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RNSG 1430 ASSESSMENT LEVEL 1 FINAL REVIEW EXAM QUESTIONS WITH REVISED RATIONALIZED ANSWERS

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RNSG 1430 ASSESSMENT LEVEL 1 FINAL REVIEW EXAM QUESTIONS WITH REVISED RATIONALIZED ANSWERS

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RNSG 1430 ASSESSMENT LEVEL 1 FINAL REVIEW EXAM
QUESTIONS WITH REVISED RATIONALIZED ANSWERS

Terms in this set (128) Q & A

>> The nurse is assessing a patients functional ability. Which patient best demonstrates the

definition of functional ability?

a. Considers self as a healthy individual; uses cane for stability

b. College educated; travels frequently; can balance a checkbook

c. Works out daily, reads well, cooks, and cleans house on the weekends

d. Healthy individual, volunteers at church, works part time, takes care of family and

house
-answer- D

Functional ability refers to the individuals ability to perform the normal dail\ activities

required to meet basic needs; fulfill usual roles in the family, workplace, and community;

and maintain health and well-being. The other options are good; however, healthy

individual, church volunteer, part time worker, and the patient who takes care of the family

and house fully meets the criteria for functional ability.




>> 65 year old woman has fallen while sweeping her driveway, sustaining a tissue injury. She
describes her condition as an aching, throbbing back. Which type of pain are the complaints
most indicative of.

a. Neuropathic

, Page 2 of 67



b. Nociceptive

c. Chronic

d. Mixed pain
-answer- B




>> A 70 year old who is interested in non drug, mind- body therapies, self management and
alternative strategies to deal with joint pain from rheumatoid arthritis. Which options should
you suggest for her plan of care considering her wishes

a. Using a stationary bicycle and free weights and attending a spinning class

b. Using mind-body therapies like music

c. Drinking chamomile tea and applying ice /or heat

d. Receiving acupuncture and attending church services
-answer- B




>> Post op surgical patients should be given alternating doses of acetaminophen and which
med throughout the post op course, unless contraindicated

a. Antihistamine

b. Local anesthetic

c. Opioids

d. NSAID's
-answer- D

, Page 3 of 67



>> Which of the following is a priority for a nurse to include in a teaching plan for a patient
who desires self- management and alternative strategies?

a. Body alignment and superficial heat and cooling

b. PCA pump

c. Neurostimulation

d. Peripheral nerve blocks
-answer- A




>> Following the initiation of pain management plan, pain should be reassessed and
documented on a regular basis as a way to evaluate the effectiveness of treatments. Pain
should be reassessed at which minimum interval (select all that apply)

a. With each new report of pain

b. Before and after administration of narcotic analgesics

c. Every 10 min.

d. Every shift
-answer- A,B




>> The nurse is preparing to administer celecoxib to a patient. What medication taken by the
patient should the nurse monitor for increasing the risk of adverse effects?

a. Aspirin

b. Scopolamine

c. Theophylline

, Page 4 of 67



d. Acetaminophen
-answer- A




>> After administering acetaminophen with oxycodone (Percocet) for pain, which
intervention would be of highest priority for the nurse to complete before leaving the
patient's room?

a. Ensure that the side rails are raised.

b. Leave the overbed light on at low setting.

c. Offer to turn on the television to provide distraction.

d. Ensure that documentation of intake and output is accurate.
-answer- A




>> Which assessment is of highest priority for the nurse to complete before administration of
morphine?

a. Pain rating

b. Blood pressure

c. Respiratory rate

d. Level of consciousness
-answer- C




>> A patient has been prescribed a nonsteroidal anti inflammatory medication (NSAID).
Which effect should the nurse instruct the patient to immediately report?

a. Blurred vision

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