NURS 341 Exam 2 Practice Questions with correct
answers
Which of the following is most important when assessing a client's pain
a. The physical location of pain
b. The clients perception of the pain Correct Answer-b. The clients
perception of the pain
When asked about pain client complains of having severe discomfort
from arthritis. Vital signs are unchanged, and client is calmly watching
Correct Answer-Chronic pain
While waiting to perform x-rays on an individuals right hand according
to nonpharmacological pain management practice, pain can be
moderated or reduced if the nurse: Correct Answer-c) Applies ice to the
right hand
Nurse is evaluating the sites of a client in skeletal traction. The nurse is
concerned with Correct Answer-B) Serous drainage
What is the best method for applying ice? What should the nurse
monitor?
After applying a compression device, the nurse should monitor for what
developments?
How high is "high enough" when elevating an extremity? Correct
Answer-Icing of the strain for 20 minutes at a time every 2 to 3 hours is
,suggested and leaving the ice in place for a longer period of time may
cause additional tissue damage.
Compression wrap must snug yet not so tight to impede circulation (be
alert to fingers and toes becoming cool, tingling or turning blue in
color).
Whenever possible, elevation of the injured area above the level of the
heart is useful in helping to minimize swelling (Giddens, 2013).
The nurse is completing an admission assessment of a new patient to the
unit. The nurse notes a long, thin, fading scar on the patient's abdomen
in the right lower quadrant. The nurse knows that scar tissue results from
A. Optimal functioning of the inflammatory process after an injury.
B. Fibrous tissue replacing damaged tissue when injury is extensive.
C. The development of chronic inflammation.
D. A surgical incision. Correct Answer-B. Fibrous tissue replacing
damaged tissue when injury is extensive.
Which of the following patients is at higher risk for inflammatory
reactions?
A. 2-year-old girl with a healthy diet.
B. 38-year-old man who is obese.
C. 54-year-old woman in menopause
D. 79-year-old man with diabetes Correct Answer-D. 79-year-old man
with diabetes
1st priority in preventing infections is: Correct Answer-a. Hand washing
, A patient admitted to an acute care floor has rubor of an area of injury
on the left lower extremity. The nurse understands that this redness is
caused by
A. Vasodilation
B. Extravasation
C. Neutrophils
D. Exudate Correct Answer-A. Vasodilation
pH: 7.30
pCO2: 58
pO2: 50
O2 Sat: 80%
HCO3: 26normal
A. Respiratory Acidosis.
B. Respiratory Alkalosis
C. Metabolic Acidosis
D. Metabolic alkalosis Correct Answer-A. Respiratory Acidosis.
A client has an allergic reaction to a newly prescribed medication. The
nurse places the highest priority on which action?
A. Instruct the client to remain calm.
B. Document the allergy in the medical record.
C. Communicate the allergic response to the physician a pharmacist.
answers
Which of the following is most important when assessing a client's pain
a. The physical location of pain
b. The clients perception of the pain Correct Answer-b. The clients
perception of the pain
When asked about pain client complains of having severe discomfort
from arthritis. Vital signs are unchanged, and client is calmly watching
Correct Answer-Chronic pain
While waiting to perform x-rays on an individuals right hand according
to nonpharmacological pain management practice, pain can be
moderated or reduced if the nurse: Correct Answer-c) Applies ice to the
right hand
Nurse is evaluating the sites of a client in skeletal traction. The nurse is
concerned with Correct Answer-B) Serous drainage
What is the best method for applying ice? What should the nurse
monitor?
After applying a compression device, the nurse should monitor for what
developments?
How high is "high enough" when elevating an extremity? Correct
Answer-Icing of the strain for 20 minutes at a time every 2 to 3 hours is
,suggested and leaving the ice in place for a longer period of time may
cause additional tissue damage.
Compression wrap must snug yet not so tight to impede circulation (be
alert to fingers and toes becoming cool, tingling or turning blue in
color).
Whenever possible, elevation of the injured area above the level of the
heart is useful in helping to minimize swelling (Giddens, 2013).
The nurse is completing an admission assessment of a new patient to the
unit. The nurse notes a long, thin, fading scar on the patient's abdomen
in the right lower quadrant. The nurse knows that scar tissue results from
A. Optimal functioning of the inflammatory process after an injury.
B. Fibrous tissue replacing damaged tissue when injury is extensive.
C. The development of chronic inflammation.
D. A surgical incision. Correct Answer-B. Fibrous tissue replacing
damaged tissue when injury is extensive.
Which of the following patients is at higher risk for inflammatory
reactions?
A. 2-year-old girl with a healthy diet.
B. 38-year-old man who is obese.
C. 54-year-old woman in menopause
D. 79-year-old man with diabetes Correct Answer-D. 79-year-old man
with diabetes
1st priority in preventing infections is: Correct Answer-a. Hand washing
, A patient admitted to an acute care floor has rubor of an area of injury
on the left lower extremity. The nurse understands that this redness is
caused by
A. Vasodilation
B. Extravasation
C. Neutrophils
D. Exudate Correct Answer-A. Vasodilation
pH: 7.30
pCO2: 58
pO2: 50
O2 Sat: 80%
HCO3: 26normal
A. Respiratory Acidosis.
B. Respiratory Alkalosis
C. Metabolic Acidosis
D. Metabolic alkalosis Correct Answer-A. Respiratory Acidosis.
A client has an allergic reaction to a newly prescribed medication. The
nurse places the highest priority on which action?
A. Instruct the client to remain calm.
B. Document the allergy in the medical record.
C. Communicate the allergic response to the physician a pharmacist.
