NURS 275 Exam 3 Newest 2026|| QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) ||NEWEST EXAM!!
A nurse is assessing a client in an inpatient mental health
unit. Which of the following findings should the nurse
expect if the client is in the preassaultive stage of
violence? (Select all that apply)
A. Lethargy
B. Defensive responses to questions
C. Disorientation
D. Facial grimacing
E. Agitation - ANSWER-B, D, E
A nurse is caring for a client in an inpatient mental health
facility who gets up from a chair and throws it across the
day room. Which of the following is the priority nursing
action?
A. Encourage the client express feelings out loud
B. Maintain eye contact with the client
C. Move the client away from others
,2|Page
D. Tell the client that the behavior is not acceptable -
ANSWER-C
A nurse is caring for a client who is screaming at staff
members and other clients. Which of the following is a
therapeutic response by the nurse to the client?
A. "Stop screaming, and walk with me outside"
B. "Why are you so angry and screaming at everyone"
C. "You will not get your way by screaming"
D. "What was going through your mind when you started
screaming?" - ANSWER-A
A charge nurse is leading a peer group discussion about
family and community violence. Which of the following
statements by a member of the group indicates an
understanding of teaching?
A. "Children older than 5 are at greater risk for abuse"
B. "Substance use disorder does not increase risk for
violence"
C. "Entering an intimate relationship increases the risk for
violence"
,3|Page
D. "Pregnancy increases the risk for violence from a
spouse or partner" - ANSWER-D
A nurse is preparing to assess an infant. Which of the
following is an expected finding of shaken baby
syndrome? (Select all that apply)
A. Sunken fontanels
B. Respiratory distress
C. Retinal hemorrhage
D. Altered level of consciousness
E. Increase in head circumference - ANSWER-B, C, D, E
A nurse working in an emergency department is assessing
a preschool age child who reports abdominal pain. Which
of the following findings should alert the nurse to possible
abuse? (Select all that apply)
A. Abrasions on knees
B. Round burn marks on forearms
C. Mismatched clothing
D. Abdominal rebound tenderness
E. Areas of ecchymosis on torso - ANSWER-B, E
, 4|Page
A nurse is preparing a community education seminar
about family violence. When discussing types of violence,
the nurse should include which of the following?
A. Refusing to pay bills for a dependent, even when funds
are available, is neglect
B. Intentionally causing someone to fall is an example of
physical violence
C. Striking a sexual partner is an example of sexual
violence
D. Failure to provide a stimulating environment for normal
development is emotional abuse - ANSWER-B
The nurse is caring for a client with liver cirrhosis
suspected of having upper GI bleeding. Which laboratory
indicates the client's gastrointestinal (GI) tract is digesting
and absorbing blood?
A. Elevated HgbA1c
B. Decrease Chloride
C. Decreased Alanine transaminase (ALT)
D. Elevated blood urea nitrogen (BUN) - ANSWER-D