NURS 255 PA – PRACTICE EXAM QUESTIONS WITH CORRECT ANSWERS LATEST UPDATE 2022

NURS 255 PA – PRACTICE EXAM QUESTIONS WITH
CORRECT ANSWERS LATEST UPDATE 2022
Chapter 1



1. The nurse is conducting a class on priority setting for a group of

new graduate nurses. Which is an example of a first-level priority

problem?

a. Patient with postoperative pain

b. Newly diagnosed patient with diabetes who needs diabetic teaching

c. Individual with a small laceration on the sole of the foot

d. Individual with shortness of breath and respiratory distress

ANS: D

First-level priority problems are those that are emergent, life

threatening, and immediate (e.g., establishing an airway, supporting

breathing, maintaining circulation, monitoring abnormal vital signs)

(see Table 1-1).

DIF: Cognitive Level: Understanding (Comprehension) REF: p. 4

MSC: Client Needs: Safe and Effective Care Environment: Management of

Care



2. During an admission assessment of a patient with dementia, the

nurse assesses for pain because the patient has recently had
NURS 255 PA – PRACTICE EXAM QUESTIONS WITH
CORRECT ANSWERS LATEST UPDATE 2022

,NURS 255 PA – PRACTICE EXAM QUESTIONS WITH
CORRECT ANSWERS LATEST UPDATE 2022
several falls. Which of these are appropriate for the nurse to assess

in a patient with dementia? Select all that apply.



a. Ask the patient, Do you have pain?

b. Assess the patients breathing independent of vocalization.




c. Note whether the patient is calling out, groaning, or crying.

d. Have the patient rate pain on a 1-to-10 scale.




e. Observe the patients body language for pacing and agitation.

ANS: B, C, E

Patients with dementia may say no when, in reality, they are very

uncomfortable because words have lost their meaning. Patients with

dementia become less able to identify and describe pain over time,

although pain is still present. People with dementia communicate

pain through their behaviors. Agitation, pacing, and repetitive

yelling may indicate pain and not a worsening of the dementia. (See

Figure 10-10 for the Pain Assessment in Advanced Dementia

[PAINAD] scale, which may also be used to assess pain in persons


NURS 255 PA – PRACTICE EXAM QUESTIONS WITH
CORRECT ANSWERS LATEST UPDATE 2022

,NURS 255 PA – PRACTICE EXAM QUESTIONS WITH
CORRECT ANSWERS LATEST UPDATE 2022
with dementia.)




NURS 255 PA – PRACTICE EXAM QUESTIONS WITH
CORRECT ANSWERS LATEST UPDATE 2022

, NURS 255 PA – PRACTICE EXAM QUESTIONS WITH
CORRECT ANSWERS LATEST UPDATE 2022
3. The nurse is conducting a class on priority setting for a group of

new graduate nurses. Which is an example of a first-level priority

problem?



a. Patient with postoperative pain

Newly diagnosed patient with diabetes who needs diabetic

b. teaching

c. Individual with a small laceration on the sole of the foot




d. Individual with shortness of breath and respiratory distress

ANS: D

First-level priority problems are those that are emergent, life

threatening, and immediate (e.g., establishing an airway, supporting

breathing, maintaining circulation, monitoring abnormal vital signs)

(see Table 1-1).



4. When considering priority setting of problems, the nurse keeps in

mind that second-level priority problems include which of these

aspects?


NURS 255 PA – PRACTICE EXAM QUESTIONS WITH
CORRECT ANSWERS LATEST UPDATE 2022