CORRECT ANSWERS | ALREADY GRADED A+ | NUR 3065
LATEST VERSION | BRAND NEW EXAM
1. If a pt asks about church & mass, what are they discussing?: Religion
2. Pt describes severe headaches that are lasting for days. Which question would be most
appropriate to use to determine if these headaches are mi- graines?: Visual changes / disturbances before
headaches.
3. What is petechiae?: a small red or purple spot caused by bleeding into the skin. 1-2 mm in diameter
4. What is ecchymosis?: Blotches, bruising.. under the skin... darken spots.
5. Which section of the ROS of nutritional health assessment would the nurse document the
findings?: Skin, Hair, & Nails
6. A client has been found to have a breast lump, an ultrasound was ordered. The client voices
concerns to the nurse that she is afraid of the painful test that she is going to endure. How should the
RN best response?: Non-invasive test use high frequency waves to determine if the mass is solid or cystic. If a biopsy is done, a small
needle is used.
7. A client is being assessed for a headache. Symptoms include: throbbing and severe pain lasting for
at least 8 hours. The client also has a hx of vomiting with headaches. What type of headache would
these finding indicate?: Migraine
8. The client is clenching the jaw to avoid taking oral prescribed m nerve is being
used?: Trigeminal nerve V
eds. Which
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, 9. A client reports occasionally experiencing hoarseness.
In response to this statement the nurse asks, what makes the hoarseness go away? Which char-
acteristic of the client's symptoms is the nurse assessing?: Relieving factors
10. The pt reports difficulty sleeping. Which question would be the most effec- tive way for the nurse
to open the interview? (Remember open-ended): Can you tell me about your sleep problems from when it starts until now?
11. Review Braden Scale - Risk for pressure sore development. Pt senso ception is at 4, ry per-
moisture is at 4, activity is at 2, mobility is at 2, nutritio this question score 13 = Moderate (professor had n at 1: For
stated Mild Risk)
12. The client tells the nurse about raised lesions on the client's leg. What is the nurse's first action?:
Inspect the area.
13. The client tells the nurse he has been having grey stools after frequ out of the countryent travel
to an area with no core sanitation. The nurse needs investigate the possibility for?: Viral
to
Hepatitis (A?)
14. Which client should the nurse assess for possible primary amenorrhea? (Primary is when you
have never had your period. Secondary is a missed period, 3 months, 6 months, etc.): 18 year-old who has never
started menses.
15. Which general survey question focus on the common 5th vital sign (pain)?: Are you experiencing pain right
now?
16. Which is the priority for the nurse conducting a physical exam for a client with generalized
muscle weakness?: Limit position change as much as possible.
17. Which movement should the nurse instruct the client to perfor range of motion m to assess
of the knee?: Flexion
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, 18. Which principle of child development should guide the nurse's decision when planning the
assessment of a child to best minimize stress?: Childs' stage of development is a primary factor in the way the child
responds to an event.
19. Which statement by the nurse concerning the various methods used in mea- suring temperature indicate
the need for additional education?: When monitoring the same client, an axillary temp is usually higher by a degree than ora
temp.
20. Which statement by the nurse demonstrates an understanding of the im- portance the client's culture
plays in the client's health and wellness?: I need to understand the client's cultural background to best interpret the client's
needs.
21. Which statement by the nurse demonstrates a cultural bias?: "American healthcare is really so much better than that
provided by any other country."
22. Which statement made by the nurse demonstrates an understanding of the termination phase of
the interviewing process?: "Let me stress the importance of being medication adherent."
23. How do you demonstrate a nurse therapeutic interest in the client?: Assist the nurse in formulating subjective
questioning.
24. The nurse is conducting a health Hx with a pt who reports having a dull headache over the past
month. Client says aromatherapy has helped manage pain sometimes. This info belongs in which
attribute of the symptoms?: Treatment
25. The nurse expects which change in the clients hair as a result of aging?: The sebaceous glands secrete less
oil, causing hair to become dryer and more brittle.
26. The nurse has completed a health assessment of an older pt being seen at the neighborhood
clinic. Which specific info should the nurse ID as being a priority?: Significantly impaired hearing.
27. The nurse completed a plan of care for a client having a total knee replace- ment. In order to develop
realistic goals for the client, what should the nurse do prior to implementing the plan?: Ask the client for their
opinion and willingness to proceed in the intervention.
28. The nurse has completed the physical exam of a client lying in supine posi- tion. The nurse
puts the bed rails up to ensure client safety, what is the most important thing the nurse should do
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