Exam (elaborations)
NSG 521 UNIT 5 PRACTICE QUESTIONS AND VERIFIED ANSWERS
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NSG 521 UNIT 5 PRACTICE QUESTIONS AND VERIFIED ANSWERS...
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A nurse is caring for a client with chronic neuropathic pain. Which of thefollowing medications is most appropriate for managing this type of
pain?
Acetaminophen
Ibuprofen
Gabapentin
Aspirin - ANSWER Gabapentin
Rationale: Neuropathic pain results from nerve damage and is best
managed with anticonvulsants like gabapentin, which help stabilize
nerve activity. Acetaminophen and ibuprofen are better suited for
nociceptive pain, while aspirin is primarily used for its anti-inflammatory
properties.
While performing a general survey, the nurse notices a patient with poor
hygiene and dishevelled clothing. What might this indicate?
The patient has a history of chronic illness.
The patient is experiencing an acute infection.
The patient may be experiencing neglect or mental health issues.
The patient is likely recovering from a surgical procedure. - ANSWER
The patient may be experiencing neglect or mental health issues.
Rationale: Poor hygiene and disheveled appearance may be indicators
of neglect, mental health disorders, or inability to care for oneself,
potentially due to cognitive or emotional impairments. It may also
indicate social or financial difficulties.
The nurse is teaching an assistive personnel (AP) about assessing a
patient's temperature. Which statement by the AP requires further
teaching?
"I will take an oral temperature for a patient who has nasal congestion."
"I will wait 30 minutes after a patient drinks a hot beverage before taking
an oral temperature."
, "I can take an axillary temperature for a patient with a wound on the
chest."
"I will avoid taking a rectal temperature in a patient with diarrhea." -
ANSWER "I will take an oral temperature for a patient who has nasal
congestion."
Rationale: Nasal congestion can affect the patient's ability to breathe
through the nose, making it difficult to take an accurate oral temperature.
Other methods such as tympanic or axillary are preferable in this case.
A patient reports 7/10 pain after surgery and is visibly restless. What is
the nurse's priority action?
Document the patient's pain and continue monitoring.
Administer prescribed pain medication.
Encourage the patient to try relaxation techniques.
Offer non-pharmacological methods such as ice or heat. - ANSWER
Administer prescribed pain medication.
Rationale: The priority is to relieve the patient's pain by administering
prescribed medication. Other interventions can be added after
addressing immediate pain relief.
A client presents to the clinic with a chronic wound that has not healed
for several months. What factor is most likely contributing to the delay in
wound healing?
Low protein intake
Frequent dressing changes
High fluid intake
The use of occlusive dressings - ANSWER Low protein intake
Rationale: Protein is essential for wound healing as it supports tissue
repair. A low protein intake can delay healing by limiting the availability
of necessary building blocks for tissue regeneration.
The nurse is assessing an older adult client who is experiencing chronic
pain. Which finding may indicate pain in this population?
Increased socialization
Sleep disturbances
Improved mobility
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