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7/26/2019 FINAL SL-1
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AMANDO COPE COLLEGE
COLLEGE OF NURSING
Skills Laboratory I
Final Examination
Name ________________________________________Gro! " _____ Date _________ S#ore
_______
I$ MUL%IPLE C&OICE
'rite t(e letter o) t(e #orre#t ans*er on t(e s!a#e !ro+i,e, be)ore ea#( nmber$
S%RIC%L- NO ERASURES......
___ 1. Accurate result when counting the respiration is obtained when the nurse:
a. Counts the respiration unnoticed by the client
b. Counts the respiration when the client is at rest
c. Consider the rise and fall of the chest as one countd. All of the above
___ 2. The normal breathing rate is
a. Eupnea
b. radypnea
c. Tachypnea
d. dyspneae.
f. ___ !. The safest and most non"invasive way of ta#ing the temperature is through
a. oral
b. rectal
c. a$illary
d. tympanice.
f. ___ %. All are persons who are at ris# to hypothermia& e$cepta. infant and children b. elderly
c. street peopled. clients with infection
e.
f. ___ '. Absence of respirationa. eupnea
b. apnea
c. tachypnea
d. dyspnea
e.
f. ___ (. )hich of the following nursing action is inappropriate when ta#ing the rectaltemperature*
a. Assist client to assume lateral position
b. +ubricate thermometer with water soluble lubricant before usec. ,old the thermometer in place for 2 minutes
d. -nstruct client to strain during insertion of the thermometer
g.h. ___ . The safest& most accessible and non"invasive method of temperature ta#ing
a. /ral
b. A$illary
c. 0ectal
d. Tympanic
e.f. ___ . The nurse reports that the client has dyspnea when ambulating. The nurse is
most li#ely to
g. have assessed which of the following*a. hallow respiration
b. )hee3ing
c. ,ealth education
d. 4ursing diagnosis
e.f. ___ 5. A procedure rendered to a client with fever& that increases peripheral
circulation and
g. enhance heat loss by evaporation and conductiona. ed shampoo
b. -ce cap over forehead
c. ed bath
d. Tepid sponge bath
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e.
f. ___ 16. The process involved in the e$change of gases in the lungs is
a. 7iffusion b. /smosis
c. ,ydrostatic pressured. /ncotic pressure
e.
f. ___ 11. The primary respiration center a. 8edulla oblongata
b. 9ons
c. Carotid and aortic bodies
d. 9roprioceptors
e.f. ___ 12. ody temperature above normal range
a. ,yperpyre$ia
b. 9yre$ia
c. ,ypothermia
d. 4one of the above
e.f. ___ 1!. The temperature fluctuates within a wide range over the 2% hour period but
remain
g. above normal range
a. 0emittent fever b. 0elapsing fever c. -ntermittentd. Constant
e.f. ___ 1%. The sudden decline of fever
a. Crisis
b. +ysis
c. Constant
d. 0elapsinge.
f. ___ 1'. A person without fever
a. ebrile
b. 4ormotensive
c. Afebrile
d. Tachycardice.
f. ___ 1(. /ne of the factors affecting body heat production that increases cellular
metabolic rateg. in person with hyperthyroidism
a. asal metabolic rate
b. Epinephrine
c. 8uscle activity
d. Thyro$in outpute.
f. ___ 1. The temperature of the deep tissues of the body
a. Core temperature
b. A$illary temperature
c. urface temperature
d. /ral temperaturee.
f. ___ 1. The heat regulating center is found in the
a. 8edulla oblongata b. Thalamus
c. ,ypothalamusd. 9ons
e.
f. ___ 15. A process of heat loss which involves the transfer of heat from one surface toanother is
a. 0adiation
b. Conduction
c. Convection
d. Evaporation
e.f. ___ 26. The following are contraindications to oral temperature ta#ing& e$cept
a. 7yspnea
b. 7iarrhea
c. 4asal"pac#ing
d. 4ausea and vomitinge.
f.
g. ___ 21. /ne of the signs and symptoms during the course of fever is herpetic lesionsof the
h. mouth which is #nown as
a. ,erpes simple$ virus b. ,erpes viral infection
c. ever blistersd. ever infection
e.
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f. ___ 22. )hich among the following nursing interventions provide additional calories
and
g. prevent dehydration*a. 9rovide ade;uate foods and fluids
b. 9romote rest
c. 8aintain prescribed -< fluidsd. 8easure inta#e and output
e.
f. ___ 2!. )hat is the color code of the oral thermometer*a. 0ed
b. =reen
c. >ellow
d. lue
e.
f. ___ 2%. The availability and movement of blood for transport of gases& nutrients andmetabolic
g. waste products
a. <entilation
b. 7iffusion
c. 9erfusion
d. 7ehydratione.
f. ___ 2'. -t refers to respiratory effort and sound breathinga. ?uality
b. 0hythm
c. 7epth
d. 0ate
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e.
II$ ENUMERA%ION
f.A. 8a@or factors affecting respiratory rate
g. 2(.
h. 2.i. 2.
@. 25.
. actors affecting the bodys heat production#. !6.
l. !1.
m. !2.
n. !!.o. !%.
C. 7ifferent body areas that have been used for the measurement of body temperature. =ive
at least si$.
p. !'.;. !(.
r. !.s. !.
t. !5.
u. %6.v.
w.
x$ G O O D L U C /.........y$
0$aa$
ab$
a#$ PREPARED 1-2
a,$ 3ENNIFER S$ CRUEL4 RN4 MN
ae.CLINICAL INS%RUC%OR