Solutions
A nurse asks a patient to rate their pain on a scale of "0-10".
This is which part of the mnemonic for symptom analysis of
"OLD CARTS"?
a) Duration
b) Severity
c) Onset
d) Characteristic Correct Answer b
A nurse is interviewing a patient. Which of the following
questions is an open-ended question?
a) Can you tell me how you have been feeling?
b) Do ever get short of breath?
c) Do you take your medicine as prescribed?
d) Did you find the clinic OK? Correct Answer a
A nurse is preparing to take a patient's blood pressure. The
blood pressure cuff is too narrow (small). How accurate will this
patient's blood pressure be using this blood pressure cuff?
a) Higher than the actual value
b) Unable to determine the accuracy with available data
c) Accurate, the actual value
d) Lower than the actual value Correct Answer a
A nurse suspects a patient is a victim of physical abuse. Which
response by the nurse will most likely encourage the patient to
confide in the nurse?
a) "I've seen people who have been hurt by their significant
others. Do you feel safe in your home?"
, b) "That bruise looks tender. I don't know how people can do
that to one another."
c) "You've got a huge bruise on your face. Who hit you?"
d) "If someone hit you, you can get a restraining order."
Correct Answer a
A patient answers questions quietly and appears sad. While
answering questions about her marriage, she begins to cry.
Which response by the nurse is appropriate in this situation?
a) "I see that you are upset. Is there something you'd like to
discuss?"
b) "I only have a few more questions to ask, and then I'll leave
you alone for awhile."
c) "Everyone has ups and downs in their marriage. What
problems are you having?"
d) "Don't cry! I'll come back when you've settled down".
Correct Answer a
A patient on a cardiac floor is complaining of chest pain. The
nurse needs to conduct which type of assessment?
a) An episodic/follow up assessment
b) A comprehensive assessment
c) A problem-based focused assessment
d) A shift assessment Correct Answer c
A patient on a medical- surgical floor reports having shortness
of breath. The nurse needs to conduct which type of assessment?
a) A shift assessment
b) A comprehension assessment
c) A episodic/follow up assessment
d) A problem-based/focused assessment Correct Answer d