VERIFIED ANSWERS 2025/2026 LATEST UPDATE
NEW MODIFIED BEST QUALITY EXAM WITH 100%
CORRECT ANSWERS
What are the characteristic(s) of heart sounds? (select all that apply)
a. Intensity
b. Duration
c. Temperature
d. Timing
e. Vibrations -- ANSWER--Answer: a, b, d
A patient with a severe muscle cramp tells the nurse, "The pain is a little better
when I massage the muscle or apply a cold pack." Which criterion of the
PQRST method of pain assessment is addressed in the patient's statement?
a. Severity Scale
b. Quality/Quantity
c. Region/Radiation
d. Provocation/Palliation -- ANSWER--Answer: d
A nurse is caring for a client who asks about measures the nurse takes to protect
client privacy. Which of the following is an appropriate response by the nurse?
pg. 1
,a. "I will provide their information to anyone who requests it."
b. "I will make sure my password to log into the system is the same one I use
for everything else."
c. "I will talk to my friends about the client in order to get advice."
d. "I will log off the computer in between seeing clients." -- ANSWER--
Answer: d
HIPAA establishes national standards for the protection of certain health info.
The privacy rule can be violated if a client's health info is on the computer
screen and the nurse leaves it up while taking care of other clients.
What factors affect health promotion and disease prevention throughout the
lifespan? -- ANSWER--Gender, genetics, education, socioeconomic status,
ethnicity, lifestyle, chronic illness/disability, and race
Which of these are components of a functional assessment? (Select all that
apply)
a. vision and hearing
b. mobility
c. continence
d. nutrition
e. ADL-IADL -- ANSWER--Answer: all of them :)
A functional assessment also includes mental status, affect, home environment,
and social support!
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,What is the key to understanding cultural diversity? -- ANSWER--Being self-
aware and having knowledge of one's own culture
FICA is an assessment tool used to determine a patient's spiritual history. What
does FICA stand for? -- ANSWER--F = faith
I = importance/influence
C = community
A = address/action
What components should be assessed and asked about when completing a
cultural assessment? -- ANSWER--Heritage, health practices, communication,
family roles & social orientation, nutrition, pregnancy, spirituality/religion,
death, and role of health providers
What are the four sources of pain? (Provide some examples for each) --
ANSWER--1. Visceral pain = large interior organs (e.g., appendicitis,
gallstones)
2. Deep somatic pain = blood vessels, joints, tendons, muscles, and bone injury
(e.g., sprain, broken bone)
3. Cutaneous pain = skin surface and subcutaneous tissues (e.g., paper cut)
4. Referred pain = felt at a particular site but originates from another location
(e.g., left arm hurting during an MI although the issue is with the heart)
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, A patient is crying and says, "Please get me something to relieve this pain."
What should the nurse do next?
a. Verify that the patient has an order for pain medications and administer order
as directed
b. Assess the level of pain and ask patient what usually works for his or her
pain, administer pain medication as needed, then reassess pain level
c. Assess the level of pain and give medications according to pain level, and
then reassess pain
d. Reposition the patient, then reassess the pain after intervention -- ANSWER--
Answer: B
Answers A, C, and D are incorrect because pain management should be
collaborative, and the patient is not part of the decision making process in these
answers.
Pain is always ____? -- ANSWER--Subjective!
What are the elements of a general survey and health assessment? -- ANSWER-
-Physical appearance, body structure, mobility, behavior, and measurement
What is the difference between subjective and objective data? -- ANSWER--
Subjective data is what the patient say about themselves during the history
taking.
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