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RNSG 1413 Austin Community College -RNSG 1413 - exam 1 chapter review questions & case studies Questions | 2026/2027 | Answers Correct | With Complete Solutions

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Preview 4 out of 95 pages

RNSG 1413 Austin Community College -RNSG 1413 - exam 1 chapter review questions & case studies Questions | 2026/2027 | Answers Correct | With Complete Solutions

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RNSG 1413 Austin Community College -RNSG 1413 - exam
1 chapter review questions & case studies Questions |
2026/2027 | Answers Correct | With Complete Solutions


Mr. When Chang is being admitted to the medical-surgical unit
for management of a stage 4 decubitus ulcer on his left hip. Mr.
Chang, a 37-year-old engineer, was in a near-fatal motor vehicle
accident 3 months ago that precipitated a series of spine
surgeries to help correct damage to his spine. He has been
bedridden in a long-term care facility since his last surgery 7
weeks ago, and he has developed a stage 4 decubitus ulcer on
his left hip. The wound is being treated with a wound vacuum
and antibiotic therapy.
Bettina is the nursing student who is assigned to Mr. Chang.
Bettina enters his room, introduces herself, and explains that she
is going to perform an admission health history and physical
assessment.

3. Which of the following are examples of back channeling
techniques that Bettina may use during the patient interview
with Mr. Chang? (Select all that apply.)
A. "Go on."
B. "I see."
C. "Where does it hurt?"
D. "All right."
E. "Why are you here?"

,Answer: A, B, D
Rationale: Back channeling techniques such as "go on," "I see,"
and "all right" reinforce the nurse's interest in what the patient
has to say and encourage the patient to give more details.
"Where does it hurt?" and "Why are you here?" are examples of
open-ended questions.
Ms. Ortega is a 16-year-old teen mother admitted to the mother-
baby unit after the delivery of her second child. Her pregnancy
was a difficult one; she was placed on bed rest for the last 2
months because of pregnancy-induced hypertension (PIH) to
reduce the workload of her heart to help sustain her pregnancy.
Ms. Ortega gave birth to healthy baby boy whom she is learning
to breastfeed. Abiamu is the nursing student assigned to Ms.
Ortega and her infant.
1. Abiamu enters Ms. Ortega's room to perform a physical
assessment. Rank in order the four techniques used in a physical
examination.
A. Palpation
B. Auscultation
C. Inspection
D. Percussion
Answer: C, A, D, B
Rationale: The order of the four techniques used in physical
examination is inspection, palpation, percussion, and
auscultation.
Ms. Ortega is a 16-year-old teen mother admitted to the mother-
baby unit after the delivery of her second child. Her pregnancy

,was a difficult one; she was placed on bed rest for the last 2
months because of pregnancy-induced hypertension (PIH) to
reduce the workload of her heart to help sustain her pregnancy.
Ms. Ortega gave birth to healthy baby boy whom she is learning
to breastfeed. Abiamu is the nursing student assigned to Ms.
Ortega and her infant.

2. Abiamu needs to weigh Ms. Ortega's son. Which device
should she use to weigh the infant?
A. Platform scale
B. Sliding scale
C. Water chamber
D. Bariatric chamber
Answer: A
Rationale: To weigh an infant, remove the clothing and weigh in
a dry disposable diaper using a basket or platform scale.
Ms. Ortega is a 16-year-old teen mother admitted to the mother-
baby unit after the delivery of her second child. Her pregnancy
was a difficult one; she was placed on bed rest for the last 2
months because of pregnancy-induced hypertension (PIH) to
reduce the workload of her heart to help sustain her pregnancy.
Ms. Ortega gave birth to healthy baby boy whom she is learning
to breastfeed. Abiamu is the nursing student assigned to Ms.
Ortega and her infant.

3. Abiamu performs an assessment of Ms. Ortega's cardiac
system. List the six anatomical sites for assessment of cardiac

, function, starting on the patient's upper right side and moving in
a clockwise direction.
Answer: Aortic, pulmonic, second pulmonic area, tricuspid,
mitral, and epigastric
Rationale: The six anatomical sites for assessment of cardiac
function starting on the patient's upper right side and moving in
a clockwise direction are aortic, pulmonic, second pulmonic
area, tricuspid, mitral, and epigastric.
Ms. Ortega is a 16-year-old teen mother admitted to the mother-
baby unit after the delivery of her second child. Her pregnancy
was a difficult one; she was placed on bed rest for the last 2
months because of pregnancy-induced hypertension (PIH) to
reduce the workload of her heart to help sustain her pregnancy.
Ms. Ortega gave birth to healthy baby boy whom she is learning
to breastfeed. Abiamu is the nursing student assigned to Ms.
Ortega and her infant.

4. When auscultating Ms. Ortega's heart, Abiamu notices that
the heart fails to beat at regular successive intervals. This
cardiac abnormality is referred to as a __________________.
Answer: Dysrhythmia
Rationale: A dysrhythmia, which may be life-threatening, is the
failure of the heart to beat at regular successive intervals.
A patient has been admitted from the emergency department
(ED) with a primary problem of abdominal pain. Diagnostic
tests performed in the ED are pending. The nurse focuses an
examination on the abdomen and uses the following techniques.

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