Page 1 of 88
NSG 521 Exam 2 Herzing ALL 350 QUESTIONS
AND VERIFIED SOLUTIONS LATEST UPDATE
THIS YEAR
NSG 521 Exam 2
The nurse is teaching an assistive personnel (AP) about assessing a patient's temperature.
Which statement by the AP requires further teaching?
"I will take an oral temperature for a patient who has nasal congestion."
"I will wait 30 minutes after a patient drinks a hot beverage before taking an oral
temperature."
"I can take an axillary temperature for a patient with a wound on the chest."
"I will avoid taking a rectal temperature in a patient with diarrhea."
"I will take an oral temperature for a patient who has nasal congestion."
Rationale: Nasal congestion can affect the patient's ability to breathe through the nose, making
it difficult to take an accurate oral temperature. Other methods such as tympanic or axillary are
preferable in this case.
A patient reports 7/10 pain after surgery and is visibly restless. What is the nurse's priority
action?
Document the patient's pain and continue monitoring.
Administer prescribed pain medication.
1
, Page 2 of 88
Encourage the patient to try relaxation techniques.
Offer non-pharmacological methods such as ice or heat.
Administer prescribed pain medication.
Rationale: The priority is to relieve the patient's pain by administering prescribed medication.
Other interventions can be added after addressing immediate pain relief.
A client presents to the clinic with a chronic wound that has not healed for several months.
What factor is most likely contributing to the delay in wound healing?
Low protein intake
Frequent dressing changes
High fluid intake
The use of occlusive dressings
Low protein intake
Rationale: Protein is essential for wound healing as it supports tissue repair. A low protein
intake can delay healing by limiting the availability of necessary building blocks for tissue
regeneration.
A nurse is caring for a client with chronic neuropathic pain. Which of the following
medications is most appropriate for managing this type of pain?
Acetaminophen
Ibuprofen
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, Page 3 of 88
Gabapentin
Aspirin
Gabapentin
Rationale: Neuropathic pain results from nerve damage and is best managed with
anticonvulsants like gabapentin, which help stabilize nerve activity. Acetaminophen and
ibuprofen are better suited for nociceptive pain, while aspirin is primarily used for its anti-
inflammatory properties.
While performing a general survey, the nurse notices a patient with poor hygiene and
disheveled clothing. What might this indicate?
The patient has a history of chronic illness.
The patient is experiencing an acute infection.
The patient may be experiencing neglect or mental health issues.
The patient is likely recovering from a surgical procedure.
The patient may be experiencing neglect or mental health issues.
Rationale: Poor hygiene and disheveled appearance may be indicators of neglect, mental health
disorders, or inability to care for oneself, potentially due to cognitive or emotional
impairments. It may also indicate social or financial difficulties.
The nurse is assessing an older adult client who is experiencing chronic pain. Which finding
may indicate pain in this population?
Increased socialization
3
, Page 4 of 88
Sleep disturbances
Improved mobility
Elevated blood pressure
Sleep disturbances
Rationale: Chronic pain in older adults can manifest as sleep disturbances, decreased mobility,
depression, or changes in appetite, making it harder to detect compared to acute pain.
A patient with a history of diabetes presents with signs of diabetic peripheral neuropathy.
What assessment finding is consistent with this condition?
Blisters on the feet
Tingling and numbness in the lower extremities
Pain with movement
Muscle weakness
Tingling and numbness in the lower extremities
Rationale: Diabetic peripheral neuropathy typically presents as tingling, numbness, or burning
sensations in the extremities due to nerve damage. Muscle weakness is more often associated
with other neuromuscular conditions.
Which of the following interventions is most appropriate to prevent the development of
pressure ulcers in a bed-bound patient?
Repositioning the patient every 2 hours
Keeping the skin dry by avoiding moisturizers
4
NSG 521 Exam 2 Herzing ALL 350 QUESTIONS
AND VERIFIED SOLUTIONS LATEST UPDATE
THIS YEAR
NSG 521 Exam 2
The nurse is teaching an assistive personnel (AP) about assessing a patient's temperature.
Which statement by the AP requires further teaching?
"I will take an oral temperature for a patient who has nasal congestion."
"I will wait 30 minutes after a patient drinks a hot beverage before taking an oral
temperature."
"I can take an axillary temperature for a patient with a wound on the chest."
"I will avoid taking a rectal temperature in a patient with diarrhea."
"I will take an oral temperature for a patient who has nasal congestion."
Rationale: Nasal congestion can affect the patient's ability to breathe through the nose, making
it difficult to take an accurate oral temperature. Other methods such as tympanic or axillary are
preferable in this case.
A patient reports 7/10 pain after surgery and is visibly restless. What is the nurse's priority
action?
Document the patient's pain and continue monitoring.
Administer prescribed pain medication.
1
, Page 2 of 88
Encourage the patient to try relaxation techniques.
Offer non-pharmacological methods such as ice or heat.
Administer prescribed pain medication.
Rationale: The priority is to relieve the patient's pain by administering prescribed medication.
Other interventions can be added after addressing immediate pain relief.
A client presents to the clinic with a chronic wound that has not healed for several months.
What factor is most likely contributing to the delay in wound healing?
Low protein intake
Frequent dressing changes
High fluid intake
The use of occlusive dressings
Low protein intake
Rationale: Protein is essential for wound healing as it supports tissue repair. A low protein
intake can delay healing by limiting the availability of necessary building blocks for tissue
regeneration.
A nurse is caring for a client with chronic neuropathic pain. Which of the following
medications is most appropriate for managing this type of pain?
Acetaminophen
Ibuprofen
2
, Page 3 of 88
Gabapentin
Aspirin
Gabapentin
Rationale: Neuropathic pain results from nerve damage and is best managed with
anticonvulsants like gabapentin, which help stabilize nerve activity. Acetaminophen and
ibuprofen are better suited for nociceptive pain, while aspirin is primarily used for its anti-
inflammatory properties.
While performing a general survey, the nurse notices a patient with poor hygiene and
disheveled clothing. What might this indicate?
The patient has a history of chronic illness.
The patient is experiencing an acute infection.
The patient may be experiencing neglect or mental health issues.
The patient is likely recovering from a surgical procedure.
The patient may be experiencing neglect or mental health issues.
Rationale: Poor hygiene and disheveled appearance may be indicators of neglect, mental health
disorders, or inability to care for oneself, potentially due to cognitive or emotional
impairments. It may also indicate social or financial difficulties.
The nurse is assessing an older adult client who is experiencing chronic pain. Which finding
may indicate pain in this population?
Increased socialization
3
, Page 4 of 88
Sleep disturbances
Improved mobility
Elevated blood pressure
Sleep disturbances
Rationale: Chronic pain in older adults can manifest as sleep disturbances, decreased mobility,
depression, or changes in appetite, making it harder to detect compared to acute pain.
A patient with a history of diabetes presents with signs of diabetic peripheral neuropathy.
What assessment finding is consistent with this condition?
Blisters on the feet
Tingling and numbness in the lower extremities
Pain with movement
Muscle weakness
Tingling and numbness in the lower extremities
Rationale: Diabetic peripheral neuropathy typically presents as tingling, numbness, or burning
sensations in the extremities due to nerve damage. Muscle weakness is more often associated
with other neuromuscular conditions.
Which of the following interventions is most appropriate to prevent the development of
pressure ulcers in a bed-bound patient?
Repositioning the patient every 2 hours
Keeping the skin dry by avoiding moisturizers
4
