NUR 103 FINAL QUESTIONS WITH
DETAILED VERIFIED ANSWERS
A 58-yr-old patient has just been admitted to the
emergency department with nausea and vomiting. Which
information requires the most rapid intervention by the
nurse?
A. The patient has been vomiting for 4 days.
B. The patient takes antacids 8 to 10 times a day.
C. The patient is lethargic and difficult to arouse.
D. The patient has had a small intestinal resection. -
correct answer- C. The patient is lethargic
A lethargic patient is at risk for aspiration, and the nurse
will need to position the patient to decrease aspiration
risk. THe other information is also important to collect,
but it does not require as quick action as the risk for
aspiration.
,A 58-yr-old woman who was recently diagnosed with
esophageal cancer tells the nurse, "I do not feel ready to
die yet." Which response by the nurse is most
appropriate?
A. "You may have quite a few years still left to live."
B. "Thinking about dying will only make you feel worse."
C. "Having this new diagnosis must be very hard for you."
"It is important that you be realistic about your
prognosis." - correct answer- C. "Having this
new diagnosis must be very hard for you."
This response is open ended and will encourage the
patient to further discuss feelings of anxiety or sadness
about the diagnosis. Patients with esophageal cancer have
a low survival rate, so the response "You may have quite a
few years still left to live" is misleading. The response
beginning, "Thinking about dying" indicates that the nurse
is not open to discussing the patient's fears of dying. The
response beginning, "It is important that you be realistic"
discourages the patient from feeling hopeful, which is
important to patients with any life-threatening diagnosis.
,A 68-year-old patient is reporting a gnawing epigastric
pain. What question by the nurse would elicit the most
useful information?
A. "Does the pain get worse when you eat fatty food?"
B. "Do you have a family history of peptic ulcers?"
C. "Do you smoke either cigars or cigarettes?"
D. "Do you take a lot of acetaminophen for minor pain?"
- correct answer- B. "Do you have a family
history of peptic ulcers?"
Both genetic and environmental factors have been
proposed as the cause of peptic ulcers because both
gastric ulcers and duodenal ulcers tend to occur in
families. At present, no direct evidence exists that
indicates dietary or occupational factors as causes of ulcer
disease. Acetaminophen and smoking generally do not
cause peptic ulcers.
, A 76-year-old patient has been recently diagnosed with
cardiac valvular disease. The nurse assesses the patient
and recognizes that the medical diagnosis is supported by
which finding?
A. Cyanotic fingertips
B. Weight loss of 10 pounds in 3 months
C. Angina pain
D. Shortness of breath with activity - correct
answer- D. Shortness of breath with activity
Individuals with valvular disease may be asymptomatic for
many years, but with the deterioration of the valves and
hypertrophic changes in the atria or ventricles, symptoms
become evident. Exertional dyspnea is frequently the
initial symptom. Other symptoms include dizziness,
fatigue, weakness, and palpitations. The other signs are
not manifestations of valve disease.
A home health care nurse is conducting a functional
assessment on an older woman who lives alone. What
assessment question is likely to get the best information?
DETAILED VERIFIED ANSWERS
A 58-yr-old patient has just been admitted to the
emergency department with nausea and vomiting. Which
information requires the most rapid intervention by the
nurse?
A. The patient has been vomiting for 4 days.
B. The patient takes antacids 8 to 10 times a day.
C. The patient is lethargic and difficult to arouse.
D. The patient has had a small intestinal resection. -
correct answer- C. The patient is lethargic
A lethargic patient is at risk for aspiration, and the nurse
will need to position the patient to decrease aspiration
risk. THe other information is also important to collect,
but it does not require as quick action as the risk for
aspiration.
,A 58-yr-old woman who was recently diagnosed with
esophageal cancer tells the nurse, "I do not feel ready to
die yet." Which response by the nurse is most
appropriate?
A. "You may have quite a few years still left to live."
B. "Thinking about dying will only make you feel worse."
C. "Having this new diagnosis must be very hard for you."
"It is important that you be realistic about your
prognosis." - correct answer- C. "Having this
new diagnosis must be very hard for you."
This response is open ended and will encourage the
patient to further discuss feelings of anxiety or sadness
about the diagnosis. Patients with esophageal cancer have
a low survival rate, so the response "You may have quite a
few years still left to live" is misleading. The response
beginning, "Thinking about dying" indicates that the nurse
is not open to discussing the patient's fears of dying. The
response beginning, "It is important that you be realistic"
discourages the patient from feeling hopeful, which is
important to patients with any life-threatening diagnosis.
,A 68-year-old patient is reporting a gnawing epigastric
pain. What question by the nurse would elicit the most
useful information?
A. "Does the pain get worse when you eat fatty food?"
B. "Do you have a family history of peptic ulcers?"
C. "Do you smoke either cigars or cigarettes?"
D. "Do you take a lot of acetaminophen for minor pain?"
- correct answer- B. "Do you have a family
history of peptic ulcers?"
Both genetic and environmental factors have been
proposed as the cause of peptic ulcers because both
gastric ulcers and duodenal ulcers tend to occur in
families. At present, no direct evidence exists that
indicates dietary or occupational factors as causes of ulcer
disease. Acetaminophen and smoking generally do not
cause peptic ulcers.
, A 76-year-old patient has been recently diagnosed with
cardiac valvular disease. The nurse assesses the patient
and recognizes that the medical diagnosis is supported by
which finding?
A. Cyanotic fingertips
B. Weight loss of 10 pounds in 3 months
C. Angina pain
D. Shortness of breath with activity - correct
answer- D. Shortness of breath with activity
Individuals with valvular disease may be asymptomatic for
many years, but with the deterioration of the valves and
hypertrophic changes in the atria or ventricles, symptoms
become evident. Exertional dyspnea is frequently the
initial symptom. Other symptoms include dizziness,
fatigue, weakness, and palpitations. The other signs are
not manifestations of valve disease.
A home health care nurse is conducting a functional
assessment on an older woman who lives alone. What
assessment question is likely to get the best information?
