GNUR 238 exam 1 Questions With Complete Solutions
_______ pain is associated with feeling pain when a limb has
been amputated.
A. Phantom pain
B. Psychotic pain
C. Chronic pain
D. Invisible pain Correct Answer A. Phantom pain
"Does your pain keep you awake at night?" is an example of
which type of questioning during the interview?
A. Multiple choice
B. Closed ended
C. Active listening
D. Open ended Correct Answer B. Closed ended
A 52 year old male patient is admitted to the hospital with a new
diagnosis of rectal cancer. The nurse conducts which type of
assessment on his admission?
A. comprehensive assessment
B. problem-based assessment
C. episodic assessment
D. screening assessment for colorectal cancer Correct Answer
A. comprehensive assessment: detailed history and physical
examination performed at the onset of care in a primary care
setting, admission to a hospital, or long term care facility.
Encompasses health problems experienced by the patient; health
promotion, disease prevention, and assessment for problems
,associated with known risk factors; or assessment for age and
gender specific health problems
A 62 year old patient tells the nurse that he has recently had
frequent fainting spells. After palpating the radial pulse, 13
pulsations are counted in 15 seconds. The nurse determines a
pulse rate of 52, with a regularly irregular rhythm. What is the
most appropriate action for the nurse at this time?
A. reassesses the pulse rate after he walks around the room for
several minutes.
B. reassesses the pulse rate for 15 seconds using the carotid
artery.
C. take an apical pulse for 5 full minutes, counting the number
of skipped beats.
D. palpate the pulse for a full minute and note whether there is a
pattern to the irregularity. Correct Answer D. palpate the pulse
for a full minute and note whether there is a pattern to the
irregularity.
A 62 year old patient tells the nurse that he is in excellent health
and does not take any medication. What is the most appropriate
response by the nurse to follow up on the patient's statement?
A. do you avoid taking drugs because of bad experiences
B. which medications have you taken in the past
C. that is hard to believe. Most med your age take medications.
D. do you use over the counter medications or herbal
preparations? Correct Answer D. do you use over the counter
medications or herbal preparations?
,A 75 year old client hospitalized with cerebral vascular accident
(stroke) becomes disoriented at times and tries to get out of bed,
but is unable to ambulate without help. What is the most
appropriate safety measure.
A. restrain the client in bed
B. ask a family member to stay with the client
C. check the client every 15 minutes
D. use a bed exit safety monitoring device Correct Answer D.
use a bed exit safety monitoring device
A client in a cardiac rehabilitation program says to the nurse, "I
have to eat a low-sodium diet for the rest of my life, and I hate
it!" Which is the most appropriate response by the nurse?
A. I will get a dietary consultant to talk to you before next week
B. what do you think is so difficult about following a low-
sodium diet?
C. at least you survived a heart attack and are able to return to
work
D. you may not need to follow a low-sodium diet for as long as
you think . Correct Answer B. what do you think is so difficult
about following a low-sodium diet?
A client is being admitted to the hospital because of a seizure
that occurred at his home. The client has no previous history of
seizures. In planning the clients nursing care, which of he
following measures is most essential at his time? SELECT ALL
THAT APPLY
A. place a padded tongue depressor at the head of the bed
, B. pad the bed with blankets
C. inform the client about the importance of wearing medication
identification tag
D. teach the client about epilepsy
E. test oral suction equipment Correct Answer B. pad the bed
with blankets
E. test oral suction equipment
A client reports feeling hungry, but does not eat when food is
served. Using critical thinking skills, the nurse should perform
which of the following?
A. assess why the client is not infesting the food provided.
B. continue to leave the food at the bedside until the client is
hungry enough to eat.
C. notify the primary care provider that tube feeding may be
indicated soon.
D. believe the client is not really hungry. Correct Answer A.
assess why the client is not infesting the food provided.
A client with diarrhea also has a primary care provider's order
for a bulk laxative daily. The nurse, not realizing that bulk
laxatives can help solidify certain types of diarrhea concludes,
"The primary care provider does not know the client has
diarrhea." This statement is an example of?
A. fact
B. inference
C. judgement
D. opinion Correct Answer B. inference: nurse concluded
something that is beyond the given information.
_______ pain is associated with feeling pain when a limb has
been amputated.
A. Phantom pain
B. Psychotic pain
C. Chronic pain
D. Invisible pain Correct Answer A. Phantom pain
"Does your pain keep you awake at night?" is an example of
which type of questioning during the interview?
A. Multiple choice
B. Closed ended
C. Active listening
D. Open ended Correct Answer B. Closed ended
A 52 year old male patient is admitted to the hospital with a new
diagnosis of rectal cancer. The nurse conducts which type of
assessment on his admission?
A. comprehensive assessment
B. problem-based assessment
C. episodic assessment
D. screening assessment for colorectal cancer Correct Answer
A. comprehensive assessment: detailed history and physical
examination performed at the onset of care in a primary care
setting, admission to a hospital, or long term care facility.
Encompasses health problems experienced by the patient; health
promotion, disease prevention, and assessment for problems
,associated with known risk factors; or assessment for age and
gender specific health problems
A 62 year old patient tells the nurse that he has recently had
frequent fainting spells. After palpating the radial pulse, 13
pulsations are counted in 15 seconds. The nurse determines a
pulse rate of 52, with a regularly irregular rhythm. What is the
most appropriate action for the nurse at this time?
A. reassesses the pulse rate after he walks around the room for
several minutes.
B. reassesses the pulse rate for 15 seconds using the carotid
artery.
C. take an apical pulse for 5 full minutes, counting the number
of skipped beats.
D. palpate the pulse for a full minute and note whether there is a
pattern to the irregularity. Correct Answer D. palpate the pulse
for a full minute and note whether there is a pattern to the
irregularity.
A 62 year old patient tells the nurse that he is in excellent health
and does not take any medication. What is the most appropriate
response by the nurse to follow up on the patient's statement?
A. do you avoid taking drugs because of bad experiences
B. which medications have you taken in the past
C. that is hard to believe. Most med your age take medications.
D. do you use over the counter medications or herbal
preparations? Correct Answer D. do you use over the counter
medications or herbal preparations?
,A 75 year old client hospitalized with cerebral vascular accident
(stroke) becomes disoriented at times and tries to get out of bed,
but is unable to ambulate without help. What is the most
appropriate safety measure.
A. restrain the client in bed
B. ask a family member to stay with the client
C. check the client every 15 minutes
D. use a bed exit safety monitoring device Correct Answer D.
use a bed exit safety monitoring device
A client in a cardiac rehabilitation program says to the nurse, "I
have to eat a low-sodium diet for the rest of my life, and I hate
it!" Which is the most appropriate response by the nurse?
A. I will get a dietary consultant to talk to you before next week
B. what do you think is so difficult about following a low-
sodium diet?
C. at least you survived a heart attack and are able to return to
work
D. you may not need to follow a low-sodium diet for as long as
you think . Correct Answer B. what do you think is so difficult
about following a low-sodium diet?
A client is being admitted to the hospital because of a seizure
that occurred at his home. The client has no previous history of
seizures. In planning the clients nursing care, which of he
following measures is most essential at his time? SELECT ALL
THAT APPLY
A. place a padded tongue depressor at the head of the bed
, B. pad the bed with blankets
C. inform the client about the importance of wearing medication
identification tag
D. teach the client about epilepsy
E. test oral suction equipment Correct Answer B. pad the bed
with blankets
E. test oral suction equipment
A client reports feeling hungry, but does not eat when food is
served. Using critical thinking skills, the nurse should perform
which of the following?
A. assess why the client is not infesting the food provided.
B. continue to leave the food at the bedside until the client is
hungry enough to eat.
C. notify the primary care provider that tube feeding may be
indicated soon.
D. believe the client is not really hungry. Correct Answer A.
assess why the client is not infesting the food provided.
A client with diarrhea also has a primary care provider's order
for a bulk laxative daily. The nurse, not realizing that bulk
laxatives can help solidify certain types of diarrhea concludes,
"The primary care provider does not know the client has
diarrhea." This statement is an example of?
A. fact
B. inference
C. judgement
D. opinion Correct Answer B. inference: nurse concluded
something that is beyond the given information.
