Exam (elaborations)
NSG 3100 EXAM 1 QUESTIONS AND ANSWERS 2024
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NSG 3100 EXAM 1 QUESTIONS AND ANSWERS 2024
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NSG 3100 EXAM 1Which cue by a patient can be validated by laboratory and diagnostic test results?
a. Deeply sighing with fatigue
b. Bilateral crackles in the lungs
c. Oxygen saturation of 98% on room air
d. 2+ pitting edema of the ankles and feet - ANSWERS-a
a patient discusses his job stress and family relationships with the nurse during his
health history interview. in which organizational framework is this type of data
likely to be recorded most extensively
a- body systems model
b- physical assessment model
c- head-to-toe assessment
d- functional health patterns model - ANSWERS-d
When initiating a physical examination, which action should the nurse take first?
a. Review of the patient's prior medical records
b. Gather admission health history forms
c. Assess the patient's vital signs
d. Perform light and deep palpation for fluid - ANSWERS-c
,If the nurse discovers that a patient's right elbow is swollen and painful during a
physical examination, which action should the nurse take next?
a. Apply ice to decrease swelling and reduce pain
b. Percuss the area to determine the presence of fluid
c. Perform passive range of motion to promote flexibility
d. Inspect the patient's left elbow to compare its appearance - ANSWERS-d
when teaching a patient about fire safety, which activity does the nurse know is
the leading cause of fire related death?
a- cooking
b- playing with matches
c- smoking
d- heating with kerosene heaters - ANSWERS-a
which measures can the nurse teach to prevent poisoning of children?
a- install safety latches on reachable cabinets
b- keep syrup of ipecac on hand
c- use childproof caps on medications
d- use a plunger rather than a chemical drain cleaner
e- keep cleaning supplies under the kitchen sink - ANSWERS-a,c,d
Which restraint-free alternative is best for the nurse to use for an 84-year-old
patient after hip replacement who has acute confusion and incontinence?
,a. A room near the nurses' station and decreased sensory stimuli
b. A pressure sensor alarm and a room near the nurses' station
c. Side rails up and decreased sensory stimuli
d. A 24-hour sitter and the patient's favorite TV program - ANSWERS-b
the nurse is performing a fall risk assessment on a newly admitted patient. which
finding is a greater known risk factor for falls?
a- taking aspirin
b- urinary incontinence
c- multiple comorbidities
d- malnutrition - ANSWERS-b
which action would the nurse undertake first when beginning to formulate a
patient's plan of care
a- list possible treatment options
b-identify realistic outcome indicators
c- consult with healthcare team members
d- rank patient concerns from assessment data - ANSWERS-d
which resource is most helpful when prioritizing identified nursing diagnoses
a- nursing interventions classification
b- gordon's functional health patterns
, c- maslow's hierarchy of needs
d- nursing outcomes classification - ANSWERS-c
if a patient is exhibiting signs and symptoms of each of these nursing diagnoses,
which should the nurse address first while planning care?
a- fatigue
b- acute pain
c- lack of knowledge
d- disturbed body image - ANSWERS-b
which statement illustrates a characteristic of goals within the care planning
process?
a- goals are vague objectives communicating expectations for improvement
b- short-term goals need not be measurable, unlike long term goals
c- goal attainment can be measured by identifying nursing interventions
d- long term goals are helpful in judging a patient's progress - ANSWERS-d
which nursing goal is written correctly for a patient with the nursing diagnosis for
risk for infection after abdominal surgery?
a- nurse will encourage use of sterile technique during each dressing change
b- patient's WBC will remain within normal range throughout hospitalization
c- patient's visitors will be instructed in proper handwashing before direct
interaction with patient
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