NSG-316 FINAL EXAM QUESTIONS
AND CORRECT ANSWERS
(VERIFIED ANSWERS) A GRADE
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."
d. "I will log off the computer in between seeing clients."
- correct answer- Answer: d
HIPAA establishes national standards for the protection of
certain health info. The privacy rule can be violated if a
client's health info is on the computer screen and the
nurse leaves it up while taking care of other clients.
,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 - correct answer- 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.
A patient with a history of a knee injury reports local pain
in the knee. Which test would the nurse perform to
further evaluate the knee?
a. Phalen
,b. Thomas
c. Bulge Sign
d. McMurray - correct answer- Answer: d
* The McMurray test is performed when a patient has
reported a history of trauma followed by locking, giving
way, or local knee pain
* If you hear a "click" = McMurray test is positive for a
torn meniscus
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 - correct answer-
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.
An older adult patient comes in due to his recent loss of
his partner of 52 years. What is this patient at risk for and
how does this loss impact him? - correct answer-
He is at risk for depression, grief, and despair. This loss
impacted his by having him question his purpose and
independence due to his loss which also entailed the loss
of his role as a husband.
Borborygmus - correct answer- sound of
hyperperistalsis
AND CORRECT ANSWERS
(VERIFIED ANSWERS) A GRADE
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."
d. "I will log off the computer in between seeing clients."
- correct answer- Answer: d
HIPAA establishes national standards for the protection of
certain health info. The privacy rule can be violated if a
client's health info is on the computer screen and the
nurse leaves it up while taking care of other clients.
,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 - correct answer- 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.
A patient with a history of a knee injury reports local pain
in the knee. Which test would the nurse perform to
further evaluate the knee?
a. Phalen
,b. Thomas
c. Bulge Sign
d. McMurray - correct answer- Answer: d
* The McMurray test is performed when a patient has
reported a history of trauma followed by locking, giving
way, or local knee pain
* If you hear a "click" = McMurray test is positive for a
torn meniscus
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 - correct answer-
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.
An older adult patient comes in due to his recent loss of
his partner of 52 years. What is this patient at risk for and
how does this loss impact him? - correct answer-
He is at risk for depression, grief, and despair. This loss
impacted his by having him question his purpose and
independence due to his loss which also entailed the loss
of his role as a husband.
Borborygmus - correct answer- sound of
hyperperistalsis
