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NUR 101: EXAM 1 QUESTIONS WITH
SOLUTIONS
The nurse should instruct the patient to cover the cold pack with a
washcloth, towel, or fitted sheet before applying it to the ankle to
prevent tissue damage. A cold pack should be applied
intermittently for the first 24 hours, leaving it in place for no longer
than 15 minutes at a time. The patient should check the skin
frequently and discontinue the treatment immediately if redness or
other signs of tissue irritation occur.
The nurse plays music for a child with leukemia who is
experiencing pain. Which pain management technique is this
nurse using?
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1) Distraction
2) Guided imagery
3) Sequential muscle relaxation
4) HypnosisANS:
1) Distraction
Music is a form of distraction that has been shown to reduce pain
and anxiety by allowing the patient to focus on something other
than pain. Guided imagery uses auditory and imaginary
processes to help the patient to relax. In sequential muscle
relaxation, the patient sits and tenses muscles for 15 seconds and
then relaxes the muscles while breathing out. This relaxation
technique has also been effective for relieving pain. Hypnosis
involves the induction of a deeply relaxed state.
The nurse uses his hands to direct energy fields surrounding the
patients body. After this intervention, the patient states that his
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pain has lessened. How should the nurse document the
intervention?
1) Tactile distraction was performed and appeared effective in
reducing pain.
2) Guided imagery was effective to relax the patient and reduce
the pain.
3) Therapeutic touch was performed; patient verbalized lessening
of pain after treatment.
4) Sequential muscle relaxation was performed; patient states
pain is less.ANS:
3) Therapeutic touch was performed; patient verbalized lessening
of pain after treatment.
Therapeutic touch focuses on the use of hands to direct energy
fields surrounding the body. The nurse should document use of
therapeutic touch and its effectiveness in the progress notes after
performing the procedure. Tactile distraction involves activities
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such as massage, hugging a favorite toy, holding a loved one, or
stroking a pet. Guided imagery uses auditory and imaginary
processes to help the patient to relax. In sequential muscle
relaxation, the patient sits and tenses muscles for 15 seconds and
then relaxes the muscle while breathing out. This relaxation
technique is often effective for relieving pain.
A patient prescribed a nonsteroidal anti-inflammatory drug
(NSAID), naproxen (Aleve, Naprosyn), for treatment of arthritis
complains of stomach upset. What should the nurse instruct the
patient to do?
1) Notify the prescriber immediately.
2) Take the medication with food.
3) Take the medication with 8 ounces of water.
4) Take the medication before bedtime.ANS:
2) Take the medication with food.
NUR 101: EXAM 1 QUESTIONS WITH
SOLUTIONS
The nurse should instruct the patient to cover the cold pack with a
washcloth, towel, or fitted sheet before applying it to the ankle to
prevent tissue damage. A cold pack should be applied
intermittently for the first 24 hours, leaving it in place for no longer
than 15 minutes at a time. The patient should check the skin
frequently and discontinue the treatment immediately if redness or
other signs of tissue irritation occur.
The nurse plays music for a child with leukemia who is
experiencing pain. Which pain management technique is this
nurse using?
,2|Page
1) Distraction
2) Guided imagery
3) Sequential muscle relaxation
4) HypnosisANS:
1) Distraction
Music is a form of distraction that has been shown to reduce pain
and anxiety by allowing the patient to focus on something other
than pain. Guided imagery uses auditory and imaginary
processes to help the patient to relax. In sequential muscle
relaxation, the patient sits and tenses muscles for 15 seconds and
then relaxes the muscles while breathing out. This relaxation
technique has also been effective for relieving pain. Hypnosis
involves the induction of a deeply relaxed state.
The nurse uses his hands to direct energy fields surrounding the
patients body. After this intervention, the patient states that his
,3|Page
pain has lessened. How should the nurse document the
intervention?
1) Tactile distraction was performed and appeared effective in
reducing pain.
2) Guided imagery was effective to relax the patient and reduce
the pain.
3) Therapeutic touch was performed; patient verbalized lessening
of pain after treatment.
4) Sequential muscle relaxation was performed; patient states
pain is less.ANS:
3) Therapeutic touch was performed; patient verbalized lessening
of pain after treatment.
Therapeutic touch focuses on the use of hands to direct energy
fields surrounding the body. The nurse should document use of
therapeutic touch and its effectiveness in the progress notes after
performing the procedure. Tactile distraction involves activities
, 4|Page
such as massage, hugging a favorite toy, holding a loved one, or
stroking a pet. Guided imagery uses auditory and imaginary
processes to help the patient to relax. In sequential muscle
relaxation, the patient sits and tenses muscles for 15 seconds and
then relaxes the muscle while breathing out. This relaxation
technique is often effective for relieving pain.
A patient prescribed a nonsteroidal anti-inflammatory drug
(NSAID), naproxen (Aleve, Naprosyn), for treatment of arthritis
complains of stomach upset. What should the nurse instruct the
patient to do?
1) Notify the prescriber immediately.
2) Take the medication with food.
3) Take the medication with 8 ounces of water.
4) Take the medication before bedtime.ANS:
2) Take the medication with food.
