Uhhcs Health Assessment And Pain Quiz (August)

30 Questions | Total Attempts: 529

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Uhhcs Health Assessment And Pain Quiz (August) - Quiz

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Questions and Answers
  • 1. 
    Mr. Mohammed is a 83-year old patient diagnosed with pneumonia. Which data would be of greatest concern to the nurse when completing the nursing assessment of the patient?
    • A. 

      Alert and oriented to date, time, and place

    • B. 

      Buccal cyanosis and capillary refill greater than 3 seconds

    • C. 

      Clear breath sounds and nonproductive cough

    • D. 

      Hemoglobin concentration of 13 g/dl and leukocyte count 5,300/mm3

  • 2. 
    Which term refers to the pain that has a slower onset, is diffuse, radiates, and is marked by somatic pain from organs in any body activity?
    • A. 

      Acute pain

    • B. 

      Chronic pain

    • C. 

      Superficial pain

    • D. 

      Deep pain

  • 3. 
    A 49-year-old widower has arthritis and remains in bed too long because it hurts to get started. Which intervention should the nurse plan?
    • A. 

      Telling the client to strictly limit the amount of movement of his inflamed joints

    • B. 

      Teaching the client’s family how to transfer the client into a wheelchair

    • C. 

      Teaching the client the proper method for massaging inflamed, sore joints

    • D. 

      Encouraging gentle range-of-motion exercises after administering aspirin and before rising

  • 4. 
    In planning pain reduction interventions, which pain theory provides information most useful to nurses?
    • A. 

      Specificity theory

    • B. 

      Pattern theory

    • C. 

      Gate-control theory

    • D. 

      Central-control theory

  • 5. 
    Mr. Al Katheeri, who has chronic pain, loss of self-esteem, no job, and bodily disfigurement from severe burns over the trunk and arms, is admitted to a chronic pain center. Which evaluation criteria would indicate the client’s successful rehabilitation?
    • A. 

      The client remains free of the aftermath phase of the pain experience.

    • B. 

      The client experiences decreased frequency of acute pain episodes.

    • C. 

      The client continues normal growth and development with intact support systems.

    • D. 

      The client develops increased tolerance for severe pain in the future.

  • 6. 
    Ahmed, a 6-year-old boy, received a small paper cut on his finger, his mother let him wash it and apply small amount of antibacterial ointment and bandage. Then she let him watch TV and eat an orange. This is an example of which type of pain intervention?
    • A. 

      Pharmacologic therapy

    • B. 

      Environmental alteration

    • C. 

      Control and distraction

    • D. 

      Cutaneous stimulation

  • 7. 
    Physical assessment is being performed to Faisal by Nurse Jessy. During the abdominal examination, Jessy should perform the four physical examination techniques in which sequence?
    • A. 

      Auscultation immediately after inspection and then percussion and palpation

    • B. 

      Percussion, followed by inspection, auscultation, and palpation

    • C. 

      Palpation of tender areas first and then inspection, percussion, and auscultation

    • D. 

      Inspection and then palpation, percussion, and auscultation

  • 8. 
    Abdullah has come to the nursing clinic for a comprehensive health assessment. Which statement would be the best way to end the history interview?
    • A. 

      “What brought you to the clinic today?”

    • B. 

      “Would you describe your overall health as good?”

    • C. 

      “Do you understand what is happening?”

    • D. 

      “Is there anything else you would like to tell me?”

  • 9. 
    Which assessment data should the nurse include when obtaining a review of body systems?
    • A. 

      Brief statement about what brought the client to the health care provider

    • B. 

      Client complaints of chest pain, dyspnea, or abdominal pain

    • C. 

      Information about the client’s sexual performance and preference

    • D. 

      The client’s name, address, age, and phone number

  • 10. 
    When evaluating a client’s adaptation to pain, which behavior indicates appropriate adaptation?
    • A. 

      The client distracts himself during pain episodes.

    • B. 

      The client denies the existence of any pain.

    • C. 

      The client reports no need for family support.

    • D. 

      The client reports pain reduction with decreased activity.

  • 11. 
     Nurse Jane is acquiring information from a client. Which is an example of biographic information that may be obtained during a health history?
    • A. 

      The chief complaint

    • B. 

      Past health status

    • C. 

      History immunizations

    • D. 

      Location of an advance directive

  • 12. 
    Abdul Salam is diagnosed with dehydration and underwent series of tests. Which laboratory result would warrant immediate intervention by the nurse?
    • A. 

      Serum sodium level of 138 mEq/L

    • B. 

      Serum potassium level of 3.1 mEq/L

    • C. 

      Serum glucose level of 120 mg/dl

    • D. 

      Serum creatinine level of 0.6 mg/100 ml

  • 13. 
    When assessing the lower extremities for arterial function, which intervention should the nurse perform?
    • A. 

      Assessing the medial malleoli for pitting edema

    • B. 

      Performing Allen’s test

    • C. 

      Assessing the Homans’ sign

    • D. 

      Palpating the pedal pulses

  • 14. 
    A 12-year-old, Fatima, fall off the stairs, grabs his wrist, and cries, “Oh, my wrist! Help! The pain is so sharp, I think I broke it.” Based on this data, the pain the student is experiencing is caused by impulses traveling from receptors to the spinal cord along which type of nerve fibers?
    • A. 

      Type A-delta fibers

    • B. 

      Autonomic nerve fibers

    • C. 

      Type C fibers

    • D. 

      Somatic efferent fibers

  • 15. 
    Which intervention should the nurse include as a nonpharmacologic pain-relief intervention for chronic pain?
    • A. 

      Referring the client for hypnosis

    • B. 

      Administering pain medication as prescribed

    • C. 

      Removing all glaring lights and excessive noise

    • D. 

      Using transcutaneous electric nerve stimulation

  • 16. 
    Nashreen, a 20 year old lady, should be told about the benefits and limitations of breast self-exam (BSE). Which scientific rationale should the nurse remember when performing a breast examination on a female client?
    • A. 

      One half of all breast cancer deaths occur in women ages 35 to 45

    • B. 

      The tail of Spence area must be included in self-examination

    • C. 

      The position of choice for the breast examination is supine

    • D. 

      A pad should be placed under the opposite scapula of the breast being palpated

  • 17. 
    For which time period would the nurse notify the health care provider that the client had no bowel sounds?
    • A. 

      2 minutes

    • B. 

      3 minutes

    • C. 

      4 minutes

    • D. 

      5 minutes

  • 18. 
    You are currently reviewing the concept of pain. Which scientific rationale would indicate that she understands the topic?
    • A. 

      Pain is an objective sign of a more serious problem

    • B. 

      Pain sensation is affected by a client’s anticipation of pain

    • C. 

      Intractable pain may be relieved by treatment

    • D. 

      Psychological factors rarely contribute to a client’s pain perception

  • 19. 
    Saleh, who had abdominal surgery 3 days earlier complains of sharp, throbbing abdominal pain that ranks 8 on a scale of 1 (no pain) to 10 (worst pain). Which intervention should the nurse implement first?
    • A. 

      Assessing the client to rule out possible complications secondary to surgery

    • B. 

      Checking the client’s chart to determine when pain medication was last administered

    • C. 

      Explaining to the client that the pain should not be this severe 3 days postoperatively

    • D. 

      Obtaining an order for a stronger pain medication because the client’s pain has increased

  • 20. 
    Abdella underwent an open reduction and internal fixation of the left hip. One day after the operation, the client is complaining of pain. Which data would cause the nurse to refrain from administering the pain medication and to notify the health care provider instead?
    • A. 

      Left hip dressing dry and intact

    • B. 

      Blood pressure of 114/78 mm Hg; pulse rate of 82 beats per minute

    • C. 

      Left leg in functional anatomic position

    • D. 

      Left foot cold to touch; no palpable pedal pulse

  • 21. 
    Nurse Ryan is about to perform Romberg’s test to Hamood. To ensure the latter’s safety, which intervention should nurse Ryan implement?
    • A. 

      Allowing the client to keep his eyes open

    • B. 

      Having the client hold on to furniture

    • C. 

      Letting the client spread his feet apart

    • D. 

      Standing close to provide support

  • 22. 
    Which statement represents the best rationale for using noninvasive and non-pharmacologic pain-control measures in conjunction with other measures?
    • A. 

      These measures are more effective than analgesics.

    • B. 

      These measures decrease input to large fibers.

    • C. 

      These measures potentiate the effects of analgesics.

    • D. 

      These measures block transmission of type C fiber impulses.

  • 23. 
    During the nursing assessment, which data represent information concerning health beliefs?
    • A. 

      Family role and relationship patterns

    • B. 

      Educational level and financial status

    • C. 

      Promotive, preventive, and restorative health practices

    • D. 

      Use of prescribed and over-the-counter medications

  • 24. 
    During an otoscopic examination, which action should be avoided to prevent the client from discomfort and injury?
    • A. 

      Tipping the client’s head away from the examiner and pulling the ear up and back

    • B. 

      Inserting the otoscope inferiorly into the distal portion of the external canal

    • C. 

      Inserting the otoscope superiorly into the proximal two-thirds of the external canal

    • D. 

      Bracing the examiner’s hand against the client’s head

  • 25. 
    Evaluating the apical pulse is the most reliable noninvasive way to assess cardiac function. Which is the best area for auscultating the apical pulse?
    • A. 

      Aortic arch

    • B. 

      Pulmonic area

    • C. 

      Tricuspid area

    • D. 

      Mitral area

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