NUR 303 Final Exam Latest 2024 -2025 Complete 300

pg. 1 NUR 303 Final Exam Latest 2024 -2025 Complete 300 Actual Exam Questions with Correct Verified Answers/ Graded A+

During a focused assessment of the cardiovascular system, a patient reports difficulty falling asleep unless they are in an upright position using 4-5 pillows in bed. Which symptom requires further investigation by the nurse?

• Chest pain
• Shortness of breath
• Palpitations
• Edema - Correct Answer - B. Shortness of breath

Which strategy should a nurse include in patient teaching about modifying risk factors associated with hypertension?

• Consume a diet high in sodium and low in potassium.
• Encourage increase consumption of dairy products.
• Encourage the client to quit alcohol consumption.
• Encourage increase consumption of potassium rich foods. - Correct Answer - D.

Encourage increase consumption of potassium rich foods.

The nurse is listening to the patient's heart at the 2nd LSB. Which area is being auscultated?

• Erb's point
• Mitral area
• Aortic area
• Pulmonic area - Correct Answer - D. Pulmonic area

Where should a nurse palpate the dorsalis pedis pulse? 1 / 4

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• Behind the knee in the popliteal fossa
• The inner aspect of the ankle below and slightly behind the medial malleolus
• Over the dorsum of the foot between the tendons of the first and second toes
• The outer side of the ankle below and slightly behind the lateral malleolus - Correct

Answer - C. Over the dorsum of the foot between the tendons of the first and second toes

During physical examination of the peripheral vascular system, a patient's foot is found to be pale when elevated and dark red when in the dependent position. Which condition is the patient at risk for developing?

• Neuropathic ulcers
• Venous insufficiency ulcers
• Deep vein thrombosis
• Peripheral artery insufficiency ulcers - Correct Answer - D. Peripheral artery

insufficiency ulcers

What does the S2 heart sound represent?

• The beginning of systole
• The closure of the aortic and pulmonic valves.
• The closure of the tricuspid and mitral valves.
• A split heart sound on exhalation. - Correct Answer - B. The closure of the aortic and

pulmonic valves.

A nurse examines a patient's jaw movement by placing two fingers in front of each ear and asking the patient to slowly open and close the mouth. Which movement of the jaw should the nurse ask the patient to perform next?

• Swallow.
• Smile.
• Clench the teeth together.
• Move the jaw side to side. - Correct Answer - D. Move the jaw side to side. 2 / 4

pg. 3 A nurse auscultates the heart sounds of a patient and hears a louder S1 when listening at the 4th intercostal space, left sternal border. The nurse determines that this finding is consistent with closure of which heart valve?

• Aortic valve
• Mitral valve
• Tricuspid valve
• Pulmonic valve - Correct Answer - C. Tricuspid valve

A patient has an infection of the terminal bronchioles and alveoli that involves the right lower lobe of the lung. Which abnormal findings are expected?

• Dyspnea with diminished breath sounds bilaterally
• Asymmetric chest expansion and rhonchi on the right side
• Fever and tachypnea with crackles over the right lower lobe
• Prolonged expiration with an occasional wheeze in the right lower lobe - Correct

Answer - C. Fever and tachypnea with crackles over the right lower lobe

On auscultation of a patient's lungs, the nurse hears a low-pitched, coarse, loud, and low snoring sound. Which term does the nurse use to document this finding?

• Rhonchi
• Wheeze
• Crackles
• Pleural friction rub - Correct Answer - A. Rhonchi

A nurse finds the patient's AP diameter of the chest to be the same as the lateral diameter. Based on this finding, what additional data would the nurse anticipate?

• Bronchial breath sounds in the posterior thorax
• Decrease in respiratory rate
• Decreased breath sounds on auscultation
• Complaint of sharp chest pain on inspiration - Correct Answer - C. Decreased breath

sounds on auscultation 3 / 4

pg. 4 How does the nurse palpate the chest for tenderness, bulges, and symmetry?

• Uses the fist of the dominant hand to gently tap the anterior, lateral, and posterior

chest, comparing one side with another

• Uses the ulnar surface of one hand to palpate the anterior, posterior, and lateral

chest, comparing one side with another

• Uses the tips of the fingers to palpate the skin over the chest and the alignment of

vertebrae

• Uses the palmar surface of fingers of both hands to feel the texture of the skin over

the chest and the alignment of vertebrae - Correct Answer - D. Uses the palmar surface of fingers of both hands to feel the texture of the skin over the chest and the alignment of vertebrae

Which breath sounds are expected over the posterior chest of an adult?

• Vesicular
• Bronchovesicular
• Bronchial
• Bronchoalveolar - Correct Answer - A. Vesicular

Narrowing of the bronchi creates which adventitious sound?

• Wheeze
• Crackles
• Rhonchi
• Pleural friction rub - Correct Answer - A. Wheeze

A nurse is auscultating the lungs of a healthy female patient and hears crackles on inspiration. What action can the nurse take to ensure this is an accurate finding?

• Make sure the bell of the stethoscope is used rather than the diaphragm.
• Ask the patient to cough then repeat the auscultation.
• Ask the patient not to talk while the nurse is listening to the lungs.
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