NUR 325 EXAM 1 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
A GRADE
2. A patient is receiving a PCA infusion after surgery to
repair a hip fracture. She is sleeping soundly but awakens
when the nurse speaks to her in a normal tone of voice.
Her respirations are 8 breaths/minute. The most
appropriate nursing action in this situation is to
a. stop the PCA infusion.
b. obtain an oxygen saturation level.
c. continue to closely monitor the patient.
d. administer naloxone and contact the physician. -
correct answer- C (8 breaths a minute is not
alarming because the patient was sleeping. It is most
appropriate to monitor the patient closely.)
6. An example of distraction to provide pain relief is
,a. TENS.
b. music.
c. exercise.
d. biofeedback. - correct answer- B
A 34-year-old single father who is anxious, tearful, and
tired from caring for his three young children tells the
nurse that he feels depressed and doesn't see how he can
go on much longer. Which of the following would be the
nurse's best response?
a. "Are you thinking of suicide?"
b. "You've been doing a good job raising your children.
You can do it!"
c. "Is there someone who can help you during the
evenings and weekends?"
d. "What do you mean when you say you can't go on any
longer?" - correct answer- D (You need to get
information about what the gentleman means when he
says he can't go on any longer. He might be thinking of
turning his children over to a grandparent or seeking
,other child-care arrangements. Asking about suicide
initially might be premature. Asking, "Are you thinking of
suicide?" prematurely might shut the patient down
entirely. If the patient talks about suicide, for safety
reasons it is very important to further discuss his suicidal
thoughts and refer to the appropriate health care
professional. Asking the open-ended question provides an
opportunity to understand what the person is thinking
and open lines of communication.)
A 59-yr-old female patient with a frontotemporal lobar
dementia has difficulty with verbal expression. While her
husband was at work, she walked to the gas station for a
soda but did not understand the request for payment.
What can the nurse suggest to keep the patient safe?
a. Assisted living
b. Adult day care
c. Advance directives
d. Monitor for behavioral changes - correct
answer- B (To keep the patient safe during the day
while the husband is at work, an adult day care facility
would be the best choice. This patient would not need
, assisted living. Advance directives are important but are
not related to her safety. Monitoring for behavioral
changes will not keep her safe during the day.)
A 65-year-old woman has fallen while sweeping her
driveway, sustaining a tissue injury. She describes her
condition as an aching, throbbing back. Which type of
pain are these complaints most indicative of?
a. Neuropathic pain
b. Nociceptive pain
c. Chronic pain
d. Mixed pain syndrome - correct answer- B
(Nociceptive pain refers to the normal functioning of
physiologic systems that leads to the perception of
noxious stimuli (tissue injury) as being painful. Patients
describe this type of pain as dull or aching, and it is poorly
localized. Neuropathic pain is described as shooting,
tingling, burning, or numbness that is constant in the
extremities, as in diabetic neuropathy. Chronic pain lasts
longer than 30 days and is characterized by a disease
affecting brain structure and function, such as chronic
headaches or open wounds. Mixed pain syndromes are
CORRECT ANSWERS (VERIFIED ANSWERS)
A GRADE
2. A patient is receiving a PCA infusion after surgery to
repair a hip fracture. She is sleeping soundly but awakens
when the nurse speaks to her in a normal tone of voice.
Her respirations are 8 breaths/minute. The most
appropriate nursing action in this situation is to
a. stop the PCA infusion.
b. obtain an oxygen saturation level.
c. continue to closely monitor the patient.
d. administer naloxone and contact the physician. -
correct answer- C (8 breaths a minute is not
alarming because the patient was sleeping. It is most
appropriate to monitor the patient closely.)
6. An example of distraction to provide pain relief is
,a. TENS.
b. music.
c. exercise.
d. biofeedback. - correct answer- B
A 34-year-old single father who is anxious, tearful, and
tired from caring for his three young children tells the
nurse that he feels depressed and doesn't see how he can
go on much longer. Which of the following would be the
nurse's best response?
a. "Are you thinking of suicide?"
b. "You've been doing a good job raising your children.
You can do it!"
c. "Is there someone who can help you during the
evenings and weekends?"
d. "What do you mean when you say you can't go on any
longer?" - correct answer- D (You need to get
information about what the gentleman means when he
says he can't go on any longer. He might be thinking of
turning his children over to a grandparent or seeking
,other child-care arrangements. Asking about suicide
initially might be premature. Asking, "Are you thinking of
suicide?" prematurely might shut the patient down
entirely. If the patient talks about suicide, for safety
reasons it is very important to further discuss his suicidal
thoughts and refer to the appropriate health care
professional. Asking the open-ended question provides an
opportunity to understand what the person is thinking
and open lines of communication.)
A 59-yr-old female patient with a frontotemporal lobar
dementia has difficulty with verbal expression. While her
husband was at work, she walked to the gas station for a
soda but did not understand the request for payment.
What can the nurse suggest to keep the patient safe?
a. Assisted living
b. Adult day care
c. Advance directives
d. Monitor for behavioral changes - correct
answer- B (To keep the patient safe during the day
while the husband is at work, an adult day care facility
would be the best choice. This patient would not need
, assisted living. Advance directives are important but are
not related to her safety. Monitoring for behavioral
changes will not keep her safe during the day.)
A 65-year-old woman has fallen while sweeping her
driveway, sustaining a tissue injury. She describes her
condition as an aching, throbbing back. Which type of
pain are these complaints most indicative of?
a. Neuropathic pain
b. Nociceptive pain
c. Chronic pain
d. Mixed pain syndrome - correct answer- B
(Nociceptive pain refers to the normal functioning of
physiologic systems that leads to the perception of
noxious stimuli (tissue injury) as being painful. Patients
describe this type of pain as dull or aching, and it is poorly
localized. Neuropathic pain is described as shooting,
tingling, burning, or numbness that is constant in the
extremities, as in diabetic neuropathy. Chronic pain lasts
longer than 30 days and is characterized by a disease
affecting brain structure and function, such as chronic
headaches or open wounds. Mixed pain syndromes are
