Wright State University NUR 2100 Assessment Ch 1, 2, 3, 4,
8, 9,10 Questions With Complete Solutions
"Can you tell me more about your pregnancy?" Correct
Answers The nurse is assessing a pregnant patient for the first
time. Which question should the nurse ask first?
"Difficulty in breathing and sleepless nights Correct Answers
A patient reports, "I have difficulty breathing, and so I can't
sleep at night." How should the nurse record the patient's reason
for seeking care?
"Do you feel safe?" Correct Answers The nurse is assessing a
patient who is a victim of domestic violence. What should be the
first question asked by the nurse while communicating with the
patient?
"I will record dates of tetanus and flu shots when working with
an adult patient." Correct Answers The nurse teaches the
nursing student about recording immunizations. Which
statement by the nursing student indicates effective learning?
"Kegel exercises will reduce problems with leakage of urine."
Correct Answers A postpartum patient asks the nurse why the
health care provider has suggested Kegel exercises. Which
response by the nurse is best?
"What is your country of origin?"
"What ritualistic procedures have you undergone?" Correct
Answers While the nurse is collecting a patient's biographic
,data, what additional questions should the nurse ask a patient
who is an immigrant to the United States? Select all that apply.
"What is your religious preference?" Correct Answers The
student nurse is assessing an Asian patient with a malarial
infection. Which question asked by the student nurse during the
assessment would likely be offensive to this patient?
"What treatments have you tried at home?"
"Who are the people available to help you at home?"
"May I speak with your family about your illness?" Correct
Answers An elderly patient is admitted to the hospital stating
the reason for seeking care as cough and fever for 2 weeks.
Which questions should the nurse include in the assessment?
Select all that apply.
"When did you take your last drink?" Correct Answers The
nurse is assessing a patient who has an unsteady gait and lacks
coordination. The nurse finds that the patient abuses alcohol.
What should be the first question asked by the nurse to the
patient during the interview?
3
score 0-10 Correct Answers A child who has undergone an
appendectomy reports pain in the abdomen. The nurse uses the
FLACC scale to evaluate the intensity of the pain and finds that
the child has mild discomfort. What score on the FLACC scale
support's the nurse's conclusion?
, 4 Correct Answers Which score on the PAINAD scale
indicates a need for pain management?
9 hours Correct Answers How many hours of sleep are
recommended for teenagers?
Active listening Correct Answers Which is the most effective
communication technique during a clinical interview?
Administering nonsteroidal antiinflammatory (NSAID)
medications Correct Answers The nurse is assessing a patient
who has a knee injury that occurred while playing soccer. Which
intervention would be helpful in treating this patient?
Amish Correct Answers Which cultural group follows the
practice of elderly people providing hospitality to visitors?
Appetite and food intolerances,
History of skin disease Correct Answers What does the nurse
assess during the review of systems? Select all that apply.
Arthritis
Gait problems
Muscle cramps Correct Answers What does the nurse include
in the health history while reviewing the patient's
musculoskeletal system? Select all that apply.
8, 9,10 Questions With Complete Solutions
"Can you tell me more about your pregnancy?" Correct
Answers The nurse is assessing a pregnant patient for the first
time. Which question should the nurse ask first?
"Difficulty in breathing and sleepless nights Correct Answers
A patient reports, "I have difficulty breathing, and so I can't
sleep at night." How should the nurse record the patient's reason
for seeking care?
"Do you feel safe?" Correct Answers The nurse is assessing a
patient who is a victim of domestic violence. What should be the
first question asked by the nurse while communicating with the
patient?
"I will record dates of tetanus and flu shots when working with
an adult patient." Correct Answers The nurse teaches the
nursing student about recording immunizations. Which
statement by the nursing student indicates effective learning?
"Kegel exercises will reduce problems with leakage of urine."
Correct Answers A postpartum patient asks the nurse why the
health care provider has suggested Kegel exercises. Which
response by the nurse is best?
"What is your country of origin?"
"What ritualistic procedures have you undergone?" Correct
Answers While the nurse is collecting a patient's biographic
,data, what additional questions should the nurse ask a patient
who is an immigrant to the United States? Select all that apply.
"What is your religious preference?" Correct Answers The
student nurse is assessing an Asian patient with a malarial
infection. Which question asked by the student nurse during the
assessment would likely be offensive to this patient?
"What treatments have you tried at home?"
"Who are the people available to help you at home?"
"May I speak with your family about your illness?" Correct
Answers An elderly patient is admitted to the hospital stating
the reason for seeking care as cough and fever for 2 weeks.
Which questions should the nurse include in the assessment?
Select all that apply.
"When did you take your last drink?" Correct Answers The
nurse is assessing a patient who has an unsteady gait and lacks
coordination. The nurse finds that the patient abuses alcohol.
What should be the first question asked by the nurse to the
patient during the interview?
3
score 0-10 Correct Answers A child who has undergone an
appendectomy reports pain in the abdomen. The nurse uses the
FLACC scale to evaluate the intensity of the pain and finds that
the child has mild discomfort. What score on the FLACC scale
support's the nurse's conclusion?
, 4 Correct Answers Which score on the PAINAD scale
indicates a need for pain management?
9 hours Correct Answers How many hours of sleep are
recommended for teenagers?
Active listening Correct Answers Which is the most effective
communication technique during a clinical interview?
Administering nonsteroidal antiinflammatory (NSAID)
medications Correct Answers The nurse is assessing a patient
who has a knee injury that occurred while playing soccer. Which
intervention would be helpful in treating this patient?
Amish Correct Answers Which cultural group follows the
practice of elderly people providing hospitality to visitors?
Appetite and food intolerances,
History of skin disease Correct Answers What does the nurse
assess during the review of systems? Select all that apply.
Arthritis
Gait problems
Muscle cramps Correct Answers What does the nurse include
in the health history while reviewing the patient's
musculoskeletal system? Select all that apply.
