NUR 3110 EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
A 74-year-old client has kyphosis and is reporting discomfort of
the cervical vertebrate. Which nursing intervention is most
appropriate?
a. administering a muscle relaxer
b. placing a small towel under the neck
c. positioning the client on the stomach
d. contacting the primary care physician Correct Answers b
A client arrives in the emergency department reporting an injury
to a calf muscle while running. What education will the nurse
provide after a diagnosis of muscle strain? Select all that apply.
A. Consult a health care provider within 1 week.
B. Continue exercising unless there is pain.
C. Keep the injured limb elevated.
D. Apply heat to the injured area.
E. Apply an elastic bandage to the injured area. Correct
Answers C. E.
A client comes to the emergency department complaining of a
shooting pain in his chest. When assessing the client's pain,
which behavioral response would the nurse expect to find?
a. High blood pressure
b. Decreased heart rate
c. Guarding of the chest area
d. Increased respiratory rate Correct Answers c
,A client experiences burning muscle pain at the peak of high
intensity physical training for an athletic competition. What is
the best explanation for the cause of this occurrence?
a. Acetyl-CoA begins the reactions in the citric acid cycle to
release carbon dioxide.
b. Mitochondria cause oxidation of electrons to create a net
increase of ATP.
c. Anaerobic glycolysis creates pyruvate, which converts to
lactic acid.
d. Fatty acids go through the beta-oxidation process to release
energy. Correct Answers c
A client has been admitted to a post-surgical unit with a patient-
controlled analgesia (PCA) system. Which statement is true of
this medication delivery system?
a. Thorough client education is necessary to prevent overdoses.
b. Use of opioid analgesics in a PCA is contraindicated due to
the risk of respiratory depression.
c. The dose that is delivered when the client activates the
machine is preset.
d. An antidote is automatically delivered if the client exceeds the
recommended dose. Correct Answers c
A client has been prescribed patient-controlled analgesia and the
nurse is setting up the system and educating the client about safe
and effective use of PCA. Which teaching point should the nurse
provide to the client?
a. "We'll be monitoring your use of the system closely, to ensure
you don't develop an addiction to your pain medication."
b. "I'll have the unit's care aide come check on you every few
minutes after I set up the system."
,c. "The pump is programmed with safeguards to limit the
possibility overmedication."
d. "If you feel severe pain, either push the button yourself or ask
one of your family members to push the button." Correct
Answers c
A client has received morphine for reports of pain at a recent
surgical incision site. After receiving the medication, the client
starts picking at the bedsheets and saying, "Get the bugs off my
bed, I can feel them crawling on me!" Which nursing diagnosis
is appropriate for this client?
a. Disturbed Sensory Perception related to client statement of
"Get the bugs off my bed, I can feel them crawling on me."
b. Disturbed Sensory Perception: Kinesthetic related to side
effects of medication as evidenced by client statement of "Get
the bugs off my bed, I can feel them crawling on me."
c. Disturbed Sensory Perception: Tactile related to side effects
of medication as evidence by client statement of "Get the bugs
off my bed, I can feel them crawling on me."
d. Disturbed Sensory Perception: Tactile as evidenced by client
statement of "Get the bugs off my bed, I can feel them crawling
on me." Correct Answers c
A client has undergone foot surgery and will use crutches in the
short term. Which teaching point should the nurse provide to the
client?
a. "We'll have the nursing assistant watch you while you walk
around the unit the first time."
b. "If you feel tired while walking with your crutches, rest your
weight on your armpits for a moment and then continue slowly."
, c. "Your elbows will be slightly bent when you are using your
crutches."
d. "When your crutches fit right, most of your body weight will
be supported by your armpits." Correct Answers c
A client is admitted to the hospital with reports of severe fatigue,
weight gain, and feeling cold all of the time. The client is
suspected of having a diagnosis of hypothyroidism and will have
several diagnostic tests performed. What type of glandular
dysfunction does the nurse suspect this will be?
a. Eccrine gland
b. Exocrine gland
c. Apocrine gland
d. Endocrine gland Correct Answers d
A client receiving epidural analgesia asks the nurse to put the
head of the bed all the way down to sleep better. What is the
correct response by the nurse?
a. "It is important that we keep the head of your bed elevated at
least 30 degrees because this position helps to decrease the risk
of severe migraine headaches."
b. "It is important that we keep the head of your bed elevated at
least 30 degrees because this position helps to prevent accidental
dislodgement of the catheter."
c. "It is important that we keep the head of your bed elevated at
least 30 degrees because this position helps to increase the
effectiveness of the spinal analgesia."
d. "It is important that we keep the head of your bed elevated at
least 30 degrees because this position helps to minimize the risk
of respiratory depression." Correct Answers d
SOLUTIONS
A 74-year-old client has kyphosis and is reporting discomfort of
the cervical vertebrate. Which nursing intervention is most
appropriate?
a. administering a muscle relaxer
b. placing a small towel under the neck
c. positioning the client on the stomach
d. contacting the primary care physician Correct Answers b
A client arrives in the emergency department reporting an injury
to a calf muscle while running. What education will the nurse
provide after a diagnosis of muscle strain? Select all that apply.
A. Consult a health care provider within 1 week.
B. Continue exercising unless there is pain.
C. Keep the injured limb elevated.
D. Apply heat to the injured area.
E. Apply an elastic bandage to the injured area. Correct
Answers C. E.
A client comes to the emergency department complaining of a
shooting pain in his chest. When assessing the client's pain,
which behavioral response would the nurse expect to find?
a. High blood pressure
b. Decreased heart rate
c. Guarding of the chest area
d. Increased respiratory rate Correct Answers c
,A client experiences burning muscle pain at the peak of high
intensity physical training for an athletic competition. What is
the best explanation for the cause of this occurrence?
a. Acetyl-CoA begins the reactions in the citric acid cycle to
release carbon dioxide.
b. Mitochondria cause oxidation of electrons to create a net
increase of ATP.
c. Anaerobic glycolysis creates pyruvate, which converts to
lactic acid.
d. Fatty acids go through the beta-oxidation process to release
energy. Correct Answers c
A client has been admitted to a post-surgical unit with a patient-
controlled analgesia (PCA) system. Which statement is true of
this medication delivery system?
a. Thorough client education is necessary to prevent overdoses.
b. Use of opioid analgesics in a PCA is contraindicated due to
the risk of respiratory depression.
c. The dose that is delivered when the client activates the
machine is preset.
d. An antidote is automatically delivered if the client exceeds the
recommended dose. Correct Answers c
A client has been prescribed patient-controlled analgesia and the
nurse is setting up the system and educating the client about safe
and effective use of PCA. Which teaching point should the nurse
provide to the client?
a. "We'll be monitoring your use of the system closely, to ensure
you don't develop an addiction to your pain medication."
b. "I'll have the unit's care aide come check on you every few
minutes after I set up the system."
,c. "The pump is programmed with safeguards to limit the
possibility overmedication."
d. "If you feel severe pain, either push the button yourself or ask
one of your family members to push the button." Correct
Answers c
A client has received morphine for reports of pain at a recent
surgical incision site. After receiving the medication, the client
starts picking at the bedsheets and saying, "Get the bugs off my
bed, I can feel them crawling on me!" Which nursing diagnosis
is appropriate for this client?
a. Disturbed Sensory Perception related to client statement of
"Get the bugs off my bed, I can feel them crawling on me."
b. Disturbed Sensory Perception: Kinesthetic related to side
effects of medication as evidenced by client statement of "Get
the bugs off my bed, I can feel them crawling on me."
c. Disturbed Sensory Perception: Tactile related to side effects
of medication as evidence by client statement of "Get the bugs
off my bed, I can feel them crawling on me."
d. Disturbed Sensory Perception: Tactile as evidenced by client
statement of "Get the bugs off my bed, I can feel them crawling
on me." Correct Answers c
A client has undergone foot surgery and will use crutches in the
short term. Which teaching point should the nurse provide to the
client?
a. "We'll have the nursing assistant watch you while you walk
around the unit the first time."
b. "If you feel tired while walking with your crutches, rest your
weight on your armpits for a moment and then continue slowly."
, c. "Your elbows will be slightly bent when you are using your
crutches."
d. "When your crutches fit right, most of your body weight will
be supported by your armpits." Correct Answers c
A client is admitted to the hospital with reports of severe fatigue,
weight gain, and feeling cold all of the time. The client is
suspected of having a diagnosis of hypothyroidism and will have
several diagnostic tests performed. What type of glandular
dysfunction does the nurse suspect this will be?
a. Eccrine gland
b. Exocrine gland
c. Apocrine gland
d. Endocrine gland Correct Answers d
A client receiving epidural analgesia asks the nurse to put the
head of the bed all the way down to sleep better. What is the
correct response by the nurse?
a. "It is important that we keep the head of your bed elevated at
least 30 degrees because this position helps to decrease the risk
of severe migraine headaches."
b. "It is important that we keep the head of your bed elevated at
least 30 degrees because this position helps to prevent accidental
dislodgement of the catheter."
c. "It is important that we keep the head of your bed elevated at
least 30 degrees because this position helps to increase the
effectiveness of the spinal analgesia."
d. "It is important that we keep the head of your bed elevated at
least 30 degrees because this position helps to minimize the risk
of respiratory depression." Correct Answers d
