NURSING 210 TEST 1 QUESTIONS WITH ACCURATE
ANSWERS
A 56-yr-old patient who has no previous history of hypertension or other health
problems suddenly develops a blood pressure of 198/110 mmHg. After
reconfirming the BP, it is appropriate for the nurse to tell the patient that:
a. a BP check should be scheduled in a few weeks
b. dietary sodium and fat content should be decreased
c. diagnosis, treatment, and ongoing monitoring will be needed
d. there is an immediate danger of a stroke, requiring hospitalization correct
answer c. diagnosis, treatment, and ongoing monitoring will be needed
A 74-yr-old patient has just arrived in the emergency department. After
assessment reveals a pulse deficit of 46 beats, the nurse will anticipate that the
patient may require:
a. emergent cardioversion
b. a cardiac cathereterization
c. hourly blood pressure checks
d. electrocardiographic (ECG) monitoring correct answer d. electrocardiographic
(ECG) monitoring
A family caregiver tells the home health nurse, "I feel like I can never get away to
do anything for myself." Which action is best for the nurse to take?
a. Assist the caregiver in finding respite services.
b. Assure the caregiver that the work is appreciated.
c. Encourage the caregiver to discuss feelings openly with the nurse as needed.
,d. Teach the caregiver that family members can also provide excellent patient
care. correct answer a. assist the caregiver in finding respite services
A female nurse is assessing a male patient of Arab descent who is admitted with
complaints of severe headaches. It is MOST important for the charge nurse to
intervene if the nurse takes which action?
a. the nurse explains the 0 to 10 intensity pain scale
b .the nurse asks the patient when the headaches started
c. the nurse sits down at the bedside and closes the privacy curtain
d. the nurse calls for a male nurse to bring a hospital gown to the room correct
answer c. the nurse sits down at the bedside and closes the privacy curtain
Many men of the Arab ethnicity do not believe it is appropriate to be alone with
any female except for their spouse. The other actions are appropriate.
A hispanic patient complains of abdominal cramping by empacho. Which action
should the nurse take FIRST?
a. ask the patient what treatments are likely to help
b. massage the patients abdomen until the pain is gone
c. administer prescribed medications to decrease the cramping
d. offer to contact a curandero to make a visit to the patient correct answer A. ask
the patient what treatments are likely to help
further assessment of the patients cultural beliefs is appropriate before
implementing any interventions for a culture-bound syndrome such as empacho.
Although medication, a visit by a curandero or massage may be helpful. more
information about the patients beliefs is needed to determine which
interventions will be most helpful
,A middle-aged patient who has diabetes tells the nurse, "I want to know how to
give my own insulin so I don't have to bother my wife all the time." What is the
priority action of the nurse?
a. Demonstrate how to draw up and administer insulin.
b. Discuss the use of exercise to decrease insulin needs.
c. Teach about differences between the various types of insulin.
d. Provide handouts about therapeutic and adverse effects of insulin. correct
answer a. demonstrate how to draw up and administer insulin
A new nurse performs a dressing change on a stage II left heel pressure ulcer.
Which action by the new nurse indicates a need for further teaching about
pressure ulcer care?
a. the new nurse cleans the ulcer with half-strength peroxide
b. the new nurse uses a hydrocolloid dressing (DuoDerm) on the ulcer
c. The new nurse irrigates the pressure ulcer with saline using a 3-0 mL syringe
d. The new nurse inserts a sterile cotton-tipped applicator into the pressure ulcer
correct answer a. the new nurse cleans the ulcer with half-strength peroxide
A patient arrives in the emergency department with a swollen ankle after a soccer
injury. Which action by the nurse is appropriate?
a. elevate the ankle above heart level
b. apply a warm moist pack to the ankle
c. ask the patient to try bearing weight on the ankle
d. assess the ankle's passive range of motion correct answer a. elevate the ankle
above heart level
, A patient from a long-term care facility is admitted to the hospital with a sacral
pressure ulcer. The base of the wound involves subcutaneous tissue. How should
the nurse classify this pressure ulcer?
a. Stage I
b. Stage II
c. Stage III
d. Stage IV correct answer c. Stage III
A patient has just been diagnosed with hypertension and has been started on
captopril. Which information is most important to include when teaching the
patient about this drug?
a. include high potassium foods such as bananas in the diet
b. increase fluid intake if dryness of the mouth is a problem
c. change position slowly to help prevent dizziness and falls
d. check blood pressure in both arms before taking the drug correct answer c.
change position slowly to help prevent dizziness and falls
A patient is diagnosed with heart failure after being admitted to the hospital for
shortness of breath and fatigue. Which teaching strategy, if implemented by the
nurse, is MOST likely to be effective?
a. Assure the patient that the nurse is an expert in management of heart failure
b. Teach the patient at each meal about the amounts of sodium in various foods
c. Discuss the importance of medication control in maintenance of long term
health
d. Refer the patient to a home health nurse for instructions on diet and fluid
restrictions correct answer b. teach the patient at each meal about the amounts
of sodium in various foods
ANSWERS
A 56-yr-old patient who has no previous history of hypertension or other health
problems suddenly develops a blood pressure of 198/110 mmHg. After
reconfirming the BP, it is appropriate for the nurse to tell the patient that:
a. a BP check should be scheduled in a few weeks
b. dietary sodium and fat content should be decreased
c. diagnosis, treatment, and ongoing monitoring will be needed
d. there is an immediate danger of a stroke, requiring hospitalization correct
answer c. diagnosis, treatment, and ongoing monitoring will be needed
A 74-yr-old patient has just arrived in the emergency department. After
assessment reveals a pulse deficit of 46 beats, the nurse will anticipate that the
patient may require:
a. emergent cardioversion
b. a cardiac cathereterization
c. hourly blood pressure checks
d. electrocardiographic (ECG) monitoring correct answer d. electrocardiographic
(ECG) monitoring
A family caregiver tells the home health nurse, "I feel like I can never get away to
do anything for myself." Which action is best for the nurse to take?
a. Assist the caregiver in finding respite services.
b. Assure the caregiver that the work is appreciated.
c. Encourage the caregiver to discuss feelings openly with the nurse as needed.
,d. Teach the caregiver that family members can also provide excellent patient
care. correct answer a. assist the caregiver in finding respite services
A female nurse is assessing a male patient of Arab descent who is admitted with
complaints of severe headaches. It is MOST important for the charge nurse to
intervene if the nurse takes which action?
a. the nurse explains the 0 to 10 intensity pain scale
b .the nurse asks the patient when the headaches started
c. the nurse sits down at the bedside and closes the privacy curtain
d. the nurse calls for a male nurse to bring a hospital gown to the room correct
answer c. the nurse sits down at the bedside and closes the privacy curtain
Many men of the Arab ethnicity do not believe it is appropriate to be alone with
any female except for their spouse. The other actions are appropriate.
A hispanic patient complains of abdominal cramping by empacho. Which action
should the nurse take FIRST?
a. ask the patient what treatments are likely to help
b. massage the patients abdomen until the pain is gone
c. administer prescribed medications to decrease the cramping
d. offer to contact a curandero to make a visit to the patient correct answer A. ask
the patient what treatments are likely to help
further assessment of the patients cultural beliefs is appropriate before
implementing any interventions for a culture-bound syndrome such as empacho.
Although medication, a visit by a curandero or massage may be helpful. more
information about the patients beliefs is needed to determine which
interventions will be most helpful
,A middle-aged patient who has diabetes tells the nurse, "I want to know how to
give my own insulin so I don't have to bother my wife all the time." What is the
priority action of the nurse?
a. Demonstrate how to draw up and administer insulin.
b. Discuss the use of exercise to decrease insulin needs.
c. Teach about differences between the various types of insulin.
d. Provide handouts about therapeutic and adverse effects of insulin. correct
answer a. demonstrate how to draw up and administer insulin
A new nurse performs a dressing change on a stage II left heel pressure ulcer.
Which action by the new nurse indicates a need for further teaching about
pressure ulcer care?
a. the new nurse cleans the ulcer with half-strength peroxide
b. the new nurse uses a hydrocolloid dressing (DuoDerm) on the ulcer
c. The new nurse irrigates the pressure ulcer with saline using a 3-0 mL syringe
d. The new nurse inserts a sterile cotton-tipped applicator into the pressure ulcer
correct answer a. the new nurse cleans the ulcer with half-strength peroxide
A patient arrives in the emergency department with a swollen ankle after a soccer
injury. Which action by the nurse is appropriate?
a. elevate the ankle above heart level
b. apply a warm moist pack to the ankle
c. ask the patient to try bearing weight on the ankle
d. assess the ankle's passive range of motion correct answer a. elevate the ankle
above heart level
, A patient from a long-term care facility is admitted to the hospital with a sacral
pressure ulcer. The base of the wound involves subcutaneous tissue. How should
the nurse classify this pressure ulcer?
a. Stage I
b. Stage II
c. Stage III
d. Stage IV correct answer c. Stage III
A patient has just been diagnosed with hypertension and has been started on
captopril. Which information is most important to include when teaching the
patient about this drug?
a. include high potassium foods such as bananas in the diet
b. increase fluid intake if dryness of the mouth is a problem
c. change position slowly to help prevent dizziness and falls
d. check blood pressure in both arms before taking the drug correct answer c.
change position slowly to help prevent dizziness and falls
A patient is diagnosed with heart failure after being admitted to the hospital for
shortness of breath and fatigue. Which teaching strategy, if implemented by the
nurse, is MOST likely to be effective?
a. Assure the patient that the nurse is an expert in management of heart failure
b. Teach the patient at each meal about the amounts of sodium in various foods
c. Discuss the importance of medication control in maintenance of long term
health
d. Refer the patient to a home health nurse for instructions on diet and fluid
restrictions correct answer b. teach the patient at each meal about the amounts
of sodium in various foods
