NR 509 week 1 Latest Update Questions
with Correct Answers Approved and
Accurate
A 16 year old boy has just been admitted to the unit for overnight observation after being in an
automobile accident. What is the nurses best approach to communicating with him?
A. use periods of silence to communicate respect
B. Be totally honest with him even if the information is unpleasant
C. Tell him that everything that is discussed will be kept totally confidential
D. Use slang language when possible to help him open up - Answer B. Be totally honest with him
even if the information is unpleasant *
A 17-year-old single mother is describing how difficult it is to raise a 3 year old child by herself. During
the course of the interview she states, I can't believe my boyfriend has left me to do this by myself. What
a terrible thing to do to me. Which of these responses by the nurse uses empathy?
A. You feel alone.
B. You can't believe he left you alone?
C. It must be so hard to face this all alone.
D. I would be angry too, raising a child alone is no picnic - Answer C. It must be so hard to face
this all alone.*
A 4-year-old boy is brought to the emergency Department by his mother. She says he points to his
stomach and says it hurts so bad. Which pain assessment tool would be the best choice when assessing
the child's pain?
A. Descriptor scale
B. Numeric rating scale
C. Brief pain inventory
D. Faces pain scale revised (FPS-R) - Answer D. Faces pain scale revised (FPS-R)
A 42-year-old patient of Asian descent is being seen at the clinic for an initial examination. The nurses
knowns that including cultural information in his health assessment is important to:
A. Identify the cause of his illness
B. Make accurate disease diagnoses
,C. Provide cultural health rights for the individual
D. Provide culturally sensitive and appropriate care - Answer D. Provide culturally sensitive and
appropriate care
A 5-year-old child is in the clinic for a checkup. The nurse would expect him to:
A. Need to be held on his mother's lap
B. Be able to sit on the examination table
C. Be able to stand on the floor for the examination
D. Be able to remain alone in the examination room - Answer B. Be able to sit on the examination
table
A 60 year old woman has developed reflexive sympathetic dystrophy after arthroscopic repair of her
shoulder. A key feature of this condition is that the :
A. Affected extremity will eventually regain its function
B. Pain is felt at one site but originates from another location
C. patients pain will be Associated with nausea, pallor, and diaphoresis
D. Slightest touch, such as sleep brushing against her arm, causes severe and intense pain -
Answer D. Slightest touch, such as sleep brushing against her arm, causes severe and intense pain
A 75-year-old woman is at the office for a pre-op interview. The nurse is aware that the interview may
take longer then interviews with younger persons. What is the reason for this?
A. An aged person has a longer story to tell
B. An aged person is usually lonely and likes to have someone with whom to talk
C. Aged persons lose much of their mental abilities and require longer time to complete an interview
D. As a person ages he or she is unable to hear, best the interviewer usually means to repeat much of
what is said - Answer A. An aged person has a longer story to tell
A female American Indian has come to the clinic for follow up diabetic teaching. During the interview,
the nurse notices that she never makes eye contact and speaks mostly to the floor. which statement is
true regarding the situation?
A. The woman is nervous and embarrassed
B. She has something to hide and is ashamed
C. The woman is showing inconsistent verbal and nonverbal behaviors
D. She is showing that she is carefully listening to what the nurse is saying - Answer D. She is
showing that she is carefully listening to what the nurse is saying
,A female nurse is interviewing a male patient who is near the same age as the nurse. During the
interview, the patient makes an overly sexual comment. The nurses best reaction would be
A. Stop that immediately!
B. Oh, you are too funny. let's keep going with the interview.
C. Do you really think I would be interested?
D. It makes me uncomfortable when you talk that way. please stop. - Answer D. It makes me
uncomfortable when you talk that way. please stop.
A female nurse is interviewing a man who has recently immigrated. During the course of the interview
he leaned forward and then finally moves his chair close enough that his knees are nearly touching the
nurse's knees. The nurse begins to feel uncomfortable with his proximity. Which statement most closely
reflects what the nurse should do next
A. The nurse should try to relax, these behaviors are culturally appropriate for this person
B. Cleaner should discretely move his or her chair back until the distance is more comfortable and then
continue with the interview
C. These behaviors are indicative of sexual aggression, and the nurse should confront this person about
his behaviors
D. The nurse should laugh but tell him that he or she is uncomfortable with his proximity and ask him to
move away - Answer A. The nurse should try to relax, these behaviors are culturally appropriate
for this person
A female patient does not speak English well, and the nurse needs to choose an interpreter. Which of the
following would be the most appropriate choice?
A. Trained interpreter
B. Male family member
C. Female family member
D. Volunteer college student from the foreign language studies Department - Answer A. Trained
interpreter
A female patient told the nurse that she has 4 children and has had 3 pregnancies how should be nurse
document this ?
A. Gravida 3, para 4
B. Gravida 4, para 3
C. This information cannot be documented using the terms gravida and para
D. The patient seems to be confused about how many times she has been pregnant/ - Answer A.
Gravida 3, para 4
, A man arrives at the clinic for his annual wellness physical. He is experiencing no acute health problems.
Which question or statement by the nurse is most appropriate when beginning the interview?
A. How is your family?
B. How is your job?
C. Tell me about your hypertension.
D. How has your health been since your last visit? - Answer D. How has your health been since
your last visit?
A man has been admitted to the Observation unit for observation after being treated for a large cut on
his forehead. As the nurse works through the interview, one of the standard questions has to do with
alcohol, tobacco, and drug use. When the nurse asks him about tobacco use, he states, I quit smoking
after my wife died 7 years ago. However, the nurse notices an open pack of cigarettes in his shirt pocket.
Using confrontation, the nurse could say:
A. Mr. K. I know that you are lying
B. Mr. K, come on, tell me how much you smoke
C. Mr. K, I did not realize your wife had died. It must be difficult for you at this time. Please tell me more
about that.
D. Mr. K, you have said that you don't smoke, but I see that you have an open pack of cigarettes in your
pocket. - Answer D. Mr. K, you have said that you don't smoke, but I see that you have an open
pack of cigarettes in your pocket.
A mother brings her 28-month-old daughter into the clinic for a well child visit. At the beginning of the
visit the nurse focuses attention away from the toddler, but as the interview progresses, the toddler
begins to warm up and a smiling shyly at the nurse. The nurse will be most successful and interacting
with the toddler if which is done next?
A. Tickle the toddler get her to laugh
B. Stoop down to her level and ask her about the toys she is holding.
C. Continue to ignore her until it is time for the physical examination
D. Ask the mother to leave during the examination of the toddler, because toddlers often fuss less if their
parent is not in view - Answer B. Stoop down to her level and ask her about the toys she is
holding.
A newly admitted patient is in acute pain, has not been sleeping well lately, and is having difficulty
breathing. How should the nurse prioritize these problems
A. Breathing, pain, and sleep
B. Breathing, sleep and pain
C. Sleep, breathing and pain
with Correct Answers Approved and
Accurate
A 16 year old boy has just been admitted to the unit for overnight observation after being in an
automobile accident. What is the nurses best approach to communicating with him?
A. use periods of silence to communicate respect
B. Be totally honest with him even if the information is unpleasant
C. Tell him that everything that is discussed will be kept totally confidential
D. Use slang language when possible to help him open up - Answer B. Be totally honest with him
even if the information is unpleasant *
A 17-year-old single mother is describing how difficult it is to raise a 3 year old child by herself. During
the course of the interview she states, I can't believe my boyfriend has left me to do this by myself. What
a terrible thing to do to me. Which of these responses by the nurse uses empathy?
A. You feel alone.
B. You can't believe he left you alone?
C. It must be so hard to face this all alone.
D. I would be angry too, raising a child alone is no picnic - Answer C. It must be so hard to face
this all alone.*
A 4-year-old boy is brought to the emergency Department by his mother. She says he points to his
stomach and says it hurts so bad. Which pain assessment tool would be the best choice when assessing
the child's pain?
A. Descriptor scale
B. Numeric rating scale
C. Brief pain inventory
D. Faces pain scale revised (FPS-R) - Answer D. Faces pain scale revised (FPS-R)
A 42-year-old patient of Asian descent is being seen at the clinic for an initial examination. The nurses
knowns that including cultural information in his health assessment is important to:
A. Identify the cause of his illness
B. Make accurate disease diagnoses
,C. Provide cultural health rights for the individual
D. Provide culturally sensitive and appropriate care - Answer D. Provide culturally sensitive and
appropriate care
A 5-year-old child is in the clinic for a checkup. The nurse would expect him to:
A. Need to be held on his mother's lap
B. Be able to sit on the examination table
C. Be able to stand on the floor for the examination
D. Be able to remain alone in the examination room - Answer B. Be able to sit on the examination
table
A 60 year old woman has developed reflexive sympathetic dystrophy after arthroscopic repair of her
shoulder. A key feature of this condition is that the :
A. Affected extremity will eventually regain its function
B. Pain is felt at one site but originates from another location
C. patients pain will be Associated with nausea, pallor, and diaphoresis
D. Slightest touch, such as sleep brushing against her arm, causes severe and intense pain -
Answer D. Slightest touch, such as sleep brushing against her arm, causes severe and intense pain
A 75-year-old woman is at the office for a pre-op interview. The nurse is aware that the interview may
take longer then interviews with younger persons. What is the reason for this?
A. An aged person has a longer story to tell
B. An aged person is usually lonely and likes to have someone with whom to talk
C. Aged persons lose much of their mental abilities and require longer time to complete an interview
D. As a person ages he or she is unable to hear, best the interviewer usually means to repeat much of
what is said - Answer A. An aged person has a longer story to tell
A female American Indian has come to the clinic for follow up diabetic teaching. During the interview,
the nurse notices that she never makes eye contact and speaks mostly to the floor. which statement is
true regarding the situation?
A. The woman is nervous and embarrassed
B. She has something to hide and is ashamed
C. The woman is showing inconsistent verbal and nonverbal behaviors
D. She is showing that she is carefully listening to what the nurse is saying - Answer D. She is
showing that she is carefully listening to what the nurse is saying
,A female nurse is interviewing a male patient who is near the same age as the nurse. During the
interview, the patient makes an overly sexual comment. The nurses best reaction would be
A. Stop that immediately!
B. Oh, you are too funny. let's keep going with the interview.
C. Do you really think I would be interested?
D. It makes me uncomfortable when you talk that way. please stop. - Answer D. It makes me
uncomfortable when you talk that way. please stop.
A female nurse is interviewing a man who has recently immigrated. During the course of the interview
he leaned forward and then finally moves his chair close enough that his knees are nearly touching the
nurse's knees. The nurse begins to feel uncomfortable with his proximity. Which statement most closely
reflects what the nurse should do next
A. The nurse should try to relax, these behaviors are culturally appropriate for this person
B. Cleaner should discretely move his or her chair back until the distance is more comfortable and then
continue with the interview
C. These behaviors are indicative of sexual aggression, and the nurse should confront this person about
his behaviors
D. The nurse should laugh but tell him that he or she is uncomfortable with his proximity and ask him to
move away - Answer A. The nurse should try to relax, these behaviors are culturally appropriate
for this person
A female patient does not speak English well, and the nurse needs to choose an interpreter. Which of the
following would be the most appropriate choice?
A. Trained interpreter
B. Male family member
C. Female family member
D. Volunteer college student from the foreign language studies Department - Answer A. Trained
interpreter
A female patient told the nurse that she has 4 children and has had 3 pregnancies how should be nurse
document this ?
A. Gravida 3, para 4
B. Gravida 4, para 3
C. This information cannot be documented using the terms gravida and para
D. The patient seems to be confused about how many times she has been pregnant/ - Answer A.
Gravida 3, para 4
, A man arrives at the clinic for his annual wellness physical. He is experiencing no acute health problems.
Which question or statement by the nurse is most appropriate when beginning the interview?
A. How is your family?
B. How is your job?
C. Tell me about your hypertension.
D. How has your health been since your last visit? - Answer D. How has your health been since
your last visit?
A man has been admitted to the Observation unit for observation after being treated for a large cut on
his forehead. As the nurse works through the interview, one of the standard questions has to do with
alcohol, tobacco, and drug use. When the nurse asks him about tobacco use, he states, I quit smoking
after my wife died 7 years ago. However, the nurse notices an open pack of cigarettes in his shirt pocket.
Using confrontation, the nurse could say:
A. Mr. K. I know that you are lying
B. Mr. K, come on, tell me how much you smoke
C. Mr. K, I did not realize your wife had died. It must be difficult for you at this time. Please tell me more
about that.
D. Mr. K, you have said that you don't smoke, but I see that you have an open pack of cigarettes in your
pocket. - Answer D. Mr. K, you have said that you don't smoke, but I see that you have an open
pack of cigarettes in your pocket.
A mother brings her 28-month-old daughter into the clinic for a well child visit. At the beginning of the
visit the nurse focuses attention away from the toddler, but as the interview progresses, the toddler
begins to warm up and a smiling shyly at the nurse. The nurse will be most successful and interacting
with the toddler if which is done next?
A. Tickle the toddler get her to laugh
B. Stoop down to her level and ask her about the toys she is holding.
C. Continue to ignore her until it is time for the physical examination
D. Ask the mother to leave during the examination of the toddler, because toddlers often fuss less if their
parent is not in view - Answer B. Stoop down to her level and ask her about the toys she is
holding.
A newly admitted patient is in acute pain, has not been sleeping well lately, and is having difficulty
breathing. How should the nurse prioritize these problems
A. Breathing, pain, and sleep
B. Breathing, sleep and pain
C. Sleep, breathing and pain
