NRSG 2220-Exam 1 (Mod 1-5) Questions With Complete
Solutions
1 respiration= Correct Answers complete inspiration and
expiration cycle
2 Considerations when bedmaking: Correct Answers Infection
control (never sharing linens) and Conserving your and the pt's
energy (always complete one side of bed before moving to the
other side of bed)
2nd tier of standard precautions Correct Answers Additional
transmission-based precautions
3 types of percussion Correct Answers 1. Direct
2. Blunt
3. Indirect: (Helps to close your eyes)
4 Components of Conducting a health assessment on patient
Correct Answers 1. Inspection
2. Palpation
3. Percussion
4. Auscultation
**Always the order except when assessing the abdomen
5th vital sign? Correct Answers Pain
88% O2 sat Correct Answers requires home O2
A 43-year-old woman is undergoing chemotherapy for ovarian
cancer which has metastasized. She has been experiencing
,increased nausea and vomiting associated with her treatment.
Self-care activities have been very hard for her to complete.
Which is an internal resource that the client has to help her attain
her self-care goals? Correct Answers She has motivation to
participate in self-care.
An internal resource is one that comes from within the client. An
external resource is one her environment and community offer
her.
A client asks the nurse which vitamins should be taken daily for
feelings of fatigue, anxiety, and depression 1 week before
menses. Which of the following is the correct response by the
nurse? Correct Answers The nurse should encourage taking
Vitamin B6 daily, as it may be effective at relieving symptoms
of irritability, fatigue, and depression related to the premenstrual
period.
A client has been recently admitted to the hospital unit following
a suspected stroke, and a family member states that the client's
soft contact lenses are still in place. Which of the following
solutions should the nurse use for the storage of the client's
lenses after removal? Correct Answers Contact lenses are most
commonly stored in normal saline.
A client is admitted to the emergency department. He is
bleeding from a cut on his head and his skin color is pale, with
diaphoresis. What nursing action should be performed first?
Correct Answers In this acute-care emergency situation, the
nurse should assess the pulse and blood pressure, since the client
seems to be presenting with signs and symptoms of shock.
,A client is being discharged today from the hospital. The nurse
delegates morning care to the unlicensed assistive personnel
(UAP). The assessment finds that the client is able to stand and
ambulate independently without weakness or dizziness. The
nurse will delegate what type of care to be provided based on the
assessment findings? Correct Answers Independent showering.
Weakness, dizziness, and fear of falling may prevent a person
from entering a tub or shower or from bending to wash their
lower extremities. Even while hospitalized, independence is
encouraged so allowing the client to shower independently
would be appropriate. The client is not unstable enough to
prohibit hygiene measures.
A client is being treated for chronic obstructive pulmonary
disease. The nurse auscultates the client's lungs following a
period of coughing. The findings of this assessment are an
example of: Correct Answers Objective data can be directly
observed or measured, such as vital signs or appearance. The
results of auscultation are considered to be objective because
they do not depend on the client's subjective description.
Baseline data is obtained on first contact with the client.
A client is experiencing acute pain following the amputation of a
limb. What nursing interventions would be most appropriate
when treating this client? Correct Answers The client would
benefit from the use of nonpharmacologic complementary
therapies as adjuncts to the medical regimen. The phantom pain
is real pain and should be treated as such. The nurse would not
increase and decrease the serum level of the analgesic as needed.
The nurse would not doubt the client's report of pain and would
, not withhold analgesia if she doubted the likelihood of the pain
occurring.
A client prescribed pain medication around the clock
experiences pain one hour before the next dose of the pain
medication is due. Which is the most appropriate action by the
nurse? Correct Answers Breakthrough pain is a temporary
flare-up of moderate to severe pain that occurs even when the
client is taking pain medication around the clock. It can occur
before the next dose of analgesic is due (end of dose pain). It is
treated most effectively with supplemental doses of a short-
acting opioid taken on an "as needed basis." Therefore, the client
should check the orders for breakthrough pain medication.
A client with chronic pain uses a machine to monitor his
physiologic responses to pain. The unit transforms the data into
a visual display and through seeing the pain responses, the client
is taught to regulate his physiologic response and control pain
through relaxation, imagery, or breathing exercises. This
technique for pain control is known as: Correct Answers
Biofeedback is a technique that uses a machine to monitor
physiologic responses through electrode sensors on the client's
skin. The unit transforms the data into a visual display, and
through seeing the pain responses, the client is taught to regulate
his physiologic response and control pain through relaxation,
imagery, or breathing exercises. Transcutaneous electrical nerve
stimulation (TENS) is a noninvasive alternative technique that
involves electrical stimulation of large-diameter fibers to inhibit
transmission of painful stimuli carried over small-diameter
fibers. Hypnosis is an alteration in a person's state of
consciousness so that pain is not perceived as it normally would
Solutions
1 respiration= Correct Answers complete inspiration and
expiration cycle
2 Considerations when bedmaking: Correct Answers Infection
control (never sharing linens) and Conserving your and the pt's
energy (always complete one side of bed before moving to the
other side of bed)
2nd tier of standard precautions Correct Answers Additional
transmission-based precautions
3 types of percussion Correct Answers 1. Direct
2. Blunt
3. Indirect: (Helps to close your eyes)
4 Components of Conducting a health assessment on patient
Correct Answers 1. Inspection
2. Palpation
3. Percussion
4. Auscultation
**Always the order except when assessing the abdomen
5th vital sign? Correct Answers Pain
88% O2 sat Correct Answers requires home O2
A 43-year-old woman is undergoing chemotherapy for ovarian
cancer which has metastasized. She has been experiencing
,increased nausea and vomiting associated with her treatment.
Self-care activities have been very hard for her to complete.
Which is an internal resource that the client has to help her attain
her self-care goals? Correct Answers She has motivation to
participate in self-care.
An internal resource is one that comes from within the client. An
external resource is one her environment and community offer
her.
A client asks the nurse which vitamins should be taken daily for
feelings of fatigue, anxiety, and depression 1 week before
menses. Which of the following is the correct response by the
nurse? Correct Answers The nurse should encourage taking
Vitamin B6 daily, as it may be effective at relieving symptoms
of irritability, fatigue, and depression related to the premenstrual
period.
A client has been recently admitted to the hospital unit following
a suspected stroke, and a family member states that the client's
soft contact lenses are still in place. Which of the following
solutions should the nurse use for the storage of the client's
lenses after removal? Correct Answers Contact lenses are most
commonly stored in normal saline.
A client is admitted to the emergency department. He is
bleeding from a cut on his head and his skin color is pale, with
diaphoresis. What nursing action should be performed first?
Correct Answers In this acute-care emergency situation, the
nurse should assess the pulse and blood pressure, since the client
seems to be presenting with signs and symptoms of shock.
,A client is being discharged today from the hospital. The nurse
delegates morning care to the unlicensed assistive personnel
(UAP). The assessment finds that the client is able to stand and
ambulate independently without weakness or dizziness. The
nurse will delegate what type of care to be provided based on the
assessment findings? Correct Answers Independent showering.
Weakness, dizziness, and fear of falling may prevent a person
from entering a tub or shower or from bending to wash their
lower extremities. Even while hospitalized, independence is
encouraged so allowing the client to shower independently
would be appropriate. The client is not unstable enough to
prohibit hygiene measures.
A client is being treated for chronic obstructive pulmonary
disease. The nurse auscultates the client's lungs following a
period of coughing. The findings of this assessment are an
example of: Correct Answers Objective data can be directly
observed or measured, such as vital signs or appearance. The
results of auscultation are considered to be objective because
they do not depend on the client's subjective description.
Baseline data is obtained on first contact with the client.
A client is experiencing acute pain following the amputation of a
limb. What nursing interventions would be most appropriate
when treating this client? Correct Answers The client would
benefit from the use of nonpharmacologic complementary
therapies as adjuncts to the medical regimen. The phantom pain
is real pain and should be treated as such. The nurse would not
increase and decrease the serum level of the analgesic as needed.
The nurse would not doubt the client's report of pain and would
, not withhold analgesia if she doubted the likelihood of the pain
occurring.
A client prescribed pain medication around the clock
experiences pain one hour before the next dose of the pain
medication is due. Which is the most appropriate action by the
nurse? Correct Answers Breakthrough pain is a temporary
flare-up of moderate to severe pain that occurs even when the
client is taking pain medication around the clock. It can occur
before the next dose of analgesic is due (end of dose pain). It is
treated most effectively with supplemental doses of a short-
acting opioid taken on an "as needed basis." Therefore, the client
should check the orders for breakthrough pain medication.
A client with chronic pain uses a machine to monitor his
physiologic responses to pain. The unit transforms the data into
a visual display and through seeing the pain responses, the client
is taught to regulate his physiologic response and control pain
through relaxation, imagery, or breathing exercises. This
technique for pain control is known as: Correct Answers
Biofeedback is a technique that uses a machine to monitor
physiologic responses through electrode sensors on the client's
skin. The unit transforms the data into a visual display, and
through seeing the pain responses, the client is taught to regulate
his physiologic response and control pain through relaxation,
imagery, or breathing exercises. Transcutaneous electrical nerve
stimulation (TENS) is a noninvasive alternative technique that
involves electrical stimulation of large-diameter fibers to inhibit
transmission of painful stimuli carried over small-diameter
fibers. Hypnosis is an alteration in a person's state of
consciousness so that pain is not perceived as it normally would
