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Exam (elaborations)

NSG 3160 Exam 1 Questions and Correct Answers 100% Updated.

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NSG 3160 Exam 1 Questions and Correct Answers 100% Updated.

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NSG 3160 Exam 1 Questions and Correct
Answers 100% Updated
Question 1
A complete database is

a. used to collect data rapidly and is often compiled concurrently with lifesaving
measures.
b. used to evaluate the cause or etiology of disease.
c. used for a limited or short-term problem usually consisting of one problem, one
cue complex, or one body system.
d. used to perform a thorough or comprehensive health history and physical
examination.
Correct Answer
d. used to perform a thorough or comprehensive health history and physical
examination.

A complete database includes a complete health history and a full physical
examination; it describes the current and past health state and forms a baseline
against which all future changes can be measured. An emergency database is a
rapid collection of data often obtained concurrently with lifesaving measures. A
focused database is for a limited or short-term problem; this database concerns
mainly one problem, one cue complex, or one body system. Medical diagnoses are
used to evaluate the cause or etiology of the disease.




Page 1 of 43

,Question 2
The nurse records that the patient's pulse is 3+ or full and bounding. Which of the
following could be the cause?

a. Anxiety
b. Shock
c. Bleeding
d. Dehydration

Correct Answer
a. Anxiety

A full, bounding pulse (3+) reflects an increased stroke volume, as with anxiety and
exercise. A weak, thready pulse may reflect a decreased stroke volume, as with
dehydration. A weak, thready pulse may reflect a decreased stroke volume, as with
shock. A weak, thready pulse reflects a decreased stroke volume, as with bleeding.



Question 3
Amplitude is

a. the intensity (soft or loud) of sound.
b. the number of vibrations per second.
c. the length of time the note lingers.
d. the subjective difference in a sound's distinctive overtones.
Correct Answer
a. the intensity (soft or loud) of sound.

Amplitude is the intensity of sound.
Duration is the length of time the note lingers. Pitch is the number of vibrations per
second (high or low). Quality is the subjective difference owing to a sound's
distinctive overtones.




Page 2 of 43

,Question 4
PQRSTU is a mnemonic that helps the clinician to remember to address characteristics
specific to

a. the ability to perform activities of daily living (ADLs).
b. substance use and abuse.
c. pain presentation.
d. severity of dementia.

Correct Answer
c. pain presentation.

The eight critical characteristics of pain symptoms reported in the history are: P =
provocative or palliative; Q = quality or quantity; R = region or radiation; S =
severity scale; T = timing; and U = understand patient's perception. Tests used to
assess for dementia include the Mini-Mental State Examination, the Set Test, the
Short Portable Mental Status Questionnaire, the Mini-Cog, and the Blessed
Orientation-Memory-Concentration Test. Functional assessment includes questions
on substance use and abuse. Functional assessment measures a person's self-care
ability including the ability to perform ADLs.



Question 5
A patient seeks care for "debilitating headaches that cause excessive absences at
work." On further exploration, the nurse asks, "What makes the headaches worse?"
With this question, the nurse is seeking information about

a. the patient's perception of pain.
b. the nature or character of the headache.
c. relieving factors.
d. aggravating factors.
Correct Answer
d. aggravating factors.

Aggravating factors are determined by asking the patient what makes the pain
worse. To determine the patient's perception of pain, the nurse would determine the
meaning of the symptom by asking how it affects daily activities and what the
patient thinks the pain means. The nature or character calls for specific descriptive
terms to describe the pain. Relieving factors are determined by asking the patient
what relieves the pain, what is the effect of any treatment, what the patient has
tried, and what seems to help.




Page 3 of 43

, Question 6
What type of database is most appropriate when the rapid collection of data is
required and often compiled concurrently with lifesaving measures?

a. Complete
b. Focused
c. Follow-up
d. Emergency

Correct Answer
d. Emergency

An emergency database includes the rapid collection of data often obtained
concurrently with lifesaving measures. A focused database is for a limited or short-
term problem; this database concerns mainly one problem, one cue complex, or
one body system. A follow-up database is used to follow up on short-term or
chronic health problems; the statuses of identified problems are evaluated at
regular and appropriate intervals. A complete database includes a complete health
history and a full physical examination; it describes the current and past health state
and forms a baseline against which all future changes can be measured.



Question 7
To perform an accurate assessment of respirations, the examiner should

a. count for 30 seconds after completing a pulse assessment and multiply by two.
b. inform the person of the procedure and count for 1 minute.
c. assess respirations for a full 2 minutes if an abnormality is suspected.
d. count for 15 seconds while keeping fingers on the pulse and then multiply by four.
Correct Answer
a. count for 30 seconds after completing a pulse assessment and multiply by two.

Respirations should be counted for 30 seconds (if regular) and multiplied by two.
The respirations should be counted after the pulse assessment. Patients have
conscious control over respirations; the examiner should not mention that
respirations will be counted. Avoid counting respirations for 15 seconds because the
results can vary +4 or −4 with such a small number. Respirations should be counted
for 1 minute if abnormalities are suspected.




Page 4 of 43

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