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NSG 521 Unit 5 Practice Questions and
Correct Answers the Latest Update
A nurse is caring for a client with chronic neuropathic pain. Which of the
following medications is most appropriate for managing this type of pain?
Acetaminophen
Ibuprofen
Gabapentin
Aspirin
✓ Gabapentin
✓ Rationale: Neuropathic pain results from nerve damage and is best managed with
anticonvulsants like gabapentin, which help stabilize nerve activity. Acetaminophen
and ibuprofen are better suited for nociceptive pain, while aspirin is primarily used
for its anti-inflammatory properties.
While performing a general survey, the nurse notices a patient with poor
hygiene and disheveled clothing. What might this indicate?
The patient has a history of chronic illness.
The patient is experiencing an acute infection.
The patient may be experiencing neglect or mental health issues.
The patient is likely recovering from a surgical procedure.
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✓ The patient may be experiencing neglect or mental health issues.
✓ Rationale: Poor hygiene and disheveled appearance may be indicators of neglect,
mental health disorders, or inability to care for oneself, potentially due to cognitive
or emotional impairments. It may also indicate social or financial difficulties.
The nurse is teaching an assistive personnel (AP) about assessing a patient's
temperature. Which statement by the AP requires further teaching?
"I will take an oral temperature for a patient who has nasal congestion."
"I will wait 30 minutes after a patient drinks a hot beverage before taking an
oral temperature."
"I can take an axillary temperature for a patient with a wound on the chest."
"I will avoid taking a rectal temperature in a patient with diarrhea."
✓ "I will take an oral temperature for a patient who has nasal congestion."
✓
✓ Rationale: Nasal congestion can affect the patient's ability to breathe through the
nose, making it difficult to take an accurate oral temperature. Other methods such
as tympanic or axillary are preferable in this case.
A patient reports 7/10 pain after surgery and is visibly restless. What is the
nurse's priority action?
Document the patient's pain and continue monitoring.
Administer prescribed pain medication.
Encourage the patient to try relaxation techniques.
Offer non-pharmacological methods such as ice or heat.
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✓ Administer prescribed pain medication.
✓ Rationale: The priority is to relieve the patient's pain by administering prescribed
medication. Other interventions can be added after addressing immediate pain relief.
A client presents to the clinic with a chronic wound that has not healed for
several months. What factor is most likely contributing to the delay in wound
healing?
Low protein intake
Frequent dressing changes
High fluid intake
The use of occlusive dressings
✓ Low protein intake
✓ Rationale: Protein is essential for wound healing as it supports tissue repair. A low
protein intake can delay healing by limiting the availability of necessary building blocks
for tissue regeneration.
The nurse is assessing an older adult client who is experiencing chronic pain.
Which finding may indicate pain in this population?
Increased socialization
Sleep disturbances
Improved mobility
Elevated blood pressure
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NSG 521 Unit 5 Practice Questions and
Correct Answers the Latest Update
A nurse is caring for a client with chronic neuropathic pain. Which of the
following medications is most appropriate for managing this type of pain?
Acetaminophen
Ibuprofen
Gabapentin
Aspirin
✓ Gabapentin
✓ Rationale: Neuropathic pain results from nerve damage and is best managed with
anticonvulsants like gabapentin, which help stabilize nerve activity. Acetaminophen
and ibuprofen are better suited for nociceptive pain, while aspirin is primarily used
for its anti-inflammatory properties.
While performing a general survey, the nurse notices a patient with poor
hygiene and disheveled clothing. What might this indicate?
The patient has a history of chronic illness.
The patient is experiencing an acute infection.
The patient may be experiencing neglect or mental health issues.
The patient is likely recovering from a surgical procedure.
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✓ The patient may be experiencing neglect or mental health issues.
✓ Rationale: Poor hygiene and disheveled appearance may be indicators of neglect,
mental health disorders, or inability to care for oneself, potentially due to cognitive
or emotional impairments. It may also indicate social or financial difficulties.
The nurse is teaching an assistive personnel (AP) about assessing a patient's
temperature. Which statement by the AP requires further teaching?
"I will take an oral temperature for a patient who has nasal congestion."
"I will wait 30 minutes after a patient drinks a hot beverage before taking an
oral temperature."
"I can take an axillary temperature for a patient with a wound on the chest."
"I will avoid taking a rectal temperature in a patient with diarrhea."
✓ "I will take an oral temperature for a patient who has nasal congestion."
✓
✓ Rationale: Nasal congestion can affect the patient's ability to breathe through the
nose, making it difficult to take an accurate oral temperature. Other methods such
as tympanic or axillary are preferable in this case.
A patient reports 7/10 pain after surgery and is visibly restless. What is the
nurse's priority action?
Document the patient's pain and continue monitoring.
Administer prescribed pain medication.
Encourage the patient to try relaxation techniques.
Offer non-pharmacological methods such as ice or heat.
Examify | Smart Grades | Latest update
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✓ Administer prescribed pain medication.
✓ Rationale: The priority is to relieve the patient's pain by administering prescribed
medication. Other interventions can be added after addressing immediate pain relief.
A client presents to the clinic with a chronic wound that has not healed for
several months. What factor is most likely contributing to the delay in wound
healing?
Low protein intake
Frequent dressing changes
High fluid intake
The use of occlusive dressings
✓ Low protein intake
✓ Rationale: Protein is essential for wound healing as it supports tissue repair. A low
protein intake can delay healing by limiting the availability of necessary building blocks
for tissue regeneration.
The nurse is assessing an older adult client who is experiencing chronic pain.
Which finding may indicate pain in this population?
Increased socialization
Sleep disturbances
Improved mobility
Elevated blood pressure
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