Written by students who passed Immediately available after payment Read online or as PDF Wrong document? Swap it for free 4.6 TrustPilot
logo-home
Document preview thumbnail
Preview 4 out of 175 pages
Exam (elaborations)

NSG 3160 Exam 1 Newest 2025/2026 Complete All Questions And Correct Detailed Answers (Verified Answers) |Already Graded A+||Brand New Version 1

Document preview thumbnail
Preview 4 out of 175 pages

NSG 3160 Exam 1 Newest 2025/2026 Complete All Questions And Correct Detailed Answers (Verified Answers) |Already Graded A+||Brand New Version 1 To obtain subjective data about a newly admitted client's sleep pattern, the nurse should do what action? 1) Assess the client's alertness and short-term memory (objective) 2) Have the client describe how rested they typically feel in the morning 3) Document the client's affect and yawning (objective) 4) Determine how frequently the client naps. (objective) - Answer Have the client describe how rested they typically feel in the morning Explanation: The frequency of naps, alertness and observed affect are objective data. The client's description of reeling rested is subjective. The nurse conducts a health history on a client who has experienced a 7.5-pound (3.5 kilogram) weight loss in the past 3 weeks. Which information would the nurse gather to determine the client's nutrition pattern? Weigh the client and measure the client's height. Ask the client for a 24-hour diet recall. NSG 3160 Exam ADMIN 2 Examine the hygiene of the client's teeth. Inspect the client's abdomen for symmetry. - Answer Ask the client for a 24 hour diet recall. Explanation: Interview questions that will focus on nutrition might include asking the client to disclose what the individual has eaten in the last 24 hours. Weighing the client would not provide good nutrition information because the nurse already knows the client has experienced a significant weight loss. A 24-hour diet recall would provide better information about the total nutritional pattern than merely examining the client's teeth or inspecting the abdomen for symmetry. The nurse pinches the skin under the clavicle and it tents. What conclusion should the nurse determine from this assessment? 1) The skin is less elastic with aging. ( but the turgor should remain normal--less than 3 seconds and not tent) 2) The client is dehydrated. (skin will tent more than 3 seconds) 3) The skin has normal turgor. 4) The client is overhydrated. ( present edema--taunt and shiny skin ) - Answer The client is dehydrated. Explanation: The nurse assesses for skin turgor by gently pinching the skin under the clavicle. This technique provides information about the client's hydration status as well as skin mobility and elasticity. Skin is less elastic with aging, but the turgor should remain normal (less than 3 seconds) and not tent, or remain in the pinched position. When a client is dehydrated, the skin will tent for more than 3 seconds. When a client is NSG 3160 Exam ADMIN 3 overhydrated, edema will be present with the skin, and the skin turgor would be normal, or taunt because of excess fluid. The nurse is palpating the skin of a 30-year old client and documents that when picked up in a fold, the skin fold slowly returns to normal. What would be the next action of the nurse based on this finding? 1) Document a normal skin finding on the client chart. 2) Assess the client for cardiovascular disorders. 3) Report the finding as a positive sign for cystic fibrosis. 4)Assess the client for dehydration. - Answer Assess the client for dehydration. Explanation: Turgor is the fullness or elasticity of the skin. The client should be further assessed for signs and symptoms of dehydration because poor skin turgor is a sign of dehydration. When the client is dehydrated, the skin's elasticity is decreased, and the skin fold returns slowly. Poor skin turgor is neither a sign of cardiovascular disease nor cystic fibrosis. A nurse is caring for a 44-year-old female who had a left total hip arthroplasty 3 days ago. Her postoperative course has been uneventful except for a urinary tract infection that developed yesterday for which she is receiving cefaclor 500 mg PO bid. The client tells the nurse that the backs of her legs and buttocks are "itching like crazy." Which action should the nurse take first? Check her chart for allergy information. Inspect the area of itchy skin. Review her medical history. Review her medication record. - Answer Inspect the area of itchy skin.

Content preview

NSG 3160 Exam
NSG 3160 Exam 1 Newest 2025/2026
Complete All Questions And Correct
Detailed Answers (Verified Answers)
|Already Graded A+||Brand New
Version 1

To obtain subjective data about a newly admitted client's sleep pattern, the nurse
should do what action?

1) Assess the client's alertness and short-term memory (objective)



2) Have the client describe how rested they typically feel in the morning



3) Document the client's affect and yawning (objective)



4) Determine how frequently the client naps. (objective) - Answer ✓✓Have the
client describe how rested they typically feel in the morning

Explanation:

The frequency of naps, alertness and observed affect are objective data. The
client's description of reeling rested is subjective.



The nurse conducts a health history on a client who has experienced a 7.5-pound
(3.5 kilogram) weight loss in the past 3 weeks. Which information would the nurse
gather to determine the client's nutrition pattern?

Weigh the client and measure the client's height.

Ask the client for a 24-hour diet recall.

ADMIN 1

, NSG 3160 Exam
Examine the hygiene of the client's teeth.

Inspect the client's abdomen for symmetry. - Answer ✓✓Ask the client for a 24-
hour diet recall.

Explanation:

Interview questions that will focus on nutrition might include asking the client to
disclose what the individual has eaten in the last 24 hours. Weighing the client
would not provide good nutrition information because the nurse already knows
the client has experienced a significant weight loss. A 24-hour diet recall would
provide better information about the total nutritional pattern than merely
examining the client's teeth or inspecting the abdomen for symmetry.



The nurse pinches the skin under the clavicle and it tents. What conclusion should
the nurse determine from this assessment?

1) The skin is less elastic with aging. ( but the turgor should remain normal--less
than 3 seconds and not tent)



2) The client is dehydrated. (skin will tent more than 3 seconds)



3) The skin has normal turgor.



4) The client is overhydrated. ( present edema--taunt and shiny skin ) - Answer
✓✓The client is dehydrated.
Explanation:

The nurse assesses for skin turgor by gently pinching the skin under the clavicle.
This technique provides information about the client's hydration status as well as
skin mobility and elasticity.



Skin is less elastic with aging, but the turgor should remain normal (less than 3
seconds) and not tent, or remain in the pinched position. When a client is
dehydrated, the skin will tent for more than 3 seconds. When a client is

ADMIN 2

, NSG 3160 Exam
overhydrated, edema will be present with the skin, and the skin turgor would be
normal, or taunt because of excess fluid.



The nurse is palpating the skin of a 30-year old client and documents that when
picked up in a fold, the skin fold slowly returns to normal. What would be the next
action of the nurse based on this finding?

1) Document a normal skin finding on the client chart.



2) Assess the client for cardiovascular disorders.



3) Report the finding as a positive sign for cystic fibrosis.



4)Assess the client for dehydration. - Answer ✓✓Assess the client for dehydration.

Explanation:

Turgor is the fullness or elasticity of the skin. The client should be further
assessed for signs and symptoms of dehydration because poor skin turgor is a sign
of dehydration. When the client is dehydrated, the skin's elasticity is decreased,
and the skin fold returns slowly. Poor skin turgor is neither a sign of cardiovascular
disease nor cystic fibrosis.



A nurse is caring for a 44-year-old female who had a left total hip arthroplasty 3
days ago. Her postoperative course has been uneventful except for a urinary tract
infection that developed yesterday for which she is receiving cefaclor 500 mg PO
bid. The client tells the nurse that the backs of her legs and buttocks are "itching
like crazy." Which action should the nurse take first?

Check her chart for allergy information.

Inspect the area of itchy skin.

Review her medical history.

Review her medication record. - Answer ✓✓Inspect the area of itchy skin.


ADMIN 3

, NSG 3160 Exam
Explanation:

Inspecting the back of the client's legs and buttocks is the first step in determining
the nature of the client's problem. Checking the chart for known allergies and
reviewing the medical history and medication record may provide helpful
information, but assessing the skin gives firsthand information about the problem.



To assess subjective data related to a client's elimination pattern, the nurse should
perform which action?

1)Review culture and sensitivity results of urine (objective)



2)Ask the client about changes in voiding patterns.( subjective)



3)Document the frequency, amount, and time the client voids.( objective)



4)Palpate the abdomen for pain or distention. (objective) - Answer ✓✓Ask the
client about changes in voiding patterns.

Explanation:

Asking for the client's impressions and understanding of a situation yields
subjective data. Lab results, physical assessment findings and data such as time
and quantity are considered objective.



While assessing a 58-year-old client's near vision, the nurse can anticipate the
client will state that their vision is:

clear.

blurred.

clouded.

20/20. - Answer ✓✓blurred.

Explanation:


ADMIN 4

Document information

Uploaded on
August 2, 2025
Number of pages
175
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers
$24.49

Wrong document? Swap it for free Within 14 days of purchase and before downloading, you can choose a different document. You can simply spend the amount again.
Written by students who passed
Immediately available after payment
Read online or as PDF

Seller avatar
Reputation scores are based on the amount of documents a seller has sold for a fee and the reviews they have received for those documents. There are three levels: Bronze, Silver and Gold. The better the reputation, the more your can rely on the quality of the sellers work.
laurenjames
3.6
(18)
Sold
100
Followers
17
Items
1561
Last sold
2 days ago



Why students choose Stuvia

Created by fellow students, verified by reviews

Quality you can trust: written by students who passed their tests and reviewed by others who've used these notes.

Didn't get what you expected? Choose another document

No worries! You can instantly pick a different document that better fits what you're looking for.

Pay as you like, start learning right away

No subscription, no commitments. Pay the way you're used to via credit card and download your PDF document instantly.

Student with book image

“Bought, downloaded, and aced it. It really can be that simple.”

Alisha Student

Working on your references?

Create accurate citations in APA, MLA and Harvard with our free citation generator.

Working on your references?

Frequently asked questions