NUR 303 Final Questions With Complete Solutions
1. A 52-year-old male patient is admitted to the hospital with a
new diagnosis of rectal cancer. Which type of assessment does
the nurse conduct 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 answers
1
1. A nurse plans on changing a patient's wound dressing and
then performing perineal care on that same patient. In following
standard precautions, the nurse takes which actions immediately
after completing the wound care?
1. Documents the size and appearance of the wound and
treatment as ordered
2. Helps the patient to a supine position and drapes the patient to
perform perineal care
3. Performs hand hygiene immediately after removing the
gloves
4. Removes gloves, performs hand hygiene, and dons a new pair
of gloves correct answers 4
1. A nurse suspects a viral infection or upper respiratory
allergies when the patient describes the sputum as being which
color?
1. Green
2. Clear
3. Yellow
4. Pink tinged correct answers 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 headache
2. Migraine headache
3. Tension headache
4. Sinus headache correct answers 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 fungal infections of the nails.
2. There has been a scabies outbreak among his family
members.
3. He has a new full-time job as a dishwasher at a restaurant.
4. He recently had several warts removed from each of his
hands. correct answers 3
1. A patient reports severe abdominal pain and pain in the right
shoulder that gets worse after eating fried foods. What question
does the nurse ask to gather more data about the possibility of
cholelithiasis?
1. "Has your abdomen been distended?"
2. "Have you experienced fever, chills, or sweating?"
3. "Have you vomited up any blood in the last 24 hours?"
4. "Has the color of your urine or stools changed?" correct
answers 4
1. A school nurse notices a teen 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 teen?
1. Tell the teen to remove the bandage and wash his arm.
2. Remove the dressing to inspect and palpate the boil.
3. Advise the teen to tell his mother to use antibiotic cream
rather than axle grease.
4. Suggest the teen see a health care provider to treat the boil.
correct answers 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 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 answers 2
1. During inspection of the mouth of a 72-year-old male patient,
the nurse notices a red lesion at the base of his tongue. What
additional information does the nurse obtain from this patient?
1. Alcohol and tobacco use
2. Date of his last dental examination
3. How well his dentures fit
4. A history of gum disease correct answers 1
, 1. The nurse calculates the body mass index of a patient at 31.8.
What is the most appropriate action of the nurse?
1. Refer the patient for behavioral interventions for weight loss.
2. Estimate body fat using tricep skinfold measurement.
3. Calculate the percent of change in weight since the last visit.
4. Calculate grams of fat that patient consumed daily. correct
answers 1
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 by a physician or
a nurse practitioner?" correct answers 2
1. The nurse is listening to the patient's heart at the 2nd LSB.
Which area is being auscultated?
1. Erb's point
2. Mitral area
3. Aortic area
4. Pulmonic area correct answers 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. The nurse uses an automated
blood pressure device to measure his blood pressure, and obtains
a reading of 62/40. Which action by the nurse is most
appropriate?
1. A 52-year-old male patient is admitted to the hospital with a
new diagnosis of rectal cancer. Which type of assessment does
the nurse conduct 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 answers
1
1. A nurse plans on changing a patient's wound dressing and
then performing perineal care on that same patient. In following
standard precautions, the nurse takes which actions immediately
after completing the wound care?
1. Documents the size and appearance of the wound and
treatment as ordered
2. Helps the patient to a supine position and drapes the patient to
perform perineal care
3. Performs hand hygiene immediately after removing the
gloves
4. Removes gloves, performs hand hygiene, and dons a new pair
of gloves correct answers 4
1. A nurse suspects a viral infection or upper respiratory
allergies when the patient describes the sputum as being which
color?
1. Green
2. Clear
3. Yellow
4. Pink tinged correct answers 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 headache
2. Migraine headache
3. Tension headache
4. Sinus headache correct answers 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 fungal infections of the nails.
2. There has been a scabies outbreak among his family
members.
3. He has a new full-time job as a dishwasher at a restaurant.
4. He recently had several warts removed from each of his
hands. correct answers 3
1. A patient reports severe abdominal pain and pain in the right
shoulder that gets worse after eating fried foods. What question
does the nurse ask to gather more data about the possibility of
cholelithiasis?
1. "Has your abdomen been distended?"
2. "Have you experienced fever, chills, or sweating?"
3. "Have you vomited up any blood in the last 24 hours?"
4. "Has the color of your urine or stools changed?" correct
answers 4
1. A school nurse notices a teen 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 teen?
1. Tell the teen to remove the bandage and wash his arm.
2. Remove the dressing to inspect and palpate the boil.
3. Advise the teen to tell his mother to use antibiotic cream
rather than axle grease.
4. Suggest the teen see a health care provider to treat the boil.
correct answers 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 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 answers 2
1. During inspection of the mouth of a 72-year-old male patient,
the nurse notices a red lesion at the base of his tongue. What
additional information does the nurse obtain from this patient?
1. Alcohol and tobacco use
2. Date of his last dental examination
3. How well his dentures fit
4. A history of gum disease correct answers 1
, 1. The nurse calculates the body mass index of a patient at 31.8.
What is the most appropriate action of the nurse?
1. Refer the patient for behavioral interventions for weight loss.
2. Estimate body fat using tricep skinfold measurement.
3. Calculate the percent of change in weight since the last visit.
4. Calculate grams of fat that patient consumed daily. correct
answers 1
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 by a physician or
a nurse practitioner?" correct answers 2
1. The nurse is listening to the patient's heart at the 2nd LSB.
Which area is being auscultated?
1. Erb's point
2. Mitral area
3. Aortic area
4. Pulmonic area correct answers 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. The nurse uses an automated
blood pressure device to measure his blood pressure, and obtains
a reading of 62/40. Which action by the nurse is most
appropriate?
