1. Which of the following is NOT one of the key steps in the grief process? 9.

9. C: Although essential fatty acids are required for human metabolism, the
A. Denial body does not produce linoleic acid (LA or ?-6 or omega-6) and alpha-linoleic
B. Anger acid (LNA or ?-3 or omega-3), and they must be derived from the diet. Also
C. Bargaining known as polyunsaturated fatty acids (PUFAs), omega-3 and omega-6 fatty
D. Rejection acids play vital roles in brain function as well as normal growth and
development.
2. Which of the following matches the definition: "covering up a weakness by 10. B: Stridor (Latin for "creaking or grating noise") is a high-pitched breath
stressing a desirable or stronger trait"? sound resulting from turbulent air flow in the larynx or lower in the bronchial
A. Compensation tree.
B. Projection
C. Rationalization
D. Dysphoria 120 HAAD exam questions
1- patient is on digoxin. What is the drug of choice?
3. Which of the following is the latin name for Athletes foot? Lasix
A. Tinea pedis 2- post operation patient always asking for analgesic (over seeking). What is
B. Tinea cubensis the most appropriate nursing intervention?
C. Tinea corporis inform the physician to put the patient on regular analgesic
D. Tinea latinis tell the patient that its a fake feeling
Increase patients analgesic dose
4. A risk factor for Type 1 diabetes includes all of the following EXCEPT 3- patient with Digoxin with Hyperkalemia, what do you expect the ECG
which one? rythem
A. Diet peaked, Inverted T wave?? (check)
B. Genetic 4- a woman with dysmennorhea, how can the RN know that she is pregnant
C. Autoimmune without any investigations?
D. Environmental
5- A patient with diabetic foot, during the discharge plan, how can the nurse
5. Type 2 diabetes accounts for approximately what percentage of all cases know that the patient understands the correct way to take care of his feet?
of diabetes in adults? Ill check my foot every day (inspect)
A. 55%-60% 6- when foleys is inserted, hoe does it fixed?
B. 35%-40% inflation of the balloon.
C. 90-95% rotate the cathter and fix it by tape.
D. 25-30% 7- patient with acute renal failure, after investigation (Blood and urine) what
do you expect to have?
6. Risk factors for type 2 diabetes include all of the following EXCEPT: creatinine is high.
A. Advanced age 8- how can you assess the severity of CVA (Cerebrovascular Accident)
B. Obesity the affected area in the brain
C. Smoking block of the artery
D. Physical inactivity Nerves affected
9- What the suitable position for CVA patient, during doing oral cavity care.
7. Fruits, vegetables and cereals are excellent sources of which of the Supine
following? lateral
A. Antioxidants prone
B. Unsaturated fat 10- During NGT (Nasogastric Tube) insertion, the nurse noticed a resistance,
C. Saturated fat what is the suitable Nursing intervention?
D. Free radicals remove the NGT.
apply more power
8. The leading source of antioxidants in the UAE diet is which of the Rotate the tube
following? 11- During NGT insertion the patient become cyanosed, Nsg intervention?
A. Citrus fruits remove the NG and monitor.
B. Spinach Give O2.
C. Coffee 12- During NG feeding, why it suppose to be slowly feeding (by gravity)?
D. Egg yolks because the patient may develop Diarrhea
because may develop abdominal destination.
9. The essential fatty acids that must be derived from the diet are which of 13- what is the ideal way when you make suctioning to a patient on
the following? Mechanical Ventilator?
A. Stearidonic acid and eicosatetraenoic acid Hyperventilation (by Ampobag) pre and post suctioning.
B. Eicosapentaenoic acid and docosapentaenoic acid 14- How the RN assess that the Chest tube s are working proberly?
C. Linoleic and alpha-linoleic acid fluctuation (oxalating)
D. Gamma-linoleic acid and arachidonic acid 15- How to assess an emphysema with palpitation?
When crackles sensation under the skin is felt (palpated)
10. Which of the following pulmonary term correlates with the definition: 16- the most common risk factors of developing a pneumonia?
"noted obstruction of the trachea or larynx". pts on Mechanical Ventilator.
A. Rhonchi 17- Pneumonic Patient , has purulent mucous, how the nurse can assist the
B. Stridor excretion of this mucous?
C. Wheezes by percussion.
D. Vesicular 18- patient is planned for discharge on diuretics, how the nurse can know the
patient understood the care plan ?
Answers will measure and document the intake/ output
1. D: Internalising rejection causes an affront to patients personal worth from Ill weigh my self daily
an abandonment, rather than an act of nature caused by death. 19- Renal Failure patient for discharge, health education??
2. A: Compensation usually means something awarded to someone as a avoid food with high K (potassium), Banana,etc
recompense for loss, injury, or suffering. 20- Patient with Hyperkalemia, which is the best way to decrease the K
3. A: C Tinea Corporis is ringworm, the other options are made up. Pedis is (potassium) level in the blood?
from PED which means foot, think pedestrian. insulin, lasix pumps
4. A: Type 1 diabetes is a primary failure of pancreatic beta cells to produce kay oxalate
insulin. It primarily affects children and young adults and is unrelated to diet. 21- the Description of good granulation tissue formation?
5. C: Type 2 diabetes accounts for the overwhelming majority of cases pink, soft and may bleed when being touched
diagnosed in adults. It develops gradually, beginning with insulin resistance 22- patient on diuretic, what the RN must keep in mind to monitor.
and as the requirement for insulin increases, the pancreas becomes Pulse.
progressively less able to produce it. Potassium level.
6. C: Additional risk factors for type 2 diabetes are a family history of Blood Pressure.
diabetes, impaired glucose metabolism, history of gestational diabetes, and 23- Patient with GI (Gastrointestinal) (GI Bleeding), stool color?
race/ethnicity. African-Americans, Hispanics/Latinos, Asian Americans, Dark (Upper GI Bleeding), (Bright Lower GI B.) + bed odor (Melena)
Native Hawaiians, Pacific Islanders, and Native Americans are at greater risk 24- the purpose of let the patient with esophagus Varices having cold water ?
of developing diabetes than whites. cold water makes Vasoconstriction, prevent bleeding.
7. A: In addition to the above-mentioned foods, legumes (including broad 25- the Evidence that the patient may have Anorexia nervosa?
beans, pinto beans, and soybeans) are good sources of antioxidant vitamins Anemia
and a variety of phytonutrients that often act as antioxidants, protecting the 26- During Dealing with a Geriatric Patient , what the nurse should expect?
cells of the body from the damaging effect of free radicals. Some of the best difficulty swallowing
sources of antioxidants are berries, ginger, pomegranate, sunflower seeds, Speaking slowly
and walnuts. 27- .patient with CVA, how the nurse can assist to enhance the facial
8. C: Because most people do not consume the recommended number of movement?
servings of fruits and vegetables each day, coffee is the leading source of encourage chewing and smiling.
antioxidants in the Arabic diet. It is not because coffee is especially high in 28- patient with an amputated leg above the knee, complaing of pain in the
antioxidants, but because Americans drink so much of it. Their morning his amputated knee, what is the appropriate Nsg intervention?
coffee gives people from UAE nearly 1,300 mg daily of antioxidants in the tell the pt that this a fake feeling.
form of polyphenols. I understand what you feel, bla bla. The nurse have to realize the fantom
Pain).
29- post op patient had a thyroidectomy, how can the nurse realize that the pt 54- the most complication may the patient have after the liver biopsy
developed a parathyroid injury? procedure is?
muscle twitching. severe Pain.
30- the most dangerous arrhythmia? Bleeding (Bile)
V-tach (Ventricular tachycardia. 55- Nsg intervention for an amputated leg with a biological patch is?
VF (Ventricular fibrillation) Elevation above pillow to prevent contractures.
braycaria 56- severe dehydrated baby, which of the following the nurse must expect as
31- a pediatric patient with VSD (Ventricular-Septal Defect), the nurse must a sign:
know that this disease is? crying without tears.
Cyanotic disease. 57- Apgar score:
may or may not need surgical repair. 0-3 severe distress
32- during assessing the understanding of health education for a patient 4-6 Need observation
about elastic stocking, the patient states? 7-10 No problem
I will wear them during the day, and take them of before sleeping. 57- In Renal calculi case, urine analysis will appear:
33- the most common risk factor after thigh open fracture injury is? high WBC (white Blood Cells)
Pulmonary empolism.(fat embolism) High creatinine.
Bleeding. high RBC (Red Blood cells)
Severe pain. 58- when you are speaking (communicating) to a CVA patient:
34- ICP (IntraCranial pressure) normal value is? give the patient enough time to speak (because he/she speaking moving
10-20 cm h2o. slowly)
35- how is the appropriate nursing care for a diabetic (DM) patients nails? Encourage the patient to speak faster.
cut straight, then file. act as you understand what he was speaking then ignore.
36- Health Education for a diabetic patient, before having a bath the patient 59- A patient with high ICP (Intracranial Pressure), What do you expect the
must mesure the water temperature by? patient to develop:
put his elbow in the water. coma
use a thermometer. Seizure
37- Physician order give 10 IU mixtard (mixed) with 5 IU actrapid (clear) Blindness
insulin ..) , the nurse should? 60- How to assess the pediatric tissue perfusion/ Breathing
withdraw actrapid then Mixtard. Capillary refill to be < 2 seconds.
withdraw mix then actrapid. 61- a patient who recently lost his mother, after being informed he said No
38- During medication preparation, the nurse noticed unclear label, or she is coming today to visit me, this patient considered in which stage of
unclear expiary date of a medication, what the appropriate nsg intervention? grieving process?
return to the pharmacy to be replaced. Acceptance.
39-When a nurse write an incident report about an error he/she does, it is an Denial
example of? Depression
confidentiality Stress
accountability 62- Before giving Digoxin, what Must the nurse do?
40- when the RN delegates a PN to do a procedure, in case of any mistakes Assess the BP
who will be responsible? Assess the RR
RN Assess the HR
PN assess the O2 saturation
Supervisor 63- signs of Bipolar:
Physician. hyperactivity
41- Patient on Warfarin (Anti coagulation), how the nurse know that the pt 64- Health Education for a patient who had total Knee replacement?
understood his health education, all are correct expcept? not to cross the legs
I will shave by raser instead of shaving set. 65- First choice for feeding a patient with Dysphagia and stroke:
I check (inspect) my body daily of bruises. NG tube.
Continuously lab check especially INR level. PEG
its normal to have dark urine TPN
42- usually pts on warfarin, they must regularly check.. 66- Heavy smoker are at high risk to have:
bleeding time Hypertension
INR or PT CAD (Coronary Artery Diseases)
ESR (Estimated sedemintation rate). stroke (CVA)
PTT 67- which of the following considered as (Plasma Expander)?
43 usually pts on Heparin, the nurse must regularly check.. Mannitol
bleeding time RBCS
INRor PT Albumin
ESR (Estimated sedemintation rate). Perfalgan
PTT 68- why its contraindication to give high flow O2 to a COPD (Chronic
44- Bed ridden patients hoe have low weight (slim), with poor nutrition, Obstructive Pulmonary Disease) patients?
immobilized, are at high risk to develop.. because it may cause O2 toxicity.
Bed Sores to maintain breathing stimulation which initiated by the CO2
DVT (Deep Vein Thrimbosis) 69- Picc line , when be used for the first time, what you expect from the
45- when changing the position for a patient with skin traction (with fractured physician to do?
leg), the appropriate nsg intervention? withdraw to check if you have food blood flow before using.
Hold the weight (the traction) before changing the position. CXR (Chest X-Ray)
46- the protective infection precaution equipment when dealing with a good and firm dressing.
meningitis case is? 70- which of the following is correct regarding Chest drainage system
surgical face mask (droplet) Discontinue?
Gloves. slowly remove the tube suture- dressing
47- to have the best effectiveness when using a skin traction is? clamp- instruct of inhalation then hold on- remove tie the wound- dressing
free hanging. 71- post Bronchoscopy patient, the nurse should observe before starting
48- when the nurse deals with a psycho patient with severe depression, the feeding:
nurse needs toilet, the appropriate nsg intervention is? Gag reflex
tell the patient that he will come back in 5 minutes, and instruct him not to wait bowel movement
move until he come. NPO (Nothing Per Oss) for 6 hrs then feed.
make any other nurse to cover (replacement). 72- to irrigate a colostomy stoma, the nurse should use:
49- in an Acute Bacterial Meningitis, the CSF (CerebriSpinal Fluid) Tepid water
investigation will be: normal Saline
low glucose level. Ringer lactate
high glucose level Distilled water
high protein level. 73- Nursing diagnosis as priority for a patient with Renal calcholie:
low protein level Fluid volume deficit
50- in PACU (Post Anesthesia care Unit), the nurse priority during monitoring Pain
the pt is? risk for bleeding
Blood pressure (BP) risk for oligurea
(in case you have an airways and o2 saturation in the choices not the BP that 74- what should the nurse advice a Dm patient regarding insulin use?
will be the correct answer) Small meal Exercise- insulin
51- the drug of choice for bradycardia insulin sleep- exercise
Atropine. sleep- exercise insulin
Digoxin. 75- a patient with pancreatitis clinical investigation markers are all except:
epinephrine (Adrenaline) -Amailaise
norepinephrine. Lipase
52- for terminal stages pts who complaining of pain, asking (Morphine) low serum Ca level
give when they complain pain. high serum glucose level
53- the best position during having a kidney biopsy is? hypernatremia
Prone with sand bag support behind the Rt- Lt abdominal area. 76- B-Blocker acts as anti arrhythmic agent is?
lateral isoptine
 lidocain When a client's husband questions how a patient-controlled analgesia (PCA)
Norvasc pump works, the nurse explains that the client:
Tenormin 1. Has control over the frequency of the intravenous (IV) analgesia
77- signs of duodenal ulcer: 2. Can choose the dosage of the drug received
continuous pain 3. May request the type of medication received
intermittent pain. 4. Controls the route for administering the medication
pain relieved by meals 1. Has control over the frequency of the intravenous (IV) analgesia
pain increased by meals An older client with mild musculoskeletal pain is being seen by the primary
78- one of the following is correct regarding Dehydration signs (pediatric) care provider. The nurse anticipates that treatment of this client's level of
high HR discomfort will include:
low skin turgor 1. Fentanyl
crying with no tears 2. Diazepam
79- Adult patient admitted the ICU, at night he became agitated, what do you 3. Acetaminophen
expect this patient have: 4. Meperidine hydrochloride
schizophrenia 3. Acetaminophen
depression Before inserting a Foley catheter, the nurse explains that the client may feel
Hospital (ICU) psychosis some discomfort. This is an example of:
Stress or anxiety 1. Distraction
80- post laparatomy patient, your advice when he wants to cough is: 2. Reducing pain perception
to support the abdomen by his hand before coughing 3. Anticipatory response
81- with pre-exlampsia , the nurse expect: (check the textbook) 4. Self-care maintenance
high Na (hypernatremia), low K (Hypokalemia) 3. Anticipatory response
The nurse knows that a PCA pump would be most appropriate for the client
82- Nsg diagnosis for a patient with Gestationl DM? (check the textbook) who:
CVA 1. Has psychogenic discomfort
Low BP 2. Is recovering after a total hip replacement
Placenta Previa 3. Experiences renal dysfunction
Poly Hydro minus 4. Recently experienced a cerebrovascular accident (stroke)
83- Type of Anemia, why..? (check the textbook) 2. Is recovering after a total hip replacement
Low folic acid A client with chronic back pain has an order for a transcutaneous electrical
. nerve stimulation (TENS) unit for pain control. The nurse should instruct the
84- DM insepidus, with old patient , you expect : (check the textbook) client to:
Hyponatremia 1. Keep the unit on high
Hypoglycemia 2. Use the unit when pain is perceived
high crealtinine urine analysis 3. Remove the electrodes at bedtime
.. 4. Use the therapy without medications
85- Most Priority Nsg action post Electroconvulsion Therapy is? 2. Use the unit when pain is perceived
Put the pt on lateral position The nurse caring for a terminally ill client with liver cancer understands which
change position every 15 min of the following goals would be most appropriate?
ask how doe the pt feel. 1. Increasingly administer narcotics to oversedate the client and thereby
86- When the RN prepare a dose of 75mg of pethidine, what must the nure decrease the pain.
do with the residual amount in the 100 mg pethidine ampule? 2. Continue to change the analgesics until the right narcotic is found that
Discard it completely alleviates the pain.
87- Nursing meaning for the pts principle of Autonomy? 3. Adapt the analgesics as the nursing assessment reveals the need for
pt has the right to be informed about results and procedures. specific medications.
the nurse respects the patients principles of freedom, choices, self 4. Withhold analgesics because they are not being effective in relieving
determination and privacy. discomfort.
pt has the right for high quality of nsg care and international standards. 3. Adapt the analgesics as the nursing assessment reveals the need for
88- Effectiveness of O2 therapy for a pt with COPD ? specific medications.
HB A client is having severe, continuous discomfort from kidney stones. Based
PH and O2 sat on the client's experience, the nurse anticipates which of the following
CBC, ABGs, O2 Sat. findings in the client's assessment?
89- with duretics administration, the nurse must be aware of: 1. Tachycardia
high BP 2. Diaphoresis
weak pulse 3. Pupil dilation
muscle twitching 4. Nausea and vomiting
90- first priority Nsg interventions purpose with Alzhaimer pts is: 4. Nausea and vomiting
to cure the disease Nurses working with clients in pain need to recognize and avoid common
giving medicaton to minimize the Signs and symptoms of Alzhaimer. misconceptions and myths about pain. In regard to the pain experience,
91- first priority when dealing with unconscious traumatic pt received in the which of the following is correct?
ER? 1. The client is the best authority on the pain experience.
jaw thrust maneuver. 2. Chronic pain is mostly psychological in nature.
maintain airways and breathing and O2 therapy Which one of the following 3. Regular use of analgesics leads to drug addiction.
nursing interventions for a client in pain is based on the gate-control theory? 4. The amount of tissue damage is accurately reflected in the degree of pain
1. Giving the client a back massage perceived.
2. Changing the client's position in bed 1. The client is the best authority on the pain experience
3. Giving the client a pain medication A nonpharmacological approach that the nurse may implement for clients
4. Limiting the number of visitors experiencing pain that focuses on promoting pleasurable and meaningful
1. Giving the client a back massage stimuli is:
A priority nursing intervention when caring for a client who is receiving an 1. Acupressure
epidural infusion for pain relief is to: 2. Distraction
1. Use aseptic technique 3. Biofeedback
2. Label the port as an epidural catheter 4. Hypnosis
3. Monitor vital signs every 15 minutes 2. Distraction
4. Avoid supplemental doses of sedatives Which of the following is the most appropriate nursing intervention for a client
3. Monitor vital signs every 15 minutes who is receiving epidural analgesia?
The nurse should describe pain that is causing the client a "burning 1. Change the tubing every 48 to 72 hours.
sensation in the epigastric region" as: 2. Change the dressing every shift.
1. Referred 3. Secure the catheter to the outside skin.
2. Radiating 4. Use a bulky occlusive dressing over the site.
3. Deep or visceral 3. Secure the catheter to the outside skin
4. Superficial or cutaneous The client is experiencing breakthrough pain while receiving opioids. An
3. Deep or visceral order is written for the client to receive a transmucosal fentanyl "unit." In
Which of the following is most appropriate when the nurse assesses the teaching about this medication, the nurse should instruct the client to:
intensity of the client's pain? 1. Swab the unit over the cheeks
1. Ask about what precipitates the pain. 2. Do not chew the unit after administration
2. Question the client about the location of the pain. 3. Take no more than two units per episode of discomfort
3. Offer the client a pain scale to objectify the information. 4. Allow the unit to dissolve slowly in the mouth over 15 minutes or more
4. Use open-ended questions to find out about the sensation. 2. Do not chew the unit after administration
3. Offer the client a pain scale to objectify the information When caring for a client who is experiencing continuous severe pain, the
The nurse on a postoperative care unit is assessing the quality of the client's nurse should expect that the pain management plan would include:
pain. In order to obtain this specific information about the pain experience 1. Focusing on intramuscular administration of analgesics
from the client, the nurse should ask: 2. Waiting for pain to become more intense before administering opioids
1. "What does your discomfort feel like?" 3. Administering opioids with nonopioid analgesics for severe pain
2. "What activities make the pain worse?" experiences
3. "How much does it hurt on a scale of 0 to 10?" 4. Administering large doses of opioids initially to clients who have not taken
4. "How much discomfort are you able to tolerate?" the medications before
1. "What does your discomfort feel like?"
3. Administering opioids with nonopioid analgesics for severe pain
experiences
Which of the following symptoms would the nurse expect with a client who is
experiencing acute pain?
1. Bradycardia
2. Bradypnea
3. Diaphoresis
4. Decreased muscle tension
3. Diaphoresis
Which of the following statements made by a nurse shows the greatest
understanding of the personal nature of the pain experience?
1. "I have experienced pain before, and so I have great compassion for
anyone dealing with pain."
2. "People handle pain differently, but everyone in pain is only interested in
having the pain stop."
3. "Managing a client's pain is the single most important thing a nurse can do
for a client experiencing pain."
4. "I can only accept what the client reports concerning the pain being felt
and attempt to intervene successfully in its management."
4. " I can only accept what the client reports concerning the pain being felt
and attempt to intervene successfully in its management."
Which of the following statements made by a nurse requires follow-up with
additional instruction regarding the personal nature of pain?
1. "I have experienced pain before, and so I have great compassion for
anyone dealing with pain."
2. "My postsurgical clients get the prescribed pain medications on schedule
with no diversion from that schedule."
3. "If I were experiencing severe pain, I certainly would want someone to
devote their time to managing for me."
4. "Clients don't always request pain medication, and so I always ask them if
they want it according to the schedule."
2. "My postsurgical clients get the prescribed pain medications on schedule
with no diversion from the schedule."
Which of the following statements made by a client reporting severe pain
expresses the most insight into how pain impacts a client's energy reserves?
1. "I can't sleep if I don't get something for this pain."
2. "If only I could get an hour when I was free of this pain."
3. "I'm exhausted physically and emotionally trying to live with this pain."
4. "I don't see how I can continue to cope with this pain; I need some relief."
3. "I'm exhausted physically and emotionally trying to live with this pain."
Which of the following statements made by a nurse caring for a client
reporting severe pain expresses the most insight into how pain impacts a
client's energy reserves?
1. "If I can't get his pain under control, his recovery will take a lot longer."
2. "Pain certainly interferes with the client's ability to rest and recuperate."
3. "I'm going to call for another pain prescription so he can get some rest."
4. "Trying to cope with pain is using up the energy that his recovery requires."
4. " Trying to cope with pain is using up the energy so he can get some rest."
Which of the following statements made by the nurse regarding the client's
self-assessment of pain requires immediate follow-up regarding the personal
nature of pain?
1. "The medication should be providing enough relief; try to ambulate her."
2. "I've never known anyone to have such pain after that procedure."
3. "He should be able to ambulate with only minimal pain by now."
4. "She says she's in pain, but she doesn't act like she is in pain."
4. "She says she's in pain, but she doesn't act like she is in pain."
The nurse recognizes that the most likely reason a runner who has injured
his ankle during a race is not aware of it until after he crosses the finish line
is that:
1. The emotional exhilaration of running the race masked the pain of the
injury
2. His endorphin levels were high as a result of the physical stressors of the
race
3. He was mentally distracted by the need to concentrate on the ever-
changing nature of the race
4. The physical effects of the injury slowly increased during the race and
reached pain-producing capacity only after the race
2. His endorphin levels were high as a result of the physical stressors of the
race
Which of the following statements by the nurse reflects a need for immediate
follow-up regarding the physical effects of chronic pain on body function?
1. "His pulse and blood pressure are within his normal baseline limits, so I'm
sure the pain medication is working."
2. "Please take his pulse and blood pressure, and let me know if they are
elevated above his normal baselines."
3. "If his pulse and blood pressure are above his normal baseline, let me
know, and I will medicate him for pain."
4. "Unmanaged pain usually manifests itself in both an elevated pulse and
blood pressure."
1. "His pulse and blood pressure are within his normal baseline limits, so i'm
sure the pain medication is working"
A client with a history of chronic back pain is questioning the need to "keep
asking for pain medication," fearing that he will be viewed as being weak by
his family. The most therapeutic nursing response to this client would be:
1. "Chronic back pain is very difficult to deal with; utilize the pain medication
because that's what it's there for."
2. "Your family won't think you're weak; they want you to be comfortable, and
the medication will help."
3. "Taking the medication as prescribed will help you to be more active; your
family will be happy you can do things with them again."
4. "It's important that you manage your pain as effectively as possible; it
really doesn't matter what other people think about you."
3."Taking the medication as prescribed will help you to be more active; your
family will be happy you can do things with them again."
A client who is scheduled for the second in a series of painful dressing
changes asks for "my pain medication now so it's working when the dressing
is changed" is most likely expressing:
1. A great fear of the expected pain
2. A need to be in control of his pain
3. An understanding that it is easier to prevent the pain than to stop the pain
4. An acceptance of the pain that the dressing change will obviously cause
him
3. An understanding that it is easier to prevent the pain than to stop the pain
The nurse inquires of a postoperative client as to the need for pain
medication. The client denies the need then but 30 minutes later reports, "I
am really in a lot of pain. Can you bring me my pain pill now?" The nurse
recognizes that the most immediate need for client education is related to
explaining that:
1. His oral medication will take approximately 30 minutes to affect his pain
2. There may be a need to administer his pain medication via the intravenous
route
3. Pain medication is more effective if blood levels are maintained at a
constant level
4. His pain will be more effectively managed if he reports a need for pain
medication while the pain is still tolerable
4. His pain will be more effectively managed if he reports a need for pain
medication while the pain is still tolerable
The nurse is caring for a cognitively impaired client who has experienced a
painful procedure. The nurse is most effective in determining the client's pain
medication needs when using which of the following assessment methods?
1. Medicating the client with the as-needed (prn) analgesic as often as
ordered
2. Utilizing the pain face scale to assess the client's pain experience
3. Asking the client to rate his or her pain on a scale of 1 to 10, with 10 being
the most severe pain
4. Observing the client's body movements and facial expressions for typical
pain behaviors
4. observing the client's body movements and facial expressions for typical
pain behavior
The nurse is attempting to ambulate a postoperative client who continues to
rate his pain as a 7 on a scale of 0 to 10, with 10 being the most severe. The
client is reluctant to walk and consents to move only to the chair, reporting
that "it hurts too much to walk." The nurse's primary concern regarding the
client's recovery related to his pain experience is that:
1. His pain medications are not effectively managing his pain
2. He does not fully understand the importance of ambulation
3. He is expending too much of his energy dealing with the pain
4. He is not ready to participate in the activities needed to recover quickly
4. He is not ready to participate in the activities needed to recover quickly
The nurse is attempting to ambulate an older adult client who recently
experienced a fall at the assisted living facility where he resides. The client is
reluctant to walk and consents to move only to the chair, reporting that "it
hurts too much to walk." Which of the following nursing interventions is most
therapeutic regarding this client?
1. Allow the client to remain in bed in order to conserve his energy.
2. Transfer him to the chair, realizing some activity is preferable to none.
3. Call his health care provider to discuss the apparent ineffectiveness of his
pain medications.
4. Assess the client for other factors that may be affecting his ability and
motivation to ambulate.
4. Assess the client for other factors that may be affecting his ability and
motivation to ambulate
A client with chronic pain states, "I just want to be pain-free. Do something to
make that happen." The most therapeutic response is:
1. "Together we will all work at making your pain tolerable."
2. "I will do everything I can to manage your pain; I promise."
3. "Are you feeling depressed or anxious because of your pain?"
4. "You sound anxious. Would you like something for your nerves?"
1. "Together we will all work at making your pain tolerable."
The greatest barrier to a 3-year-old client's ability to self-assess her pain is:
1. A limited vocabulary
2. Increased separation anxiety
3. Reluctance to talk to strangers
4. Inability to grasp the concept of pain
1.A limited vocabulary
The nurse is discussing the effects of pain with an older adult client
diagnosed with osteoarthritis. The most therapeutic response to the client's
comment of, "I wonder whether it would hurt if I took a nap in the afternoon?"
would be:
1. "As long as it did not interfere with your getting a good night's sleep."
2. "I'd suggest taking your nap right after you take your pain medication."
3. "If it helps you cope better with the pain, I don't see any harm in taking a
nap."
4. "I think a nap is a good idea because we seem to feel pain more when we
are tired."
4. " I think a nap is a good idea because we seem to feel pain more when we
are tired."
Which of the following statements is the most appropriate response to a
client's statement, "I thought you could tell I was in pain"?
1. "How do you express a need for pain medication if not by asking?"
2. "I'm so very sorry; may I get you your pain medication right now?
3. "I don't think it's wise to assume I can effectively read your mind regarding
the need for pain medication."
4. "I will make a point of asking you to rate your pain at least every 2 hours,
so this miscommunication won't happen again."
4. " I will make a point of asking you to rate your pain at least every 2 hours,
so this miscommunication won't happen again."
A 44-year-old client shares with the admitting nurse that the client is having
epigastric pain that the client identifies as a 7 on a 0 to 10 scale. In order to
plan for the pain management of this client, which is the most appropriate
response from the nurse?
1. "What would be a satisfactory level of pain control for us to achieve?"
2. "You don't look like you're in that much pain."
3. "You'll be pain-free following your surgery."
4. "I've cared for a client with a nail in his head who only rated his pain as a
5; are you sure your pain is a 7?"
1."What would be a satisfactory level of pain control for us to achieve?"
The home care nurse notes that a 67-year-old female diabetic client's blood assess level of consciousness.
glucose level has been elevated since she strained her back the previous 92- Rectal tube insertion procedure, all of the following steps are correct
week. The client states that she cannot understand why her blood glucose except:
level is elevated. The nurse suspects the most likely cause for the elevated Lubricate the rectal tube.
blood sugar is: insert 4-6 inches
1. The decreased activity level of the client since the injury assess for abdominal distention before and after insertion.
2. Parasympathetic stimulation from the body's normal response to pain leave the tube for 40 minutes.
3. The client is consuming more food as a comfort measure 93- if the pt complains of pain when inflation of the balloon during the foleys
4. The client may not be taking her medication as ordered catheter insertion procedure, the proper nsg action is?
2.Parasympathetic stimulation from the body's normal response to pain Aspirate the fluid and remove.
A client with chronic pain presents in the emergency department of the local withdraw the fluid and insert more in then re inflate.
hospital stating "I just can't take this anymore." On questioning the client, the put lower amount of fluid inside the balloon
nurse discovers that the client have experienced chronic pain since being 94- Diagnosis markers of thalassemia? (check the textbook)
involved in an accident 2 years previously. The client states that he has been HB, Electrolytes
labeled a "drug seeker" because he is looking for relief for the pain and feels CBC
hopeless, angry, and powerless to do anything about the situation. The nurse PTT,PT
understands that this client is at risk for: 95- Which of the following regarding the Nsg diagnosis?
1. Criminal activity Medical Pathology
2. Opioid abuse Treatment
3. Suicide Actual problem
4. Drug addiction Lab result
3.Suicide 100- Health Education how to make wound care, the nurse knows that the pt
A client who had knee replacement surgery the previous day refuses to take understands by:
any pain medication, even though he rates his pain as an 8 on a 0 to 10 states the steps of sterile techniques while dealing with his wound.
scale. Upon questioning the client the nurse learns that the reason for 101- to prevent lipo dystrophy with DM patient?
refusing pain medication is because he is concerned about injuring the knee Rotate injection sites.
and not feeling it. The best information that the nurse can provide this client deep injection
is to explain that: use 25 gauge syringe.
1. The pain medication will help speed his recovery time 102- Meningitis therapy (Nursing Care) includes:
2. He need not worry about becoming addicted to the pain medication ventilate the room
3. He will not be perceived as weak for taking the pain medication Allow frequent visitore.
4. He is being a difficult client and needs to comply with the health care use low lighting system. (light sensitivity)
provider's orders 103- the purpose of giving Anti D for a pregnant woman?
1.The pain medication will help speed his recovery time to prevent the RBCs destruction for the next baby
A 38-year-old client presents to the pain clinic with complaints of phantom 104- a pregnant woman 2nd-3rd trimester, planned for C/S, the nsg priority
pain. The client was involved in a farming accident 3 years previously that is?
resulted in a below-the-elbow amputation of his right arm. The nurse knows Assess pain
that phantom pain is categorized as: start IV fluids
1. Painful polyneuropathy 105- Post normal vaginal Delivery, the pt developed vaginal bleeding, uterus
2. Somatic pain is soft, what is the most appropriate Nsg intervention?
3. Sympathetically maintained pain Uterus message to make the uterus rigid and decrease bleeding.
4. Deafferentation pain 106- The most suitable diet for a woman with pre- exlampsia is?
4.Deafferentation pain high protein, low salt diet
The daughter of an 88-year-old female client tells the nurse that her mother 107- the reason of gum bleeding for a pregnant woman?
has recently quit going on walks in the neighborhood because of pain in her high estrogen level
legs. Which of the following is the best response from the nurse? 108- 20 weeks pregnant woman, first fatal movement called?
1. "I would like to speak with your mother to get more information." Quacking.
2. "Older people frequently suffer from arthritis that can cause leg pain." 109- when you let the patient suddenly down, the normal newborns reflex is
3. "Your mother probably has poor circulation in her legs, which is causing called? (revise reflexes)
the pain." Moro reflex
4. "She is lucky to be as healthy as she is at her age." Babiniski reflex
1. " I would like to speak with your mother to get information." rotating (sucking) reflex
The nursery nurse is explaining postcircumcision care to a new mother. grasping
Which of the following statements by the new mother indicates that additional 110- to prevent uterus laceration during delivery
teaching needs to occur? - Episeotomy
1. "Babies don't experience pain, so I don't need to worry about hurting him 111- Marker diagnostic investigation for Breast CA (Cancer) is?
when I touch the penis." ERP test
2. "I need to be careful not to put his diaper on too tight to avoid discomfort." CD and T
3. "I can comfort my baby following the procedure by holding him." 112- the priority, pt with facial and chest burn is?
4. "The health care provider will numb the area before performing the maintain airways and breathing. (laryngeal edema)
procedure." 113- Post ETT (Endotracheal Intubation), patients breathing with gargling,
1. "Babies don't experience pain, so i don't need to worry about hurting him this gargling is evidence that the tube is located in:
when i touch the penis." Bronchioles
Taking into consideration the hospice client's chronic pain from bone cancer, Trachea
the most appropriate person to collaborate with regarding management of Carina
pain is: Esophagous
1. Occupational therapist to devise a splint for the client's leg 114- the drug of choice for Supra ventricular tachycardia is
2. Physical therapist to determine exercises to strengthen the leg muscles D/C shock
3. Art therapist to provide creative therapy as a diversion Atropine
4. An oncology nurse Adrenaline
4. An oncology nurse Adenosine
n creating the plan of care for a newly diagnosed breast cancer client, the 115- the In charge nurse prepared a medication and asked the RN to give it
nurse is concerned about pain control. The client has expressed an interest to patient in room 4, the appropriate RN intervention:
in relaxation therapy as a complementary pain therapy. The nurse knows that refuse giving this medication ( who prepared will give, no deligation)
the best time to teach the client is: give it, and sign instead of the in charge.
1. Immediately following the client's mastectomy 116- the first priority regarding medication administration ?
2. Before giving pain medication to evaluate if the complementary therapy chceck pts name
works check the expiry date
3. Immediately preceding surgery check physician order
4. When the client is comfortable check medication name
4. When the client is comfortable 117- preparation for thoracentesis?
A client who ruptured his spleen in a motor vehicle accident rates his give pre medication
postoperative pain as a level 8 on a 0 to 10 pain scale. After administering keep pt NPO for 8 hrs.
pain medication, the nurse discusses the use of complementary therapies keep the pt on upright position and mark the site.
with the client to explore ways to reduce the pain. The client would like to try 118- the ideal way to remove the eye lenses?
a massage. The nurse delegates this task to the assistive personnel (AP). apply a pressure to the eyelids then instruct to clinch.
Which of the following instructions is most important for the nurse to share 119- Documentation error (with 2 words) hoe the nurse fixes this error?
with the AP? use the corrector
1. "You need to warm the bottle of lotion before using it." flat line over then sign
2. "Report any changes in the client's skin condition to me immediately." 120- documentation- while the nurse document in a pts file, he discovered
3. "Do not massage the client's legs." that he was writing in the wrong pt, what is the appropriate action should the
4. "Massage each body part at least 10 minutes." nurse do?
3. "So not massage th make oblique line in the whole page and sign.