NUR-631 Advanced Health Assessment
TEST BANK
NUR-631 Advanced Health Assessment
TEST BANK Exam LATEST 2024/2025
D'Youville University GRADED A +
GUARANTEED PASS (QUESTIONS AND
ANSWERS WITH detailed RATIONALES)
ACE YOUR EXAM predictor -pdf
INSTRUCTIONS :read the questions carefully
,personally handpicked from Bates
What will the nurse instruct nursing assistive personnel (NAP) to do regarding the management
of a patient's pain?
A. "Let me know at least 30 minutes before you transport her so I can administer her
analgesics."
B. "Be sure to keep the room temperature high and the TV on at all times."
C. "Be sure to tell me if you notice grimacing, guarding, or any unusual behavior."
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
, NUR-631 Advanced Health Assessment
TEST BANK
D. "I've given her some medication; please report to me whether it seems to have relieved her
pain within an hour or so." - ANS :A. "Let me know at least 30 minutes before you transport her
so I can administer her analgesics."
Rationale: This option provides the NAP with specific direction about the need to manage pain
in relation to specific activities. Environmental conditions such as an excessively warm or noisy
room can aggravate pain. Pain assessment is a nursing responsibility and may not be delegated
to the NAP.
Which observation indicates that a patient's analgesic has been effective in managing pain that
she rated a 6 out of 10 on a pain rating scale before the intervention?
A. The patient is seen quietly reading a magazine.
B. The patient rates her current pain as 3 out of 10 on the pain rating scale.
C. The patient is overheard telling her family that she is "feeling better today."
D. The patient is observed sleeping, with a respiratory rate assessed at 18/minute, compared
with 22/minute before the intervention - ANS :B. The patient rates her current pain as 3 out of
10 on the pain rating scale
Rationale: The patient's self-report of less pain indicates that the analgesic has been effective.
The patient's reading a magazine does not indicate that the analgesic has been effective,
because she may be trying to distract herself as an alternative pain management technique. The
patient's positive comment does not necessarily indicate that the analgesic has been effective. A
lower respiratory rate does not necessarily indicate that the analgesic has been effective
A patient with a herniated disk is scheduled for surgery to fuse two vertebrae in her cervical
spine. Which activity is most likely to be a palliative factor for this patient?
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
, NUR-631 Advanced Health Assessment
TEST BANK
A. Repainting her new apartment
B. Lifting moving boxes on and off of a truck
C. Performing neck, back, and shoulder exercises prescribed by a physical therapist
D. Performing yoga exercises from the patient's favorite set of videotapes - ANS :C. Performing
neck, back, and shoulder exercises prescribed by a physical therapist
ationale: Performing moderate exercises appropriate for a patient with this kind of injury is
likely to palliate the pain. Painting is likely to hyperextend the neck; this activity is likely to
provoke the pain, not palliate it. Heavy lifting is likely to provoke the pain, not palliate it.
Although physical activity in general and yoga in particular might be helpful, this patient's pain
will most likely be palliated by exercises designed with her specific abilities and limitations in
mind
The nurse notices that his patient has none of the signs and symptoms normally associated with
pain, such as diaphoresis, tachycardia, and hypertension. The patient does, however, seem
moody and a bit uncooperative. What conclusion does the nurse draw?
A. It is likely the patient is a drug seeker and has little or no pain.
B. The patient's problem is more mental than physical.
C. The absence of physiological signs and symptoms is associated with chronic pain.
D. The patient's pain cannot be accurately assessed until the patient has been treated for
anxiety - ANS :C. The absence of physiological signs and symptoms is associated with chronic
pain
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
, NUR-631 Advanced Health Assessment
TEST BANK
ationale: Patients with persistent, long-standing pain do not usually exhibit physical signs and
symptoms of pain. The patient's self-report of pain is the single most reliable indicator of pain
and cannot be dismissed. Furthermore, the nurse has no evidence that the patient is a drug
seeker. Patients with chronic pain are often depressed and irritable, and the nurse has no
evidence that the patient is mentally ill. This patient may be depressed, but does not appear to
be anxious. Furthermore, a patient with depression or anxiety can nevertheless give an accurate
self-report of his or her pain
The nurse begins the assessment as the client ambulates in the hallway. What observations
should the nurse make while the client is walking to the exam room?
Fine motor function.
Fine motor function involves movement of the smaller muscles and is not typically observed
while the client is ambulating.
Posture.
Observation of the client's posture can be completed while the client is ambulating. This
assessment provides useful data related to musculoskeletal function.
Gait.
Observation of the client's gait can be completed while the client is ambulating. This assessment
provides useful data related to musculoskeletal function.
Bone density.
Bone density is measured via diagnostic testing and is not directly observable upon
examination.
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
TEST BANK
NUR-631 Advanced Health Assessment
TEST BANK Exam LATEST 2024/2025
D'Youville University GRADED A +
GUARANTEED PASS (QUESTIONS AND
ANSWERS WITH detailed RATIONALES)
ACE YOUR EXAM predictor -pdf
INSTRUCTIONS :read the questions carefully
,personally handpicked from Bates
What will the nurse instruct nursing assistive personnel (NAP) to do regarding the management
of a patient's pain?
A. "Let me know at least 30 minutes before you transport her so I can administer her
analgesics."
B. "Be sure to keep the room temperature high and the TV on at all times."
C. "Be sure to tell me if you notice grimacing, guarding, or any unusual behavior."
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
, NUR-631 Advanced Health Assessment
TEST BANK
D. "I've given her some medication; please report to me whether it seems to have relieved her
pain within an hour or so." - ANS :A. "Let me know at least 30 minutes before you transport her
so I can administer her analgesics."
Rationale: This option provides the NAP with specific direction about the need to manage pain
in relation to specific activities. Environmental conditions such as an excessively warm or noisy
room can aggravate pain. Pain assessment is a nursing responsibility and may not be delegated
to the NAP.
Which observation indicates that a patient's analgesic has been effective in managing pain that
she rated a 6 out of 10 on a pain rating scale before the intervention?
A. The patient is seen quietly reading a magazine.
B. The patient rates her current pain as 3 out of 10 on the pain rating scale.
C. The patient is overheard telling her family that she is "feeling better today."
D. The patient is observed sleeping, with a respiratory rate assessed at 18/minute, compared
with 22/minute before the intervention - ANS :B. The patient rates her current pain as 3 out of
10 on the pain rating scale
Rationale: The patient's self-report of less pain indicates that the analgesic has been effective.
The patient's reading a magazine does not indicate that the analgesic has been effective,
because she may be trying to distract herself as an alternative pain management technique. The
patient's positive comment does not necessarily indicate that the analgesic has been effective. A
lower respiratory rate does not necessarily indicate that the analgesic has been effective
A patient with a herniated disk is scheduled for surgery to fuse two vertebrae in her cervical
spine. Which activity is most likely to be a palliative factor for this patient?
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
, NUR-631 Advanced Health Assessment
TEST BANK
A. Repainting her new apartment
B. Lifting moving boxes on and off of a truck
C. Performing neck, back, and shoulder exercises prescribed by a physical therapist
D. Performing yoga exercises from the patient's favorite set of videotapes - ANS :C. Performing
neck, back, and shoulder exercises prescribed by a physical therapist
ationale: Performing moderate exercises appropriate for a patient with this kind of injury is
likely to palliate the pain. Painting is likely to hyperextend the neck; this activity is likely to
provoke the pain, not palliate it. Heavy lifting is likely to provoke the pain, not palliate it.
Although physical activity in general and yoga in particular might be helpful, this patient's pain
will most likely be palliated by exercises designed with her specific abilities and limitations in
mind
The nurse notices that his patient has none of the signs and symptoms normally associated with
pain, such as diaphoresis, tachycardia, and hypertension. The patient does, however, seem
moody and a bit uncooperative. What conclusion does the nurse draw?
A. It is likely the patient is a drug seeker and has little or no pain.
B. The patient's problem is more mental than physical.
C. The absence of physiological signs and symptoms is associated with chronic pain.
D. The patient's pain cannot be accurately assessed until the patient has been treated for
anxiety - ANS :C. The absence of physiological signs and symptoms is associated with chronic
pain
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
, NUR-631 Advanced Health Assessment
TEST BANK
ationale: Patients with persistent, long-standing pain do not usually exhibit physical signs and
symptoms of pain. The patient's self-report of pain is the single most reliable indicator of pain
and cannot be dismissed. Furthermore, the nurse has no evidence that the patient is a drug
seeker. Patients with chronic pain are often depressed and irritable, and the nurse has no
evidence that the patient is mentally ill. This patient may be depressed, but does not appear to
be anxious. Furthermore, a patient with depression or anxiety can nevertheless give an accurate
self-report of his or her pain
The nurse begins the assessment as the client ambulates in the hallway. What observations
should the nurse make while the client is walking to the exam room?
Fine motor function.
Fine motor function involves movement of the smaller muscles and is not typically observed
while the client is ambulating.
Posture.
Observation of the client's posture can be completed while the client is ambulating. This
assessment provides useful data related to musculoskeletal function.
Gait.
Observation of the client's gait can be completed while the client is ambulating. This assessment
provides useful data related to musculoskeletal function.
Bone density.
Bone density is measured via diagnostic testing and is not directly observable upon
examination.
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
