TEST BANK
NUR-631 Advanced Health Assessment
TEST BANK Exam LATEST 2024/2025
D'Youville University GRADED A +
GUARANTEED PASS (QUESTIONS AND
ANSWERS WITH detailed RATIONALES)
ACE YOUR EXAM predictor -pdf
INSTRUCTIONS :read the questions carefully
,personally handpicked from Bates
A patient with gout is complaining of severe, throbbing pain in the great toe. What type of pain
is this patient experiencing?
a. Neuropathic pain
b. Somatic pain
c. Referred pain
• d. Visceral pain - ANS :b. Somatic pain
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A Neuropathic pain is caused by abnormal processing of sensory input from the peripheral
nervous system.
B Somatic pain arises from bone, joint, muscle, skin, or connective tissues and is usually aching
or throbbing in quality and well located.
C Referred pain is pain felt at a site different from that of an injured or diseased organ.
D Visceral pain occurs with obstruction of a hollow organ and causes intermittent cramping
pain.
A patient with a partial small bowel obstruction describes the pain as "cramping, off-and-on
pain that spreads over my stomach." What type of pain is this patient experiencing?
a. Referred pain
b. Phantom pain
c. Somatic pain
d. Visceral pain - ANS :d. Visceral pain
A Referred pain is felt at a site different from that of an injured or diseased organ.
B Phantom pain is associated with amputations.
C Somatic pain arises from bone, joint, muscle, skin, or connective tissues and is usually aching
or throbbing in quality and well located.
D Visceral pain occurs with obstruction of a hollow organ and causes intermittent cramping
pain.
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A nurse is assessing a patient who complains of "awful" abdominal pain and rates it as a 9 on a
scale of 0 to 10. Which of the following physiologic signs may accompany acute pain? Select all
that apply.
a. Tachycardia
b. Irritability
c. Increased blood pressure
d. Depression
e. Insomnia
f. Sweating - ANS :a. Tachycardia
c. Increased blood pressure
f. Sweating
Correct: The sympathetic nervous system responds to acute pain by increasing heart rate,
increasing blood pressure, causing diaphoresis, increasing respiratory rate, increasing muscle
tension, dilating pupils, and decreasing gastrointestinal motility.
Incorrect: Irritability, depression, and insomnia are manifestations of chronic rather than acute
pain.
The nurse is performing a symptom analysis of a patient with pain. Which questions below are
appropriate for a symptom analysis? Select all that apply.
a. "Have you had any other symptoms such as nausea, vomiting, and sweating?"
b. "Where is the pain located?"
c. "Have you had a pain like this before?"
d. "What does the pain feel like?"
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e. "What do you do to make your pain better?"
f. "In your culture, how are you encouraged to express your pain?" - ANS :a. "Have you had any
other symptoms such as nausea, vomiting, and sweating?"
b. "Where is the pain located?"
d. "What does the pain feel like?"
e. "What do you do to make your pain better?"
Correct: "Have you had any other symptoms such as nausea, vomiting, and sweating?" "Where
is the pain located?" "What does the pain feel like?" "What do you do to make your pain
better?" These four questions are asked in a symptom analysis that includes the following
variables: onset of symptoms, location and duration of symptoms, characteristics, aggravating
factors, related symptoms, self-treatment, and severity.
Incorrect: "Have you had a pain like this before?" This question relates to the patient's health
history. "In your culture, how are you encouraged to express your pain?" This question relates
to the patient's culture and does not help analyze the patient's pain experience.
How do nurses assess pain of neonates or of adults with dementia or decreased level of
consciousness? Select all that apply.
a. Ask family or caregivers what indicators they think may indicate the patient's pain.
b. Review results of blood tests for signs of pain.
c. Administer the ordered analgesic to the patient.
d. Identify any physiologic signs of pain.
e. Examine the patient for possible causes of pain. - ANS :a. Ask family or caregivers what
indicators they think may indicate the patient's pain.
c. Administer the ordered analgesic to the patient.
NUR-631 Advanced Health ABOMB
Assessment TEST BANK