Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct, Exams of Nursing

Download Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct and more Exams Nursing in PDF only on Docsity! Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success 1. The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects EBP? a. EBP relies on tradition for support of best practices. b. EBP is simply the use of best practice techniques for the treatment of patients. c. EBP emphasizes the use of best evidence with the clinicians experience. d. The patients own preferences are not important with EBP. - CORRECT ANSWERS C 2. A newly admitted patient is in acute pain, has not been sleeping well lately, and is having difficulty breathing. How should the nurse prioritize these problems? a. Breathing, pain, and sleep b. Breathing, sleep, and pain c. Sleep, breathing, and pain d. Sleep, pain, and breathing - CORRECT ANSWERS A 3. The patients record, laboratory studies, objective data, and subjective data combine to form the: a. Data base. b. Admitting data. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success c. Financial statement. d. Discharge summary. - CORRECT ANSWERS A 4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next action should be to: a. Immediately notify the patients physician. b. Document the sound exactly as it was heard. c. Validate the data by asking a coworker to listen to the breath sounds. d. Assess again in 20 minutes to note whether the sound is still present. - CORRECT ANSWERS C 5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should keep in mind that novice nurses, without a background of skills and experience from which to draw, are more likely to make their decisions using: a. Intuition. b. A set of rules. c. Articles in journals. d. Advice from supervisors. - CORRECT ANSWERS B 6. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. These responses are referred to as: Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success Admission d. Collaborative - CORRECT ANSWERS A 12. The nursing process is a sequential method of problem solving that nurses use and includes which steps? a. Assessment, treatment, planning, evaluation, discharge, and follow-up b. Admission, assessment, diagnosis, treatment, and discharge planning c. Admission, diagnosis, treatment, evaluation, and discharge planning d. Assessment, diagnosis, outcome identification, planning, implementation, and evaluation - CORRECT ANSWERS D 13. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would be: a. Objective. b. Reflective. c. Subjective. d. Introspective. - CORRECT ANSWERS C 14. Which of these would be formulated by a nurse using diagnostic reasoning? a. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success Nursing diagnosis b. Medical diagnosis c. Diagnostic hypothesis d. Diagnostic assessment - CORRECT ANSWERS C 15. Barriers to incorporating EBP include: a. Nurses lack of research skills in evaluating the quality of research studies. b. Lack of significant research studies. c. Insufficient clinical skills of nurses. d. Inadequate physical assessment skills. - CORRECT ANSWERS A 16. What step of the nursing process includes data collection by health history, physical examination, and interview? a. Planning b. Diagnosis c. Evaluation d. Assessment - CORRECT ANSWERS D Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success 17. During a staff meeting, nurses discuss the problems with accessing research studies to incorporate evidence-based clinical decision making into their practice. Which suggestion by the nurse manager would best help these problems? a. Form a committee to conduct research studies. b. Post published research studies on the units bulletin boards. c. Encourage the nurses to visit the library to review studies. d. Teach the nurses how to conduct electronic searches for research studies. - CORRECT ANSWERS D 18. When reviewing the concepts of health, the nurse recalls that the components of holistic health include which of these? a. Disease originates from the external environment. b. The individual human is a closed system. c. Nurses are responsible for a patients health state. d. Holistic health views the mind, body, and spirit as interdependent. - CORRECT ANSWERS D 19. The nurse recognizes that the concept of prevention in describing health is essential because: a. Disease can be prevented by treating the external environment. b. The majority of deaths among Americans under age 65 years are not preventable. c. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success Collect all information on the history form, including social support patterns, strengths, and coping patterns. d. Perform life-saving measures and delay asking any history questions until the patient is transferred to the intensive care - CORRECT ANSWERS B 25. A 42-year-old patient of Asian descent is being seen at the clinic for an initial examination. The nurse knows that including cultural information in his health assessment is important to: a. Identify the cause of his illness. b. Make accurate disease diagnoses. c. Provide cultural health rights for the individual. d. Provide culturally sensitive and appropriate care. - CORRECT ANSWERS D 26. In the health promotion model, the focus of the health professional includes: a. Changing the patients perceptions of disease. b. Identifying biomedical model interventions. c. Identifying negative health acts of the consumer. d. Helping the consumer choose a healthier lifestyle. - CORRECT ANSWERS D 27. The nurse has implemented several planned interventions to address the nursing diagnosis of acute pain. Which would be the next appropriate action? a. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success Establish priorities. b. Identify expected outcomes. c. Evaluate the individuals condition, and compare actual outcomes with expected outcomes. d. Interpret data, and then identify clusters of cues and make inferences. - CORRECT ANSWERS C 28. Which statement best describes a proficient nurse? A proficient nurse is one who: a. Has little experience with a specified population and uses rules to guide performance. b. Has an intuitive grasp of a clinical situation and quickly identifies the accurate solution. c. Sees actions in the context of daily plans for patients. d. Understands a patient situation as a whole rather than a list of tasks and recognizes the long-term goals for the patient. - CORRECT ANSWERS D 1. The nurse is reviewing data collected after an assessment. Of the data listed below, which would be considered related cues that would be clustered together during data analysis? Select all that apply. a. Inspiratory wheezes noted in left lower lobes b. Hypoactive bowel sounds c. Nonproductive cough d. Edema, +2, noted on left hand Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success e. Patient reports dyspnea upon exertion f. Rate of respirations 16 breaths per minute - CORRECT ANSWERS A,C,E,F Put the following patient situations in order according to the level of priority. a. A patient newly diagnosed with type 2 diabetes mellitus does not know how to check his own blood glucose levels with a glucometer. b. A teenager who was stung by a bee during a soccer match is having trouble breathing. c. An older adult with a urinary tract infection is also showing signs of confusion and agitation. - CORRECT ANSWERS B,C,A 1. The nurse is conducting an interview with a woman who has recently learned that she is pregnant and who has come to the clinic today to begin prenatal care. The woman states that she and her husband are excited about the pregnancy but have a few questions. She looks nervously at her hands during the interview and sighs loudly. Considering the concept of communication, which statement does the nurse know to be most accurate? The woman is: a. Excited about her pregnancy but nervous about the labor. b. Exhibiting verbal and nonverbal behaviors that do not match. c. Excited about her pregnancy, but her husband is not and this is upsetting to her. d. Not excited about her pregnancy but believes the nurse will negatively respond to her if she states this. - CORRECT ANSWERS B 2. Receiving is a part of the communication process. Which receiver is most likely to misinterpret a message sent by a health care professional? Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success 7. During an interview, the nurse states, You mentioned having shortness of breath. Tell me more about that. Which verbal skill is used with this statement? a. Reflection b. Facilitation c. Direct question d. Open-ended question - CORRECT ANSWERS D 8. A patient has finished giving the nurse information about the reason he is seeking care. When reviewing the data, the nurse finds that some information about past hospitalizations is missing. At this point, which statement by the nurse would be most appropriate to gather these data? a. Mr. Y., at your age, surely you have been hospitalized before! b. Mr. Y., I just need permission to get your medical records from County Medical. c. Mr. Y., you mentioned that you have been hospitalized on several occasions. Would you tell me more about that? d. Mr. Y., I just need to get some additional information about your past hospitalizations. When was the last time you were admitted for chest pain? - CORRECT ANSWERS D 9. In using verbal responses to assist the patients narrative, some responses focus on the patients frame of reference and some focus on the health care providers perspective. An example of a verbal response that focuses on the health care providers perspective would be: a. Empathy. b. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success Reflection. c. Facilitation. d. Confrontation. - CORRECT ANSWERS D 10. When taking a history from a newly admitted patient, the nurse notices that he often pauses and expectantly looks at the nurse. What would be the nurses best response to this behavior? a. Be silent, and allow him to continue when he is ready. b. Smile at him and say, Dont worry about all of this. Im sure we can find out why youre having these pains. c. Lean back in the chair and ask, You are looking at me kind of funny; there isnt anything wrong, is there? d. Stand up and say, I can see that this interview is uncomfortable for you. We can continue it another time. - CORRECT ANSWERS A 11. A woman is discussing the problems she is having with her 2-year-old son. She says, He wont go to sleep at night, and during the day he has several fits. I get so upset when that happens. The nurses best verbal response would be: a. Go on, Im listening. b. Fits? Tell me what you mean by this. c. Yes, it can be upsetting when a child has a fit. d. Dont be upset when he has a fit; every 2 year old has fits. - CORRECT ANSWERS B Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success 12. A 17-year-old single mother is describing how difficult it is to raise a 3-year-old child by herself. During the course of the interview she states, I cant believe my boyfriend left me to do this by myself! What a terrible thing to do to me! Which of these responses by the nurse uses empathy? a. You feel alone. b. You cant believe he left you alone? c. It must be so hard to face this all alone. d. I would be angry, too; raising a child alone is no picnic. - CORRECT ANSWERS C 13. A man has been admitted to the observation unit for observation after being treated for a large cut on his forehead. As the nurse works through the interview, one of the standard questions has to do with alcohol, tobacco, and drug use. When the nurse asks him about tobacco use, he states, I quit smoking after my wife died 7 years ago. However, the nurse notices an open pack of cigarettes in his shirt pocket. Using confrontation, the nurse could say: a. Mr. K., I know that you are lying. b. Mr. K., come on, tell me how much you smoke. c. Mr. K., I didnt realize your wife had died. It must be difficult for you at this time. Please tell me more about that. d. Mr. K., you have said that you dont smoke, but I see that you have an open pack of cigarettes in your pocket. - CORRECT ANSWERS D 14. The nurse has used interpretation regarding a patients statement or actions. After using this technique, it would be best for the nurse to: Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success 19. A nurse is taking complete health histories on all of the patients attending a wellness workshop. On the history form, one of the written questions asks, You dont smoke, drink, or take drugs, do you? This question is an example of: a. Talking too much. b. Using confrontation. c. Using biased or leading questions. d. Using blunt language to deal with distasteful topics. - CORRECT ANSWERS C 20. When observing a patients verbal and nonverbal communication, the nurse notices a discrepancy. Which statement is true regarding this situation? The nurse should: a. Ask someone who knows the patient well to help interpret this discrepancy. b. Focus on the patients verbal message, and try to ignore the nonverbal behaviors. c. Try to integrate the verbal and nonverbal messages and then interpret them as an average. d. Focus on the patients nonverbal behaviors, because these are often more reflective of a patients true feelings. - CORRECT ANSWERS D 21. During an interview, a parent of a hospitalized child is sitting in an open position. As the interviewer begins to discuss his sons treatment, however, he suddenly crosses his arms against his chest and crosses his legs. This changed posture would suggest that the parent is: a. Simply changing positions. b. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success More comfortable in this position. c. Tired and needs a break from the interview. d. Uncomfortable talking about his sons treatment. - CORRECT ANSWERS D 22. A mother brings her 28-month-old daughter into the clinic for a well-child visit. At the beginning of the visit, the nurse focuses attention away from the toddler, but as the interview progresses, the toddler begins to warm up and is smiling shyly at the nurse. The nurse will be most successful in interacting with the toddler if which is done next? a. Tickle the toddler, and get her to laugh. b. Stoop down to her level, and ask her about the toy she is holding. c. Continue to ignore her until it is time for the physical examination. d. Ask the mother to leave during the examination of the toddler, because toddlers often fuss less if their parent is not in view. - CORRECT ANSWERS B 23. During an examination of a 3-year-old child, the nurse will need to take her blood pressure. What might the nurse do to try to gain the childs full cooperation? a. Tell the child that the blood pressure cuff is going to give her arm a big hug. b. Tell the child that the blood pressure cuff is asleep and cannot wake up. c. Give the blood pressure cuff a name and refer to it by this name during the assessment. d. Tell the child that by using the blood pressure cuff, we can see how strong her muscles are. - CORRECT ANSWERS D Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success 24. A 16-year-old boy has just been admitted to the unit for overnight observation after being in an automobile accident. What is the nurses best approach to communicating with him? a. Use periods of silence to communicate respect for him. b. Be totally honest with him, even if the information is unpleasant. c. Tell him that everything that is discussed will be kept totally confidential. d. Use slang language when possible to help him open up. - CORRECT ANSWERS B 25. A 75-year-old woman is at the office for a preoperative interview. The nurse is aware that the interview may take longer than interviews with younger persons. What is the reason for this? a. An aged person has a longer story to tell. b. An aged person is usually lonely and likes to have someone with whom to talk. c. Aged persons lose much of their mental abilities and require longer time to complete an interview. d. As a person ages, he or she is unable to hear; thus the interviewer usually needs to repeat much of what is said. - CORRECT ANSWERS A 26. The nurse is interviewing a male patient who has a hearing impairment. What techniques would be most beneficial in communicating with this patient? a. Determine the communication method he prefers. b. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success 31. A man arrives at the clinic for his annual wellness physical. He is experiencing no acute health problems. Which question or statement by the nurse is most appropriate when beginning the interview? a. How is your family? b. How is your job? c. Tell me about your hypertension. d. How has your health been since your last visit? - CORRECT ANSWERS D 32. The nurse makes this comment to a patient, I know it may be hard, but you should do what the doctor ordered because she is the expert in this field. Which statement is correct about the nurses comment? a. This comment is inappropriate because it shows the nurses bias. b. This comment is appropriate because members of the health care team are experts in their area of patient care. c. This type of comment promotes dependency and inferiority on the part of the patient and is best avoided in an interview situation. d. Using authority statements when dealing with patients, especially when they are undecided about an issue, is necessary at times. - CORRECT ANSWERS C 33. A female patient does not speak English well, and the nurse needs to choose an interpreter. Which of the following would be the most appropriate choice? a. Trained interpreter b. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success Male family member c. Female family member d. Volunteer college student from the foreign language studies department - CORRECT ANSWERS A 34. During a follow-up visit, the nurse discovers that a patient has not been taking his insulin on a regular basis. The nurse asks, Why havent you taken your insulin? Which statement is an appropriate evaluation of this question? a. This question may place the patient on the defensive. b. This question is an innocent search for information. c. Discussing his behavior with his wife would have been better. d. A direct question is the best way to discover the reasons for his behavior. - CORRECT ANSWERS A 35. The nurse is nearing the end of an interview. Which statement is appropriate at this time? a. Did we forget something? b. Is there anything else you would like to mention? c. I need to go on to the next patient. Ill be back. d. While Im here, lets talk about your upcoming surgery. - CORRECT ANSWERS B Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success 36. During the interview portion of data collection, the nurse collects __________ data. a. Physical b. Historical c. Objective d. Subjective - CORRECT ANSWERS D 37. During an interview, the nurse would expect that most of the interview will take place at what distance? a. Intimate zone b. Personal distance c. Social distance d. Public distance - CORRECT ANSWERS C 38. A female nurse is interviewing a male patient who is near the same age as the nurse. During the interview, the patient makes an overtly sexual comment. The nurses best reaction would be: a. Stop that immediately! b. Oh, you are too funny. Lets keep going with the interview. c. Do you really think I would be interested? Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success J.M. came into the clinic complaining of having black stools for the past 24 hours. c. J.M. is a 59-year-old man who states that he has ulcerative colitis and wants it checked. d. J.M. is a 59-year-old man who states that he has been having black stools for the past 24 hours. - CORRECT ANSWERS D 4. A patient tells the nurse that she has had abdominal pain for the past week. What would be the nurses best response? a. Can you point to where it hurts? b. Well talk more about that later in the interview. c. What have you had to eat in the last 24 hours? d. Have you ever had any surgeries on your abdomen? - CORRECT ANSWERS A 5. A 29-year-old woman tells the nurse that she has excruciating pain in her back. Which would be the nurses appropriate response to the womans statement? a. How does your family react to your pain? b. The pain must be terrible. You probably pinched a nerve. c. Ive had back pain myself, and it can be excruciating. d. How would you say the pain affects your ability to do your daily activities? - CORRECT ANSWERS D Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success 6. In recording the childhood illnesses of a patient who denies having had any, which note by the nurse would be most accurate? a. Patient denies usual childhood illnesses. b. Patient states he was a very healthy child. c. Patient states his sister had measles, but he didnt. d. Patient denies measles, mumps, rubella, chickenpox, pertussis, and strep throat. - CORRECT ANSWERS D 7. A female patient tells the nurse that she has had six pregnancies, with four live births at term and two spontaneous abortions. Her four children are still living. How would the nurse record this information? a. P-6, B-4, (S)Ab-2 b. Grav 6, Term 4, (S)Ab-2, Living 4 c. Patient has had four living babies. d. Patient has been pregnant six times. - CORRECT ANSWERS B 8. A patient tells the nurse that he is allergic to penicillin. What would be the nurses best response to this information? a. Are you allergic to any other drugs? b. How often have you received penicillin? c. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success Ill write your allergy on your chart so you wont receive any penicillin. d. Describe what happens to you when you take penicillin. - CORRECT ANSWERS D 9. The nurse is taking a family history. Important diseases or problems about which the patient should be specifically asked include: a. Emphysema. b. Head trauma. c. Mental illness. d. Fractured bones. - CORRECT ANSWERS C 10. The review of systems provides the nurse with: a. Physical findings related to each system. b. Information regarding health promotion practices. c. An opportunity to teach the patient medical terms. d. Information necessary for the nurse to diagnose the patients medical problem. - CORRECT ANSWERS B 11. Which of these statements represents subjective data the nurse obtained from the patient regarding the patients skin? a. Skin appears dry. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success c. Are you sure she is really having pain? d. Describe what she is doing to indicate she is having pain. - CORRECT ANSWERS D 17. During an assessment of a patients family history, the nurse constructs a genogram. Which statement best describes a genogram? a. List of diseases present in a persons near relatives b. Graphic family tree that uses symbols to depict the gender, relationship, and age of immediate family members c. Drawing that depicts the patients family members up to five generations back d. Description of the health of a persons children and grandchildren - CORRECT ANSWERS B 18. A 5-year-old boy is being admitted to the hospital to have his tonsils removed. Which information should the nurse collect before this procedure? a. Childs birth weight b. Age at which he crawled c. Whether the child has had the measles d. Childs reactions to previous hospitalizations - CORRECT ANSWERS D 19. As part of the health history of a 6-year-old boy at a clinic for a sports physical examination, the nurse reviews his immunization record and notes that his last measles- Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success mumps-rubella (MMR) vaccination was at 15 months of age. What recommendation should the nurse make? a. No further MMR immunizations are needed. b. MMR vaccination needs to be repeated at 4 to 6 years of age. c. MMR immunization needs to be repeated every 4 years until age 21 years. d. A recommendation cannot be made until the physician is consulted. - CORRECT ANSWERS B 20. In obtaining a review of systems on a healthy 7-year-old girl, the health care provider knows that it would be important to include the: a. Last glaucoma examination. b. Frequency of breast self-examinations. c. Date of her last electrocardiogram. d. Limitations related to her involvement in sports activities. - CORRECT ANSWERS D 21. When the nurse asks for a description of who lives with a child, the method of discipline, and the support system of the child, what part of the assessment is being performed? a. Family history b. Review of systems c. Functional assessment Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success d. Reason for seeking care - CORRECT ANSWERS C 22. The nurse is obtaining a health history on an 87-year-old woman. Which of the following areas of questioning would be most useful at this time? a. Obstetric history b. Childhood illnesses c. General health for the past 20 years d. Current health promotion activities - CORRECT ANSWERS D 23. The nurse is performing a review of systems on a 76-year-old patient. Which of these statements is correct for this situation? a. The questions asked are identical for all ages. b. The interviewer will start incorporating different questions for patients 70 years of age and older. c. Questions that are reflective of the normal effects of aging are added. d. At this age, a review of systems is not necessarythe focus should be on current problems. - CORRECT ANSWERS C 24. A 90-year-old patient tells the nurse that he cannot remember the names of the medications he is taking or for what reason he is taking them. An appropriate response from the nurse would be: a. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success The patient should be thoroughly examined for possible alcohol withdrawal symptoms. d. The nurse should suspect alcohol abuse and continue with a more thorough substance abuse assessment. - CORRECT ANSWERS D 0. The nurse is incorporating a persons spiritual values into the health history. Which of these questions illustrates the community portion of the FICA (faith and belief, importance and influence, community, and addressing or applying in care) questions? a. Do you believe in God? b. Are you a part of any religious or spiritual congregation? c. Do you consider yourself to be a religious or spiritual person? d. How does your religious faith influence the way you think about your health? - CORRECT ANSWERS B 31. The nurse is preparing to complete a health assessment on a 16-year-old girl whose parents have brought her to the clinic. Which instruction would be appropriate for the parents before the interview begins? a. Please stay during the interview; you can answer for her if she does not know the answer. b. It would help to interview the three of you together. c. While I interview your daughter, will you please stay in the room and complete these family health history questionnaires? d. While I interview your daughter, will you step out to the waiting room and complete these family health history questionnaires? - CORRECT ANSWERS D Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success 32. The nurse is assessing a new patient who has recently immigrated to the United States. Which question is appropriate to add to the health history? a. Why did you come to the United States? b. When did you come to the United States and from what country? c. What made you leave your native country? d. Are you planning to return to your home? - CORRECT ANSWERS B 1. The nurse is assessing a patients headache pain. Which questions reflect one or more of the critical characteristics of symptoms that should be assessed? Select all that apply. a. Where is the headache pain? b. Did you have these headaches as a child? c. On a scale of 1 to 10, how bad is the pain? d. How often do the headaches occur? e. What makes the headaches feel better? f. Do you have any family history of headaches? - CORRECT ANSWERS A,C,D,E 2. The nurse is conducting a developmental history on a 5-year-old child. Which questions are appropriate to ask the parents for this part of the assessment? Select all that apply. a. How much junk food does your child eat? Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success b. How many teeth has he lost, and when did he lose them? c. Is he able to tie his shoelaces? d. Does he take a childrens vitamin? e. Can he tell time? f. Does he have any food allergies? - CORRECT ANSWERS B,C,E 1. The nurse is performing a general survey. Which action is a component of the general survey? a. Observing the patients body stature and nutritional status b. Interpreting the subjective information the patient has reported c. Measuring the patients temperature, pulse, respirations, and blood pressure d. Observing specific body systems while performing the physical assessment - CORRECT ANSWERS A 2. When measuring a patients weight, the nurse is aware of which of these guidelines? a. The patient is always weighed wearing only his or her undergarments. b. The type of scale does not matter, as long as the weights are similar from day to day. c. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success Patient receiving oxygen by nasal cannula - CORRECT ANSWERS C 8. The nurse is preparing to measure the length, weight, chest, and head circumference of a 6-month-old infant. Which measurement technique is correct? a. Measuring the infants length by using a tape measure b. Weighing the infant by placing him or her on an electronic standing scale c. Measuring the chest circumference at the nipple line with a tape measure d. Measuring the head circumference by wrapping the tape measure over the nose and cheekbones - CORRECT ANSWERS C 9. The nurse knows that one advantage of the tympanic membrane thermometer (TMT) is that: a. Rapid measurement is useful for uncooperative younger children. b. Using the TMT is the most accurate method for measuring body temperature in newborn infants. c. Measuring temperature using the TMT is inexpensive. d. Studies strongly support the use of the TMT in children under the age 6 years. - CORRECT ANSWERS A 10. When assessing an older adult, which vital sign changes occur with aging? a. Increase in pulse rate b. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success Widened pulse pressure c. Increase in body temperature d. Decrease in diastolic blood pressure - CORRECT ANSWERS B 11. The nurse is examining a patient who is complaining of feeling cold. Which is a mechanism of heat loss in the body? a. Exercise b. Radiation c. Metabolism d. Food digestion - CORRECT ANSWERS B 12. When measuring a patients body temperature, the nurse keeps in mind that body temperature is influenced by: a. Constipation. b. Patients emotional state. c. Diurnal cycle. d. Nocturnal cycle. - CORRECT ANSWERS C 13. When evaluating the temperature of older adults, the nurse should remember which aspect about an older adults body temperature? Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success a. The body temperature of the older adult is lower than that of a younger adult. b. An older adults body temperature is approximately the same as that of a young child. c. Body temperature depends on the type of thermometer used. d. In the older adult, the body temperature varies widely because of less effective heat control mechanisms. - CORRECT ANSWERS A 14. A 60-year-old male patient has been treated for pneumonia for the past 6 weeks. He is seen today in the clinic for an unexplained weight loss of 10 pounds over the last 6 weeks. The nurse knows that: a. Weight loss is probably the result of unhealthy eating habits. b. Chronic diseases such as hypertension cause weight loss. c. Unexplained weight loss often accompanies short-term illnesses. d. Weight loss is probably the result of a mental health dysfunction. - CORRECT ANSWERS C 15. When assessing a 75-year-old patient who has asthma, the nurse notes that he assumes a tripod position, leaning forward with arms braced on the chair. On the basis of this observation, the nurse should: a. Assume that the patient is eager and interested in participating in the interview. b. Evaluate the patient for abdominal pain, which may be exacerbated in the sitting position. c. Assume that the patient is having difficulty breathing and assist him to a supine position. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success 21. When assessing the pulse of a 6-year-old boy, the nurse notices that his heart rate varies with his respiratory cycle, speeding up at the peak of inspiration and slowing to normal with expiration. The nurses next action would be to: a. Immediately notify the physician. b. Consider this finding normal in children and young adults. c. Check the childs blood pressure, and note any variation with respiration. d. Document that this child has bradycardia, and continue with the assessment. - CORRECT ANSWERS B 22. When assessing the force, or strength, of a pulse, the nurse recalls that the pulse: a. Is usually recorded on a 0- to 2-point scale. b. Demonstrates elasticity of the vessel wall. c. Is a reflection of the hearts stroke volume. d. Reflects the blood volume in the arteries during diastole. - CORRECT ANSWERS C 23. The nurse is assessing the vital signs of a 20-year-old male marathon runner and documents the following vital signs: temperature36 C; pulse48 beats per minute; respirations14 breaths per minute; blood pressure104/68 mm Hg. Which statement is true concerning these results? a. The patient is experiencing tachycardia. b. These are normal vital signs for a healthy, athletic adult. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success c. The patients pulse rate is not normalhis physician should be notified. d. On the basis of these readings, the patient should return to the clinic in 1 week. - CORRECT ANSWERS B 24. The nurse is assessing the vital signs of a 3-year-old patient who appears to have an irregular respiratory pattern. How should the nurse assess this childs respirations? a. Respirations should be counted for 1 full minute, noticing rate and rhythm. b. Childs pulse and respirations should be simultaneously checked for 30 seconds. c. Childs respirations should be checked for a minimum of 5 minutes to identify any variations in his or her respiratory pattern. d. Patients respirations should be counted for 15 seconds and then multiplied by 4 to obtain the number of respirations per minute. - CORRECT ANSWERS A 25. A patients blood pressure is 118/82 mm Hg. He asks the nurse, What do the numbers mean? The nurses best reply is: a. The numbers are within the normal range and are nothing to worry about. b. The bottom number is the diastolic pressure and reflects the stroke volume of the heart. c. The top number is the systolic blood pressure and reflects the pressure of the blood against the arteries when the heart contracts. d. The concept of blood pressure is difficult to understand. The primary thing to be concerned about is the top number, or the systolic blood pressure. - CORRECT ANSWERS C Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success 26. While measuring a patients blood pressure, the nurse recalls that certain factors, such as __________, help determine blood pressure. a. Pulse rate b. Pulse pressure c. Vascular output d. Peripheral vascular resistance - CORRECT ANSWERS D 27. A nurse is helping at a health fair at a local mall. When taking blood pressures on a variety of people, the nurse keeps in mind that: a. After menopause, blood pressure readings in women are usually lower than those taken in men. b. The blood pressure of a Black adult is usually higher than that of a White adult of the same age. c. Blood pressure measurements in people who are overweight should be the same as those of people who are at a normal weight. d. A teenagers blood pressure reading will be lower than that of an adult. - CORRECT ANSWERS B 28. The nurse notices a colleague is preparing to check the blood pressure of a patient who is obese by using a standard-sized blood pressure cuff. The nurse should expect the reading to: a. Yield a falsely low blood pressure. b. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success b. 200/100 c. 100/200/92 d. 200/100/92 - CORRECT ANSWERS A 34. A patient is seen in the clinic for complaints of fainting episodes that started last week. How should the nurse proceed with the examination? a. Blood pressure readings are taken in both the arms and the thighs. b. The patient is assisted to a lying position, and his blood pressure is taken. c. His blood pressure is recorded in the lying, sitting, and standing positions. d. His blood pressure is recorded in the lying and sitting positions; these numbers are then averaged to obtain a mean blood pressure. - CORRECT ANSWERS C 35. A 70-year-old man has a blood pressure of 150/90 mm Hg in a lying position, 130/80 mm Hg in a sitting position, and 100/60 mm Hg in a standing position. How should the nurse evaluate these findings? a. These readings are a normal response and attributable to changes in the patients position. b. The change in blood pressure readings is called orthostatic hypotension. c. The blood pressure reading in the lying position is within normal limits. d. The change in blood pressure readings is considered within normal limits for the patients age. - CORRECT ANSWERS B Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success 36. The nurse is helping another nurse to take a blood pressure reading on a patients thigh. Which action is correct regarding thigh pressure? a. Either the popliteal or femoral vessels should be auscultated to obtain a thigh pressure. b. The best position to measure thigh pressure is the supine position with the knee slightly bent. c. If the blood pressure in the arm is high in an adolescent, then it should be compared with the thigh pressure. d. The thigh pressure is lower than the pressure in the arm, which is attributable to the distance away from the heart and the size of the popliteal vessels. - CORRECT ANSWERS C 37. The nurse is preparing to measure the vital signs of a 6-month-old infant. Which action by the nurse is correct? a. Respirations are measured; then pulse and temperature. b. Vital signs should be measured more frequently than in an adult. c. Procedures are explained to the parent, and the infant is encouraged to handle the equipment. d. The nurse should first perform the physical examination to allow the infant to become more familiar with her and then measure the infants vital signs. - CORRECT ANSWERS A 38. A 4-month-old child is at the clinic for a well-baby check-up and immunizations. Which of these actions is most appropriate when the nurse is assessing an infants vital signs? a. The infants radial pulse should be palpated, and the nurse should notice any fluctuations resulting from activity or exercise. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success b. The nurse should auscultate an apical rate for 1 minute and then assess for any normal irregularities, such as sinus arrhythmia. c. The infants blood pressure should be assessed by using a stethoscope with a large diaphragm piece to hear the soft muffled Korotkoff sounds. d. The infants chest should be observed and the respiratory rate counted for 1 minute; the respiratory pattern may vary significantly. - CORRECT ANSWERS B 39. The nurse is conducting a health fair for older adults. Which statement is true regarding vital sign measurements in aging adults? a. The pulse is more difficult to palpate because of the stiffness of the blood vessels. b. An increased respiratory rate and a shallower inspiratory phase are expected findings. c. A decreased pulse pressure occurs from changes in the systolic and diastolic blood pressures. d. Changes in the bodys temperature regulatory mechanism leave the older person more likely to develop a fever. - CORRECT ANSWERS B 40. In a patient with acromegaly, the nurse will expect to discover which assessment findings? a. Heavy, flattened facial features b. Growth retardation and a delayed onset of puberty c. Overgrowth of bone in the face, head, hands, and feet d. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success 47. The nurse is assessing an 8-year-old child whose growth rate measures below the third percentile for a child his age. He appears significantly younger than his stated age and is chubby with infantile facial features. Which condition does this child have? a. Hypopituitary dwarfism b. Achondroplastic dwarfism c. Marfan syndrome d. Acromegaly - CORRECT ANSWERS A 48. The nurse is counting an infants respirations. Which technique is correct? a. Watching the chest rise and fall b. Watching the abdomen for movement c. Placing a hand across the infants chest d. Using a stethoscope to listen to the breath sounds - CORRECT ANSWERS B 49. When checking for proper blood pressure cuff size, which guideline is correct? a. The standard cuff size is appropriate for all sizes. b. The length of the rubber bladder should equal 80% of the arm circumference. c. The width of the rubber bladder should equal 80% of the arm circumference. d. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success The width of the rubber bladder should equal 40% of the arm circumference. - CORRECT ANSWERS D 50. During an examination, the nurse notices that a female patient has a round moon face, central trunk obesity, and a cervical hump. Her skin is fragile with bruises. The nurse determines that the patient has which condition? a. Marfan syndrome b. Gigantism c. Cushing syndrome d. Acromegaly - CORRECT ANSWERS C 1. While measuring a patients blood pressure, the nurse uses the proper technique to obtain an accurate reading. Which of these situations will result in a falsely high blood pressure reading? Select all that apply. a. The person supports his or her own arm during the blood pressure reading. b. The blood pressure cuff is too narrow for the extremity. c. The arm is held above level of the heart. d. The cuff is loosely wrapped around the arm. e. The person is sitting with his or her legs crossed. f. The nurse does not inflate the cuff high enough. - CORRECT ANSWERS A,B,D,E Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success 1. The nurse is reviewing the development of culture. Which statement is correct regarding the development of ones culture? Culture is: a. Genetically determined on the basis of racial background. b. Learned through language acquisition and socialization. c. A nonspecific phenomenon and is adaptive but unnecessary. d. Biologically determined on the basis of physical characteristics. - CORRECT ANSWERS B 2. During a class on the aspects of culture, the nurse shares that culture has four basic characteristics. Which statement correctly reflects one of these characteristics? a. Cultures are static and unchanging, despite changes around them. b. Cultures are never specific, which makes them hard to identify. c. Culture is most clearly reflected in a persons language and behavior. d. Culture adapts to specific environmental factors and available natural resources. - CORRECT ANSWERS D 3. During a seminar on cultural aspects of nursing, the nurse recognizes that the definition stating the specific and distinct knowledge, beliefs, skills, and customs acquired by members of a society reflects which term? a. Mores b. Norms c. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success 9. After a class on culture and ethnicity, the new graduate nurse reflects a correct understanding of the concept of ethnicity with which statement? a. Ethnicity is dynamic and ever changing. b. Ethnicity is the belief in a higher power. c. Ethnicity pertains to a social group within the social system that claims shared values and traditions. d. Ethnicity is learned from birth through the processes of language acquisition and socialization. - CORRECT ANSWERS C 10. The nurse is comparing the concepts of religion and spirituality. Which of the following is an appropriate component of ones spirituality? a. Belief in and the worship of God or gods b. Attendance at a specific church or place of worship c. Personal effort made to find purpose and meaning in life d. Being closely tied to ones ethnic background - CORRECT ANSWERS C 11. A woman who has lived in the United States for a year after moving from Europe has learned to speak English and is almost finished with her college studies. She now dresses like her peers and says that her family in Europe would hardly recognize her. This nurse recognizes that this situation illustrates which concept? a. Assimilation b. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success Heritage consistency c. Biculturalism d. Acculturation - CORRECT ANSWERS A 12. The nurse is conducting a heritage assessment. Which question is most appropriate for this assessment? a. What is your religion? b. Do you mostly participate in the religious traditions of your family? c. Do you smoke? d. Do you have a history of heart disease? - CORRECT ANSWERS B 13. In the majority culture of America, coughing, sweating, and diarrhea are symptoms of an illness. For some individuals of Mexican-American origin, however, these symptoms are a normal part of living. The nurse recognizes that this difference is true, probably because Mexican-Americans: a. Have less efficient immune systems and are often ill. b. Consider these symptoms part of normal living, not symptoms of ill health. c. Come from Mexico, and coughing is normal and healthy there. d. Are usually in a lower socioeconomic group and are more likely to be sick. - CORRECT ANSWERS B Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success 14. The nurse is reviewing theories of illness. The germ theory, which states that microscopic organisms such as bacteria and viruses are responsible for specific disease conditions, is a basic belief of which theory of illness? a. Holistic b. Biomedical c. Naturalistic d. Magicoreligious - CORRECT ANSWERS B 15. An Asian-American woman is experiencing diarrhea, which is believed to be cold or yin. The nurse expects that the woman is likely to try to treat it with: a. Foods that are hot or yang. b. Readings and Eastern medicine meditations. c. High doses of medicines believed to be cold. d. No treatment is tried because diarrhea is an expected part of life. - CORRECT ANSWERS A 16. Many Asians believe in the yin/yang theory, which is rooted in the ancient Chinese philosophy of Tao. Which statement most accurately reflects health in an Asian with this belief? a. A person is able to work and produce. b. A person is happy, stable, and feels good. c. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success d. It is unclear what is happening with this patient; consequently, the nurse should perform an assessment in both the physical and the psychosocial realms. - CORRECT ANSWERS D 22. Symptoms, such as pain, are often influenced by a persons cultural heritage. Which of the following is a true statement regarding pain? a. Nurses attitudes toward their patients pain are unrelated to their own experiences with pain. b. Nurses need to recognize that many cultures practice silent suffering as a response to pain. c. A nurses area of clinical practice will most likely determine his or her assessment of a patients pain. d. A nurses years of clinical experience and current position are strong indicators of his or her response to patient pain. - CORRECT ANSWERS B 23. The nurse is reviewing concepts of cultural aspects of pain. Which statement is true regarding pain? a. All patients will behave the same way when in pain. b. Just as patients vary in their perceptions of pain, so will they vary in their expressions of pain. c. Cultural norms have very little to do with pain tolerance, because pain tolerance is always biologically determined. d. A patients expression of pain is largely dependent on the amount of tissue injury associated with the pain. - CORRECT ANSWERS B Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success 24. During a class on religion and spirituality, the nurse is asked to define spirituality. Which answer is correct? Spirituality: a. Is a personal search to discover a supreme being. b. Is an organized system of beliefs concerning the cause, nature, and purpose of the universe. c. Is a belief that each person exists forever in some form, such as a belief in reincarnation or the afterlife. d. Arises out of each persons unique life experience and his or her personal effort to find purpose in life. - CORRECT ANSWERS D 25. The nurse recognizes that working with children with a different cultural perspective may be especially difficult because: a. Children have spiritual needs that are influenced by their stages of development. b. Children have spiritual needs that are direct reflections of what is occurring in their homes. c. Religious beliefs rarely affect the parents perceptions of the illness. d. Parents are often the decision makers, and they have no knowledge of their childrens spiritual needs. - CORRECT ANSWERS A 26. A 30-year-old woman has recently moved to the United States with her husband. They are living with the womans sister until they can get a home of their own. When company arrives to visit with the womans sister, the woman feels suddenly shy and retreats to the back bedroom to hide until the company leaves. She explains that her reaction to guests is simply because she does not know how to speak perfect English. This woman could be experiencing: a. Culture shock. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success b. Cultural taboos. c. Cultural unfamiliarity. d. Culture disorientation. - CORRECT ANSWERS A 27. After a symptom is recognized, the first effort at treatment is often self-care. Which of the following statements about self-care is true? Self-care is: a. Not recognized as valuable by most health care providers. b. Usually ineffective and may delay more effective treatment. c. Always less expensive than biomedical alternatives. d. Influenced by the accessibility of over-the-counter medicines. - CORRECT ANSWERS D 28. The nurse is reviewing the hot/cold theory of health and illness. Which statement best describes the basic tenets of this theory? a. The causation of illness is based on supernatural forces that influence the humors of the body. b. Herbs and medicines are classified on their physical characteristics of hot and cold and the humors of the body. c. The four humors of the body consist of blood, yellow bile, spiritual connectedness, and social aspects of the individual. d. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success a. Family history b. Chief complaint c. Medical history d. Health-related beliefs - CORRECT ANSWERS D 35. Which of the following reflects the traditional health and illness beliefs and practices of those of African heritage? Health is: a. Being rewarded for good behavior. b. The balance of the body and spirit. c. Maintained by wearing jade amulets. d. Being in harmony with nature. - CORRECT ANSWERS D 1. The nurse is reviewing aspects of cultural care. Which statements illustrate proper cultural care? Select all that apply. a. Examine the patient within the context of ones own cultural health and illness practices. b. Select questions that are not complex. c. Ask questions rapidly. d. Touch patients within the cultural boundaries of their heritage. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success e. Pace questions throughout the physical examination. - CORRECT ANSWERS B,D,E 2. The nurse is asking questions about a patients health beliefs. Which questions are appropriate? Select all that apply. a. What is your definition of health? b. Does your family have a history of cancer? c. How do you describe illness? d. What did your mother do to keep you from getting sick? e. Have you ever had any surgeries? f. How do you keep yourself healthy? - CORRECT ANSWERS A,C,D,F 1. When evaluating a patients pain, the nurse knows that an example of acute pain would be: a. Arthritic pain. b. Fibromyalgia. c. Kidney stones. d. Low back pain. - CORRECT ANSWERS C Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success 2. Which statement indicates that the nurse understands the pain experienced by an older adult? a. Older adults must learn to tolerate pain. b. Pain is a normal process of aging and is to be expected. c. Pain indicates a pathologic condition or an injury and is not a normal process of aging. d. Older individuals perceive pain to a lesser degree than do younger individuals. - CORRECT ANSWERS C 3. A 4-year-old boy is brought to the emergency department by his mother. She says he points to his stomach and says, It hurts so bad. Which pain assessment tool would be the best choice when assessing this childs pain? a. Descriptor Scale b. Numeric rating scale c. Brief Pain Inventory d. Faces Pain ScaleRevised (FPS-R) - CORRECT ANSWERS D 4. A patient states that the pain medication is not working and rates his postoperative pain at a 10 on a 1-to-10 scale. Which of these assessment findings indicates an acute pain response to poorly controlled pain? a. Confusion b. Hyperventilation Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success What does your pain feel like? - CORRECT ANSWERS D 10. When assessing a patients pain, the nurse knows that an example of visceral pain would be: a. Hip fracture. b. Cholecystitis. c. Second-degree burns. d. Pain after a leg amputation. - CORRECT ANSWERS B 11. The nurse is reviewing the principles of nociception. During which phase of nociception does the conscious awareness of a painful sensation occur? a. Perception b. Modulation c. Transduction d. Transmission - CORRECT ANSWERS A 12. When assessing the intensity of a patients pain, which question by the nurse is appropriate? a. What makes your pain better or worse? b. How much pain do you have now? Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success c. How does pain limit your activities? d. What does your pain feel like? - CORRECT ANSWERS B 13. A patient is complaining of severe knee pain after twisting it during a basketball game and is requesting pain medication. Which action by the nurse is appropriate? a. Completing the physical examination first and then giving the pain medication b. Telling the patient that the pain medication must wait until after the x-ray images are completed c. Evaluating the full range of motion of the knee and then medicating for pain d. Administering pain medication and then proceeding with the assessment - CORRECT ANSWERS D 14. The nurse knows that which statement is true regarding the pain experienced by infants? a. Pain in infants can only be assessed by physiologic changes, such as an increased heart rate. b. The FPS-R can be used to assess pain in infants. c. A procedure that induces pain in adults will also induce pain in the infant. d. Infants feel pain less than do adults. - CORRECT ANSWERS C 15. A patient has been admitted to the hospital with vertebral fractures related to osteoporosis. She is in extreme pain. This type of pain would be classified as: a. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success Referred. b. Cutaneous. c. Visceral. d. Deep somatic. - CORRECT ANSWERS D 1. During assessment of a patients pain, the nurse is aware that certain nonverbal behaviors are associated with chronic pain. Which of these behaviors are associated with chronic pain? Select all that apply. a. Sleeping b. Moaning c. Diaphoresis d. Bracing e. Restlessness f. Rubbing - CORRECT ANSWERS A,D,F 2. During an admission assessment of a patient with dementia, the nurse assesses for pain because the patient has recently had several falls. Which of these are appropriate for the nurse to assess in a patient with dementia? Select all that apply. a. Ask the patient, Do you have pain? b. Assess the patients breathing independent of vocalization. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success 6. During an assessment, the nurse knows that expected assessment findings in the normal adult lung include the presence of: a. Adventitious sounds and limited chest expansion. b. Increased tactile fremitus and dull percussion tones. c. Muffled voice sounds and symmetric tactile fremitus. d. Absent voice sounds and hyperresonant percussion tones. - CORRECT ANSWERS C 7. The primary muscles of respiration include the: a. Diaphragm and intercostals. b. Sternomastoids and scaleni. c. Trapezii and rectus abdominis. d. External obliques and pectoralis major. - CORRECT ANSWERS A 8. 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? a. Obtaining a detailed health history of the patients allergies and a history of asthma b. Telling the patient to sleep on his or her right side to facilitate ease of respirations c. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success Assessing for other signs and symptoms of paroxysmal nocturnal dyspnea d. Assuring the patient that paroxysmal nocturnal dyspnea is normal and will probably resolve within the next week - CORRECT ANSWERS C 9. When assessing tactile fremitus, the nurse recalls that it is normal to feel tactile fremitus most intensely over which location? a. Between the scapulae b. Third intercostal space, MCL c. Fifth intercostal space, midaxillary line (MAL) d. Over the lower lobes, posterior side - CORRECT ANSWERS A 10. The nurse is reviewing the technique of palpating for tactile fremitus with a new graduate. Which statement by the graduate nurse reflects a correct understanding of tactile fremitus? Tactile fremitus: a. Is caused by moisture in the alveoli. b. Indicates that air is present in the subcutaneous tissues. c. Is caused by sounds generated from the larynx. d. Reflects the blood flow through the pulmonary arteries. - CORRECT ANSWERS C 11. During percussion, the nurse knows that a dull percussion note elicited over a lung lobe most likely results from: a. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success Shallow breathing. b. Normal lung tissue. c. Decreased adipose tissue. d. Increased density of lung tissue. - CORRECT ANSWERS D 12. The nurse is observing the auscultation technique of another nurse. The correct method to use when progressing from one auscultatory site on the thorax to another is _______ comparison. a. Side-to-side b. Top-to-bottom c. Posterior-to-anterior d. Interspace-by-interspace - CORRECT ANSWERS A 13. When auscultating the lungs of an adult patient, the nurse notes that low-pitched, soft breath sounds are heard over the posterior lower lobes, with inspiration being longer than expiration. The nurse interprets that these sounds are: a. Normally auscultated over the trachea. b. Bronchial breath sounds and normal in that location. c. Vesicular breath sounds and normal in that location. d. Bronchovesicular breath sounds and normal in that location. - CORRECT ANSWERS C Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success a. Crepitus palpated at the costochondral junctions b. No diaphragmatic excursion as a result of a childs decreased inspiratory volume c. Presence of bronchovesicular breath sounds in the peripheral lung fields d. Irregular respiratory pattern and a respiratory rate of 40 breaths per minute at rest - CORRECT ANSWERS C 20. When inspecting the anterior chest of an adult, the nurse should include which assessment? a. Diaphragmatic excursion b. Symmetric chest expansion c. Presence of breath sounds d. Shape and configuration of the chest wall - CORRECT ANSWERS D 21. The nurse knows that auscultation of fine crackles would most likely be noticed in: a. A healthy 5-year-old child. b. A pregnant woman. c. The immediate newborn period. d. Association with a pneumothorax. - CORRECT ANSWERS C Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success 22. During an assessment of an adult, the nurse has noted unequal chest expansion and recognizes that this occurs in which situation? a. In an obese patient b. When part of the lung is obstructed or collapsed c. When bulging of the intercostal spaces is present d. When accessory muscles are used to augment respiratory effort - CORRECT ANSWERS B 23. During auscultation of the lungs of an adult patient, the nurse notices the presence of bronchophony. The nurse should assess for signs of which condition? a. Airway obstruction b. Emphysema c. Pulmonary consolidation d. Asthma - CORRECT ANSWERS C 24. The nurse is reviewing the characteristics of breath sounds. Which statement about bronchovesicular breath sounds is true? Bronchovesicular breath sounds are: a. Musical in quality. b. Usually caused by a pathologic disease. c. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success Expected near the major airways. d. Similar to bronchial sounds except shorter in duration. - CORRECT ANSWERS C 25. The nurse is listening to the breath sounds of a patient with severe asthma. Air passing through narrowed bronchioles would produce which of these adventitious sounds? a. Wheezes b. Bronchial sounds c. Bronchophony d. Whispered pectoriloquy - CORRECT ANSWERS A 26. A patient has a long history of chronic obstructive pulmonary disease (COPD). During the assessment, the nurse will most likely observe which of these? a. Unequal chest expansion b. Increased tactile fremitus c. Atrophied neck and trapezius muscles d. Anteroposterior-to-transverse diameter ratio of 1:1 - CORRECT ANSWERS D 27. A teenage patient comes to the emergency department with complaints of an inability to breathe and a sharp pain in the left side of his chest. The assessment findings include cyanosis, tachypnea, tracheal deviation to the right, decreased tactile fremitus on the left, hyperresonance on the left, and decreased breath sounds on the left. The nurse interprets that these assessment findings are consistent with: Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success 32. A 70-year-old patient is being seen in the clinic for severe exacerbation of his heart failure. Which of these findings is the nurse most likely to observe in this patient? a. Shortness of breath, orthopnea, paroxysmal nocturnal dyspnea, and ankle edema b. Rasping cough, thick mucoid sputum, wheezing, and bronchitis c. Productive cough, dyspnea, weight loss, anorexia, and tuberculosis d. Fever, dry nonproductive cough, and diminished breath sounds - CORRECT ANSWERS A 33. A patient comes to the clinic complaining of a cough that is worse at night but not as bad during the day. The nurse recognizes that this cough may indicate: a. Pneumonia. b. Postnasal drip or sinusitis. c. Exposure to irritants at work. d. Chronic bronchial irritation from smoking. - CORRECT ANSWERS B 34. During a morning assessment, the nurse notices that the patients sputum is frothy and pink. Which condition could this finding indicate? a. Croup b. Tuberculosis c. Viral infection Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success d. Pulmonary edema - CORRECT ANSWERS D 35. During auscultation of breath sounds, the nurse should correctly use the stethoscope in which of the following ways? a. Listening to at least one full respiration in each location b. Listening as the patient inhales and then going to the next site during exhalation c. Instructing the patient to breathe in and out rapidly while listening to the breath sounds d. If the patient is modest, listening to sounds over his or her clothing or hospital gown - CORRECT ANSWERS A 36. A patient has been admitted to the emergency department with a possible medical diagnosis of pulmonary embolism. The nurse expects to see which assessment findings related to this condition? a. Absent or decreased breath sounds b. Productive cough with thin, frothy sputum c. Chest pain that is worse on deep inspiration and dyspnea d. Diffuse infiltrates with areas of dullness upon percussion - CORRECT ANSWERS C 37. During palpation of the anterior chest wall, the nurse notices a coarse, crackling sensation over the skin surface. On the basis of these findings, the nurse suspects: a. Tactile fremitus. Nur 210 Exam 1 Test Bank Questions And Answers Updated 2023/2024 All Answers 100% Correct Verified Best Graded A+ For Success b. Crepitus. c. Friction rub. d. Adventitious sounds. - CORRECT ANSWERS B 38. The nurse is auscultating the lungs of a patient who had been sleeping and notices short, popping, crackling sounds that stop after a few breaths. The nurse recognizes that these breath sounds are: a. Atelectatic crackles that do not have a pathologic cause. b. Fine crackles and may be a sign of pneumonia. c. Vesicular breath sounds. d. Fine wheezes. - CORRECT ANSWERS A 39. A patient has been admitted to the emergency department for a suspected drug overdose. His respirations are shallow, with an irregular pattern, with a rate of 12 respirations per minute. The nurse interprets this respiration pattern as which of the following? a. Bradypnea b. Cheyne-Stokes respirations c. Hypoventilation d. Chronic obstructive breathing - CORRECT ANSWERS C