NUR 306 Prep U Exam 1 Practice Questions with Complete Solutions (Latest 2025) An inexperienced nurse has just performed percussion on a client's chest and detected hyper-resonance, which would tend to indicate emphysema. However, the client is 35 years old, appears healthy otherwise, and denies ever having smoked. The nurse realizes that the data need to be validated. Which method of validation would be most appropriate in this case?Confirm that the client has truly never been a smoker by asking him.Clarify the data by asking whether the client has experienced any trouble breathing lately.Repeat the percussion using the nondominant hand.Verify the data by having another nurse come in to perform the percussion. - Correct Answers ✅Verify the data by having another nurse come in to perform the percussion.The most appropriate method of validation in this case would be to have another nurse come in to perform the percussion.We know that the nurse is inexperienced, and with all of the other information supplied, it is much more likely that the discrepancy is due to improper percussion technique or faulty interpretation of the sound than it is to the client actually having emphysema. Repeating the procedure with the nondominant hand is not likely to change the results. If the client appears healthy and has not reported breathing difficulty, it is not likely that he has emphysema. If the client 1 / 4
NUR 306 Prep U Exam 1 Practice Questions with Complete Solutions (Latest 2025) has already denied smoking, asking him again will likely only insult him.A client who takes oral contraceptives states that she often experiences breast pain just before her menstrual cycle begins. When using the COLDSPA mnemonic to assess the client's pain, the nurse should begin by asking which of the following?"Would you describe the pain as being constant or as intermittent?" "Is there anything that makes the pain worse or better?" "How would you describe your pain? Is it sharp? Is it an ache?" "Has the pain changed over time?" - Correct Answers ✅"How would you describe your pain? Is it sharp? Is it an ache?" The "C" in COLDSPA elicits the character of the client's pain.It does not address alleviating and aggravating factors or the timing.A client has come to the physician's office several times in the last month with a black eye, bruises, and lacerations on the lower extremities. The client always explains having 2 / 4
NUR 306 Prep U Exam 1 Practice Questions with Complete Solutions (Latest 2025) fallen and tripped. The nurse suspects abuse. The next step
should be to:
Call the police.Report the findings to a supervisor.Confront the client.Call social services. - Correct Answers ✅Report the findings to a supervisor.The nurse managers of a home healthcare office wish to maximize nurses' freedom to characterize and record client conditions and situations in the nurses' own terms. Which of the following documentation formats is most likely to promote this goal?SOAP notes Focus charting Narrative notes Charting by exception - Correct Answers ✅Narrative notes A nurse on an oncology unit enters a client's room to auscultate bowel sounds. What should the nurse do before auscultating? 3 / 4
NUR 306 Prep U Exam 1 Practice Questions with Complete Solutions (Latest 2025) Make sure the stethoscope is placed directly on the client's skin so that there is complete contact with the skin surface Disinfect the stethoscope after touching the client Disinfect the stethoscope before touching the client Put on a personal protection gown - Correct Answers ✅Disinfect the stethoscope before touching the client The nurse is to collect a throat culture from a client. The nurse demonstrates the best adherence to standard precautions by using which piece of protective equipment?Face mask Gloves Cover gown Eye goggles - Correct Answers ✅Gloves The nurse is preparing for a physical examination of a client.What should the nurse do first?Gather equipment Hand hygiene Auscultation Palpitation - Correct Answers ✅Hand hygiene
- / 4