Study Guide for Fundamentals of Nursing The Art and Science of Nursing Care

b.Sphygmomanometer: Consists of a cuff and the

manometer. The cuff contains an airtight, flat,

rubber bladder covered with cloth, which is closed

around the limb with contact closures. Two tubes

are attached to the bladder within the cuff; one is

connected to a manometer, the other to a bulb used

to inflate the bladder.

REFLECTIVE PRACTICE USING CRITICAL

THINKING SKILLS

Sample Answers

1.What might be causing Noah’s reaction to the

nurse’s attempt to assess a tympanic temperature?

Noah may be reacting out of fear of strange people

and situations. Noah may also have an earache and

in that case, a tympanic temperature is contraindi-

cated because the movement of the tragus may

cause severe discomfort.

2.What would be a successful outcome for Noah?

Noah exhibits calmness upon examination and

allows the nurse to perform necessary assessments

3.What intellectual, technical, interpersonal, and/or

ethical/legal competencies are most likely to bring

about the desired outcome?

Intellectual: knowledge of how to tailor vital signs

technology to meet the needs of a 2-year-old

Technical: ability to correctly use the equipment

necessary to assess and document vital signs

Interpersonal: ability to establish a trusting relation-

ship with children and their families.

4.What resources might be helpful for the nurse car-

ing for Noah?

Stuffed animal to demonstrate the procedures for tak-

ing vital signs, knowledge of distraction techniques

to use when performing procedures on children

CHAPTER 25

PRACTICING FOR NCLEX

MULTIPLE CHOICE QUESTIONS

1.b 2.c 3.a 4.c 5.d

6.b 7.a 8.d 9.c 10.a

11.c 12.b 13.d 14.a 15.c

16.a 17.d 18.b

ALTERNATE-FORMAT QUESTIONS

Multiple Response Questions

1.c, d, e

2.a, b, e

3.b, c, f

4.b, d, e

5.a, d, f

6.c, e, f

7.c, d, e

8.a, b, e

Hot Spot Question

1.See figure below.

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins. Study Guide for Fundamentals of Nursing:

366 ANSWER KEY

Midsternum

Midclavicular line

Aortic area

Mitral (apical)

area

Tricuspid

area

Erb’s point

Pulmonic

area

DEVELOPING YOUR KNOWLEDGE BASE

IDENTIFICATION QUESTIONS

1. a.Liver
   b.Stomach
   c. Spleen
   d.Transverse colon
   e.Descending colon
   f. Small intestine
   g.Sigmoid colon
   h.Bladder
   i. Appendix
   j. Cecum
   k.Ascending colon


2. a.Malleus
   b.Incus
   c. Semicircular canals
   d.Facial nerve
   e.Cochlear and vestibular branch
   f. Cochlea
   g.Oval window
   h.Round window
   i. Eustachian tube
   j. Stapes and footplate
   k.Tympanic membrane
   MATCHING EXERCISES
   1.a 2.b 3.a 4.d 5.c
   6.b 7.e 8.d 9.c 10.a
   11.b 12.d 13.c 14.a 15.b
   16.e 17.g 18.d 19.h 20.f
   21.f 22.b 23.d 24.j 25.a
   26.c 27.e 28.h 29.i 30.g
   31.d 32.f 33.a 34.c 35.b
   36.e

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