a:

• Primary source
• Tertiary sources 1 / 4

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• Subjective source
• Secondary source

• / 4

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• A nurse is preforming a physical assessment of a newly admitted patient. Which

patient statement communicates subjective data?

• “I have sores between my toes.”
• “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.” 3 / 4

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• A nurse takes a patient’s blood pressure and records a diastolic pressure of 120 mm

Hg. Which should the nurse do first?

• Notify the primary health-care provider.
• 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 grouped the following together: drooling of saliva and slurred

speech. Which information is most significant to include with this clustered data?

• Receptive aphasia
• Inability to ambulate
• Difficulty swallowing
• Incontinence of bowel movements

• A patient who experienced a stroke has left-sided hemiparesis and is incontinent of

urine. Which is an appropriately worded nursing diagnosis for this patient?

• The patient has a need to maintain skin integrity.
• 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 doing when this communication technique is used?

• Paraphrasing the patient’s message
• Restating what the patient has said
• Reviewing the patient’s communication
• Verifying what is implied by the patient
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