Nursing -NSG 3160 Exam 1 Questions With
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1. Mental status is defined as
A) A pt's emotional & cognitive function
B) The pt's conscious, mood, and affect
C) General Intelligence
D) Pt's perception
Answer: A) A pt's emotional & cognitive function
2. A mental disorder is best defined as
A) Presence of phobia
B) A lack of rational thought and abstract researching
C) Extreme behavior that is usually associated with stress
D) Remote memory from years ago may be impacted
Answer: C) Extreme behavior that is usually associated with stress
3. The A, B, C, and T of the mental health assessment is
A) Attitude, behavior, cleanliness, talk/speech
B) Appearance, behavior, cognition, and thought
C) Airway, breathing, circulation
D) Ability, beliefs, culture, traditions
Answer: B) Appearance, behavior, cognition, and thought
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,4. Which of the following best describes a pt's appearance?
A) Posture is erect and body movement is voluntary
B) Pt is oriented x3
C) Pt is awake, alert, and aware and responds appropriately
D) GAD score > 3
Answer: A) Posture is erect and body movement is voluntary
5. One method a nurse can use to assess recent memory
A) Assess a pt's ability to complete a thought without wandering
B) Ask pt for a 24 hour diet recall
C) Ask about pt's first job
D) Perform 4 unrelated words test
Answer: B) Ask pt for a 24 hour diet recall
6. Recent memory deficit can occur with delirium and dementia
A) True
B) False
Answer: A) True
7. Which of these statements is true regarding the vertebra prominens? The
vertebra prominens is:
Answer: The spinous process of C7.
8. When performing a respiratory assessment on a patient, the nurse notices a
costal angle of approximately 90 degrees. This characteristic is:
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, Answer: A normal finding in a healthy adult.
9. When assessing a patients lungs, the nurse recalls that the left lung:
Answer: Consists of two lobes.
10. Which statement about the apices of the lungs is true? The apices of the lungs:
Answer: Extend 3 to 4 cm above the inner third of the clavicles.
11. During an examination of the anterior thorax, the nurse is aware that the
trachea bifurcates anteriorly at the:
Answer: Sternal angle
12. During an assessment, the nurse knows that expected assessment findings in
the normal adult lung include the presence of:
Answer: Muffled voice sounds and symmetric tactile fremitus.
13. The primary muscles of respiration include the:
Answer: Diaphragm and intercostals.
14. A 65-year-old patient with a history of heart failure comes to the clinic with
complaints of being awakened from sleep with shortness of breath. Which action
by the nurse is most appropriate?
Answer: Assessing for other signs and symptoms of paroxysmal nocturnal dyspnea
15. When assessing tactile fremitus, the nurse recalls that it is normal to feel tactile
fremitus most intensely over which location?
Answer: Between the scapulae
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