NUR 209 FINAL EXAM EXCELSIOR COLLEGE NEWEST 2024 ACTUAL EXAM COMPLETE 400+ QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+

NUR 209 FINAL EXAM EXCELSIOR
COLLEGE NEWEST 2024 ACTUAL
EXAM COMPLETE 400+ QUESTIONS
AND CORRECT ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
A 6-month old infant has been brought to the well-child clinic for a check-up. She is
currently sleeping. What should the nurse do first when you beginning the examination?
A. Auscultate the lungs and heart while the infant is still sleeping.
B. Examine the infant's hips because the procedure is uncomfortable.
C. Begin with the assessment of the eye and continue with the remainder of the
examination in a head-to-toe approach.
D. Wake the infant before beginning any portion of the examination to obtain the most
accurate assessment of the body systems. - ANSWER-Auscultate the lungs and heart
while the infant is still sleeping.
A 2-year-old child has been brought to the clinic for a well-child check-up. The best way
for the nurse to begin the assessment is reflected by which statement?
A. Ask the parent to place the child on the examining table.
B. Have the parent remove all of the child's clothing before the examination.
C. Allow the child to keep a security object such as toy or blanket during the
examination.
D. Initially focus interactions on the child, essentially "ignoring" the parent until the
child's trust has been obtained. - ANSWER-Allow the child to keep a security object
such as toy or blanket during the examination.
A mother and her 13 year old daughter express their concern related to the daughter's
recent weight gain and increase in appetite. Which of these statements represents
information the nurse should discuss with them?
A. It is necessary to diet and exercise at this age.
B. Snacks should be high in protein, iron, and calcium.
C. Teenagers who have a weight problem should not be allowed to snack.
D. A low-calorie diet is important to prevent the accumulation of fat. - ANSWER-Snacks
should be high in protein, iron, and calcium.
A 35 year old pregnant woman comes to the clinic for a monthly appointment. During
the assessment, the nurse notices that she has a brown patch of hyperpigmentation on
her face. The nurse continues the skin assessment aware that another finding may be:
A. Keratoses
B. Xerosis
C. Linea nigra
D. Acrochordons - ANSWER-Linea nigra
A man has come in to the clinic for a skin assessment because he is afraid he might
have skin cancer. During the assessment the nurse notices several areas of
pigmentation that look greasy, dark, and "stuck' on his skin. Which is the best
prediction? He probably has:
A. senile lentigines, which do not become cancerous.
B. actinic keratoses, which are precursors to basal cell carcinoma.
C. acrochordons, which are precursors to squamous cell carcinoma.
D. seborrheic keratoses, which do not become cancerous. - ANSWER-seborrheic
keratoses, which do not become cancerous.
The nurse is preparing to examine a 4-year-old child. Which action is appropriate for
this age group?
A. Explain procedures in detail to alleviate the child's anxiety.
B. Give the child feedback and reassurance during the examination.
C. Do not ask the child to remove his clothes because children at this age are usually
very private.
D. Perform an examination of the ear, nose, and throat first, and then examine the
thorasx and abdomen. - ANSWER-Give the child feedback and reassurance during the
examination.
When examining a 16-year-old male teenager, the nurse should:
A. discuss health teaching with the parent because the teen is unlikely to be interested
in promoting wellness.
B. ask his parents to stay in the room during the history and physical examination to
answer any questions and alleviate his anxiety.
C. talk to him the same as one would talk with a younger child because a teen's level of
understanding may not match his or her speech.
D. provide feedback that his body is developing normally and discuss the wide variation
among teenagers on the rate of growth and development. - ANSWER-provide feedback
that his body is developing normally and discuss the wide variation among teenagers on
the rate of growth and development.
When examining an aging adult, the nurse should use which technique?
A. Avoid touching the patient too much.
B. Attempt to perform the entire physical examination during one visit.
C. Speak loudly and slowly because most aging adults have hearing deficits.
D. Arrange the sequence to allow as few position changes as possible. - ANSWERArrange the sequence to allow as few position changes as possible.
When assessing an older adult, the nurse keeps in mind which vital sign changes occur
with aging?
A. Increase in pulse rate
B. Increase in systolic blood pressure
C. Increase in body temperature
D. Decrease in diastolic pressure - ANSWER-Increase in systolic blood pressure
When assessing the force, or strength of a pulse, the nurse recalls it:
A. is usually recorded on a 0-to-2 point scale.
B. demonstrates elasticity of the vessel wall.
C. is a reflection of the heart's stroke volume.
D. reflects the blood volume in the arteries during diastole. - ANSWER-is a reflection of
the heart's stroke volume.
The nurse notices a colleague is preparing to check the blood pressure of a patient who
is obese by using a standard-sized blood pressure cuff. The nurse should expect the
reading to:
A. yield a falsely low blood pressure.
B. yield a falsely high blood pressure.
C. be the same regardless of cuff size.
D. vary as a result of the technique of the person performing the assessment. -
ANSWER-yield a falsely high blood pressure.
Which statement indicates the nurse understands the pain experienced by an elderly
person?
A. "Older persons must learn to tolerate pain."
B. "Pain is normal process of aging and is to be expected."
C. "Pain indicates pathology or injury and is not a normal process of aging."
D. "Older individuals perceive pain to a lesser degree than do younger individuals." -
ANSWER-Pain indicates pathology or injury and is not a normal process of aging."
A patient states the pain medication is "not working" and rates his postoperative pain at
a 10 on a 1 to 10 scale. Which of these assessment findings indicates an acute pain
response to poorly controlled pain?
A. Confusion
B. Hyperventilation
C. Increased blood pressure and pulse
D. Depression - ANSWER-Increased blood pressure and pulse
The nurse is assessing a patient's pain. The nurse knows the most reliable indicator of
pain would be:
A. patient's vital signs.
B. physical examination.
C. results of a computerized axial tomography scan.
D. subjective report. - ANSWER-subjective report.
When assessing a patient's pain, the nurse knows an example of visceral pain would
be:
A. hip fracture.
B. cholecystitis.
C. second degree burns.
D. pain after a leg amputation. - ANSWER-cholecystitis.
When assessing the intensity of a patient's pain, which question by the nurse is
appropriate?
A. What makes your pain better or worse?
B. How much pain do you have now?
C. How does pain limit your activities?
D. What does your pain feel like? - ANSWER-How much pain do you have now?
The nurse knows which statement is true regarding the pain experienced by infants?
A. Pain in infants can only be assessed by physiologic changes, such as increased
heart rate.
B. The Faces Pain Scale-Revised (FPS-R) can be used to assess pain in infants.
C. A procedure that induces pain in adults will also induce pain in the infant.
D. Infants feel pain less than adults do. - ANSWER-A procedure that induces pain in
adults will also induce pain in the infant.
During an assessment, the nurse notices that a patient is handling a small charm that is
tied to a leather strip around his neck. Which action by the nurse is appropriate?
A. Ask the patient about the item and its significance.
B. Ask the patient to lock the item with other valuables in the hospital's safe.
C. Tell the patient that a family member should take the valuable home.
D. No action is necessary. - ANSWER-Ask the patient about the item and its
significance.
The nurse manager is explaining culturally competent care during a staff meeting.
Which statement accurately describes the concept of culturally competent care? "the
caregiver:
A. is able to speak the patient's native language."
B. possesses some basic knowledge of the patient's cultural background."
C. applies the proper background knowledge of a patient's cultural background to
provide the best possible health care."
D. understands and attends to the total context of the patient's situation." - ANSWERunderstands and attends to the total context of the patient's situation."
When providing culturally competent care, nurses must incorporate cultural
assessments into their health assessments. Which statement is most appropriate when
initiating an assessment with an elderly American Indian patient?
A. Are you of the Christian faith?
B. Do you want to see a medicine man?
C. How often do you seek help from medical providers?
D. What cultural or spiritual beliefs are important to you? - ANSWER-What cultural or
spiritual beliefs are important to you?
During an assessment, the nurse asks a female patient, "How many alcoholic drinks do
you have a week?" Which answer by the patient would indicate "at risk" drinking?
A. "I may have one or two drinks a week."
B. "I usually have three or four drinks a week."
C. "I'll have a glass or two of wine every now and then."
D. "I have seven or eight drinks a week, but I never get drunk." - ANSWER-I have
seven or eight drinks a week, but I never get drunk."
The nurse is reviewing aspects of substance abuse in preparation for a seminar. Which
of these statements illustrates the concept of "tolerance" to an illicit substance? The
person:
A. has a physiologic dependence on a substance.
B. requires an increased amount of the substance to produce the same effect.
C. requires daily use of the substance in order to function, and is unable to stop using
it.
D. experiences a syndrome of physiologic symptoms if the substance is not used. -
ANSWER-requires an increased amount of the substance to produce the same effect.
As a mandatory reporter of elder abuse, which of these must be present before a nurse
notifies the authorities?
A. Statements from the victim.
B. Statements from witnesses.
C. Proof of abuse and/or neglect.
D. Suspicion of elder abuse and/or neglect. - ANSWER-Suspicion of elder abuse
and/or neglect.
The nurse is aware that intimate parter violence (IPV) screening should occur with
which situation?
A. When IPV is suspected.
B. When a woman has an unexplained injury.
C. As a routine part of each health care encounter.
D. When there is a known history of abuse in the family. - ANSWER-As a routine part
of each health care encounter.
The nurse is examining a 3-year old child who was brought to the emergency room after
a fall. Which bruise, if found, would be of most concern?
A. A bruise on the knee.
B. A bruise on the elbow.
C. Bruising on the abdomen.
D. A bruise on the shin. - ANSWER-Bruising on the abdomen.
The nurse is assessing the abilities of an older adult. Which of these following activities
are considered instrumental activities of daily living? Select all that apply.
A. Feeding oneself
B. Preparing a meal
C. Balancing a checkbook
D. Walking
E. Toileting
F. Grocery shopping - ANSWER-B. Preparing a meal
C. Balancing a checkbook
F. Grocery shopping
An 85 year old man has been hospitalized after a fall at home, and his 86 year old wife
is at his bedside. She tells the nurse that she is his primary care giver. The nurse should
assess the caregiver for signs of possible caregiver burnout, such as:
A. Depression
B. Weight gain
C. Hypertension
D. Social phobias - ANSWER-Depression
The nurse is bathing an 80 year old man and notices that his skin is wrinkled, thin, lax,
and dry. This finding would be related to which factor?
A. Increased vascularity of the skin in the elderly.
B. Increased numbers of sweat and