NSG 3160 Exam 1 Newest 2025/2026
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The nurse is assessing an 80 year-old client presenting for an annual check-up. As
the nurse begins the mental status portion of the assessment, the nurse expects
which finding?
The patient will have no decrease in any of his abilities.
Verbal responses may be slightly delayed.
The patient may be disoriented to place.
The patient may have mood swings and lapses in judgment. - Answer ✓✓B
The nurse is assessing an 88-year-old male patient. Which of the following
assessment findings are expected in older adults?
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, NSG 3160 Exam
Additional fat deposits on the abdomen.
Presence of lordosis and a narrow stance.
Body changes including a longer trunk and shorter extremities.
Increase in muscle mass from his younger years. - Answer ✓✓A
The nurse is conducting a mental status assessment on an adult female recovering
from alcohol withdrawal. Which question by the nurse would best assess a person's
judgment?
"What is the similarity between a watch and a ruler?"
"What are your plans once you leave the hospital?"
"What brought you into the hospital 7 days ago?"
"Do you ever see or hear things that aren't really there?" - Answer ✓✓B
A 5-year-old boy is brought to the emergency department by his mother. He points
to his stomach and says, "Owie." Which pain assessment tool would be the best
choice when assessing this child's pain?
Wong-Baker FACES Pain Scale
The nurse should use only objective data to assess for pain.
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Numeric rating scale
Descriptor Scale - Answer ✓✓A
The school nurse is conducting a pain assessment on an adolescent presenting with
"back pain that started last week." What should the nurse ask first?
"How have you treated it?"
"What were you doing when this pain started?"
"Why do you think you are having this pain?"
"Is it affecting your daily life?" - Answer ✓✓B
Which statement is true regarding head and chest circumference in infants and
children?
The newborn head circumference is usually about 2cm larger than the chest
circumference.
The nurse only needs to check a head circumference in premature infants.
The head and chest circumference will even out at 3 months.
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Chest circumference should be greater than head circumference at birth. -
Answer ✓✓A
A 40 year-old male with no significant past medical history presents to the clinic
for his "annual check-up for work". How should the nurse conduct the mental
status examination (MSE)?
Defer the MSE, as the client has no concerns.
Begin the MSE by assessing abstract reasoning and judgment.
Start with a brief MSE by incorporating it into the interview.
Integrate the Mini-Cog into the exam. - Answer ✓✓C- Integrating the MSE into the
health history is sufficient for most people. You will collect ample data to be able
to assess mental health strengths and coping skills and to screen for any
dysfunction.
During new grad orientation, the nurse teaches about normal changes that can be
expected in older adults. What should the nurse include in the teaching?
Older adults have a slower respiratory rate.
Older adults often have a wider pulse pressure.
Older adults normally have joint pain.
Older adults have a higher core body temperature. - Answer ✓✓B
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