NMNC 1110 EXAM 2 FINAL STUDY GUIDE 2026
TESTED ITEMS SOLVED
◉ A client experiences a muscle sprain of the ankle. When assessing
the injury, the nurse discovers that a hematoma is developing, and
the client reports tenderness when the ankle is palpated. The nurse
anticipates that the plan of care will include the application of
which?
1:binder
2:ice bag
3:elastic bandage
4:warm compress. Answer: 2
Rationale: application of ice to a soft tissue injury causes
vasoconstriction, which results in decreasing hemorrhage, edema,
and pain
-binder or elastic bandage on the area of a soft tissue injury is
contraindicated and may cause compartment syndrome
-a warm compress would result in vasodilation and cause increased
hemorrhage, edema, and pain
,◉ When assessing a client after abdominal surgery, which cue would
the nurse use to form a data cluster?
Select all that apply.
1:the client reports pain with movement
2:the client has pain over the surgical area
3:the client wants to know when he can go home
4:the client rates the pain as 8 on a scale of 0-10
5:the client has concerns about caring for the wound. Answer: 1,2,4
◉ A nurse is taking care of a client who has chronic back pain. Which
nursing considerations would be made when determining the clients
plan of care? select all that apply
1:ask the client about the acceptable level of pain
2:eliminate all activities that precipitate the pain
3:administer the pain medications regularly around the clock
,4:use a different pain scale each time to promote patient education
5:assess the clients pain every 15 minutes. Answer: 1,3
Rationale: Considering that the client has chronic, not acute, pain,
the goal of pain management is to decrease the pain to a tolerable
level instead of eliminating the pain completely.
-The same pain scale should be used for assessment of clients pain
level for consistency
◉ For which involuntary physiologic response would the nurse
monitor development in a clients experiencing pain?
1:crying
2:splinting
3:perspiring
4:grimacing. Answer: 3
Rationale: (sweat) an involuntary physiologic response. It is
mediated by the ANS under a variety of circumstances: rising temps,
high humidity, stress, and pain
, ◉ Which action would the nurse take first for a postsurgical client
who is still intubated but becoming restless, with an increased pulse
rate and blood pressure, when it has been 4 hours since the last dose
of pain medication?
1:notify the provider
2:perform a full physical assessment
3:administer the prescribed pain medication
4:play soft, relaxing music to help calm the client. Answer: 3
Rationale: Since it has been several hours, the nurse would
administer the prescribed pain medication.
-because the client is intubated, the nurse cant fully assess the
patient for pain
◉ upon assessing a client who underwent abdominal surgery 10
days ago, the client reports abdominal pain. Which type of pain
would the client experience?
1:visceral pain
2:somatic pain
TESTED ITEMS SOLVED
◉ A client experiences a muscle sprain of the ankle. When assessing
the injury, the nurse discovers that a hematoma is developing, and
the client reports tenderness when the ankle is palpated. The nurse
anticipates that the plan of care will include the application of
which?
1:binder
2:ice bag
3:elastic bandage
4:warm compress. Answer: 2
Rationale: application of ice to a soft tissue injury causes
vasoconstriction, which results in decreasing hemorrhage, edema,
and pain
-binder or elastic bandage on the area of a soft tissue injury is
contraindicated and may cause compartment syndrome
-a warm compress would result in vasodilation and cause increased
hemorrhage, edema, and pain
,◉ When assessing a client after abdominal surgery, which cue would
the nurse use to form a data cluster?
Select all that apply.
1:the client reports pain with movement
2:the client has pain over the surgical area
3:the client wants to know when he can go home
4:the client rates the pain as 8 on a scale of 0-10
5:the client has concerns about caring for the wound. Answer: 1,2,4
◉ A nurse is taking care of a client who has chronic back pain. Which
nursing considerations would be made when determining the clients
plan of care? select all that apply
1:ask the client about the acceptable level of pain
2:eliminate all activities that precipitate the pain
3:administer the pain medications regularly around the clock
,4:use a different pain scale each time to promote patient education
5:assess the clients pain every 15 minutes. Answer: 1,3
Rationale: Considering that the client has chronic, not acute, pain,
the goal of pain management is to decrease the pain to a tolerable
level instead of eliminating the pain completely.
-The same pain scale should be used for assessment of clients pain
level for consistency
◉ For which involuntary physiologic response would the nurse
monitor development in a clients experiencing pain?
1:crying
2:splinting
3:perspiring
4:grimacing. Answer: 3
Rationale: (sweat) an involuntary physiologic response. It is
mediated by the ANS under a variety of circumstances: rising temps,
high humidity, stress, and pain
, ◉ Which action would the nurse take first for a postsurgical client
who is still intubated but becoming restless, with an increased pulse
rate and blood pressure, when it has been 4 hours since the last dose
of pain medication?
1:notify the provider
2:perform a full physical assessment
3:administer the prescribed pain medication
4:play soft, relaxing music to help calm the client. Answer: 3
Rationale: Since it has been several hours, the nurse would
administer the prescribed pain medication.
-because the client is intubated, the nurse cant fully assess the
patient for pain
◉ upon assessing a client who underwent abdominal surgery 10
days ago, the client reports abdominal pain. Which type of pain
would the client experience?
1:visceral pain
2:somatic pain
