NUR 220 EXAM 2 STUDY GUIDE REVIEW SET
TEST PAPER Q&A 2026 VIEW AHEAD
ASSESSMENT.
⫸ A patient complains of pain in the calf when walking. Which
question should the nurse ask for further data?
1. "Does your calf also swell when this pain occurs?"
2. "Does the pain go away when you stop walking?"
3. "Do you become short of breath when you're walking?"
4. "Do you feel dizzy when the pain occurs?". Answer: 2
⫸ 3. Which patient has the greatest risk for hypertension?
1. An Asian man who is 5 ft 5 in (165 cm) tall, weighs 125 lbs (56.7
kg), and complains of a headache over his forehead and eyes
2. A Cheyenne Indian woman who complains of a gnawing, burning
epigastric pain radiating to her neck and jaw
3. An African American man who has type 2 diabetes mellitus,
exercises once a month, and drinks two-to-three alcoholic drinks a
night with dinner
4. A Caucasian woman who has a family history of heart disease and
complains of pain in her chest when she takes a deep breath. Answer:
3
⫸ When a patient complains of chest pain, which question is
pertinent to ask to gain additional data?
, 1. "What were you doing when the pain first occurred?"
2. "What does the pain feel like?"
3. "Do you have episodes of shortness of breath?"
4. "Has anyone in your family ever had a similar pain?". Answer: 2
⫸ How does a nurse determine jugular vein pulsations?
1. Elevates the head of the bed about 90 degrees and looks for the
jugular vein pulsation parallel to the sternocleidomastoid muscle as
the head of the bed is slowly lowered
2. Looks for jugular vein pulsations at the jaw line as the patient turns
from supine to a side-lying position
3. Elevates the head of the bed until the external jugular vein
pulsation is seen above the clavicle
4. Positions the patient supine and asks him or her to cough; looks for
jugular vein pulsations during the cough. Answer: 3
⫸ Which finding on a 2-month-old baby is considered abnormal and
requires further follow-up?
1. The anterior fontanelle is not palpable.
2. The thyroid gland cannot be palpated.
3. The head circumference is slightly greater than the chest
circumference.
4. Head lag is observed when the shoulders are lifted off the
examination table.. Answer: 1
TEST PAPER Q&A 2026 VIEW AHEAD
ASSESSMENT.
⫸ A patient complains of pain in the calf when walking. Which
question should the nurse ask for further data?
1. "Does your calf also swell when this pain occurs?"
2. "Does the pain go away when you stop walking?"
3. "Do you become short of breath when you're walking?"
4. "Do you feel dizzy when the pain occurs?". Answer: 2
⫸ 3. Which patient has the greatest risk for hypertension?
1. An Asian man who is 5 ft 5 in (165 cm) tall, weighs 125 lbs (56.7
kg), and complains of a headache over his forehead and eyes
2. A Cheyenne Indian woman who complains of a gnawing, burning
epigastric pain radiating to her neck and jaw
3. An African American man who has type 2 diabetes mellitus,
exercises once a month, and drinks two-to-three alcoholic drinks a
night with dinner
4. A Caucasian woman who has a family history of heart disease and
complains of pain in her chest when she takes a deep breath. Answer:
3
⫸ When a patient complains of chest pain, which question is
pertinent to ask to gain additional data?
, 1. "What were you doing when the pain first occurred?"
2. "What does the pain feel like?"
3. "Do you have episodes of shortness of breath?"
4. "Has anyone in your family ever had a similar pain?". Answer: 2
⫸ How does a nurse determine jugular vein pulsations?
1. Elevates the head of the bed about 90 degrees and looks for the
jugular vein pulsation parallel to the sternocleidomastoid muscle as
the head of the bed is slowly lowered
2. Looks for jugular vein pulsations at the jaw line as the patient turns
from supine to a side-lying position
3. Elevates the head of the bed until the external jugular vein
pulsation is seen above the clavicle
4. Positions the patient supine and asks him or her to cough; looks for
jugular vein pulsations during the cough. Answer: 3
⫸ Which finding on a 2-month-old baby is considered abnormal and
requires further follow-up?
1. The anterior fontanelle is not palpable.
2. The thyroid gland cannot be palpated.
3. The head circumference is slightly greater than the chest
circumference.
4. Head lag is observed when the shoulders are lifted off the
examination table.. Answer: 1
