NR 224 EXAM 1 LATEST 4 VERSIONS
(VERSION A, B, C & D) ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+||CHAMBERLAINE
COLLEGE
VERSION A
The nurse asks a patient, "Describe for me your typical diet over a 24-
hour day. What foods do you prefer? Have you noticed a change in
your weight recently?" This series of questions would likely occur
during which phase of a patient-centered interview?
A. setting the stage
B. gathering info about the patient's chief concerns
C. collecting the assessment
D. termination - CORRECT ANSWER ✔✔- C
What type of interview techniques does the nurse use when asking
these questions, "Do you have pain or cramping?" "Does the pain get
worse when you walk?" (Select all that apply.)
A. active listening
B. open-ended questioning
C. closed-ended questioning
1
,D. problem oriented questioning - CORRECT ANSWER ✔✔- C, D
What technique(s) best encourage(s) a patient to tell his or her full
story? (Select all that apply.)
A. active listening
B. back channeling
C. validating
D. use of open ended questions
E. use of close ended questions - CORRECT ANSWER ✔✔- A, B, D
A nurse gathers the following assessment data. Which of the following
cues form(s) a pattern suggesting a problem? (Select all that apply.)
A. the skin around the wound is tender to touch
B. fluid intake for 8 hours is 800mL
C. Patient has a HR of 78 and regular
D. patient has drainage from surgical wound
E. body temp is 101
F. Patient asks, "I'm worried that I won't return to work when I
planned." - CORRECT ANSWER ✔✔- A, D, E
2
,The nurse makes the following statement during a change of shift
report to another nurse. "I assessed Mr. Diaz, my 61-year-old patient
from Chile. He fell at home and hurt his back 3 days ago. He has some
difficulty turning in bed, and he says that he has pain that radiates
down his leg. He rates his pain at a 6, but I don't think it's that severe.
You know that back patients often have chronic pain. He seems fine
when talking with his family. Have you cared for him before?" What
does the nurse's conclusion suggest?
A. The nurse is making an accurate clinical inference
B. The nurse has gathered cues to identify a potential problem area
C. The nurse has allowed stereotyping to influence her assessment
D. The nurse wants to validate her info with the other nurse - CORRECT
ANSWER ✔✔- C
A nurse checks a patient's intravenous (IV) line in his right arm and sees
inflammation where the catheter enters the skin. She uses her finger to
apply light pressure (i.e., palpation) just above the IV site. The patient
tells her the area is tender. The nurse checks to see if the IV line is
running at the correct rate. This is an example of what type of
assessment?
A. agenda setting
B. Problem focused
C. objective
D. use of a structured database format - CORRECT ANSWER ✔✔- B
3
, A patient who visits the allergy clinic tells the nurse practitioner that he
is not getting relief from shortness of breath when he uses his inhaler.
The nurse decides to ask the patient to explain how he uses the inhaler,
when he should take a dose of medication, and what he does when he
gets no relief. On the basis of Gordon's functional health patterns,
which pattern does the nurse assess?
A. health perception health management pattern
B. value belief pattern
C. cognitive perceptual pattern
D. coping stress tolerance pattern - CORRECT ANSWER ✔✔- A. health
perception health management pattern
A nurse is conducting a patient-centered interview. Place the
statements from the interview in the correct order.
A. "You say you've lost weight. Tell me how much weight you have lost
in the last month."
B. "My name is Todd. I'll be the nurse taking care of you today. I'm
going to ask you a series of questions to gather your health history."
C. "I have no further questions. Thank you for your patience."
D. "Tell me what brought you to the hospital."
4
(VERSION A, B, C & D) ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+||CHAMBERLAINE
COLLEGE
VERSION A
The nurse asks a patient, "Describe for me your typical diet over a 24-
hour day. What foods do you prefer? Have you noticed a change in
your weight recently?" This series of questions would likely occur
during which phase of a patient-centered interview?
A. setting the stage
B. gathering info about the patient's chief concerns
C. collecting the assessment
D. termination - CORRECT ANSWER ✔✔- C
What type of interview techniques does the nurse use when asking
these questions, "Do you have pain or cramping?" "Does the pain get
worse when you walk?" (Select all that apply.)
A. active listening
B. open-ended questioning
C. closed-ended questioning
1
,D. problem oriented questioning - CORRECT ANSWER ✔✔- C, D
What technique(s) best encourage(s) a patient to tell his or her full
story? (Select all that apply.)
A. active listening
B. back channeling
C. validating
D. use of open ended questions
E. use of close ended questions - CORRECT ANSWER ✔✔- A, B, D
A nurse gathers the following assessment data. Which of the following
cues form(s) a pattern suggesting a problem? (Select all that apply.)
A. the skin around the wound is tender to touch
B. fluid intake for 8 hours is 800mL
C. Patient has a HR of 78 and regular
D. patient has drainage from surgical wound
E. body temp is 101
F. Patient asks, "I'm worried that I won't return to work when I
planned." - CORRECT ANSWER ✔✔- A, D, E
2
,The nurse makes the following statement during a change of shift
report to another nurse. "I assessed Mr. Diaz, my 61-year-old patient
from Chile. He fell at home and hurt his back 3 days ago. He has some
difficulty turning in bed, and he says that he has pain that radiates
down his leg. He rates his pain at a 6, but I don't think it's that severe.
You know that back patients often have chronic pain. He seems fine
when talking with his family. Have you cared for him before?" What
does the nurse's conclusion suggest?
A. The nurse is making an accurate clinical inference
B. The nurse has gathered cues to identify a potential problem area
C. The nurse has allowed stereotyping to influence her assessment
D. The nurse wants to validate her info with the other nurse - CORRECT
ANSWER ✔✔- C
A nurse checks a patient's intravenous (IV) line in his right arm and sees
inflammation where the catheter enters the skin. She uses her finger to
apply light pressure (i.e., palpation) just above the IV site. The patient
tells her the area is tender. The nurse checks to see if the IV line is
running at the correct rate. This is an example of what type of
assessment?
A. agenda setting
B. Problem focused
C. objective
D. use of a structured database format - CORRECT ANSWER ✔✔- B
3
, A patient who visits the allergy clinic tells the nurse practitioner that he
is not getting relief from shortness of breath when he uses his inhaler.
The nurse decides to ask the patient to explain how he uses the inhaler,
when he should take a dose of medication, and what he does when he
gets no relief. On the basis of Gordon's functional health patterns,
which pattern does the nurse assess?
A. health perception health management pattern
B. value belief pattern
C. cognitive perceptual pattern
D. coping stress tolerance pattern - CORRECT ANSWER ✔✔- A. health
perception health management pattern
A nurse is conducting a patient-centered interview. Place the
statements from the interview in the correct order.
A. "You say you've lost weight. Tell me how much weight you have lost
in the last month."
B. "My name is Todd. I'll be the nurse taking care of you today. I'm
going to ask you a series of questions to gather your health history."
C. "I have no further questions. Thank you for your patience."
D. "Tell me what brought you to the hospital."
4
