NURS 1100 - Exam 3 UPDATED ACTUAL Questions and CORRECT
Answers
Question: Which factor would the nurse consider when communicating with adolescents? Be alert for clues
to their emotional state. Ask closed-ended questions to get straight answers. Avoid looking for meaning
behind adolescents' words or actions. Avoid discussing sensitive issues such as sex and drugs.
Correct Answer: Be alert for clues to their emotional state. Adolescents are searching for their identities
and trying to become emotionally independent from parents while still maintaining family ties. Depression,
substance abuse, and violence are all real concerns during this period; thus, the nurse must be aware of an
adolescent's emotional state. Open-ended questions are used to get more detailed answers. The nurse would
look for meaning behind adolescents' words or actions. It is also important to discuss issues such as sex and
drugs; sex and drugs are very important issues during this age
Question: Which sense is affected by presbyopia? Hearing Sight Smell Taste
Correct Answer: Sight Sensory changes in the eyes are characterized by the presence of decreased
accommodation to near or far vision, which is called presbyopia. Sensory changes in the ears include
thickening of the tympanic membrane and sclerosis of the ear. Sensory changes of smell include a
diminished sense of smell. Sensory changes in taste are often characterized by fewer taste buds.
Question: Which clinical feature is related to depression in older adults? Apraxia Agitation Hypervigilance
Impaired orientation
Correct Answer: Agitation Psychomotor disorientation, or agitation, is commonly seen in patients with
depression. Apraxia is a clinical feature associated with dementia but not depression. Patients with delirium
have increased alertness (hypervigilance). However, the alertness in patients with depression is usually
normal. Impaired orientation is associated with delirium, and patients with depression may have selective
disorientation.
Question: A patient is in labor with her first baby, which is coming 2 weeks early. Her husband is in the
military and might not get back in time, and neither family is able to be with her during labor. Which
support person employed by the birthing area is the health care provider most likely to call in to be present
during labor? Nurse Midwife Assistant Lay doula
Correct Answer: Lay doula A lay doula is a support person who is present during labor to assist women
who have no other source of support. This woman has no family available to support her during the laboring
process and delivery. Although the nurse and a midwife would be supportive during labor, the scope of
practice for nurses and midwives far exceeds that of a support person present during labor. An assistant is
incorrect.
Question: Which condition does the nurse suspect in an older-adult patient who has reported daily hearing
decline? Delirium Dementia Presbyopia Presbycusis
Correct Answer: Prebycusis Presbycusis refers to the progressive loss of hearing that occurs with age.
Delirium is a cognitive impairment resulting in a confused state. Dementia is an impairment of intellectual
functioning that interferes with social and occupational functioning. Presbyopia is a progressive decline of
vision.
Question: Which factor would the nurse assess when determining the knowledge base of a middle-aged
adult with chronic illness and his or her family? Select all that apply. One, some, or all responses may be
correct. The medical course of the illness The prognosis for the patient Coping mechanisms of the patient
,and family The need for community and social services The family's nutritional needs
Correct Answer: The medical course of the illness The prognosis for the patient Coping mechanisms of
the patient and family The need for community and social services When assessing a patient with a chronic
illness, the nurse should determine how much the patient and the family know about how the illness has
progressed and the long-term prognosis for the patient. This includes understanding the patient's and
family's ability and readiness to accept the illness and the outlook for the patient. Understanding the coping
mechanisms used by the patient and family helps the nurse to determine how to teach and counsel them
about the treatment regimen and whether or not community or social services are needed and will be
accepted to help the patient and family.
Question: Which physical change occurs during adolescence? Elongation of limbs Slow and consistent
growth rate Improved large muscle coordination Alteration in distribution of muscle and fat
Correct Answer: Alteration in distribution of muscle and fat There is a significant alteration in the
distribution of fat and muscles within the body of adolescents. Because of the many physical changes, the
shoulder and hip width increase, normally increasing the width of the body. Elongation of limbs mostly
occurs in the years immediately before the onset of puberty and usually slows by the time of adolescence.
Growth rate is slow and consistent in school-age children, whereas the growth rate of the skeleton, muscles,
and viscera increases during adolescence. Improved large muscle coordination starts when children are of
school age, when the strength of the child doubles.
Question: The nurse is reviewing the diagnostic report of four patients. Which patient will have difficulty
hearing the nurse? The patient who has a cataract. The patient who has presbyopia. The patient who has
presbycusis. The patient who has macular degeneration.
Correct Answer: The patient who has presbycusis. Presbycusis refers to an age-related hearing impairment
in older adults. The nurse suspects that the patient who has been diagnosed with presbycusis will have
difficulty hearing. The nurse will suspect that the patient with a cataract will have a loss of transparency in
the eye lens. The nurse will suspect retinal damage in the patient with presbyopia. The nurse will suspect a
change in the macula of the patient's eye in the patient with macular degeneration
Question: Which statement best explains sexuality in an older adult? When the sexual partner passes away,
the survivor no longer feels sexual. A decrease in an older adult's libido occurs. Any outward expression of
sexuality suggests that the older adult is having a developmental problem. All older adults, whether healthy
or frail, need to express sexual feelings.
Correct Answer: All older adults, whether healthy or frail, need to express sexual feelings. Sexuality is
normal throughout the life span, and older adults need to be able to express their sexual feelings. Even when
a sexual partner passes away, the survivor will still feel the need to express sexual feelings, even if it takes
time. Not all older adults experience a decrease in libido. An outward expression of sexuality is normal and
does not indicate a developmental problem.
Question: When does the anterior fontanelle close? Between 1 and 6 months Between 6 and 12 months
Between 12 and 18 months Between 18 and 24 months
Correct Answer: Between 12 and 18 months The anterior fontanelle is diamond shaped and has frontal and
parietal bones surrounding it. The anterior fontanelle is usually palpable in infants and closes by 12 to 18
months. Before 12 months, the skull bones and sutures are too tender to ossify and close. By 18 months of
age, the skull bones usually ossify, and it is too late for a fontanelle to close after that. The posterior
fontanelle closes by the end of the second or third month.
, Question: Sharing eating utensils with a person who has a contagious illness is an example of a health risk
resulting from which factor? Lifestyle Community Family history Personal hygiene habits
Correct Answer: Personal hygiene habits In all age-groups, personal hygiene habits can be risk factors for
the spread of contagious diseases. Sharing eating utensils with a person who has a contagious illness
increases the risk of illness. Sharing utensils is not a lifestyle, community, or family history risk.
Question: Which description best matches a lay doula? A person who assists in the personal tasks of a
mother A woman who is skilled in aiding the deliveries of babies A certified health care provider focused
on the care of patients A support person to assist women who have no other source of support during labor
Correct Answer: A support person to assist women who have no other source of support during labor A
lay doula is a support person present during labor to assist women who have no other source of support. A
person who assists in personal tasks of a mother during or after delivery is known as an assistant. A midwife
is a woman who is skilled in aiding the deliveries of babies. The nurse is a certified health care provider
focused on the care of patients.
Question: At which age should a child be able to perform fine-motor skills such as transferring objects
from hand to hand? 2 to 4 months 4 to 6 months 6 to 8 months 8 to 10 months
Correct Answer: 6 to 8 months At the age of 6 to 8 months, infants start to perform fine-motor skills such
as transferring objects from hand to hand, banging objects together, and pulling strings to obtain an object.
At the age of 2 to 4 months, the infant can hold a rattle for short periods, look at and play with fingers, and
bring objects from hand to mouth. At the age of 4 to 6 months, the infant is able to grasp objects at will and
can drop them to pick up another objects; however, children at this age are not expected to be able to
transfer objects from hand to hand. At the age of 8 to 10 months, the infant is able to pick up small objects
and shows hand preference.
Question: Which statement is true regarding delirium? The onset of delirium is insidious. Sleep/wake cycle
is disturbed. The patient with delirium may have normal alertness. Progression of the delirium is slow over
months and years.
Correct Answer: Sleep/wake cycle is disturbed The sleep/wake cycle is disturbed in delirium. The onset of
delirium is sudden or abrupt but not insidious. Alertness in delirium fluctuates and can be lethargic or
hypervigilant, but not normal. Progression of delirium is abrupt, not gradual over months and years.
Question: At which age would a baby be expected to crawl on the floor using his or her arms? 2 to 4
months 4 to 6 months 6 to 8 months 8 to 10 months
Correct Answer: 8 to 10 months At 5 months of age, an infant may be able to turn himself or herself from
the abdomen to the back. An infant who is 2 to 4 months old can turn to the sides. An infant who is 6 to 8
months old can sit alone without support. An infant who is 8 to 10 months old can crawl on the floor using
his or her arms.
Question: Approximately how many centimeters does a toddler grow each year? 1.7 3.5 6.2 7.5
Correct Answer: 7.5 Toddlers experience rapid physical growth. A toddler may grow approximately 7.5
cm in height each year. The weight gain is generally 4 to 6 lb each year.
Question: Which action falls under the role of a lay doula? Deliver the infant. Administer pain medications
to the patient in labor. Monitor vital signs when the patient is in labor. Provide emotional support and
physical assistance to the patient in labor.
Correct Answer: Provide emotional support and physical assistance to the patient in labor.. The lay doula
is a support person who is present during labor to assist women who have no other source of support. The
Answers
Question: Which factor would the nurse consider when communicating with adolescents? Be alert for clues
to their emotional state. Ask closed-ended questions to get straight answers. Avoid looking for meaning
behind adolescents' words or actions. Avoid discussing sensitive issues such as sex and drugs.
Correct Answer: Be alert for clues to their emotional state. Adolescents are searching for their identities
and trying to become emotionally independent from parents while still maintaining family ties. Depression,
substance abuse, and violence are all real concerns during this period; thus, the nurse must be aware of an
adolescent's emotional state. Open-ended questions are used to get more detailed answers. The nurse would
look for meaning behind adolescents' words or actions. It is also important to discuss issues such as sex and
drugs; sex and drugs are very important issues during this age
Question: Which sense is affected by presbyopia? Hearing Sight Smell Taste
Correct Answer: Sight Sensory changes in the eyes are characterized by the presence of decreased
accommodation to near or far vision, which is called presbyopia. Sensory changes in the ears include
thickening of the tympanic membrane and sclerosis of the ear. Sensory changes of smell include a
diminished sense of smell. Sensory changes in taste are often characterized by fewer taste buds.
Question: Which clinical feature is related to depression in older adults? Apraxia Agitation Hypervigilance
Impaired orientation
Correct Answer: Agitation Psychomotor disorientation, or agitation, is commonly seen in patients with
depression. Apraxia is a clinical feature associated with dementia but not depression. Patients with delirium
have increased alertness (hypervigilance). However, the alertness in patients with depression is usually
normal. Impaired orientation is associated with delirium, and patients with depression may have selective
disorientation.
Question: A patient is in labor with her first baby, which is coming 2 weeks early. Her husband is in the
military and might not get back in time, and neither family is able to be with her during labor. Which
support person employed by the birthing area is the health care provider most likely to call in to be present
during labor? Nurse Midwife Assistant Lay doula
Correct Answer: Lay doula A lay doula is a support person who is present during labor to assist women
who have no other source of support. This woman has no family available to support her during the laboring
process and delivery. Although the nurse and a midwife would be supportive during labor, the scope of
practice for nurses and midwives far exceeds that of a support person present during labor. An assistant is
incorrect.
Question: Which condition does the nurse suspect in an older-adult patient who has reported daily hearing
decline? Delirium Dementia Presbyopia Presbycusis
Correct Answer: Prebycusis Presbycusis refers to the progressive loss of hearing that occurs with age.
Delirium is a cognitive impairment resulting in a confused state. Dementia is an impairment of intellectual
functioning that interferes with social and occupational functioning. Presbyopia is a progressive decline of
vision.
Question: Which factor would the nurse assess when determining the knowledge base of a middle-aged
adult with chronic illness and his or her family? Select all that apply. One, some, or all responses may be
correct. The medical course of the illness The prognosis for the patient Coping mechanisms of the patient
,and family The need for community and social services The family's nutritional needs
Correct Answer: The medical course of the illness The prognosis for the patient Coping mechanisms of
the patient and family The need for community and social services When assessing a patient with a chronic
illness, the nurse should determine how much the patient and the family know about how the illness has
progressed and the long-term prognosis for the patient. This includes understanding the patient's and
family's ability and readiness to accept the illness and the outlook for the patient. Understanding the coping
mechanisms used by the patient and family helps the nurse to determine how to teach and counsel them
about the treatment regimen and whether or not community or social services are needed and will be
accepted to help the patient and family.
Question: Which physical change occurs during adolescence? Elongation of limbs Slow and consistent
growth rate Improved large muscle coordination Alteration in distribution of muscle and fat
Correct Answer: Alteration in distribution of muscle and fat There is a significant alteration in the
distribution of fat and muscles within the body of adolescents. Because of the many physical changes, the
shoulder and hip width increase, normally increasing the width of the body. Elongation of limbs mostly
occurs in the years immediately before the onset of puberty and usually slows by the time of adolescence.
Growth rate is slow and consistent in school-age children, whereas the growth rate of the skeleton, muscles,
and viscera increases during adolescence. Improved large muscle coordination starts when children are of
school age, when the strength of the child doubles.
Question: The nurse is reviewing the diagnostic report of four patients. Which patient will have difficulty
hearing the nurse? The patient who has a cataract. The patient who has presbyopia. The patient who has
presbycusis. The patient who has macular degeneration.
Correct Answer: The patient who has presbycusis. Presbycusis refers to an age-related hearing impairment
in older adults. The nurse suspects that the patient who has been diagnosed with presbycusis will have
difficulty hearing. The nurse will suspect that the patient with a cataract will have a loss of transparency in
the eye lens. The nurse will suspect retinal damage in the patient with presbyopia. The nurse will suspect a
change in the macula of the patient's eye in the patient with macular degeneration
Question: Which statement best explains sexuality in an older adult? When the sexual partner passes away,
the survivor no longer feels sexual. A decrease in an older adult's libido occurs. Any outward expression of
sexuality suggests that the older adult is having a developmental problem. All older adults, whether healthy
or frail, need to express sexual feelings.
Correct Answer: All older adults, whether healthy or frail, need to express sexual feelings. Sexuality is
normal throughout the life span, and older adults need to be able to express their sexual feelings. Even when
a sexual partner passes away, the survivor will still feel the need to express sexual feelings, even if it takes
time. Not all older adults experience a decrease in libido. An outward expression of sexuality is normal and
does not indicate a developmental problem.
Question: When does the anterior fontanelle close? Between 1 and 6 months Between 6 and 12 months
Between 12 and 18 months Between 18 and 24 months
Correct Answer: Between 12 and 18 months The anterior fontanelle is diamond shaped and has frontal and
parietal bones surrounding it. The anterior fontanelle is usually palpable in infants and closes by 12 to 18
months. Before 12 months, the skull bones and sutures are too tender to ossify and close. By 18 months of
age, the skull bones usually ossify, and it is too late for a fontanelle to close after that. The posterior
fontanelle closes by the end of the second or third month.
, Question: Sharing eating utensils with a person who has a contagious illness is an example of a health risk
resulting from which factor? Lifestyle Community Family history Personal hygiene habits
Correct Answer: Personal hygiene habits In all age-groups, personal hygiene habits can be risk factors for
the spread of contagious diseases. Sharing eating utensils with a person who has a contagious illness
increases the risk of illness. Sharing utensils is not a lifestyle, community, or family history risk.
Question: Which description best matches a lay doula? A person who assists in the personal tasks of a
mother A woman who is skilled in aiding the deliveries of babies A certified health care provider focused
on the care of patients A support person to assist women who have no other source of support during labor
Correct Answer: A support person to assist women who have no other source of support during labor A
lay doula is a support person present during labor to assist women who have no other source of support. A
person who assists in personal tasks of a mother during or after delivery is known as an assistant. A midwife
is a woman who is skilled in aiding the deliveries of babies. The nurse is a certified health care provider
focused on the care of patients.
Question: At which age should a child be able to perform fine-motor skills such as transferring objects
from hand to hand? 2 to 4 months 4 to 6 months 6 to 8 months 8 to 10 months
Correct Answer: 6 to 8 months At the age of 6 to 8 months, infants start to perform fine-motor skills such
as transferring objects from hand to hand, banging objects together, and pulling strings to obtain an object.
At the age of 2 to 4 months, the infant can hold a rattle for short periods, look at and play with fingers, and
bring objects from hand to mouth. At the age of 4 to 6 months, the infant is able to grasp objects at will and
can drop them to pick up another objects; however, children at this age are not expected to be able to
transfer objects from hand to hand. At the age of 8 to 10 months, the infant is able to pick up small objects
and shows hand preference.
Question: Which statement is true regarding delirium? The onset of delirium is insidious. Sleep/wake cycle
is disturbed. The patient with delirium may have normal alertness. Progression of the delirium is slow over
months and years.
Correct Answer: Sleep/wake cycle is disturbed The sleep/wake cycle is disturbed in delirium. The onset of
delirium is sudden or abrupt but not insidious. Alertness in delirium fluctuates and can be lethargic or
hypervigilant, but not normal. Progression of delirium is abrupt, not gradual over months and years.
Question: At which age would a baby be expected to crawl on the floor using his or her arms? 2 to 4
months 4 to 6 months 6 to 8 months 8 to 10 months
Correct Answer: 8 to 10 months At 5 months of age, an infant may be able to turn himself or herself from
the abdomen to the back. An infant who is 2 to 4 months old can turn to the sides. An infant who is 6 to 8
months old can sit alone without support. An infant who is 8 to 10 months old can crawl on the floor using
his or her arms.
Question: Approximately how many centimeters does a toddler grow each year? 1.7 3.5 6.2 7.5
Correct Answer: 7.5 Toddlers experience rapid physical growth. A toddler may grow approximately 7.5
cm in height each year. The weight gain is generally 4 to 6 lb each year.
Question: Which action falls under the role of a lay doula? Deliver the infant. Administer pain medications
to the patient in labor. Monitor vital signs when the patient is in labor. Provide emotional support and
physical assistance to the patient in labor.
Correct Answer: Provide emotional support and physical assistance to the patient in labor.. The lay doula
is a support person who is present during labor to assist women who have no other source of support. The
