NSG 316 FINAL EXAM 2025-2026 QUESTIONS
AND ANSWERS GRADED A+
A patient is crying and says, "Please get me something to relieve this pain." What should the
nurse do next?
a. Verify that the patient has an order for pain medications and administer order as directed
b. Assess the level of pain and ask patient what usually works for his or her pain, administer pain
medication as needed, then reassess pain level
c. Assess the level of pain and give medications according to pain level, and then reassess pain
d. Reposition the patient, then reassess the pain after intervention
Answer: B
Answers A, C, and D are incorrect because pain management should be collaborative, and the
patient is not part of the decision making process in these answers.
Pain is always ____?
Subjective!
A patient with a severe muscle cramp tells the nurse, "The pain is a little better when I massage
the muscle or apply a cold pack." Which criterion of the PQRST method of pain assessment is
addressed in the patient's statement?
a. Severity Scale
,b. Quality/Quantity
c. Region/Radiation
d. Provocation/Palliation
Answer: d
PQRST is a pain assessment scale; it stands for Provocation/Palliation, Quality/Quantity,
Region/Radiation, Severity Scale, and Timing. Because the patient is describing methods that
provide comfort and relieve the pain, it indicates that the patient is addressing
Provocation/Palliation. If the patient reports about severity of pain on a scale of 0 to 10, then it
indicates that the patient is addressing Severity. When addressing the Quality/Quantity of the
pain, the patient describes the pain felt. If the patient reports about the site of pain, then the
patient is addressing Region/Radiation.
Stages of Edema
1+ mild, slight indentation, no perceptible swelling
2+ moderate, indentation subsides rapidly (seconds)
3+ deep, indentation remains for short time (minutes), appears swollen
4+ very deep, indentation lasts long time (hours), appears very swollen
Skin assessment for a head-to-toe assessment
1. Check skin for temperature w/ back of hands and inspect
- skin is warm, dry, intact, color is consistent throughout, no lesins, scars, tattoos noted on
exposed skin
2. Skin turgor - appropriate B/L, no tenting noted
3. Upper body edema
4. Radial pulses - strong, palpable, equal, and approximately 2+
, 5. Capillary refill -
<2 sec B/L
What are the elements of a general survey and health assessment?
Physical appearance, body structure, mobility, behavior, and measurement
What is the difference between subjective and objective data?
Subjective data is what the patient say about themselves during the history taking.
Objective data is observed when inspecting, percussing, palpating, and auscultating the patient
during the physical exam.
What is the difference between a comprehensive assessment and a focused assessment?
A comprehensive assessment includes the patient's history, physical exam, and VS; yearly health
exams.
A focused assessment is a more detailed assessment that related to a current medical
condition/patient complaint; ER situations or after a diagnosis
A nurse is caring for a client who asks about measures the nurse takes to protect client privacy.
Which of the following is an appropriate response by the nurse?
a. "I will provide their information to anyone who requests it."
b. "I will make sure my password to log into the system is the same one I use for everything
else."
c. "I will talk to my friends about the client in order to get advice."
AND ANSWERS GRADED A+
A patient is crying and says, "Please get me something to relieve this pain." What should the
nurse do next?
a. Verify that the patient has an order for pain medications and administer order as directed
b. Assess the level of pain and ask patient what usually works for his or her pain, administer pain
medication as needed, then reassess pain level
c. Assess the level of pain and give medications according to pain level, and then reassess pain
d. Reposition the patient, then reassess the pain after intervention
Answer: B
Answers A, C, and D are incorrect because pain management should be collaborative, and the
patient is not part of the decision making process in these answers.
Pain is always ____?
Subjective!
A patient with a severe muscle cramp tells the nurse, "The pain is a little better when I massage
the muscle or apply a cold pack." Which criterion of the PQRST method of pain assessment is
addressed in the patient's statement?
a. Severity Scale
,b. Quality/Quantity
c. Region/Radiation
d. Provocation/Palliation
Answer: d
PQRST is a pain assessment scale; it stands for Provocation/Palliation, Quality/Quantity,
Region/Radiation, Severity Scale, and Timing. Because the patient is describing methods that
provide comfort and relieve the pain, it indicates that the patient is addressing
Provocation/Palliation. If the patient reports about severity of pain on a scale of 0 to 10, then it
indicates that the patient is addressing Severity. When addressing the Quality/Quantity of the
pain, the patient describes the pain felt. If the patient reports about the site of pain, then the
patient is addressing Region/Radiation.
Stages of Edema
1+ mild, slight indentation, no perceptible swelling
2+ moderate, indentation subsides rapidly (seconds)
3+ deep, indentation remains for short time (minutes), appears swollen
4+ very deep, indentation lasts long time (hours), appears very swollen
Skin assessment for a head-to-toe assessment
1. Check skin for temperature w/ back of hands and inspect
- skin is warm, dry, intact, color is consistent throughout, no lesins, scars, tattoos noted on
exposed skin
2. Skin turgor - appropriate B/L, no tenting noted
3. Upper body edema
4. Radial pulses - strong, palpable, equal, and approximately 2+
, 5. Capillary refill -
<2 sec B/L
What are the elements of a general survey and health assessment?
Physical appearance, body structure, mobility, behavior, and measurement
What is the difference between subjective and objective data?
Subjective data is what the patient say about themselves during the history taking.
Objective data is observed when inspecting, percussing, palpating, and auscultating the patient
during the physical exam.
What is the difference between a comprehensive assessment and a focused assessment?
A comprehensive assessment includes the patient's history, physical exam, and VS; yearly health
exams.
A focused assessment is a more detailed assessment that related to a current medical
condition/patient complaint; ER situations or after a diagnosis
A nurse is caring for a client who asks about measures the nurse takes to protect client privacy.
Which of the following is an appropriate response by the nurse?
a. "I will provide their information to anyone who requests it."
b. "I will make sure my password to log into the system is the same one I use for everything
else."
c. "I will talk to my friends about the client in order to get advice."
