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NSG-501 EXAM 1 PRACTICE QUESTIONS AND VERIFIED ANSWERS GRADED A++
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NSG-501 EXAM 1 PRACTICE QUESTIONS AND VERIFIED ANSWERS GRADED A++ A nurse asks a student nurse to irrigate a patient's feeding tube. The student has not performed the procedure other than in simulation laboratory. The student approaches her clinical instructor and asks a clarifying question abou...

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  • November 20, 2024
  • 39
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nsg 501 exam 1 practice questions and verified ans

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NSG-501 EXAM 1 PRACTICE QUESTIONS AND VERIFIED

ANSWERS GRADED A++


A nurse asks a student nurse to irrigate a patient's feeding tube. The student has

not performed the procedure other than in simulation laboratory. The student

approaches her clinical instructor and asks a clarifying question about the

amount of saline to use in the procedure. This is an example of which critical

thinking attitude? 1. Risk taking 2. Confidence 3. Consistency 4. Curiosity

2.

A nurse enters a heated discussion with a colleague over a work schedule

change. The nurse has a patient who asked for a pain medication 20 minutes

earlier. Another patient calls the nurse to request assistance. The nurse feels

tension in her neck and around her eyes, and she takes a 10-second time out.

This shows the nurse is aware of which of the following? (Select all that apply.) 1.

Stress affects accuracy of problem solving. 2. During stressful events, it is easier

to communicate concise information. 3. The level of stress can affect the nurse's

ability to speak clearly. 4. Stress improves recall of information. 5. Managing

emotions is difficult during stress.

1, 3, 5

You can use the REFLECT model to improve learning after providing patient care.

Place the steps of this model in the correct order. 1. Think about your thoughts

and actions at the time of the situation. 2. Review the knowledge you gained from

,the experience. 3. Review the facts of the situation. 4. Set a schedule for

completing your plan of action. 5. Consider options for handling a similar

situation in the future. 6. Recall any feelings you had at the time of the situation.

7. Create a plan for future situations

3,1,6,2,5,7,4

One element of clinical decision making is knowing the patient. Which of the

following activities affect a nurse's ability to know patients better? (Select all that

apply.) 1. Caring for similar groups of patients over time 2. Reading the evidence-

based practices appropriate to patients 3. Learning how patients typically

respond to a particular clinical situation 4. Observing patients 5. Engaging with

patients experiencing illness

1,3,4,5

While preparing medications for a patient, the nurse compares the name of the

medication on the label with the name of the medication on the physician's order.

At the bedside, the nurse checks the patient's name against the order as well. The

nurse is following which critical thinking attitude? 1. Responsible 2. Complete 3.

Accurate

1

A patient has regularly visited the outpatient wound clinic over the last 2 months

for treatment of a foot ulcer. The nurses have tried two types of dressings, but the

wound shows little improvement. During the patient's next visit, a nurse

recommends a hydrocolloid dressing and use of a foot boot to reduce pressure

on the ulcer when the patient walks. This approach to selecting an intervention

,employs which critical thinking attitude? 1. Significance 2. Curiosity 3.

Perseverance 4. Logic

3

A patient diagnosed with stage 4 breast cancer has undergone three different

chemotherapy trials. The patient has severe hip pain as a result of the cancer

spreading to the bones. The nurse and patient discuss the patient's expectations

for pain management and the approach she prefers for treatment while meeting

the Oncology Nurses Society (ONS) standards for pain management. The nurse

has applied which critical thinking standards? (Select all that apply.) 1. Specific

critical thinking 2. Evidence-based criteria 3. Standards of practice 4. Intellectual

standards 5. Ethical standards

2,5

A nurse working on a cardiac unit is assigned an 84-yearold patient who was just

admitted with symptoms of lung infection. When the nurse enters the room, the

nurse notices that the patient is short of breath. The patient continues to cough

and has a respiratory rate of 36 breaths/min. The patient is anxious and states "I

am scared." The nurse does an initial preliminary assessment and follows up 30

minutes later. The nurse's knowledge about the patient results in which of the

following assessment approaches? (Select all that apply.) 1. Problem-focused

approach 2. Structured comprehensive approach 3. Emotion-focused approach 4.

Using multiple visits to gather a complete patient database 5. Focusing on the

functional health pattern of role-relationship

1,4

, A patient has a pressure injury resulting from urinary incontinence and sustained

pressure over the coccyx. The nursing plan of care includes a goal of "Pressure

injury heals in 3 weeks." Which of the following is an evaluation measure for this

goal? (Select all that apply.) 1. Turn patient every 90 minutes. 2. Measure the

diameter of the pressure injury. 3. Measure urine output. 4. Monitor patient's

report of discomfort during turning. 5. Measure depth of pressure injury.

2, 5

. A nurse completes a respiratory assessment on a patient who had abdominal

surgery 1 day ago. During the assessment, the nurse auscultates crackles in both

lower lobes, and the patient coughs, producing light yellow sputum. The patient's

body temperature is 37.0°C (98.6°F), pulse is 110 beats/min, respiratory rate is 28

breaths/min, and blood pressure is 118/82 mm Hg. Pulse oximetry was 99% and is

now 93%. The nurse identifies a nursing diagnosis of Impaired Gas Exchange.

Which of following goals is appropriate for this patient? 1. Patient's pulse

oximetry will be greater than 95%. 2. Instruct patient to deep breathe and cough

every 2 hours. 3. Patient's lungs will be clear to auscultation. 4. Patient will be

able to sleep through the night.

3

During the implementation step of the nursing process, a nurse reviews and

revises the nursing care plan. Place the following steps of review and revision in

the correct order. 1. Review the care plan. 2. Decide whether the nursing

interventions remain appropriate. 3. Reassess the patient. 4. Compare

assessment findings to validate existing nursing diagnosis.

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