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NSG 3160 Final Exam Review Questions And Answers

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NSG 3160 Final Exam Review Questions And Answers A 22-year-old man comes to the clinic for an examination after falling off his motorcycle and landing on his left side on the handle bars. The nurse suspects that he may have injured his spleen. Which of these statements is true regarding assessment of the spleen in this situation? An enlarged spleen should not be palpated because it can easily rupture. While examining a patient, the nurse observes abdominal pulsations between the xiphoid process and umbilicus. What does the nurse suspect? Normal abdominal aortic pulsations A patient is having difficulty swallowing medications and food. How should the nurse document this? Dysphagia During the change-of-shift report, the student nurse hears that a patient has hepatomegaly. What should the student recognizes that this term means? enlarged liver During an abdominal assessment, the nurse elicits tenderness on light palpation in the right lower quadrant. The nurse recognizes this finding could indicate a problem with what structure? Appendix

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NSG 3160 Exam 2 Questions With
Complete Solutions

Mental status is defined as

A.) A pt's emotional & cognitive function
B.) The pt's conscious, mood, and affect
C.) General Intelligence
D.) Pt's perception

A mental disorder is best defined as

A.) Presence of phobia
B.) A lack of rational thought and abstract researching
C.) Extreme behavior that is usually associated with stress
D.) Remote memory from years ago may be impacted

The A, B, C, and T of the mental health assessment is

A.) Attitude, behavior, cleanliness, talk/speech
B.) Appearance, behavior, cognition, and thought
C.) Airway, breathing, circulation
D.) Ability, beliefs, culture, traditions

Which of the following best describes a pt's appearance?

A.) Posture is erect and body movement is voluntary
B.) Pt is oriented x3
C.) Pt is awake, alert, and aware and responds appropriately
D.) GAD score > 3

One method a nurse can use to assess recent memory

A.) Assess a pt's ability to complete a thought without wandering
B.) Ask pt for a 24 hour diet recall
C.) Ask about pt's first job
D.) Perform 4 unrelated words test

Recent memory deficit can occur with delirium and dementia

A.) True
B.) False

,A nurse can assess a pt's attention span by giving a series of directions to follow
and note correct sequence performed

A.) True
B.) False

To assess for new learning using 4 unrelated words, after 5 minutes, ask for the
recall of

A.) 5 words
B.) 10 words
C.) 4 words
D.) 8 words

To test the duration of memory using the new learning 4 unrelated words test, ask
for a recall at

A.) 10 and 30 minutes
B.) 5 and 10 minutes
C.) 15 and 60 minutes
D.) 1 and 2 hours

Which of the following is not one of the 4 most common anxiety disorders?

A.) Panic disorder
B.) Posttraumatic stress disorder
C.) Social anxiety disorder
D.) Depression

The PH-Q depression screening tool defines minimal symptoms in what score
range?

A.) > 20
B.) 10-14
C.) 1-5
D.) 5-9

Obtunded means

A.) Drifts off to sleep when not stimulated
B.) Responds only to persistent shaking or pain
C.) Will wake with loud shouting or vigorous shake
D.) No response to pain or any external stimuli

, Expressive aphasia is also known as

A.) Broca aphasia
B.) Global aphasia
C.) Wernicke aphasia
D.) Receptive aphasia

Delirium is a chronic progressive loss of cognitive and intellectual functions

A.) True
B.) False

Hypochondriasis means

A.) Person believes they are God
B.) Person feels "They are out to get me"
C.) Morbid fear of their lack of health or a fear of having cancer
D.) Irrational fear of an object

Which substance displays signs of intoxication of reddened eyes, relaxation,
suspicious

A.) Cocaine
B.) Nicotine
C.) Cannabis
D.) Opiates

Which substance displays signs of intoxication of pinpoint pupils, decreased
pulse, and BP

A.) Cocaine
B.) Nicotine
C.) Cannabis
D.) Opitaes

Which substance displays signs of intoxication of pupillary dilation, chills, and
nausea

A.) Cocaine
B.) Nicotine
C.) Cannabis
D.) Opiates

Which areas on the body are lymph nodes NOT easily palpated?

A.) Head, neck, inguinal

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