NUR 320 Assess Midterm Questions With Complete
Solutions
A 19-year-old college student is brought to the emergency
department with a severe headache he describes as, "Like
nothing I've ever had before." His temperature is 40° C, and he
has a stiff neck. The nurse looks for other signs and symptoms
of which problem? Correct Answer meningeal inflammation
A 22-year-old woman comes to the clinic because of severe
sunburn and states, "I was out in the sun for just a couple of
minutes." The nurse begins a medication review with her,
paying special attention to which medication class? Correct
Answer tetracyclines for acne
A 92-year-old patient has had a stroke. The right side of his face
is drooping. The nurse might also suspect which of these
assessment findings? Correct Answer dysphagia
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? Correct Answer Breathing,
pain, and sleep
A patient has a normal pupillary light reflex. The nurse
recognizes that this reflex indicates that: Correct Answer
Constriction of both pupils occurs in response to bright light.
A patient is unable to differentiate between sharp and dull
stimulation to both sides of her face. The nurse suspects:
Correct Answer damage to the trigeminal nerve
, A patient reports excruciating headache pain on one side of his
head, especially around his eye, forehead, and cheek that has
lasted approximately ½ to 2 hours, occurring once or twice each
day. The nurse should suspect: Correct Answer cluster
headaches
A patient states that the pain medication is "not working" and
rates his postoperative pain at a 10 on a 1-to-10 scale. Which of
these assessment findings indicates an acute pain response to
poorly controlled pain? Correct Answer Increased blood
pressure and pulse
A patient's vision is recorded as 20/30 when the Snellen eye
chart is used. The nurse interprets these results to indicate that:
Correct Answer The patient can read at 20 feet what a person
with normal vision can read at 30 feet.
A patient's weekly blood pressure readings for 2 months have
ranged between 124/84 mm Hg and 136/88 mm Hg, with an
average reading of 126/86 mm Hg. The nurse knows that this
blood pressure falls within which blood pressure category?
Correct Answer pre-htn
A woman has come to the clinic to seek help with a substance
abuse problem. She admits to using cocaine just before arriving.
Which of these assessment findings would the nurse expect to
find when examining this woman? Correct Answer Dilated
pupils, pacing, and psychomotor agitation
Solutions
A 19-year-old college student is brought to the emergency
department with a severe headache he describes as, "Like
nothing I've ever had before." His temperature is 40° C, and he
has a stiff neck. The nurse looks for other signs and symptoms
of which problem? Correct Answer meningeal inflammation
A 22-year-old woman comes to the clinic because of severe
sunburn and states, "I was out in the sun for just a couple of
minutes." The nurse begins a medication review with her,
paying special attention to which medication class? Correct
Answer tetracyclines for acne
A 92-year-old patient has had a stroke. The right side of his face
is drooping. The nurse might also suspect which of these
assessment findings? Correct Answer dysphagia
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? Correct Answer Breathing,
pain, and sleep
A patient has a normal pupillary light reflex. The nurse
recognizes that this reflex indicates that: Correct Answer
Constriction of both pupils occurs in response to bright light.
A patient is unable to differentiate between sharp and dull
stimulation to both sides of her face. The nurse suspects:
Correct Answer damage to the trigeminal nerve
, A patient reports excruciating headache pain on one side of his
head, especially around his eye, forehead, and cheek that has
lasted approximately ½ to 2 hours, occurring once or twice each
day. The nurse should suspect: Correct Answer cluster
headaches
A patient states that the pain medication is "not working" and
rates his postoperative pain at a 10 on a 1-to-10 scale. Which of
these assessment findings indicates an acute pain response to
poorly controlled pain? Correct Answer Increased blood
pressure and pulse
A patient's vision is recorded as 20/30 when the Snellen eye
chart is used. The nurse interprets these results to indicate that:
Correct Answer The patient can read at 20 feet what a person
with normal vision can read at 30 feet.
A patient's weekly blood pressure readings for 2 months have
ranged between 124/84 mm Hg and 136/88 mm Hg, with an
average reading of 126/86 mm Hg. The nurse knows that this
blood pressure falls within which blood pressure category?
Correct Answer pre-htn
A woman has come to the clinic to seek help with a substance
abuse problem. She admits to using cocaine just before arriving.
Which of these assessment findings would the nurse expect to
find when examining this woman? Correct Answer Dilated
pupils, pacing, and psychomotor agitation
