MGRADES
NSG 521 Unit 5 Practice UPDATED
ACTUAL Exam Questions and CORRECT
Answers
A nurse is caring for a client with chronic neuropathic pain. Which of the following medications
is most appropriate for managing this type of pain?
Acetaminophen
Ibuprofen
Gabapentin
Aspirin - CORRECT ANSWER - Gabapentin
Rationale: Neuropathic pain results from nerve damage and is best managed with anticonvulsants
like gabapentin, which help stabilize nerve activity. Acetaminophen and ibuprofen are better
suited for nociceptive pain, while aspirin is primarily used for its anti-inflammatory properties.
While performing a general survey, the nurse notices a patient with poor hygiene and disheveled
clothing. What might this indicate?
The patient has a history of chronic illness.
The patient is experiencing an acute infection.
The patient may be experiencing neglect or mental health issues.
The patient is likely recovering from a surgical procedure. - CORRECT ANSWER - The
patient may be experiencing neglect or mental health issues.
Rationale: Poor hygiene and disheveled appearance may be indicators of neglect, mental health
disorders, or inability to care for oneself, potentially due to cognitive or emotional impairments.
It may also indicate social or financial difficulties.
The nurse is teaching an assistive personnel (AP) about assessing a patient's temperature. Which
statement by the AP requires further teaching?
"I will take an oral temperature for a patient who has nasal congestion."
"I will wait 30 minutes after a patient drinks a hot beverage before taking an oral temperature."
"I can take an axillary temperature for a patient with a wound on the chest."
, MGRADES
"I will avoid taking a rectal temperature in a patient with diarrhea." - CORRECT
ANSWER - "I will take an oral temperature for a patient who has nasal congestion."
Rationale: Nasal congestion can affect the patient's ability to breathe through the nose, making it
difficult to take an accurate oral temperature. Other methods such as tympanic or axillary are
preferable in this case.
A patient reports 7/10 pain after surgery and is visibly restless. What is the nurse's priority
action?
Document the patient's pain and continue monitoring.
Administer prescribed pain medication.
Encourage the patient to try relaxation techniques.
Offer non-pharmacological methods such as ice or heat. - CORRECT ANSWER -
Administer prescribed pain medication.
Rationale: The priority is to relieve the patient's pain by administering prescribed medication.
Other interventions can be added after addressing immediate pain relief.
A client presents to the clinic with a chronic wound that has not healed for several months. What
factor is most likely contributing to the delay in wound healing?
Low protein intake
Frequent dressing changes
High fluid intake
The use of occlusive dressings - CORRECT ANSWER - Low protein intake
Rationale: Protein is essential for wound healing as it supports tissue repair. A low protein intake
can delay healing by limiting the availability of necessary building blocks for tissue regeneration.
The nurse is assessing an older adult client who is experiencing chronic pain. Which finding may
indicate pain in this population?
Increased socialization
Sleep disturbances
NSG 521 Unit 5 Practice UPDATED
ACTUAL Exam Questions and CORRECT
Answers
A nurse is caring for a client with chronic neuropathic pain. Which of the following medications
is most appropriate for managing this type of pain?
Acetaminophen
Ibuprofen
Gabapentin
Aspirin - CORRECT ANSWER - Gabapentin
Rationale: Neuropathic pain results from nerve damage and is best managed with anticonvulsants
like gabapentin, which help stabilize nerve activity. Acetaminophen and ibuprofen are better
suited for nociceptive pain, while aspirin is primarily used for its anti-inflammatory properties.
While performing a general survey, the nurse notices a patient with poor hygiene and disheveled
clothing. What might this indicate?
The patient has a history of chronic illness.
The patient is experiencing an acute infection.
The patient may be experiencing neglect or mental health issues.
The patient is likely recovering from a surgical procedure. - CORRECT ANSWER - The
patient may be experiencing neglect or mental health issues.
Rationale: Poor hygiene and disheveled appearance may be indicators of neglect, mental health
disorders, or inability to care for oneself, potentially due to cognitive or emotional impairments.
It may also indicate social or financial difficulties.
The nurse is teaching an assistive personnel (AP) about assessing a patient's temperature. Which
statement by the AP requires further teaching?
"I will take an oral temperature for a patient who has nasal congestion."
"I will wait 30 minutes after a patient drinks a hot beverage before taking an oral temperature."
"I can take an axillary temperature for a patient with a wound on the chest."
, MGRADES
"I will avoid taking a rectal temperature in a patient with diarrhea." - CORRECT
ANSWER - "I will take an oral temperature for a patient who has nasal congestion."
Rationale: Nasal congestion can affect the patient's ability to breathe through the nose, making it
difficult to take an accurate oral temperature. Other methods such as tympanic or axillary are
preferable in this case.
A patient reports 7/10 pain after surgery and is visibly restless. What is the nurse's priority
action?
Document the patient's pain and continue monitoring.
Administer prescribed pain medication.
Encourage the patient to try relaxation techniques.
Offer non-pharmacological methods such as ice or heat. - CORRECT ANSWER -
Administer prescribed pain medication.
Rationale: The priority is to relieve the patient's pain by administering prescribed medication.
Other interventions can be added after addressing immediate pain relief.
A client presents to the clinic with a chronic wound that has not healed for several months. What
factor is most likely contributing to the delay in wound healing?
Low protein intake
Frequent dressing changes
High fluid intake
The use of occlusive dressings - CORRECT ANSWER - Low protein intake
Rationale: Protein is essential for wound healing as it supports tissue repair. A low protein intake
can delay healing by limiting the availability of necessary building blocks for tissue regeneration.
The nurse is assessing an older adult client who is experiencing chronic pain. Which finding may
indicate pain in this population?
Increased socialization
Sleep disturbances
