NURS 241 exam 1 Questions With Complete Solutions
4 basic types of assessment Correct Answers 1. Initial
comprehensive assessment
2. Ongoing or partial assessment
3. Focused or problem-oriented assessment
4. Emergency assessment
A client is experiencing acute pain and has asked the nurse for
medication. The client rates the pain as an 8 on a scale of 0 to
10. During assessment, a physiological response from the client
that the nurse can expect is: Correct Answers Diaphoresis
A client is reporting pain and informs the nurse that it has
become unbearable. The first thing the nurse should do is what?
Correct Answers Assess the site and intensity of the pain.
A nurse is completing a general survey of a client's health and is
beginning by measuring the client's vital signs. What assessment
question constitutes the "fifth vital sign"? Correct Answers "are
you having any pain right now?"
A nurse observes that a young man's arm span appears to be
greater than his height. Which condition should the nurse
suspect in this client? Correct Answers marfan's syndrome
A nurse observes the gait of an elderly client admitted for
surgery. The client's gait is stiff with rigid movements. The
nurse should ask this client questions about which disease?
Correct Answers parkinson's disease
, A nurse observes the posture of a male client and finds him
leaning forward and bracing himself while sitting on the exam
table. Which of the following would the nurse most likely
suspect? Correct Answers Chronic obstructive pulmonary
disease
A nurse obtains the blood pressure of a client who is
uncharacteristically fatigued and who is lying in bed rather than
sitting in a chair. The nurse should interpret the client's blood
pressure reading in light of what principle? Correct Answers
The client's blood pressure will be slightly lower than standing
readings.
After describing the pathophysiology of pain, an instructor
determines that the students have understood the teaching when
they identify which of the following as being responsible for
transmitting the sensations to the central nervous system?
Correct Answers Nociceptors
An elderly client is seen by the nurse in the neighborhood clinic.
The nurse observes that the client is dressed in several layers of
clothing, although the temperature is warm outside. The nurse
suspects that the client's cold intolerance is a result of Correct
Answers decreased body metabolism
An obese client has developed peripheral edema as a
consequence of heart failure, making it very difficult for the
student nurse to accurately palpate the client's peripheral pulses.
How should the nurse proceed with this assessment? Correct
Answers Auscultate the client's apical pulse
4 basic types of assessment Correct Answers 1. Initial
comprehensive assessment
2. Ongoing or partial assessment
3. Focused or problem-oriented assessment
4. Emergency assessment
A client is experiencing acute pain and has asked the nurse for
medication. The client rates the pain as an 8 on a scale of 0 to
10. During assessment, a physiological response from the client
that the nurse can expect is: Correct Answers Diaphoresis
A client is reporting pain and informs the nurse that it has
become unbearable. The first thing the nurse should do is what?
Correct Answers Assess the site and intensity of the pain.
A nurse is completing a general survey of a client's health and is
beginning by measuring the client's vital signs. What assessment
question constitutes the "fifth vital sign"? Correct Answers "are
you having any pain right now?"
A nurse observes that a young man's arm span appears to be
greater than his height. Which condition should the nurse
suspect in this client? Correct Answers marfan's syndrome
A nurse observes the gait of an elderly client admitted for
surgery. The client's gait is stiff with rigid movements. The
nurse should ask this client questions about which disease?
Correct Answers parkinson's disease
, A nurse observes the posture of a male client and finds him
leaning forward and bracing himself while sitting on the exam
table. Which of the following would the nurse most likely
suspect? Correct Answers Chronic obstructive pulmonary
disease
A nurse obtains the blood pressure of a client who is
uncharacteristically fatigued and who is lying in bed rather than
sitting in a chair. The nurse should interpret the client's blood
pressure reading in light of what principle? Correct Answers
The client's blood pressure will be slightly lower than standing
readings.
After describing the pathophysiology of pain, an instructor
determines that the students have understood the teaching when
they identify which of the following as being responsible for
transmitting the sensations to the central nervous system?
Correct Answers Nociceptors
An elderly client is seen by the nurse in the neighborhood clinic.
The nurse observes that the client is dressed in several layers of
clothing, although the temperature is warm outside. The nurse
suspects that the client's cold intolerance is a result of Correct
Answers decreased body metabolism
An obese client has developed peripheral edema as a
consequence of heart failure, making it very difficult for the
student nurse to accurately palpate the client's peripheral pulses.
How should the nurse proceed with this assessment? Correct
Answers Auscultate the client's apical pulse
