Midterm Exam V2: NURS 120/ NURS120 –
Introduction to Medical Surgical Nursing Guide |
(Latest 2026/ 2027 Update) 100% Verified
Questions & Answers | Grade A- WCU
The nurse is preparing to assess comfort for several clients. If the nurse, in addition to assessing
the client's physical experience of pain, assesses whether the client has a present and reliable
personal support network, then the nurse is assessing which context of holistic human experience
during this process?
A) Transcendence
B) Environmental
C) Psychospiritual
D) Sociocultural
Answer: D
Explanation: D) Comfort is the experience of having needs for relief and ease met in four
contexts: physical, psychospiritual, sociocultural, and environmental. Sociocultural comfort is
related to family and social relationships, which a personal support network would exemplify.
Transcendence is not a context of holistic human experience.
The nurse provides an in-service to peers regarding situations that can affect the comfort level of
the clients on the unit. Which client statement indicates that the client's sense of well-being is
negatively impacted?
A) "I feel like I have no energy today."
B) "I don't feel any physical pain today."
C) "I was able to sleep uninterrupted last night."
D) "I am so glad that playing cards takes my mind off my worries."
Answer: A
Explanation: A) Fatigue is a lack of energy and motivation. A fatigued client is unable to focus
on healing and lacks the ability to cope in stressful situations. Restful sleep, physical well-being
without pain, and appropriate diversion all promote a sense of comfort for the client.
, Midterm Exam V2: NURS 120/ NURS120 –
Introduction to Medical Surgical Nursing Guide |
(Latest 2026/ 2027 Update) 100% Verified
Questions & Answers | Grade A- WCU
A client is experiencing sudden-onset severe pain in the left lower quadrant of the abdomen that
is rated as a 10 on a pain scale of 0-10. The client is also experiencing nausea, vomiting, and
restlessness. Based on this data, the nurse concludes that the client is experiencing which
phenomenon?
A) Acute pain
B) Chronic pain
C) End-of-life pain
D) Fibromyalgia pain
Answer: A
Explanation: A) Duration establishes the difference between acute and chronic pain. Acute pain
is defined as pain that lasts only through the expected recovery period, which is usually 30 days
to 6 months. Acute pain typically has a sudden onset related to injury, surgery, or illness. Chronic
pain outlasts the illness and extends beyond the recovery period. End-of-life and fibromyalgia
would most likely involve chronic pain.
The nurse is preparing to assess a 1-year-old client for signs of discomfort. When conducting the
assessment, which action by the nurse is the most appropriate?
A) Asking the client to rate the pain on a scale of 0-10 during the assessment process
B) Asking the parent to hold the client in the lap during the assessment process
C) Reading a book to the client during the assessment process
D) Recommending that the parent leave the room during the assessment process
Answer: B
Explanation: A) Children may be fearful of physical assessment. To promote comfort, allow the
child to sit on the parent's or guardian's lap during the assessment process, rather than asking the
, Midterm Exam V2: NURS 120/ NURS120 –
Introduction to Medical Surgical Nursing Guide |
(Latest 2026/ 2027 Update) 100% Verified
Questions & Answers | Grade A- WCU
parent to leave the room. A numeric pain scale is not appropriate until the client is older; a faces
pain scale would be better. Reading a book during the assessment process is not age appropriate.
The nurse is caring for a pediatric client with a surgical wound. The wound is red with purulent
drainage and is causing discomfort for the client. Which diagnostic test will determine if the
discomfort of the wound is caused by an infection?
A) White blood cell count
B) Hematocrit measurement
C) Urine analysis
D) X-rays of the site
Explanation: A) There are a few tests that can help the medical team determine the source of the
client's discomfort. In this case, a white blood cell count will determine if the discomfort is being
caused by an infection. An x-ray is useful for determining the existence of physical injuries, not
the presence of infection. Urine analysis may indicate illness or malnutrition, whereas hematocrit
measurement may identify iron deficiency anemia.
An 18-month-old toddler scheduled for routine vaccinations begins to cry when placed on the
examination table. The parent attempts to comfort the toddler, but nothing is effective. Which
action by the nurse is the most appropriate?
A) Allow the toddler to sit on the parent's lap and begin the assessment.
B) Allow the toddler to stand on the floor until the crying stops.
C) Ask another nurse in the office to hold the toddler because the parent is not able to control the
toddler's behavior.
D) Instruct the parent to hold the toddler down tightly to complete the examination.
Answer: A
, Midterm Exam V2: NURS 120/ NURS120 –
Introduction to Medical Surgical Nursing Guide |
(Latest 2026/ 2027 Update) 100% Verified
Questions & Answers | Grade A- WCU
Explanation: A) Toddlers are most comfortable when sitting with the parents. Vaccinations can
be administered in this way if the parent is taught proper therapeutic holding techniques to keep
everyone safe for the procedure. Allowing the toddler to stand on the floor or holding the toddler
down tightly are inappropriate. A nurse can assist if the parent is unable to hold the child during
the vaccinations to prevent injury from movement.
The nurse is caring for a client who is experiencing acute chest pain that is rated as a 9 on a 0 to
10 pain scale. Based on this data, which medication does the nurse expect to administer?
A) Acetaminophen
B) Morphine
C) Ibuprofen
D) Naproxen
Answer: B
Explanation: A) Acute pain is often treated with an opioid such as morphine. Morphine is often
used to treat chest pain that is associated with a myocardial infarction. Acetaminophen,
ibuprofen, and naproxen are more appropriate for other types of pain, not acute chest pain.
B) Acute pain is often treated with an opioid such as morphine. Morphine is often used to treat
chest pain that is associated with a myocardial infarction. Acetaminophen, ibuprofen, and
naproxen are more appropriate for other types of pain, not acute chest pain.
The nurse is designing a teaching plan for community members on ways to prevent chronic pain.
Which information should the nurse include in this teaching plan? Select all that apply.
A) Eating a healthy diet
B) Obtaining adequate sleep
C) Avoiding illicit drug use
Introduction to Medical Surgical Nursing Guide |
(Latest 2026/ 2027 Update) 100% Verified
Questions & Answers | Grade A- WCU
The nurse is preparing to assess comfort for several clients. If the nurse, in addition to assessing
the client's physical experience of pain, assesses whether the client has a present and reliable
personal support network, then the nurse is assessing which context of holistic human experience
during this process?
A) Transcendence
B) Environmental
C) Psychospiritual
D) Sociocultural
Answer: D
Explanation: D) Comfort is the experience of having needs for relief and ease met in four
contexts: physical, psychospiritual, sociocultural, and environmental. Sociocultural comfort is
related to family and social relationships, which a personal support network would exemplify.
Transcendence is not a context of holistic human experience.
The nurse provides an in-service to peers regarding situations that can affect the comfort level of
the clients on the unit. Which client statement indicates that the client's sense of well-being is
negatively impacted?
A) "I feel like I have no energy today."
B) "I don't feel any physical pain today."
C) "I was able to sleep uninterrupted last night."
D) "I am so glad that playing cards takes my mind off my worries."
Answer: A
Explanation: A) Fatigue is a lack of energy and motivation. A fatigued client is unable to focus
on healing and lacks the ability to cope in stressful situations. Restful sleep, physical well-being
without pain, and appropriate diversion all promote a sense of comfort for the client.
, Midterm Exam V2: NURS 120/ NURS120 –
Introduction to Medical Surgical Nursing Guide |
(Latest 2026/ 2027 Update) 100% Verified
Questions & Answers | Grade A- WCU
A client is experiencing sudden-onset severe pain in the left lower quadrant of the abdomen that
is rated as a 10 on a pain scale of 0-10. The client is also experiencing nausea, vomiting, and
restlessness. Based on this data, the nurse concludes that the client is experiencing which
phenomenon?
A) Acute pain
B) Chronic pain
C) End-of-life pain
D) Fibromyalgia pain
Answer: A
Explanation: A) Duration establishes the difference between acute and chronic pain. Acute pain
is defined as pain that lasts only through the expected recovery period, which is usually 30 days
to 6 months. Acute pain typically has a sudden onset related to injury, surgery, or illness. Chronic
pain outlasts the illness and extends beyond the recovery period. End-of-life and fibromyalgia
would most likely involve chronic pain.
The nurse is preparing to assess a 1-year-old client for signs of discomfort. When conducting the
assessment, which action by the nurse is the most appropriate?
A) Asking the client to rate the pain on a scale of 0-10 during the assessment process
B) Asking the parent to hold the client in the lap during the assessment process
C) Reading a book to the client during the assessment process
D) Recommending that the parent leave the room during the assessment process
Answer: B
Explanation: A) Children may be fearful of physical assessment. To promote comfort, allow the
child to sit on the parent's or guardian's lap during the assessment process, rather than asking the
, Midterm Exam V2: NURS 120/ NURS120 –
Introduction to Medical Surgical Nursing Guide |
(Latest 2026/ 2027 Update) 100% Verified
Questions & Answers | Grade A- WCU
parent to leave the room. A numeric pain scale is not appropriate until the client is older; a faces
pain scale would be better. Reading a book during the assessment process is not age appropriate.
The nurse is caring for a pediatric client with a surgical wound. The wound is red with purulent
drainage and is causing discomfort for the client. Which diagnostic test will determine if the
discomfort of the wound is caused by an infection?
A) White blood cell count
B) Hematocrit measurement
C) Urine analysis
D) X-rays of the site
Explanation: A) There are a few tests that can help the medical team determine the source of the
client's discomfort. In this case, a white blood cell count will determine if the discomfort is being
caused by an infection. An x-ray is useful for determining the existence of physical injuries, not
the presence of infection. Urine analysis may indicate illness or malnutrition, whereas hematocrit
measurement may identify iron deficiency anemia.
An 18-month-old toddler scheduled for routine vaccinations begins to cry when placed on the
examination table. The parent attempts to comfort the toddler, but nothing is effective. Which
action by the nurse is the most appropriate?
A) Allow the toddler to sit on the parent's lap and begin the assessment.
B) Allow the toddler to stand on the floor until the crying stops.
C) Ask another nurse in the office to hold the toddler because the parent is not able to control the
toddler's behavior.
D) Instruct the parent to hold the toddler down tightly to complete the examination.
Answer: A
, Midterm Exam V2: NURS 120/ NURS120 –
Introduction to Medical Surgical Nursing Guide |
(Latest 2026/ 2027 Update) 100% Verified
Questions & Answers | Grade A- WCU
Explanation: A) Toddlers are most comfortable when sitting with the parents. Vaccinations can
be administered in this way if the parent is taught proper therapeutic holding techniques to keep
everyone safe for the procedure. Allowing the toddler to stand on the floor or holding the toddler
down tightly are inappropriate. A nurse can assist if the parent is unable to hold the child during
the vaccinations to prevent injury from movement.
The nurse is caring for a client who is experiencing acute chest pain that is rated as a 9 on a 0 to
10 pain scale. Based on this data, which medication does the nurse expect to administer?
A) Acetaminophen
B) Morphine
C) Ibuprofen
D) Naproxen
Answer: B
Explanation: A) Acute pain is often treated with an opioid such as morphine. Morphine is often
used to treat chest pain that is associated with a myocardial infarction. Acetaminophen,
ibuprofen, and naproxen are more appropriate for other types of pain, not acute chest pain.
B) Acute pain is often treated with an opioid such as morphine. Morphine is often used to treat
chest pain that is associated with a myocardial infarction. Acetaminophen, ibuprofen, and
naproxen are more appropriate for other types of pain, not acute chest pain.
The nurse is designing a teaching plan for community members on ways to prevent chronic pain.
Which information should the nurse include in this teaching plan? Select all that apply.
A) Eating a healthy diet
B) Obtaining adequate sleep
C) Avoiding illicit drug use
