NUR 215 Exam 2
1. It is most important for the nurse C: Develop an ettective pain management plan
to understand the various ways in
which pain is classified so that he or Ditterent modalities are used in the treatment/ man-
she can agement of pain and are often based on how the pain
is classified (e.g., acute versus chronic).
A. Document the client's pain using
accurate terms.
B. Be clear in communication with
the physician.
C. Develop an effective pain man-
agement plan.
D. Educate the client thoroughly.
2. The nurse is assessing the con- B. Observe the client carefully for changes in behavior
fused client. In trying to determine or vital signs.
the client's level of pain, the nurse
should The nurse should observe the confused client for non-
verbal cues to pain.
A. Be aware that confused clients do
not feel as much pain due to their
confusion.
B. Observe the client carefully for
changes in behavior or vital signs.
C. Ask the client's family how much
pain the client normally has.
D. Use only pain scales that feature
numbers or "faces" the client can
point to.
3. Mr. Zenobia's chronic cancer pain B. "I'll call the primary care provider and ask for an
has recently increased, and he asks increased dose."
the home health nurse what can be
, NUR 215 Exam 2
done. In relation to his long-acting There is no ceiling on the analgesic ettect of opioid
opioid, which is an appropriate re- narcotics. Patients develop a tolerance to the ettects,
sponse by the nurse? which often necessitates an increase in the dose.
A. "If you take more opioid, it will
not change your pain relief."
B. "I'll call the primary care provider
and ask for an increased dose."
C. "The amount you are taking now
is all I can give you."
D. "I'm worried if we increase your
dose that you will stop breathing."
4. To maintain proper posture, it is im- B. Avoid arching shoulders forward when sitting.
portant to
Arching shoulders forward when sitting alters the cur-
A. Sleep on the softest mattress vature of the spine and contributes to poor body
possible. alignment.
B. Avoid arching shoulders forward
when sitting.
C. Keep your knees locked when
standing upright.
D. Keep your stomach muscles re-
laxed to prevent back spasms.
5. Of the following interventions for C. Having the client use the incentive spirometer q 2
the client who is immobile, the hrs
nurse will give priority to
Use of the incentive spirometer helps to prevent
A. Encouraging a diet high in fiber atelectasis, which improves oxygenation—a priority
and extra fluids need.
B. Administering the medication for
sleep as needed
, NUR 215 Exam 2
C. Having the client use the incen-
tive spirometer q 2 hrs
D. Massaging the client's legs every
hour
6. Identify the true statement about D. Each crutch-walking gait begins with the client in
devices used when assisting clients the tripod position.
to ambulate.
The tripod position is the basic crutch standing posi-
A. The client should stand a foot tion from which the client then moves forward.
back from the back legs of a walker.
B. A cane should be used by the
client to support the weakest side of
the body.
C. A transfer belt should be placed
around the client's chest for maxi-
mum lift.
D. Each crutch-walking gait begins
with the client in the tripod position.
7. A name-brand ice cream contains B. 311
the following nutrition information
for each serving: 30 g carbohy- CHO = 4 cal per gram = 120 cal
drates, 19 g fat, 5 g protein. The Fat = 9 cal per gram = 171 cal
total number of calories in a serving Protein = 4 cal per gram = 20 cal
would be Total: 311 cal
A. 366
B. 311
C. 435
D. 176
8.
1. It is most important for the nurse C: Develop an ettective pain management plan
to understand the various ways in
which pain is classified so that he or Ditterent modalities are used in the treatment/ man-
she can agement of pain and are often based on how the pain
is classified (e.g., acute versus chronic).
A. Document the client's pain using
accurate terms.
B. Be clear in communication with
the physician.
C. Develop an effective pain man-
agement plan.
D. Educate the client thoroughly.
2. The nurse is assessing the con- B. Observe the client carefully for changes in behavior
fused client. In trying to determine or vital signs.
the client's level of pain, the nurse
should The nurse should observe the confused client for non-
verbal cues to pain.
A. Be aware that confused clients do
not feel as much pain due to their
confusion.
B. Observe the client carefully for
changes in behavior or vital signs.
C. Ask the client's family how much
pain the client normally has.
D. Use only pain scales that feature
numbers or "faces" the client can
point to.
3. Mr. Zenobia's chronic cancer pain B. "I'll call the primary care provider and ask for an
has recently increased, and he asks increased dose."
the home health nurse what can be
, NUR 215 Exam 2
done. In relation to his long-acting There is no ceiling on the analgesic ettect of opioid
opioid, which is an appropriate re- narcotics. Patients develop a tolerance to the ettects,
sponse by the nurse? which often necessitates an increase in the dose.
A. "If you take more opioid, it will
not change your pain relief."
B. "I'll call the primary care provider
and ask for an increased dose."
C. "The amount you are taking now
is all I can give you."
D. "I'm worried if we increase your
dose that you will stop breathing."
4. To maintain proper posture, it is im- B. Avoid arching shoulders forward when sitting.
portant to
Arching shoulders forward when sitting alters the cur-
A. Sleep on the softest mattress vature of the spine and contributes to poor body
possible. alignment.
B. Avoid arching shoulders forward
when sitting.
C. Keep your knees locked when
standing upright.
D. Keep your stomach muscles re-
laxed to prevent back spasms.
5. Of the following interventions for C. Having the client use the incentive spirometer q 2
the client who is immobile, the hrs
nurse will give priority to
Use of the incentive spirometer helps to prevent
A. Encouraging a diet high in fiber atelectasis, which improves oxygenation—a priority
and extra fluids need.
B. Administering the medication for
sleep as needed
, NUR 215 Exam 2
C. Having the client use the incen-
tive spirometer q 2 hrs
D. Massaging the client's legs every
hour
6. Identify the true statement about D. Each crutch-walking gait begins with the client in
devices used when assisting clients the tripod position.
to ambulate.
The tripod position is the basic crutch standing posi-
A. The client should stand a foot tion from which the client then moves forward.
back from the back legs of a walker.
B. A cane should be used by the
client to support the weakest side of
the body.
C. A transfer belt should be placed
around the client's chest for maxi-
mum lift.
D. Each crutch-walking gait begins
with the client in the tripod position.
7. A name-brand ice cream contains B. 311
the following nutrition information
for each serving: 30 g carbohy- CHO = 4 cal per gram = 120 cal
drates, 19 g fat, 5 g protein. The Fat = 9 cal per gram = 171 cal
total number of calories in a serving Protein = 4 cal per gram = 20 cal
would be Total: 311 cal
A. 366
B. 311
C. 435
D. 176
8.
