NSG 525 Exam 5 Exam Questions With Complete Solutions
1. 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?
1. A comprehensive assessment
2. A problem-based health assessment
3. An episodic assessment
4. A screening assessment for colorectal cancer Correct
Answer 1
1. A nurse suspects a viral infection or upper respiratory
allergies when the patient describes the sputum as being which
color?
1. White
2. Clear
3. Yellow
4. Pink tinged Correct Answer 2
1. A patient describes a recent onset of frequent and severe
unilateral headaches that last about 1 hour. Based on these
symptoms, the nurse suspects which type of headache?
1. Cluster headaches
2. Migraine headaches
3. Tension headache
4. Sinus headache Correct Answer 1
,1. A patient has edema and redness of the skin surrounding the
nail on his right index finger. Which data elicited from his
history best explains this condition?
1. He has a family history of liver disease.
2. There has been a scabies outbreak among his family
members.
3. He has a new full-time position as a dishwasher at a local
restaurant.
4. He had several warts removed from his hands 2 years ago.
Correct Answer 3
1. A school nurse notices a boy with a bandage on his arm and
black fluid under the edge of the bandage. She asks the teen
what happened to his arm. He replies that his mother applied
axle grease to a boil. What is the nurse's most appropriate
response to this boy?
1. Tell the teen to remove the bandage and wash his arm.
2. Ask the teen what the boil looks like and feels like and if the
axle grease is healing the boil.
3. Advise the teen to tell his mother to use antibiotic cream
rather than axle grease.
4. Suggest that the teen see a health care provider because the
axle grease will infect the boil. Correct Answer 2
1. During a health history, a patient reports having difficulty
swallowing. Based on this report, which assessment technique
does the nurse use to collect more data about the patient's ability
to swallow?
,1. Ask the patient to puff out her cheeks, purse her lips and blow
out.
2. Observe the rising of the soft palate when the patient says
"ahh."
3. Observe the patient while she swallows water from a paper
cup.
4. Wearing gloves, grasp the patient's tongue and palpate all
sides. Correct Answer 2
1. The nurse is caring for a patient with a femur fracture. An
immobilization device is used to maintain the alignment of the
femur. The nurse palpates the top of the foot to make which
determination?
1. Amount of drainage from the wound
2. Adequacy of blood perfusion to the foot
3. Presence of air in the underlying tissue
4. Range of motion to the foot Correct Answer 2
1. The nurse is interviewing an adult Navajo woman. Which
statement demonstrates cultural sensitivity and acceptance of the
patient?
1. "How often do you visit the medicine man for your health
care?"
2. "Tell me about your health care beliefs and practices."
3. "Many Navajo people are afraid of hospitals. Are you afraid?"
4. "Have you ever had a physical examination with a physician
or a nurse practitioner?" Correct Answer 2
, 1. The nurse is listening to the patient's heart at the left sternal
border (LSB) at the second intraclavicular space (ICS). Which
area is being auscultated?
1. Erb's point
2. Mitral area
3. Aortic area
4. Pulmonic area Correct Answer 4
1. The nurse obtains vital signs on a 42-year-old man having his
annual physical examination. He has no medical conditions and
states that his health is excellent. Using an automated blood
pressure device, his blood pressure is measured as 62/40. Which
action by the nurse is most appropriate?
1. Obtain a different cuff and take the blood pressure again.
2. Take the blood pressure again using the auscultation method.
3. Place the patient in a supine position and take the pressure on
the leg.
4. Record the blood pressure and continue with the examination.
Correct Answer 2
1. What is the most reliable way to assess pain in a patient who
is cognitively intact?
1. Type and frequency of analgesic medications the patient takes
2. Patient's most recent vital signs (e.g., blood pressure and
pulse rate)
3. Extent of tissue damage the patient has experienced
4. Report by the patient describing the pain experienced
Correct Answer 4
1. 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?
1. A comprehensive assessment
2. A problem-based health assessment
3. An episodic assessment
4. A screening assessment for colorectal cancer Correct
Answer 1
1. A nurse suspects a viral infection or upper respiratory
allergies when the patient describes the sputum as being which
color?
1. White
2. Clear
3. Yellow
4. Pink tinged Correct Answer 2
1. A patient describes a recent onset of frequent and severe
unilateral headaches that last about 1 hour. Based on these
symptoms, the nurse suspects which type of headache?
1. Cluster headaches
2. Migraine headaches
3. Tension headache
4. Sinus headache Correct Answer 1
,1. A patient has edema and redness of the skin surrounding the
nail on his right index finger. Which data elicited from his
history best explains this condition?
1. He has a family history of liver disease.
2. There has been a scabies outbreak among his family
members.
3. He has a new full-time position as a dishwasher at a local
restaurant.
4. He had several warts removed from his hands 2 years ago.
Correct Answer 3
1. A school nurse notices a boy with a bandage on his arm and
black fluid under the edge of the bandage. She asks the teen
what happened to his arm. He replies that his mother applied
axle grease to a boil. What is the nurse's most appropriate
response to this boy?
1. Tell the teen to remove the bandage and wash his arm.
2. Ask the teen what the boil looks like and feels like and if the
axle grease is healing the boil.
3. Advise the teen to tell his mother to use antibiotic cream
rather than axle grease.
4. Suggest that the teen see a health care provider because the
axle grease will infect the boil. Correct Answer 2
1. During a health history, a patient reports having difficulty
swallowing. Based on this report, which assessment technique
does the nurse use to collect more data about the patient's ability
to swallow?
,1. Ask the patient to puff out her cheeks, purse her lips and blow
out.
2. Observe the rising of the soft palate when the patient says
"ahh."
3. Observe the patient while she swallows water from a paper
cup.
4. Wearing gloves, grasp the patient's tongue and palpate all
sides. Correct Answer 2
1. The nurse is caring for a patient with a femur fracture. An
immobilization device is used to maintain the alignment of the
femur. The nurse palpates the top of the foot to make which
determination?
1. Amount of drainage from the wound
2. Adequacy of blood perfusion to the foot
3. Presence of air in the underlying tissue
4. Range of motion to the foot Correct Answer 2
1. The nurse is interviewing an adult Navajo woman. Which
statement demonstrates cultural sensitivity and acceptance of the
patient?
1. "How often do you visit the medicine man for your health
care?"
2. "Tell me about your health care beliefs and practices."
3. "Many Navajo people are afraid of hospitals. Are you afraid?"
4. "Have you ever had a physical examination with a physician
or a nurse practitioner?" Correct Answer 2
, 1. The nurse is listening to the patient's heart at the left sternal
border (LSB) at the second intraclavicular space (ICS). Which
area is being auscultated?
1. Erb's point
2. Mitral area
3. Aortic area
4. Pulmonic area Correct Answer 4
1. The nurse obtains vital signs on a 42-year-old man having his
annual physical examination. He has no medical conditions and
states that his health is excellent. Using an automated blood
pressure device, his blood pressure is measured as 62/40. Which
action by the nurse is most appropriate?
1. Obtain a different cuff and take the blood pressure again.
2. Take the blood pressure again using the auscultation method.
3. Place the patient in a supine position and take the pressure on
the leg.
4. Record the blood pressure and continue with the examination.
Correct Answer 2
1. What is the most reliable way to assess pain in a patient who
is cognitively intact?
1. Type and frequency of analgesic medications the patient takes
2. Patient's most recent vital signs (e.g., blood pressure and
pulse rate)
3. Extent of tissue damage the patient has experienced
4. Report by the patient describing the pain experienced
Correct Answer 4
