Keiser) NUR2230C Advanced Adult
Healthcare exam-2024 with questions and
correct answers
Reason: Pain medication is required, along with intensive supportive nursing care. To
the client the pain is real, requiring pain medication; addiction is not a concern at this
time. Explaining that the pain is psychological in origin does not help relieve the pain;
medication and emotional support are required. The pain may not recede within a few
days; pain medication should be administered.
Which alternative treatments would a nurse recommend to help ease a young child's
pain at home? Select all that apply. One, some, or all responses may be correct. -
CORRECT ANSWERYoga, Biofeedback, Guided imagery
reason: Yoga, biofeedback, and guided imagery are all very well researched and are
low-risk for young children. Spinal manipulation carries the risk of potentially serious
complications and should not be performed at home. Young children are at higher risk
of complications resulting from supplement use.
A client who is 29 weeks pregnant reports a dull backache and abdominal cramps.
Which condition would the nurse suspect? - CORRECT ANSWERPreterm labor
Reason: A client in the 29th week of gestation who reports a dull backache and
abdominal cramps is experiencing preterm labor. Uterine atony causes postpartum
hemorrhage after delivery. Uterine fibroids have the same symptoms, but they may
occur in nonpregnant women. Pelvic inflammatory disease may lead to an ectopic
pregnancy.
Which intervention would the nurse include in the plan of care for a client admitted with
herpes zoster? Select all that apply. One, some, or all responses may be correct. -
CORRECT ANSWERContact isolation, Wet compresses, Gabapentin, Silvadene,
Acyclovir
reason: A client with herpes zoster would receive antiviral medications such as
acyclovir. Silvadene can be applied to open vesicles. Gabapentin can be used to treat
the nerve pain associated with herpes zoster. Wet compresses can be applied to the
vesicles to relieve discomfort. Herpes zoster is highly contagious, and the client would
be placed in contact isolation precautions.
Aspirin is prescribed on a regular schedule for a client with rheumatoid arthritis. The
nurse understands that the medication is being used primarily for which property? -
CORRECT ANSWERAnti-inflammatory
reason: The anti-inflammatory action of aspirin reduces joint inflammation. Aspirin
reduces fever, but this is not the rationale for prescribing it for clients with rheumatoid
, arthritis. It can relieve pain and prevent abnormal clotting; however, although these
effects can be beneficial, these are not the primary reasons that it is prescribed for
rheumatoid arthritis.
When a client is experiencing acute coronary syndrome, which factor would the nurse
identify as the cause of the pain experienced by a client? - CORRECT ANSWERHeart
muscle ischemia
reason: Ischemia causes tissue injury and the release of chemicals, such as bradykinin,
that stimulate sensory nerves and produce pain. Arterial aneurysms are not a common
cause of myocardial ischemia or infarction. Arteries, not veins, are involved in the
pathology of an acute coronary syndrome. Tissue injury and pain occur in the
myocardium, not the cardiac plexus.
Which pain scale would the nurse use to measure the intensity of pain in toddlers? -
CORRECT ANSWERFACES scale
Which nonpharmacological nursing intervention is effective in helping relieve
postoperative pain? - CORRECT ANSWERRepositioning.
Reason: Acute postoperative pain always requires the use of analgesics, but
nonpharmacological interventions such as repositioning the client can help relieve pain.
Ambulation is not specifically used to decrease postoperative pain. Purse-lipped
breathing is primarily used to improve ventilation. Deep breathing and coughing are
used to clear the respiratory tract.
Which statement is an accurate description of dysmenorrhea? - CORRECT
ANSWERPain with menses.
Reason: Dysmenorrhea is defined as pain with menses. Endometrial hyperplasia results
from anovulation and persistent estrogen stimulation. Bleeding between menses is
metrorrhagia. Heavy bleeding with menses is menorrhagia.
When providing postoperative teaching, which rationale would the nurse give to explain
the purpose of administering an opioid analgesic via epidural catheter? - CORRECT
ANSWERRelieves abdominal pain
Reason: Analgesics alleviate pain by binding with opioid receptors in the brain, thus
altering the perception of and response to pain; patient-controlled analgesia (PCA) via
an epidural catheter gives the client control over medication administration and usually
results in the client using less medication. Opioids do not facilitate oxygen use; they
decrease the respiratory rate, and less oxygen is used; the client should be monitored.
Although decreasing anxiety and restlessness may be responses to an opioid, they are
not the primary reason why opioids are used after abdominal surgery. Opioids are not
given to dilate blood vessels; antianginal medications and vasodilators are used for this
purpose
Which caring intervention helps provide comfort, dignity, respect, and peace to a client?
- CORRECT ANSWERRelieving pain and suffering
Healthcare exam-2024 with questions and
correct answers
Reason: Pain medication is required, along with intensive supportive nursing care. To
the client the pain is real, requiring pain medication; addiction is not a concern at this
time. Explaining that the pain is psychological in origin does not help relieve the pain;
medication and emotional support are required. The pain may not recede within a few
days; pain medication should be administered.
Which alternative treatments would a nurse recommend to help ease a young child's
pain at home? Select all that apply. One, some, or all responses may be correct. -
CORRECT ANSWERYoga, Biofeedback, Guided imagery
reason: Yoga, biofeedback, and guided imagery are all very well researched and are
low-risk for young children. Spinal manipulation carries the risk of potentially serious
complications and should not be performed at home. Young children are at higher risk
of complications resulting from supplement use.
A client who is 29 weeks pregnant reports a dull backache and abdominal cramps.
Which condition would the nurse suspect? - CORRECT ANSWERPreterm labor
Reason: A client in the 29th week of gestation who reports a dull backache and
abdominal cramps is experiencing preterm labor. Uterine atony causes postpartum
hemorrhage after delivery. Uterine fibroids have the same symptoms, but they may
occur in nonpregnant women. Pelvic inflammatory disease may lead to an ectopic
pregnancy.
Which intervention would the nurse include in the plan of care for a client admitted with
herpes zoster? Select all that apply. One, some, or all responses may be correct. -
CORRECT ANSWERContact isolation, Wet compresses, Gabapentin, Silvadene,
Acyclovir
reason: A client with herpes zoster would receive antiviral medications such as
acyclovir. Silvadene can be applied to open vesicles. Gabapentin can be used to treat
the nerve pain associated with herpes zoster. Wet compresses can be applied to the
vesicles to relieve discomfort. Herpes zoster is highly contagious, and the client would
be placed in contact isolation precautions.
Aspirin is prescribed on a regular schedule for a client with rheumatoid arthritis. The
nurse understands that the medication is being used primarily for which property? -
CORRECT ANSWERAnti-inflammatory
reason: The anti-inflammatory action of aspirin reduces joint inflammation. Aspirin
reduces fever, but this is not the rationale for prescribing it for clients with rheumatoid
, arthritis. It can relieve pain and prevent abnormal clotting; however, although these
effects can be beneficial, these are not the primary reasons that it is prescribed for
rheumatoid arthritis.
When a client is experiencing acute coronary syndrome, which factor would the nurse
identify as the cause of the pain experienced by a client? - CORRECT ANSWERHeart
muscle ischemia
reason: Ischemia causes tissue injury and the release of chemicals, such as bradykinin,
that stimulate sensory nerves and produce pain. Arterial aneurysms are not a common
cause of myocardial ischemia or infarction. Arteries, not veins, are involved in the
pathology of an acute coronary syndrome. Tissue injury and pain occur in the
myocardium, not the cardiac plexus.
Which pain scale would the nurse use to measure the intensity of pain in toddlers? -
CORRECT ANSWERFACES scale
Which nonpharmacological nursing intervention is effective in helping relieve
postoperative pain? - CORRECT ANSWERRepositioning.
Reason: Acute postoperative pain always requires the use of analgesics, but
nonpharmacological interventions such as repositioning the client can help relieve pain.
Ambulation is not specifically used to decrease postoperative pain. Purse-lipped
breathing is primarily used to improve ventilation. Deep breathing and coughing are
used to clear the respiratory tract.
Which statement is an accurate description of dysmenorrhea? - CORRECT
ANSWERPain with menses.
Reason: Dysmenorrhea is defined as pain with menses. Endometrial hyperplasia results
from anovulation and persistent estrogen stimulation. Bleeding between menses is
metrorrhagia. Heavy bleeding with menses is menorrhagia.
When providing postoperative teaching, which rationale would the nurse give to explain
the purpose of administering an opioid analgesic via epidural catheter? - CORRECT
ANSWERRelieves abdominal pain
Reason: Analgesics alleviate pain by binding with opioid receptors in the brain, thus
altering the perception of and response to pain; patient-controlled analgesia (PCA) via
an epidural catheter gives the client control over medication administration and usually
results in the client using less medication. Opioids do not facilitate oxygen use; they
decrease the respiratory rate, and less oxygen is used; the client should be monitored.
Although decreasing anxiety and restlessness may be responses to an opioid, they are
not the primary reason why opioids are used after abdominal surgery. Opioids are not
given to dilate blood vessels; antianginal medications and vasodilators are used for this
purpose
Which caring intervention helps provide comfort, dignity, respect, and peace to a client?
- CORRECT ANSWERRelieving pain and suffering
