160 Exam 2 Study Guide Questions with
Solved Solutions 2026/27 Updated.
The nurse is assessing a pt who recently was Dx with a stroke. The pt is very emotional. In what
part of the brain did the stroke most likely occur? - Answer Limbic system
The nurse is caring for a pt in the mental health facility who has a Dx of bipolar disorder. The
nurse know that this is because mental health is directly affected by the - Answer
Neurotransmitters
An insufficient amount of the neurotransmitter GABA may result in - Answer Anxiety
The nurse is using CAGE screening tool. This tool is used for what screen? - Answer Problem
alcohol use
nurse I performing a mental health assessment. Data collection for mental health assessment
begins when the nurse - Answer First sees the pt
Nurse notices that a pt has difficulty separating relevant from irrelevant information during a
conversation. This patient is having difficulty sirh - Answer Circumstantiality
The nurse is assessing pt stressors. Which tool can be used to identify the degree of stressors pt
may be experiencing - Answer Holmes social readjustment inventory scale
Nurse is planning to teach a group of pt stress reduction exercises to reduce risk of depression.
Which population group is at its highest for depression - Answer Adolescents
The nurse suspects altered thought processes. Which findings may suggest an alter thought
process (select all that apply) - Answer Problems articulating words
Cultural differences
The nurse is obtaining a mental health history of a new pt. What should the nurse include in the
mental health history? (Select all that apply) - Answer Past medical history
Pt description of self
The nurse is assessing a patient's nutritional status and suspects the patient needs more
macronutrients. Which of the following are considered macronutrients? - Answer Fats
,The nurse is teaching a patient the importance of protein for healing. Which foods should the
nurse include in the teaching plan? - Answer fish
The nurse is assessing a patient's dietary intake to help the patient lose weight. What is the
easiest way to assess the patient's normal dietary intake? - Answer Asking the patient to do a
24-hour dietary recall
The nurse suspects that the patient is suffering from malnutrition. Which laboratory test
indicates a patient's protein calorie status? - Answer Serum albumin
The nurse is teaching adult male healthy eating guidelines. How many servings of dairy should
the nurse recommend for this patient? - Answer 2 to 3
The nurse is assessing an elderly patient's risk of nutritional deficiency. An important risk factor
for nutritional deficiency in the elderly is: - Answer Decreased ADL
In which age group is skipping meals most commonly seen? - Answer Adolscents
According to the food plan, what represents one serving from the bread, cereal, and grain
products group? - Answer 1 slice of bread
The nurse is working with a patient to develop a nutritional plan for a patient newly diagnosed
with diabetes. The nurse assesses what the patient's food preferences are because: - Answer
food preferences and dislikes have a strong influence on what a person eats.
The school nurse is assessing the nutritional status of a healthy adolescent. Which assessment
will the nurse include in this assessment? (Select all that apply.) - Answer Dietary assessment
Biochemical test results
Anthropometrics
The nurse is performing a skin assessment on a patient in pain. Which skin layer contains
sensory fibers that react to touch, pain, and temperature? - Answer dermis
The nurse is performing a skin assessment and finds that the patient has milia. In which age
group would this be an expected finding? - Answer newborns
A patient is concerned because the dermatologist diagnosed macules all over the skin. The
patient asks the nurse what could be causing this? The nurse's best response is: - Answer
Macules are freckles are considered normal on the skin
, The nurse is assessing an African-American patient for cyanosis. Cyanosis in dark pigmented skin
appears as a(n): - Answer Ashen gray color to the skin
The nurse is assessing a patient for nail clubbing. Where should the nurse focus the exam? -
Answer The angle of the nail base
A patient comes to the clinic for a skin check. Which finding by the nurse indicates a need to
further investigate a lesion? - Answer The lesion bleeds easily when it is touched.
The nurse is performing a skin check on a patient. In which age group is seborrheic keratosis an
expected finding? - Answer older adults
The nurse is teaching a parent about risk factors associated with the skin for their school-age
child. What would the nurse include as the most common cause of skin lesions for this age
group? - Answer Communicable disease and bacterial infection
The nurse is assessing a patient's skin turgor. Skin turgor is assessed by: - Answer pinching the
skin and watching the skin return to place
The nurse knows that the functions of the skin include which of the following? (Select all that
apply.) - Answer -Sensory input
-Protection
-Production of vitamin D
A patient is complaining of difficulty hearing. Which structure of the ear stimulates the acoustic
nerve? - Answer ossicle
The nurse is assessing a patient's mandible. The area between the sternocleidomastoid muscles
and the mandible is anatomically known as the: - Answer Anterior triangle
The nurse is assessing a patient's optic disc. What instrument would be best for this
assessment? - Answer The optic disc is viewed with an ophthalmoscope
The nurse is aware that the greatest physical variation of ears among individuals of different
races is: - Answer Consistency and color of cerumen
The nurse suspects that a female patient is having trouble with the thyroid when the patient
answers yes to which question? - Answer "Have you noticed a change in your level of energy?"
Solved Solutions 2026/27 Updated.
The nurse is assessing a pt who recently was Dx with a stroke. The pt is very emotional. In what
part of the brain did the stroke most likely occur? - Answer Limbic system
The nurse is caring for a pt in the mental health facility who has a Dx of bipolar disorder. The
nurse know that this is because mental health is directly affected by the - Answer
Neurotransmitters
An insufficient amount of the neurotransmitter GABA may result in - Answer Anxiety
The nurse is using CAGE screening tool. This tool is used for what screen? - Answer Problem
alcohol use
nurse I performing a mental health assessment. Data collection for mental health assessment
begins when the nurse - Answer First sees the pt
Nurse notices that a pt has difficulty separating relevant from irrelevant information during a
conversation. This patient is having difficulty sirh - Answer Circumstantiality
The nurse is assessing pt stressors. Which tool can be used to identify the degree of stressors pt
may be experiencing - Answer Holmes social readjustment inventory scale
Nurse is planning to teach a group of pt stress reduction exercises to reduce risk of depression.
Which population group is at its highest for depression - Answer Adolescents
The nurse suspects altered thought processes. Which findings may suggest an alter thought
process (select all that apply) - Answer Problems articulating words
Cultural differences
The nurse is obtaining a mental health history of a new pt. What should the nurse include in the
mental health history? (Select all that apply) - Answer Past medical history
Pt description of self
The nurse is assessing a patient's nutritional status and suspects the patient needs more
macronutrients. Which of the following are considered macronutrients? - Answer Fats
,The nurse is teaching a patient the importance of protein for healing. Which foods should the
nurse include in the teaching plan? - Answer fish
The nurse is assessing a patient's dietary intake to help the patient lose weight. What is the
easiest way to assess the patient's normal dietary intake? - Answer Asking the patient to do a
24-hour dietary recall
The nurse suspects that the patient is suffering from malnutrition. Which laboratory test
indicates a patient's protein calorie status? - Answer Serum albumin
The nurse is teaching adult male healthy eating guidelines. How many servings of dairy should
the nurse recommend for this patient? - Answer 2 to 3
The nurse is assessing an elderly patient's risk of nutritional deficiency. An important risk factor
for nutritional deficiency in the elderly is: - Answer Decreased ADL
In which age group is skipping meals most commonly seen? - Answer Adolscents
According to the food plan, what represents one serving from the bread, cereal, and grain
products group? - Answer 1 slice of bread
The nurse is working with a patient to develop a nutritional plan for a patient newly diagnosed
with diabetes. The nurse assesses what the patient's food preferences are because: - Answer
food preferences and dislikes have a strong influence on what a person eats.
The school nurse is assessing the nutritional status of a healthy adolescent. Which assessment
will the nurse include in this assessment? (Select all that apply.) - Answer Dietary assessment
Biochemical test results
Anthropometrics
The nurse is performing a skin assessment on a patient in pain. Which skin layer contains
sensory fibers that react to touch, pain, and temperature? - Answer dermis
The nurse is performing a skin assessment and finds that the patient has milia. In which age
group would this be an expected finding? - Answer newborns
A patient is concerned because the dermatologist diagnosed macules all over the skin. The
patient asks the nurse what could be causing this? The nurse's best response is: - Answer
Macules are freckles are considered normal on the skin
, The nurse is assessing an African-American patient for cyanosis. Cyanosis in dark pigmented skin
appears as a(n): - Answer Ashen gray color to the skin
The nurse is assessing a patient for nail clubbing. Where should the nurse focus the exam? -
Answer The angle of the nail base
A patient comes to the clinic for a skin check. Which finding by the nurse indicates a need to
further investigate a lesion? - Answer The lesion bleeds easily when it is touched.
The nurse is performing a skin check on a patient. In which age group is seborrheic keratosis an
expected finding? - Answer older adults
The nurse is teaching a parent about risk factors associated with the skin for their school-age
child. What would the nurse include as the most common cause of skin lesions for this age
group? - Answer Communicable disease and bacterial infection
The nurse is assessing a patient's skin turgor. Skin turgor is assessed by: - Answer pinching the
skin and watching the skin return to place
The nurse knows that the functions of the skin include which of the following? (Select all that
apply.) - Answer -Sensory input
-Protection
-Production of vitamin D
A patient is complaining of difficulty hearing. Which structure of the ear stimulates the acoustic
nerve? - Answer ossicle
The nurse is assessing a patient's mandible. The area between the sternocleidomastoid muscles
and the mandible is anatomically known as the: - Answer Anterior triangle
The nurse is assessing a patient's optic disc. What instrument would be best for this
assessment? - Answer The optic disc is viewed with an ophthalmoscope
The nurse is aware that the greatest physical variation of ears among individuals of different
races is: - Answer Consistency and color of cerumen
The nurse suspects that a female patient is having trouble with the thyroid when the patient
answers yes to which question? - Answer "Have you noticed a change in your level of energy?"
