NR509 Advanced Physical Health Assessment Exam

1. A 4-year-old boy is brought to the emergency department by his mother. She says he points to his stomach and says, "It hurts so bad." Which pain assessment tool would be the best choice when assessing this child's pai ...

1. A 4-year-old boy is brought to the emergency department by his mother. She says he points to his stomach and says, "It hurts so bad." Which pain assessment tool would be the best choice when assessing this child's pain? A) The Descriptor Scale B) A numeric rating scale C) The Brief Pain Inventory D) The Faces Pain Scale—Revised (FPS-R) 2. A patient has had arthritic pain in her hips for several years since a hip fracture. She is able to move around in her room and has not offered any complaints so far this morning. However, when asked, she states that her pain is "bad this morning" and rates it at an 8 on a 1 to 10 scale. What does the nurse suspect? A) She is addicted to her pain medications and cannot obtain pain relief. B) She does not want to trouble the nursing staff with her complaints. C) She is not in pain but rates it high to receive pain medication. D) She has experienced chronic pain for years and has adapted to it. 3. The nurse is assessing a patient's pain. The nurse knows that the most reliable indicator of pain would be the: A) patient's vital signs. B) physical examination. C) results of a computerized axial tomography scan. D) subjective report. 4. The nurse is reviewing principles of pain. Which type of pain is due to an abnormal processing of the pain impulse through the peripheral or central nervous system? A) Visceral B) Referred C) Cutaneous D) Neuropathic 5. When assessing a patient's pain, the nurse knows that an example of visceral pain would be: A) hip fracture. B) cholecystitis. C) second-degree burns. D) pain after a leg amputation. 6. When assessing the intensity of a patient's pain, which question by the nurse is appropriate? A) "What makes your pain better or worse?" B) "How much pain do you have now?" C) "How does pain limit your activities?" D) "What does your pain feel like?" 7. During assessment of a patient's pain, the nurse keeps in mind that certain nonverbal behaviors are associated with chronic pain. Which of these behaviors are associated with chronic pain? Select all that apply. A) Sleeping B) Moaning C) Diaphoresis D) Bracing E) Restlessness F) Rubbing 8. The nurse is seeing for the first time a patient who has no history of nutrition-related problems. The initial nutritional screening should include which activity? A) Calorie count of nutrients B) Anthropometric measures C) Complete physical examination D) Measurement of weight and weight history 9. During a nutritional assessment, why is it important for the nurse to ask a patient what medications he or she is taking? A) Certain drugs can affect the metabolism of nutrients. B) The nurse needs to assess the patient for allergic reactions. C) Medications need to be documented on the record for the physician's review. D) Medications can affect one's memory and ability to identify food eaten in the last 24 hours. 10. A 50-year-old woman with elevated total cholesterol and triglyceride levels is visiting the clinic today to find out about her laboratory results. What would be important for the nurse to include in patient teaching in relation to these tests? A) The risks of undernutrition B) Methods to reduce stress in her life C) Information regarding a diet low in saturated fat D) The fact that this condition is hereditary and there is nothing she can do to change the levels 11. In performing an assessment on a 49-year-old woman who has imbalanced nutrition as a result of dysphagia, which data would the nurse expect to find? A) An increase in hair growth B) Inadequate nutrient food intake C) Weight 10% to 20% over ideal D) Sore, inflamed buccal cavity