NUR 342 Exam 1 study guide Questions With Complete
Solutions
A client is telling a nurse they have experienced seeing things
that aren't really there. What can the nurse expect the client is
experiencing? Correct Answers visual hallucination
A client with a darker skin tone is being assessed by a nurse.
Where should the nurse look for signs of cyanosis and jaundice?
Correct Answers for cyanosis, look in mucous membranes, lips;
for jaundice look at nails and palms of hands
A nurse enters a clients room and notices they are grimacing,
have unusual facial expresions, are guarding, and are expressing
non-communicable noises. What should the nurse expect is
going on? Correct Answers the patient is experiencing pain
A nurse has collected a urine specimen from a client. What
acronym should they use and what does it entail? Correct
Answers COCA, color of urine, odor, consistency, amount
A nurse is about to examine an older client. What changes to
mental status should the nurse expect with age? Correct
Answers benign forgetfulness, slower thought process &
responses, diminished sensory capcity, dementia
A nurse is asking a patient on their family history. Who should
the nurse ask about in their family to gather an accurate family
history? Correct Answers parents, grandparents, siblings
, A nurse is assessing a client and notices they are struggling to
shrug their shoulders when doing a neck assessment. What CN
should the nurse expect is damaged? Correct Answers CN XI
A nurse is assessing a client and realizes they are pallor, have
increase turgor, receding gums, and dry mucous membranes.
What can the nurse suspect the patient has? Correct Answers
malnutrition
A nurse is assessing a client and realizes they have a bounding
pulse, hypertension, tachypnea, pitting edema, skin pallor, skin
is cool to touch, patient is confused and has muscle weakness.
What can the nurse suspect the patient has? Correct Answers
hypervolemia (overhydartion)
A nurse is assessing a client and the client states they are having
headaches typically first thing in the morning, right behind the
eyes. What type of headache should the nurse expect this to be?
Correct Answers a cluster headache
A nurse is assessing a client on their abdomen. What steps
should the nurse take? Correct Answers inspection,
auscultation, palpation, percussion
A nurse is assessing a client on their mental status and is
wanting to screen for anxiety. What type of questions should the
nurse ask? Correct Answers are you nervous, on edge, or
anxous? Do you experience anxiety attacks?
Solutions
A client is telling a nurse they have experienced seeing things
that aren't really there. What can the nurse expect the client is
experiencing? Correct Answers visual hallucination
A client with a darker skin tone is being assessed by a nurse.
Where should the nurse look for signs of cyanosis and jaundice?
Correct Answers for cyanosis, look in mucous membranes, lips;
for jaundice look at nails and palms of hands
A nurse enters a clients room and notices they are grimacing,
have unusual facial expresions, are guarding, and are expressing
non-communicable noises. What should the nurse expect is
going on? Correct Answers the patient is experiencing pain
A nurse has collected a urine specimen from a client. What
acronym should they use and what does it entail? Correct
Answers COCA, color of urine, odor, consistency, amount
A nurse is about to examine an older client. What changes to
mental status should the nurse expect with age? Correct
Answers benign forgetfulness, slower thought process &
responses, diminished sensory capcity, dementia
A nurse is asking a patient on their family history. Who should
the nurse ask about in their family to gather an accurate family
history? Correct Answers parents, grandparents, siblings
, A nurse is assessing a client and notices they are struggling to
shrug their shoulders when doing a neck assessment. What CN
should the nurse expect is damaged? Correct Answers CN XI
A nurse is assessing a client and realizes they are pallor, have
increase turgor, receding gums, and dry mucous membranes.
What can the nurse suspect the patient has? Correct Answers
malnutrition
A nurse is assessing a client and realizes they have a bounding
pulse, hypertension, tachypnea, pitting edema, skin pallor, skin
is cool to touch, patient is confused and has muscle weakness.
What can the nurse suspect the patient has? Correct Answers
hypervolemia (overhydartion)
A nurse is assessing a client and the client states they are having
headaches typically first thing in the morning, right behind the
eyes. What type of headache should the nurse expect this to be?
Correct Answers a cluster headache
A nurse is assessing a client on their abdomen. What steps
should the nurse take? Correct Answers inspection,
auscultation, palpation, percussion
A nurse is assessing a client on their mental status and is
wanting to screen for anxiety. What type of questions should the
nurse ask? Correct Answers are you nervous, on edge, or
anxous? Do you experience anxiety attacks?
