NSG 3130 EXAM 3 NEWEST 2025 ACTUAL EXAM

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NSG 3130 EXAM 3 NEWEST 2025 ACTUAL EXAM|

FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING

PRACTICE II EXAM| COMPLETE QUESTIONS AND

CORRECT DETAILED ANSWERES (VERIFIED

ANSWERS) ALREADY GRADED A+| BRAND NEW!! -

GALEN

Which concept should the nurse consider when assessing a patient's pain?

• The expression of pain is not always congruent with the pain

experienced.

• Pain medication can significantly increase a patient's pain tolerance.
• The majority of cultures value the concept of suffering in silence.
• Most people experience approximately the same pain tolerance. –

Correct Answer - a. The expression of pain is not always congruent with the pain experienced.

A nurse is assessing a patient in pain. Which word might the nurse use when documenting the pattern of a patient's pain?

• Tenderness
• Moderate
• Episodic
• Phantom – Correct Answer - c. Episodic

A nurse is assessing a patient experiencing acute pain. Which characteristic is more common with acute pain than with chronic pain? 1 / 4

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• Self-focusing
• Sleep disturbances
• Guarding behaviors
• Variations in vital signs – Correct Answer - d. Variations in vital signs

Acute pain stimulates the sympathetic nervous system, which responds by increasing pulse, respirations, and blood pressure. Chronic pain stimulates the parasympathetic nervous system which results in lowered pulse and blood pressure.

nurse is caring for patients receiving a variety of interventions for pain management. Which pain relief method has the shortest duration of action?

• Patient-controlled analgesia
• Intramuscular sedatives
• Intravenous narcotics
• Regional anesthesia – Correct Answer - c. Intravenous narcotics

When a client has arrived at the nursing unit from surgery, the nurse is most likely to give priority to which of the following assessments?

• Pain tolerance
• Pain intensity
• Location of pain
• Pain history – Correct Answer - b. Pain intensity 2 / 4

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pg. 3 A client who had abdominal surgery 4 hours ago is receiving a continuous epidural infusion of an analgesic. Which of the following observations indicates the nurse should monitor the client closely?

• Drowsy; drifts off to sleep before completing a sentence
• Respirations = 18/minute
• Drowsy; easily aroused
• Pain rating 1-2/10 – Correct Answer - a. Drowsy; drifts off to sleep

before completing a sentence

The client has an order of morphine 2.5to 5.0 mg intravenous (IV) every 4hours. He received 2.5 mg IV 4 hours ago for pain rated at 3 on a scale of 0to 10. He is now watching television and visiting with family members. When you ask about his pain, he rates it as a 5. His vital signs are stable. What nursing intervention is the most appropriate?

• Give morphine 3.5 mg IV and inform him to continue watching TV

because it is a distraction from the pain.

• Give 2.5 mg of morphine IV to avoid the client becoming addicted.
• Give nothing at this time because he is not exhibiting any signs of

pain.

• Give morphine 5.0 mg IV and reassess in 20minutes. – Correct

Answer - d. Give morphine 5.0 mg IV and reassess in 20minutes.

A client recovering from abdominal surgery refuses analgesia, saying that he is "fine, as long as he doesn't move." Which nursing diagnoses should be a priority?

• Deficient Knowledge (pain control measures)
• Ineffective Health Maintenance 3 / 4

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• Risk for Ineffective Airway Clearance
• Impaired Physical Mobility – Correct Answer - a. Deficient

Knowledge (pain control measures)

Which is an important concept to consider about anxiety to provide appropriate nursing care?

• Panic attacks generally have a slower onset that can be prevented if

identified early.

• One can conceptualize anxiety as being similar to the health-illness

continuum.

• People who lead healthy lifestyles rarely experience anxiety.
• Anxiety is an abnormal reaction to realistic danger. – Correct Answer
• One can conceptualize anxiety as being similar to the health-illness

continuum.

The nurse is providing care to an unconscious client who is dying.Which of the following is NOT a clinical manifestation of impending clinical death?

a) Difficulty swallowing and gradual loss of the gag reflex

b) Mottling and cyanosis of the extremists

c) Rapid, shallow, irregular, or abnormally slow respirations

d) Faster and weaker pulse – Correct Answer - d) Faster and weaker

pulse

Rationale:

Clinical manifestations of impending clinical death include:

Slower and weaker pulse

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