NSG 3160 Exam 1 NCLEX questions from the
book's digital resources Latest Update 2025-
2026 80 Questions and 100% Verified Correct
Answers Guaranteed A+
A common error in blood pressure measurement is
a. waiting less than 1 to 2 minutes before repeating the blood pressure reading on the
same arm.
b. taking the blood pressure in an arm that is at the level of the heart.
c. deflating the cuff about 2 mm Hg per heartbeat.
d. using a blood pressure cuff whose bladder length is 80% of the arm circumference. -
CORRECT ANSWER: a. waiting less than 1 to 2 minutes before repeating the blood
pressure reading on the same arm.
Waiting less than 1 to 2 minutes before repeating the blood pressure reading on the
same arm will result in a falsely high diastolic pressure r/t venous congestion in the
forearm. The patient's arm should be positioned at the level of the heart when obtaining
a blood pressure measurement. The cuff should be deflated at a rate of 2 mm Hg per
heartbeat. The blood pressure cuff bladder length should be about 80% of the arm
circumference.
A complete database is
a. used to collect data rapidly and is often compiled concurrently with lifesaving
measures.
b. used to evaluate the cause or etiology of disease.
c. used for a limited or short-term problem usually consisting of one problem, one cue
complex, or one body system.
,d. used to perform a thorough or comprehensive health history and physical
examination. - CORRECT ANSWER: d. used to perform a thorough or comprehensive
health history and physical examination.
A complete database includes a complete health history and a full physical examination;
it describes the current and past health state and forms a baseline against which all
future changes can be measured. An emergency database is a rapid collection of data
often obtained concurrently with lifesaving measures. A focused database is for a limited
or short-term problem; this database concerns mainly one problem, one cue complex,
or one body system. Medical diagnoses are used to evaluate the cause or etiology of
the disease.
A nurse precepting a student nurse asks, "What's the most important step in the critical-
thinking process?"
a. Clustering subjective and objective data
b. Analyzing health data
c. Using evidence-based assessment techniques
d. Prioritizing health concerns - CORRECT ANSWER: c. Using evidence-based
assessment techniques
Evidence-based techniques are supported by research showing effectiveness of the
technique that provides the safest and most current techniques to promote the health of
patients. Clustering subjective and objective data is a step in the critical-thinking
process, but is not the most important step. Analyzing health data is a step in the
critical-thinking process, but is not the most important step. Prioritizing health concerns
is a step in the critical-thinking process, but is not the most important step.
A patient admitted to the hospital with asthma has the following problems identified
based on an admission health history and physical assessment. Which problem is a
first-level priority?
a. Ineffective self-health management
,b. Impaired gas exchange
c. Readiness for enhanced spiritual well-being
d. Risk for infection - CORRECT ANSWER: b. Impaired gas exchange
First-level priority problems are problems that are emergent, life-threatening, and
immediate. Impaired gas exchange is an emergent and immediate problem. Third-level
priority problems are problems that are important to the patient's health but can be
addressed after more urgent health problems are addressed. Ineffective self-health
management is an example of a third-level priority. Second-level priority problems are
problems that are next in urgency; these problems require prompt intervention to
forestall further deterioration. Risk for infection is an example of a second-level priority.
Third-level priority problems are problems that are important to the patient's health but
can be addressed after more urgent health problems are addressed. Wellness
diagnoses are third-level priority problems.
A patient seeks care for "debilitating headaches that cause excessive absences at
work." On further exploration, the nurse asks, "What makes the headaches worse?"
With this question, the nurse is seeking information about
a. the patient's perception of pain.
b. the nature or character of the headache.
c. relieving factors.
d. aggravating factors. - CORRECT ANSWER: d. aggravating factors.
Aggravating factors are determined by asking the patient what makes the pain worse.
To determine the patient's perception of pain, the nurse would determine the meaning of
the symptom by asking how it affects daily activities and what the patient thinks the pain
means. The nature or character calls for specific descriptive terms to describe the pain.
Relieving factors are determined by asking the patient what relieves the pain, what is
the effect of any treatment, what the patient has tried, and what seems to help.
A woman seeks medical attention for a cut made by a knife during a physical assault.
The health care provider would document the cut as an
, a. incision.
b. ecchymosis.
c. avulsion.
d. abrasion. - CORRECT ANSWER: a. incision.
An incision is a cut or wound made by a sharp instrument. Ecchymosis is a hemorrhagic
spot or blotch in the skin or mucous membrane that forms a non-elevated, rounded or
regular, blue or purplish patch. An avulsion is the tearing away of a structure or part. An
abrasion is a wound caused by rubbing the skin or mucous membrane.
Abused women have been found to have significantly more health problems, including
a. cardiovascular disease.
b. chronic anemia.
c. chronic pain.
d. cancer. - CORRECT ANSWER: c. chronic pain.
Abused women have been found to have significantly more injuries. Also, abused
women have more chronic health problems including neurologic, gastrointestinal, and
gynecologic symptoms and chronic pain. Abused women do not have a higher
incidence of cardiovascular disease. Abused women do not have a higher incidence of
cancer. Abused women do not have a higher incidence of chronic anemia.
Amplitude is
a. the intensity (soft or loud) of sound.
b. the number of vibrations per second.
c. the length of time the note lingers.
book's digital resources Latest Update 2025-
2026 80 Questions and 100% Verified Correct
Answers Guaranteed A+
A common error in blood pressure measurement is
a. waiting less than 1 to 2 minutes before repeating the blood pressure reading on the
same arm.
b. taking the blood pressure in an arm that is at the level of the heart.
c. deflating the cuff about 2 mm Hg per heartbeat.
d. using a blood pressure cuff whose bladder length is 80% of the arm circumference. -
CORRECT ANSWER: a. waiting less than 1 to 2 minutes before repeating the blood
pressure reading on the same arm.
Waiting less than 1 to 2 minutes before repeating the blood pressure reading on the
same arm will result in a falsely high diastolic pressure r/t venous congestion in the
forearm. The patient's arm should be positioned at the level of the heart when obtaining
a blood pressure measurement. The cuff should be deflated at a rate of 2 mm Hg per
heartbeat. The blood pressure cuff bladder length should be about 80% of the arm
circumference.
A complete database is
a. used to collect data rapidly and is often compiled concurrently with lifesaving
measures.
b. used to evaluate the cause or etiology of disease.
c. used for a limited or short-term problem usually consisting of one problem, one cue
complex, or one body system.
,d. used to perform a thorough or comprehensive health history and physical
examination. - CORRECT ANSWER: d. used to perform a thorough or comprehensive
health history and physical examination.
A complete database includes a complete health history and a full physical examination;
it describes the current and past health state and forms a baseline against which all
future changes can be measured. An emergency database is a rapid collection of data
often obtained concurrently with lifesaving measures. A focused database is for a limited
or short-term problem; this database concerns mainly one problem, one cue complex,
or one body system. Medical diagnoses are used to evaluate the cause or etiology of
the disease.
A nurse precepting a student nurse asks, "What's the most important step in the critical-
thinking process?"
a. Clustering subjective and objective data
b. Analyzing health data
c. Using evidence-based assessment techniques
d. Prioritizing health concerns - CORRECT ANSWER: c. Using evidence-based
assessment techniques
Evidence-based techniques are supported by research showing effectiveness of the
technique that provides the safest and most current techniques to promote the health of
patients. Clustering subjective and objective data is a step in the critical-thinking
process, but is not the most important step. Analyzing health data is a step in the
critical-thinking process, but is not the most important step. Prioritizing health concerns
is a step in the critical-thinking process, but is not the most important step.
A patient admitted to the hospital with asthma has the following problems identified
based on an admission health history and physical assessment. Which problem is a
first-level priority?
a. Ineffective self-health management
,b. Impaired gas exchange
c. Readiness for enhanced spiritual well-being
d. Risk for infection - CORRECT ANSWER: b. Impaired gas exchange
First-level priority problems are problems that are emergent, life-threatening, and
immediate. Impaired gas exchange is an emergent and immediate problem. Third-level
priority problems are problems that are important to the patient's health but can be
addressed after more urgent health problems are addressed. Ineffective self-health
management is an example of a third-level priority. Second-level priority problems are
problems that are next in urgency; these problems require prompt intervention to
forestall further deterioration. Risk for infection is an example of a second-level priority.
Third-level priority problems are problems that are important to the patient's health but
can be addressed after more urgent health problems are addressed. Wellness
diagnoses are third-level priority problems.
A patient seeks care for "debilitating headaches that cause excessive absences at
work." On further exploration, the nurse asks, "What makes the headaches worse?"
With this question, the nurse is seeking information about
a. the patient's perception of pain.
b. the nature or character of the headache.
c. relieving factors.
d. aggravating factors. - CORRECT ANSWER: d. aggravating factors.
Aggravating factors are determined by asking the patient what makes the pain worse.
To determine the patient's perception of pain, the nurse would determine the meaning of
the symptom by asking how it affects daily activities and what the patient thinks the pain
means. The nature or character calls for specific descriptive terms to describe the pain.
Relieving factors are determined by asking the patient what relieves the pain, what is
the effect of any treatment, what the patient has tried, and what seems to help.
A woman seeks medical attention for a cut made by a knife during a physical assault.
The health care provider would document the cut as an
, a. incision.
b. ecchymosis.
c. avulsion.
d. abrasion. - CORRECT ANSWER: a. incision.
An incision is a cut or wound made by a sharp instrument. Ecchymosis is a hemorrhagic
spot or blotch in the skin or mucous membrane that forms a non-elevated, rounded or
regular, blue or purplish patch. An avulsion is the tearing away of a structure or part. An
abrasion is a wound caused by rubbing the skin or mucous membrane.
Abused women have been found to have significantly more health problems, including
a. cardiovascular disease.
b. chronic anemia.
c. chronic pain.
d. cancer. - CORRECT ANSWER: c. chronic pain.
Abused women have been found to have significantly more injuries. Also, abused
women have more chronic health problems including neurologic, gastrointestinal, and
gynecologic symptoms and chronic pain. Abused women do not have a higher
incidence of cardiovascular disease. Abused women do not have a higher incidence of
cancer. Abused women do not have a higher incidence of chronic anemia.
Amplitude is
a. the intensity (soft or loud) of sound.
b. the number of vibrations per second.
c. the length of time the note lingers.
