GNUR 238 BOOK QUESTIONS EXAM 1
What is the most reliable way to assess a patient's pain?
1. Type and frequency of analgesic medications the
patient takes
2. Patient's most recent vital signs (e.g., blood pressure
and pulse rate)
3. Extent of tissue damage the patient has had
4. Report from the patient describing the pain
experienced - Answers - 4. Report from the patient describing the pain
experienced
A patient had a knee replaced because of arthritis. He
reports that he has not slept well in several nights. He
states that he can't get comfortable. Today he is asking for
pain medication more often. What might be a reason for
this increase in pain?
A patient complains of leg pain. Which question is pertinent
to ask to gain additional information?
1. "What were you doing when the pain first occurred?"
2. "How do you feel about having this pain?"
3. "Do you think the pain is caused by a cramp?"
4. "Has anyone in your family ever had similar pain?" - Answers - 1. "What were you
doing when the pain first occurred?"
A female has been admitted to the emergency department
with severe abdominal pain. She is lying on a stretcher
quietly, with very little movement. The nurse preparing to
assess her abdomen should expect to see which behavior
when it is time to palpate this patient's abdomen?
1. Flushing of the face and neck
2. Guarding over the abdomen
3. Relaxation of abdominal muscles
4. Decreased peristalsis - Answers - 2. Guarding over the abdomen
A 52-year-old male patient is admitted to the hospital with
a new diagnosis of rectal cancer. The nurse conducts which
type of assessment on his admission?
1. A comprehensive assessment
2. A problem-based health assessment
, 3. An episodic assessment
4. A screening assessment for colorectal cancer - Answers - 1. A comprehensive
assessment
The formation of a plan of care is initiated with:
1. Analysis of data
2. Collection of data
3. Clustering of data
4. Identification of nursing diagnoses - Answers - 2. Collection of data
1. Arthritis pain is variable; it can be mild one day and
severe the next.
2. Pain tolerance decreases with sleep deprivation.
3. The anesthesia from surgery is wearing off.
4. The patient is using the pain medication to help him
sleep during the day. - Answers - 2. Pain tolerance decreases with sleep deprivation.
A patient complains of chest pain. Which question is pertinent to ask to gain additional
information?
1. "What were you doing when the pain first occurred?"
2. "What does the pain feel like?"
3. "Do you have shortness of breath with the chest pain?"
4. "Has anyone in your family ever had similar pain?" - Answers - 2. "What does the
pain feel like?"
During an interview the nurse learns that a patient has a
5-year history of hypertension. Which health promotion
intervention is most appropriate at this time?
1. Teaching the patient how to relieve stress to prevent
hypertension
2. Monitoring and minimizing the progression of
hypertension
3. Establishing a screening schedule for detection of
hypertension
4. Advising the patient on the benefits of exercise to lower
blood pressure - Answers - 2. Monitoring and minimizing the progression of
hypertension
A patient reports painful urination for 2 days. The urine
is pink tinged and cloudy. What type of data does this
information represent?
1. Subjective data
What is the most reliable way to assess a patient's pain?
1. Type and frequency of analgesic medications the
patient takes
2. Patient's most recent vital signs (e.g., blood pressure
and pulse rate)
3. Extent of tissue damage the patient has had
4. Report from the patient describing the pain
experienced - Answers - 4. Report from the patient describing the pain
experienced
A patient had a knee replaced because of arthritis. He
reports that he has not slept well in several nights. He
states that he can't get comfortable. Today he is asking for
pain medication more often. What might be a reason for
this increase in pain?
A patient complains of leg pain. Which question is pertinent
to ask to gain additional information?
1. "What were you doing when the pain first occurred?"
2. "How do you feel about having this pain?"
3. "Do you think the pain is caused by a cramp?"
4. "Has anyone in your family ever had similar pain?" - Answers - 1. "What were you
doing when the pain first occurred?"
A female has been admitted to the emergency department
with severe abdominal pain. She is lying on a stretcher
quietly, with very little movement. The nurse preparing to
assess her abdomen should expect to see which behavior
when it is time to palpate this patient's abdomen?
1. Flushing of the face and neck
2. Guarding over the abdomen
3. Relaxation of abdominal muscles
4. Decreased peristalsis - Answers - 2. Guarding over the abdomen
A 52-year-old male patient is admitted to the hospital with
a new diagnosis of rectal cancer. The nurse conducts which
type of assessment on his admission?
1. A comprehensive assessment
2. A problem-based health assessment
, 3. An episodic assessment
4. A screening assessment for colorectal cancer - Answers - 1. A comprehensive
assessment
The formation of a plan of care is initiated with:
1. Analysis of data
2. Collection of data
3. Clustering of data
4. Identification of nursing diagnoses - Answers - 2. Collection of data
1. Arthritis pain is variable; it can be mild one day and
severe the next.
2. Pain tolerance decreases with sleep deprivation.
3. The anesthesia from surgery is wearing off.
4. The patient is using the pain medication to help him
sleep during the day. - Answers - 2. Pain tolerance decreases with sleep deprivation.
A patient complains of chest pain. Which question is pertinent to ask to gain additional
information?
1. "What were you doing when the pain first occurred?"
2. "What does the pain feel like?"
3. "Do you have shortness of breath with the chest pain?"
4. "Has anyone in your family ever had similar pain?" - Answers - 2. "What does the
pain feel like?"
During an interview the nurse learns that a patient has a
5-year history of hypertension. Which health promotion
intervention is most appropriate at this time?
1. Teaching the patient how to relieve stress to prevent
hypertension
2. Monitoring and minimizing the progression of
hypertension
3. Establishing a screening schedule for detection of
hypertension
4. Advising the patient on the benefits of exercise to lower
blood pressure - Answers - 2. Monitoring and minimizing the progression of
hypertension
A patient reports painful urination for 2 days. The urine
is pink tinged and cloudy. What type of data does this
information represent?
1. Subjective data
