RNSG 1413 EXAM 3 QUESTIONS AND
ANSWERS ALL CORRECT
The nurse finds that an obese patient snores loudly. The patient stops breathing for a
few seconds and then resumes breathing. This happens several times during sleep.
What could be the diagnosis? - Answer- Sleep apnea
A mother is unable to put her newborn baby to sleep. What measures should the nurse
teach the mother to promote sleep in the newborn? Select all that apply. - Answer- Rock
the baby gently.
Sing a lullaby to the baby.
Hold the baby snugly in a blanket.
The nurse works in a sleep clinic. The nurse understands that sleep medicines should
be administered with caution in some patients. In which patient can benzodiazepines be
given safely? - Answer- A 30-year-old patient
Which priority nursing intervention does the nurse incorporate into a plan of care to
promote sleep for a hospitalized patient? - Answer- Avoid awakening patient for
nonessential tasks.
Which statement made by a mother being discharged to home with her newborn infant
indicates a need for further teaching? - Answer- 'My grandmother told me that babies
sleep better on their stomachs.'
Which action by the nursing assistant at bedtime requires the nurse to intervene? -
Answer- Giving a patient a cup of coffee
Which statement made by an older adult best demonstrates understanding regarding
taking a sleep medication? - Answer- 'I'll talk to my health care provider before I use an
over-the-counter sleep medication.'
The nurse is taking a sleep history from a patient. Which statement made by the patient
needs further follow-up? - Answer- 'I always feel tired when I wake up in the morning.'
A patient reports difficulty in sleeping. Which measures does the nurse suggest to
promote sleep in the patient? Select all that apply. - Answer- Void before going to sleep.
Use extra blankets if necessary.
Wear soft, cotton nightclothes.
, Which intervention is appropriate to include on a care plan for improving sleep in the
older adult? - Answer- Decrease fluids 2 to 4 hours before sleep.
A patient has had arthritic pain for 8 years and has surgery to remove a buildup of
septic fluid. Postoperative, the patient received morphine through a patient-controlled
analgesia (PCA) device for the management of pain. What is the advantage of PCA that
the nurse should teach the patient? - Answer- PCA allows self-administration of
analgesics.
A patient is in the first postoperative day following a nephrectomy. The patient is
receiving morphine through a patient-controlled analgesia (PCA) device for
management of pain. The patient complains of pain in the shoulders. The nurse
understands that it is a referred pain. What explanation should the nurse give to the
patient regarding the referred pain? - Answer- It is a pain that is sensed at a site away
from its actual origin or pathology.
A patient has had arthritic pain for 8 years. Which questions should the nurse ask to
assess the patient's pain? Select all that apply. - Answer- 'Which factors relieve your
pain?'
'How would you describe the pain?'
'On a scale of 0 to10, how high would you rate the pain?'
A patient is in the first postoperative day following a nephrectomy. The patient is
receiving morphine through a patient-controlled analgesia (PCA) device for
management of pain. The nurse decides to use the ABCDE approach while assessing
and managing pain for this patient. What are the correct components of the ABCDE
approach? Select all that apply. - Answer- A: Ask regularly about the pain.
B: Believe the patient about the pain.
C: Choose pain control options appropriate to the patient.
Sexuality is maintained throughout our lives. Which answer below best explains
sexuality in an older adult? - Answer- All older adults, whether healthy or frail, need to
express sexual feelings.
The nurse is assessing the housing needs of an older adult with severe arthritis who
has recently undergone knee replacement surgery. Which kinds of house are
appropriate for this patient? Select all that apply. - Answer- A house with only one floor
A house with no exterior steps
Aging may cause impairment of urinary function. Which is an effect of weakening of the
perineal and bladder muscles on the urinary system? - Answer- Involuntary release of
urine
The nurse is assessing a patient who has gynecomastia. Which is a sign of
gynecomastia? - Answer- Enlarged breasts in males
ANSWERS ALL CORRECT
The nurse finds that an obese patient snores loudly. The patient stops breathing for a
few seconds and then resumes breathing. This happens several times during sleep.
What could be the diagnosis? - Answer- Sleep apnea
A mother is unable to put her newborn baby to sleep. What measures should the nurse
teach the mother to promote sleep in the newborn? Select all that apply. - Answer- Rock
the baby gently.
Sing a lullaby to the baby.
Hold the baby snugly in a blanket.
The nurse works in a sleep clinic. The nurse understands that sleep medicines should
be administered with caution in some patients. In which patient can benzodiazepines be
given safely? - Answer- A 30-year-old patient
Which priority nursing intervention does the nurse incorporate into a plan of care to
promote sleep for a hospitalized patient? - Answer- Avoid awakening patient for
nonessential tasks.
Which statement made by a mother being discharged to home with her newborn infant
indicates a need for further teaching? - Answer- 'My grandmother told me that babies
sleep better on their stomachs.'
Which action by the nursing assistant at bedtime requires the nurse to intervene? -
Answer- Giving a patient a cup of coffee
Which statement made by an older adult best demonstrates understanding regarding
taking a sleep medication? - Answer- 'I'll talk to my health care provider before I use an
over-the-counter sleep medication.'
The nurse is taking a sleep history from a patient. Which statement made by the patient
needs further follow-up? - Answer- 'I always feel tired when I wake up in the morning.'
A patient reports difficulty in sleeping. Which measures does the nurse suggest to
promote sleep in the patient? Select all that apply. - Answer- Void before going to sleep.
Use extra blankets if necessary.
Wear soft, cotton nightclothes.
, Which intervention is appropriate to include on a care plan for improving sleep in the
older adult? - Answer- Decrease fluids 2 to 4 hours before sleep.
A patient has had arthritic pain for 8 years and has surgery to remove a buildup of
septic fluid. Postoperative, the patient received morphine through a patient-controlled
analgesia (PCA) device for the management of pain. What is the advantage of PCA that
the nurse should teach the patient? - Answer- PCA allows self-administration of
analgesics.
A patient is in the first postoperative day following a nephrectomy. The patient is
receiving morphine through a patient-controlled analgesia (PCA) device for
management of pain. The patient complains of pain in the shoulders. The nurse
understands that it is a referred pain. What explanation should the nurse give to the
patient regarding the referred pain? - Answer- It is a pain that is sensed at a site away
from its actual origin or pathology.
A patient has had arthritic pain for 8 years. Which questions should the nurse ask to
assess the patient's pain? Select all that apply. - Answer- 'Which factors relieve your
pain?'
'How would you describe the pain?'
'On a scale of 0 to10, how high would you rate the pain?'
A patient is in the first postoperative day following a nephrectomy. The patient is
receiving morphine through a patient-controlled analgesia (PCA) device for
management of pain. The nurse decides to use the ABCDE approach while assessing
and managing pain for this patient. What are the correct components of the ABCDE
approach? Select all that apply. - Answer- A: Ask regularly about the pain.
B: Believe the patient about the pain.
C: Choose pain control options appropriate to the patient.
Sexuality is maintained throughout our lives. Which answer below best explains
sexuality in an older adult? - Answer- All older adults, whether healthy or frail, need to
express sexual feelings.
The nurse is assessing the housing needs of an older adult with severe arthritis who
has recently undergone knee replacement surgery. Which kinds of house are
appropriate for this patient? Select all that apply. - Answer- A house with only one floor
A house with no exterior steps
Aging may cause impairment of urinary function. Which is an effect of weakening of the
perineal and bladder muscles on the urinary system? - Answer- Involuntary release of
urine
The nurse is assessing a patient who has gynecomastia. Which is a sign of
gynecomastia? - Answer- Enlarged breasts in males
