NURS 198 Exam 1 Questions With Complete Solutions
4 steps of nociception Correct Answer transduction,
transmission, perception, modulation
6 types of pains Correct Answer visceral- abdominal organs
somatic- tissues, bones, joints
cutaneous- skin
referred- feeling pain somewhere other than affected body part
phantom- pain felt in missing limb
neuropathic- constant stimulus
A child presents to the health care facility with new onset of a
foul-smelling, purulent drainage from the right nare. The mother
states that no other signs of an upper respiratory tract infection
are present. What is an appropriate action by the nurse? Correct
Answer inspect nostrils with an otoscope
A client admitted to the hospital with status asthmaticus
suddenly develops the following signs and symptoms: increased
heart rate (105 bpm), increased respiratory rate (24/min), O2
saturation 90% on 100% nonrebreather mask, and sudden
absence of wheezing. What action should the nurse take?
Correct Answer perform emergency assessment
A client has a brownish discoloration of the skin of both lower
legs. What should the nurse suspect is occurring with this client?
Correct Answer venous insufficiency
A client has just been admitted to the postsurgical unit from
postanesthetic recovery, and the nurse is in the introductory
,phase of the client interview. Which of the following activities
should the nurse perform first? Correct Answer explain the
purpose of the interview
A client is admitted to the health care facility with reports of
chest pain, elevated blood pressure, and shortness of breath with
activity. The nurse palpates the carotid arteries as 1+ bilaterally
and a weak radial pulse. A Grade 3 systolic murmur is
auscultated. Which nursing diagnosis can the nurse confirm
based on this data? Correct Answer ineffective tissue
perfusion
A client is diagnosed with pulmonary edema. The nurse would
most likely assess the sputum color as which of the following?
Correct Answer pink
A client is experiencing acute pain and has asked the nurse for
medication. The client rates the pain as an 8 on a scale of 0 to
10. During assessment, a physiological response from the client
that the nurse can expect is: Correct Answer Diaphoresis
(excessive sweating or perspiration)
A client is found to have leukoplakia, and the nurse is teaching
the client about measures to reduce the client's risk. Which of
the following statements would the nurse include in the
teaching? Correct Answer avoid things that will irritate the
mouth
A client is noted to have a bifid uvula. The nurse understands
that this finding is most common in which ethnic group?
Correct Answer native americans
, A client recovering from a stroke complains of pain. The nurse
suspects this client is most likely experiencing which type of
pain? Correct Answer Neuropathic
A client reports after a back massage that his lower back pain
has decreased from 8 to 3 on the pain scale. What opioid
neuromodulator may be responsible for this increased level of
comfort? Correct Answer endorphins
A client scheduled for surgery tells the nurse that he is very
anxious about the surgery. What is an appropriate action by the
nurse when interacting with this client? Correct Answer
Provide simple and organized information.
A client's blood pressure amplitude is low during inspiration and
higher during expiration. What should this finding suggest to the
nurse? Correct Answer paradoxical pulse
A client's blood pressure is affected by Correct Answer
cardiac output, distensibility of the arteries, blood volume, blood
velocity and viscosity.
A decrease in tongue strength is noted on examination of a
client. The nurse interprets this as indicating a problem with
which cranial nerve? Correct Answer XII
A home health nurse is visiting a client who recently was
hospitalized for repair of a fractured hip. The client tells the
nurse, "I have had a lot of pain in my abdomen." What type of
assessment would the nurse conduct? Correct Answer focused
4 steps of nociception Correct Answer transduction,
transmission, perception, modulation
6 types of pains Correct Answer visceral- abdominal organs
somatic- tissues, bones, joints
cutaneous- skin
referred- feeling pain somewhere other than affected body part
phantom- pain felt in missing limb
neuropathic- constant stimulus
A child presents to the health care facility with new onset of a
foul-smelling, purulent drainage from the right nare. The mother
states that no other signs of an upper respiratory tract infection
are present. What is an appropriate action by the nurse? Correct
Answer inspect nostrils with an otoscope
A client admitted to the hospital with status asthmaticus
suddenly develops the following signs and symptoms: increased
heart rate (105 bpm), increased respiratory rate (24/min), O2
saturation 90% on 100% nonrebreather mask, and sudden
absence of wheezing. What action should the nurse take?
Correct Answer perform emergency assessment
A client has a brownish discoloration of the skin of both lower
legs. What should the nurse suspect is occurring with this client?
Correct Answer venous insufficiency
A client has just been admitted to the postsurgical unit from
postanesthetic recovery, and the nurse is in the introductory
,phase of the client interview. Which of the following activities
should the nurse perform first? Correct Answer explain the
purpose of the interview
A client is admitted to the health care facility with reports of
chest pain, elevated blood pressure, and shortness of breath with
activity. The nurse palpates the carotid arteries as 1+ bilaterally
and a weak radial pulse. A Grade 3 systolic murmur is
auscultated. Which nursing diagnosis can the nurse confirm
based on this data? Correct Answer ineffective tissue
perfusion
A client is diagnosed with pulmonary edema. The nurse would
most likely assess the sputum color as which of the following?
Correct Answer pink
A client is experiencing acute pain and has asked the nurse for
medication. The client rates the pain as an 8 on a scale of 0 to
10. During assessment, a physiological response from the client
that the nurse can expect is: Correct Answer Diaphoresis
(excessive sweating or perspiration)
A client is found to have leukoplakia, and the nurse is teaching
the client about measures to reduce the client's risk. Which of
the following statements would the nurse include in the
teaching? Correct Answer avoid things that will irritate the
mouth
A client is noted to have a bifid uvula. The nurse understands
that this finding is most common in which ethnic group?
Correct Answer native americans
, A client recovering from a stroke complains of pain. The nurse
suspects this client is most likely experiencing which type of
pain? Correct Answer Neuropathic
A client reports after a back massage that his lower back pain
has decreased from 8 to 3 on the pain scale. What opioid
neuromodulator may be responsible for this increased level of
comfort? Correct Answer endorphins
A client scheduled for surgery tells the nurse that he is very
anxious about the surgery. What is an appropriate action by the
nurse when interacting with this client? Correct Answer
Provide simple and organized information.
A client's blood pressure amplitude is low during inspiration and
higher during expiration. What should this finding suggest to the
nurse? Correct Answer paradoxical pulse
A client's blood pressure is affected by Correct Answer
cardiac output, distensibility of the arteries, blood volume, blood
velocity and viscosity.
A decrease in tongue strength is noted on examination of a
client. The nurse interprets this as indicating a problem with
which cranial nerve? Correct Answer XII
A home health nurse is visiting a client who recently was
hospitalized for repair of a fractured hip. The client tells the
nurse, "I have had a lot of pain in my abdomen." What type of
assessment would the nurse conduct? Correct Answer focused
