NU 160 EXAM 2| 211 QUESTIONS WITH VERIFIED
ANSWERS 2025/2026
Limbic system - CORRECT ANSWER The nurse is assessing a pt who recently was
Dx with a stroke. The pt is very emotional. In what part of the brain did the stroke
most likely occur?
Neurotransmitters - CORRECT ANSWER The nurse is caring for a pt in the mental
health facility who has a Dx of bipolar disorder. The nurse know that this is
because mental health is directly affected by the
Anxiety - CORRECT ANSWER An insufficient amount of the neurotransmitter GABA
may result in
Problem alcohol use - CORRECT ANSWER The nurse is using CAGE screening tool.
This tool is used for what screen?
First sees the pt - CORRECT ANSWER nurse I performing a mental health
assessment. Data collection for mental health assessment begins when the nurse
Circumstantiality - CORRECT ANSWER Nurse notices that a pt has difficulty
separating relevant from irrelevant information during a conversation. This patient
is having difficulty sirh
Holmes social readjustment inventory scale - CORRECT ANSWER The nurse is
assessing pt stressors. Which tool can be used to identify the degree of stressors
pt may be experiencing
,Adolescents - CORRECT ANSWER Nurse is planning to teach a group of pt stress
reduction exercises to reduce risk of depression. Which population group is at its
highest for depression
Problems articulating words
Cultural differences - CORRECT ANSWER The nurse suspects altered thought
processes. Which findings may suggest an alter thought process (select all that
apply)
Past medical history
Pt description of self - CORRECT ANSWER The nurse is obtaining a mental health
history of a new pt. What should the nurse include in the mental health history?
(Select all that apply)
Fats - CORRECT ANSWER The nurse is assessing a patient's nutritional status and
suspects the patient needs more macronutrients. Which of the following are
considered macronutrients?
fish - CORRECT ANSWER The nurse is teaching a patient the importance of protein
for healing. Which foods should the nurse include in the teaching plan?
Asking the patient to do a 24-hour dietary recall - CORRECT ANSWER The nurse is
assessing a patient's dietary intake to help the patient lose weight. What is the
easiest way to assess the patient's normal dietary intake?
,Serum albumin - CORRECT ANSWER The nurse suspects that the patient is
suffering from malnutrition. Which laboratory test indicates a patient's protein
calorie status?
2 to 3 - CORRECT ANSWER The nurse is teaching adult male healthy eating
guidelines. How many servings of dairy should the nurse recommend for this
patient?
Decreased ADL - CORRECT ANSWER The nurse is assessing an elderly patient's risk
of nutritional deficiency. An important risk factor for nutritional deficiency in the
elderly is:
Adolscents - CORRECT ANSWER In which age group is skipping meals most
commonly seen?
1 slice of bread - CORRECT ANSWER According to the food plan, what represents
one serving from the bread, cereal, and grain products group?
food preferences and dislikes have a strong influence on what a person eats. -
CORRECT ANSWER The nurse is working with a patient to develop a nutritional
plan for a patient newly diagnosed with diabetes. The nurse assesses what the
patient's food preferences are because:
Dietary assessment
Biochemical test results
, Anthropometrics - CORRECT ANSWER The school nurse is assessing the nutritional
status of a healthy adolescent. Which assessment will the nurse include in this
assessment? (Select all that apply.)
dermis - CORRECT ANSWER The nurse is performing a skin assessment on a
patient in pain. Which skin layer contains sensory fibers that react to touch, pain,
and temperature?
newborns - CORRECT ANSWER The nurse is performing a skin assessment and
finds that the patient has milia. In which age group would this be an expected
finding?
Macules are freckles are considered normal on the skin - CORRECT ANSWER A
patient is concerned because the dermatologist diagnosed macules all over the
skin. The patient asks the nurse what could be causing this? The nurse's best
response is:
Ashen gray color to the skin - CORRECT ANSWER The nurse is assessing an African-
American patient for cyanosis. Cyanosis in dark pigmented skin appears as a(n):
The angle of the nail base - CORRECT ANSWER The nurse is assessing a patient for
nail clubbing. Where should the nurse focus the exam?
The lesion bleeds easily when it is touched. - CORRECT ANSWER A patient comes
to the clinic for a skin check. Which finding by the nurse indicates a need to
further investigate a lesion?
ANSWERS 2025/2026
Limbic system - CORRECT ANSWER The nurse is assessing a pt who recently was
Dx with a stroke. The pt is very emotional. In what part of the brain did the stroke
most likely occur?
Neurotransmitters - CORRECT ANSWER The nurse is caring for a pt in the mental
health facility who has a Dx of bipolar disorder. The nurse know that this is
because mental health is directly affected by the
Anxiety - CORRECT ANSWER An insufficient amount of the neurotransmitter GABA
may result in
Problem alcohol use - CORRECT ANSWER The nurse is using CAGE screening tool.
This tool is used for what screen?
First sees the pt - CORRECT ANSWER nurse I performing a mental health
assessment. Data collection for mental health assessment begins when the nurse
Circumstantiality - CORRECT ANSWER Nurse notices that a pt has difficulty
separating relevant from irrelevant information during a conversation. This patient
is having difficulty sirh
Holmes social readjustment inventory scale - CORRECT ANSWER The nurse is
assessing pt stressors. Which tool can be used to identify the degree of stressors
pt may be experiencing
,Adolescents - CORRECT ANSWER Nurse is planning to teach a group of pt stress
reduction exercises to reduce risk of depression. Which population group is at its
highest for depression
Problems articulating words
Cultural differences - CORRECT ANSWER The nurse suspects altered thought
processes. Which findings may suggest an alter thought process (select all that
apply)
Past medical history
Pt description of self - CORRECT ANSWER The nurse is obtaining a mental health
history of a new pt. What should the nurse include in the mental health history?
(Select all that apply)
Fats - CORRECT ANSWER The nurse is assessing a patient's nutritional status and
suspects the patient needs more macronutrients. Which of the following are
considered macronutrients?
fish - CORRECT ANSWER The nurse is teaching a patient the importance of protein
for healing. Which foods should the nurse include in the teaching plan?
Asking the patient to do a 24-hour dietary recall - CORRECT ANSWER The nurse is
assessing a patient's dietary intake to help the patient lose weight. What is the
easiest way to assess the patient's normal dietary intake?
,Serum albumin - CORRECT ANSWER The nurse suspects that the patient is
suffering from malnutrition. Which laboratory test indicates a patient's protein
calorie status?
2 to 3 - CORRECT ANSWER The nurse is teaching adult male healthy eating
guidelines. How many servings of dairy should the nurse recommend for this
patient?
Decreased ADL - CORRECT ANSWER The nurse is assessing an elderly patient's risk
of nutritional deficiency. An important risk factor for nutritional deficiency in the
elderly is:
Adolscents - CORRECT ANSWER In which age group is skipping meals most
commonly seen?
1 slice of bread - CORRECT ANSWER According to the food plan, what represents
one serving from the bread, cereal, and grain products group?
food preferences and dislikes have a strong influence on what a person eats. -
CORRECT ANSWER The nurse is working with a patient to develop a nutritional
plan for a patient newly diagnosed with diabetes. The nurse assesses what the
patient's food preferences are because:
Dietary assessment
Biochemical test results
, Anthropometrics - CORRECT ANSWER The school nurse is assessing the nutritional
status of a healthy adolescent. Which assessment will the nurse include in this
assessment? (Select all that apply.)
dermis - CORRECT ANSWER The nurse is performing a skin assessment on a
patient in pain. Which skin layer contains sensory fibers that react to touch, pain,
and temperature?
newborns - CORRECT ANSWER The nurse is performing a skin assessment and
finds that the patient has milia. In which age group would this be an expected
finding?
Macules are freckles are considered normal on the skin - CORRECT ANSWER A
patient is concerned because the dermatologist diagnosed macules all over the
skin. The patient asks the nurse what could be causing this? The nurse's best
response is:
Ashen gray color to the skin - CORRECT ANSWER The nurse is assessing an African-
American patient for cyanosis. Cyanosis in dark pigmented skin appears as a(n):
The angle of the nail base - CORRECT ANSWER The nurse is assessing a patient for
nail clubbing. Where should the nurse focus the exam?
The lesion bleeds easily when it is touched. - CORRECT ANSWER A patient comes
to the clinic for a skin check. Which finding by the nurse indicates a need to
further investigate a lesion?
