Page 1 of 52
Nursing 220 Exam 3 LATEST VERSION WITH 250 QUESTIONS
AND CORRECT DETAILED SOLUTIONS WITH RATIONALES JUST
RELEASED THIS YEAR
Question: Mr. Arbor complains to the nurse that he is feeling anxious. He states, "I'm just so
tired of all these tests they are doing, and it's so noisy here at night." Mr. Arbor's pulse is 110
beats/min, and his blood pressure is 140/70 mm Hg. Nursing actions should include which of
the following to address his sensory status?
A. Turn on the television or radio in his room so it will distract him.
B. Have the therapist ambulate the patient so he can walk off his anxiety.
C. Close the blinds, dim the lights, and ask the patient what other measures would help him
rest.
D. Call the physician and obtain an order for an anti-anxiety medication for prn use. - CORRECT
ANSWER✔✔C. Close the blinds, dim the lights, and ask the patient what other measures would
help him rest.
Question: Ms. Small has sustained a brain attack (stroke/CVA). The nurse notes that the patient
is having difficulty placing her affected leg in the correct position when ambulating. This is most
likely due to which of the following?
A. Poor directions given to the patient by the physical therapist
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B. The patient's lack of proprioception
C. Impaired blood flow to the affected leg
D. The patient's resistance to therapy - CORRECT ANSWER✔✔B. The patient's lack of
proprioception
Question: Timothy is hospitalized and in a coma following a traumatic brain injury. Nursing care
would include which of the following?
A. Identify yourself when you enter the room and tell him the day and time
B. Tape his eyelids closed securely to prevent the drying of the corneas.
C. Limit the family's involvement in care so there is more consistency.
D. Avoid touching the patient, because this will increase his irritability. - CORRECT
ANSWER✔✔A. Identify yourself when you enter the room and tell him the day and time
Question: Cleaning a patient's hearing aid is a nursing action that will have a positive effect on a
sensory deficit.
(T or F) - CORRECT ANSWER✔✔True
Question: anosmia - CORRECT ANSWER✔✔loss of smell
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Question: Loss of hearing can put a patient at risk for social isolation.
(T or F) - CORRECT ANSWER✔✔True
Question: A patient must place his hand on the wall to keep his balance when walking. He leans
when sitting and has difficulty knowing when his body is vertical and sensing the position of his
body in space. Which type of receptor is probably involved?
1) Photoreceptors
2) Chemoreceptors
3) Proprioceptors
4) Thermoreceptors - CORRECT ANSWER✔✔3) Proprioceptors
Question: Which medication might blunt a patient's perception of various kinds of stimuli?
1) Furosemide (Lasix)
2) Metoprolol (Lopressor)
3) Morphine sulfate
4) Metoclopramide (Reglan) - CORRECT ANSWER✔✔3) Morphine sulfate
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Question: A patient complains, "Everything tastes so bland. I add salt, pepper, and sugar to
everything just to make it so I can taste it." Which nutrient deficiency might be responsible for
his problem? Select all that apply.
1) Vitamin A
2) Vitamin B12
3) Iron
4) Zinc - CORRECT ANSWER✔✔2, 4
Question: After sustaining an eye injury in a baseball game, a patient complains of blurred and
distorted vision. Which visual deficit is this patient most likely experiencing?
1) Macular degeneration
2) Astigmatism
3) Strabismus
4) Glaucoma - CORRECT ANSWER✔✔2) Astigmatism
Question: A patient who has been unable to sleep for several nights has experienced a change
in mental status. He does not know what day it is, or where he is. His speech and movements
are slowed, and he seems dazed and stupefied. He cannot follow simple directions such as,
"Hold out your hand." Which nursing diagnosis is most appropriate for this patient?
1) Chronic Confusion
2) Acute Confusion
Nursing 220 Exam 3 LATEST VERSION WITH 250 QUESTIONS
AND CORRECT DETAILED SOLUTIONS WITH RATIONALES JUST
RELEASED THIS YEAR
Question: Mr. Arbor complains to the nurse that he is feeling anxious. He states, "I'm just so
tired of all these tests they are doing, and it's so noisy here at night." Mr. Arbor's pulse is 110
beats/min, and his blood pressure is 140/70 mm Hg. Nursing actions should include which of
the following to address his sensory status?
A. Turn on the television or radio in his room so it will distract him.
B. Have the therapist ambulate the patient so he can walk off his anxiety.
C. Close the blinds, dim the lights, and ask the patient what other measures would help him
rest.
D. Call the physician and obtain an order for an anti-anxiety medication for prn use. - CORRECT
ANSWER✔✔C. Close the blinds, dim the lights, and ask the patient what other measures would
help him rest.
Question: Ms. Small has sustained a brain attack (stroke/CVA). The nurse notes that the patient
is having difficulty placing her affected leg in the correct position when ambulating. This is most
likely due to which of the following?
A. Poor directions given to the patient by the physical therapist
, Page 2 of 52
B. The patient's lack of proprioception
C. Impaired blood flow to the affected leg
D. The patient's resistance to therapy - CORRECT ANSWER✔✔B. The patient's lack of
proprioception
Question: Timothy is hospitalized and in a coma following a traumatic brain injury. Nursing care
would include which of the following?
A. Identify yourself when you enter the room and tell him the day and time
B. Tape his eyelids closed securely to prevent the drying of the corneas.
C. Limit the family's involvement in care so there is more consistency.
D. Avoid touching the patient, because this will increase his irritability. - CORRECT
ANSWER✔✔A. Identify yourself when you enter the room and tell him the day and time
Question: Cleaning a patient's hearing aid is a nursing action that will have a positive effect on a
sensory deficit.
(T or F) - CORRECT ANSWER✔✔True
Question: anosmia - CORRECT ANSWER✔✔loss of smell
, Page 3 of 52
Question: Loss of hearing can put a patient at risk for social isolation.
(T or F) - CORRECT ANSWER✔✔True
Question: A patient must place his hand on the wall to keep his balance when walking. He leans
when sitting and has difficulty knowing when his body is vertical and sensing the position of his
body in space. Which type of receptor is probably involved?
1) Photoreceptors
2) Chemoreceptors
3) Proprioceptors
4) Thermoreceptors - CORRECT ANSWER✔✔3) Proprioceptors
Question: Which medication might blunt a patient's perception of various kinds of stimuli?
1) Furosemide (Lasix)
2) Metoprolol (Lopressor)
3) Morphine sulfate
4) Metoclopramide (Reglan) - CORRECT ANSWER✔✔3) Morphine sulfate
, Page 4 of 52
Question: A patient complains, "Everything tastes so bland. I add salt, pepper, and sugar to
everything just to make it so I can taste it." Which nutrient deficiency might be responsible for
his problem? Select all that apply.
1) Vitamin A
2) Vitamin B12
3) Iron
4) Zinc - CORRECT ANSWER✔✔2, 4
Question: After sustaining an eye injury in a baseball game, a patient complains of blurred and
distorted vision. Which visual deficit is this patient most likely experiencing?
1) Macular degeneration
2) Astigmatism
3) Strabismus
4) Glaucoma - CORRECT ANSWER✔✔2) Astigmatism
Question: A patient who has been unable to sleep for several nights has experienced a change
in mental status. He does not know what day it is, or where he is. His speech and movements
are slowed, and he seems dazed and stupefied. He cannot follow simple directions such as,
"Hold out your hand." Which nursing diagnosis is most appropriate for this patient?
1) Chronic Confusion
2) Acute Confusion
