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NSG 310 EXAM QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026

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NSG 310 EXAM QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026 Health Promotion - Answers The process of enabling people (individuals, families, communities, and populations) to increase control over, and improve their health. It is behavior motivated by a personal desire to increase well-being and health potential. Wellness - Answers An active, positive state of health of an individual, family, or community. It is multi-dimensional, encompassing physical, mental, spiritual, social, occupational, environmental, intellectual, and financial aspects. Disease Prevention - Answers Behaviors motivated by a desire to avoid illness, detect illness early, and manage illnesses when they occur. Wellness and wellbeing components - Answers Physical: Genetic, age, developmental level, race, and biological sex. Environmental: Housing, sanitation, climate, pollution, and safe food/water accessibility. Sociocultural: Economic level, lifestyle, family, culture, and love/belonging needs. Intellectual & Spiritual: Cognitive abilities, past experiences, religious/spiritual beliefs, and self-actualization needs. Emotional: The mind, stress, emotions, and self-esteem needs. Levels of Prevention - Answers Primary, Secondary, Tertiary Primary Prevention - Answers Intervening before health effects occur. Directed toward promoting health and preventing disease development. Examples: Immunization clinics, family planning, accident prevention education, and altering risky behaviors (poor eating, tobacco use). Secondary prevention - Answers Focuses on screening for early detection of disease to identify illness, reduce its severity, or provide a cure. Examples: Regular medical/dental exams, BP checks, mammograms, and lipid screenings. Tertiary prevention - Answers Occurs after a disease is diagnosed. The goal is managing the disease to slow progression, reduce disability, and rehabilitate the patient to maximum functioning. Examples: Chemotherapy, rehabilitation, teaching to prevent complications, and monitoring response to therapy. Childhood prevention examples - Answers Vaccines, lead and anemia, screentime, safety(outdoor and internet), obesity Adolescence Prevention examples - Answers vaccines, obesity, cholesterol, diabetes, hypertension, Safety(vehicle, sex practices, internet) Adulthood Prevention examples - Answers Vaccines , obesity, chronic diseases, oral health Older adult - Answers Vaccines, chronic diseases, safety, oral health Modifiable risk factors - Answers Things that can be changed, such as diet, smoking, alcohol intake, physical activity, and living circumstances. Non modifiable risk factors - Answers Things that cannot be changed, such as genetics, age, biological sex, and race/ethnicity. Prevention framework - Answers Individual prevention - health screening, personal eduacation, family values, developmental stages Local prevention- extends beyond individual, local community actions to prevent or reduce illness and disease, community education, zoning laws State prevention- promote both local and federal prevention efforts, inspections or regulation at food establishments, swimming pools, heart disease and stroke prevention programming National prevention- policies that establish programming to reduce exposure to harmful environmental agents, Clean Water act, National Tobacco control Physical activity recommendations - Answers Preschool (3-5) - active throughout the day with opportunities for active play Kids (6-17) - 60 mins or more physical activity a day Adults- 150 mins each week and muscle strengthening 2 days per week Activity tolerance - Answers A vital indicator of physical fitness. Nurses should assess by collecting baseline vital signs, having the patient perform an activity (e.g., ambulating), and repeating vital signs immediately after and 3 minutes post-activity. A decrease in O2 saturation or complaints of dizziness/chest pain require stopping the activity and escalating care. Imbalanced nutrition - Answers Obesity and being overweight increase the risk for cardiovascular disease, type 2 diabetes, and shortened life expectancy. Nurses should assess BMI, waist circumference (males 40 in, females 35 in indicates higher risk), and access to healthy foods. Overweight VS obese - Answers BMI 25-29.9 is overweight, BMI 30+ is obese 95th percentile is obese in children Obesity is an epidemic (CDC 2022) Motivational Interviewing - Answers A patient-centered communication approach used to support behavior change. Core principles: Express empathy, avoid arguing, roll with resistance, and support self-efficacy. Effective approach: Use open-ended questions like, "What feels realistic for you this week?". Ask permission before giving advice. Illness - Answers An abnormal process in which any of the person's physical, emotional, intellectual, social, or spiritual functioning is compromised or altered compared to their previous state. Alteration in persons body function, altered homeostasis Acute Illness - Answers - sudden stuffy nose, COVID, pneumonia -Severe symptoms with a short duration. Symptoms appear abruptly and subside quickly, usually allowing a return to a normal level of wellness. Chronic illness - Answers Lasts for an extended period (usually 6+ months or for life). Characterized by a slow onset, periods of remission (symptoms disappear), and periods of exacerbation (symptoms reappear). -COPD, hypertension, crohns, ALS Stages of illness behaviors - Answers 1. Symptoms: Recognizing altered health. 2. Sick Role: Assuming the identity of being ill. 3. Dependence Role: Accepting care and relying on healthcare providers/family. 4. Recovery & Rehab: Returning to baseline or adapting to a new normal. Trajectory of chronic illness - Answers The course of a chronic disease moves through specific phases: Pretrajectory (preventive phase), Trajectory onset (signs/symptoms present), Crisis (life-threatening), Acute (requires hospitalization), Stable (symptoms controlled), Unstable (symptoms not controlled but no hospitalization needed), Downward (progressive deterioration), and Dying. Respiratory examplars - Answers 1. Pneumonia (Acute) Pathophysiology: Inflammation of the alveoli resulting from infection. Causes edematous mucosa, increased secretions, and impairs gas exchange. Signs & Symptoms: Sudden chills, high fever, dull chest pain (especially when breathing deep), shortness of breath, tachypnea, and productive cough with rust-colored, foul-smelling sputum. Nursing Interventions: Administer antibiotics (if bacterial), antipyretics, and oxygen. Encourage coughing/deep breathing, maintain hydration to thin secretions, and enforce rest. 2. Chronic Obstructive Pulmonary Disease / COPD (Chronic) Pathophysiology: Chronic inflammation causes narrowing of airways, decreased elastic recoil, and hyperinflation of the lungs. Airflow is permanently limited/obstructed. Signs & Symptoms: Chronic cough, dyspnea (even at rest), weight loss, fatigue, barrel chest, and assuming a leaning-forward position using accessory muscles. Nursing Interventions/Education: Smoking cessation is paramount. Educate on safe home oxygen use, medications (inhalers, bronchodilators, steroids), and specialized breathing techniques: Diaphragmatic Breathing: Breathe in through the nose (abdomen protrudes), out through pursed lips. Pursed-Lip Breathing: Prolongs exhalation to reduce trapped air (inhale for 3 counts, exhale through pursed lips for 7 counts). Gastrointestinal Exemplars - Answers 1. Appendicitis (Acute) Pathophysiology: Inflammation/infection of the appendix leading to ischemia. Signs & Symptoms: Right lower quadrant (RLQ) pain, nausea/vomiting, low-grade fever, and rebound tenderness (pain upon release of deep palpation). Nursing Interventions: Prepare for emergent surgery (appendectomy). Position in high Fowler's, place IV for fluids, and post-operatively encourage ambulation and use of an incentive spirometer. 2. Crohn's Disease (Chronic) Pathophysiology: Inflammation and abscesses causing ulceration of the GI tract. Characterized by "cobblestone" intestinal surfaces and fissures. Signs & Symptoms: Diarrhea, RLQ pain that is unrelieved by defecation, post-meal cramping, weight loss, steatorrhea (fatty stools), and anemia. Nursing Interventions/Education: Refer to a dietician. Provide a low residue, high protein, high calorie diet( white bread, rice, saltines, spinach, beets, carrots, egg, beef, pork). Supplement vitamins and iron. Teach the patient to avoid smoking and cold foods, and monitor for skin breakdown due to diarrhea. Defining stress - Answers Hans Selye: Defined stress as the sum of all effects (pleasant or unpleasant) that act on the body. Walter Cannon: Defined stress as the stimulus and response (fight or flight) to a perceived physical or emotional threat. Giddens: Feeling or pressure, emotional strain from the demands of life Types of stress - Answers Acute: Short time frame; resolves when the stressor is removed. This is the most common type. Chronic: Sustained threat or pressure; harmful to overall health. Episodic: "Self-inflicted" stress or regular chaos; individuals are often always in a hurry or irritable. Stressors - Answers anything that is perceived as challenging, threatening, or demanding triggers a stress reaction, may be internal (illness, hormonal change) or external (loud noise, cold temp) Nursing assessment stress - Answers assess individual risk factors: genetics, life experiences, social factors, history of trauma, coping mechanisms, family support Nursing Interventions - Answers Collaborative therapies: psychotherapy, CBT, pharmacologic therapy Non-pharmacologic therapies: relaxation techniques, family wellness promotion, patient advocacy Coping mechanisms - Answers Positive (Adaptive): Strategies that benefit health (e.g., relaxation techniques, utilizing support systems, psychotherapy). Maladaptive (Negative): Strategies that do not adequately address the underlying problem and adversely affect health (e.g., substance abuse). Physiological Stress Response - Answers 1. Sympathetic Nervous System: Releases epinephrine/norepinephrine $rightarrow$ increases heart rate, blood pressure, blood glucose, and causes bronchodilation and pupil dilation. 2. Anterior Pituitary: Releases ACTH $rightarrow$ adrenal cortex secretes cortisol and aldosterone $rightarrow$ leads to water/sodium retention, increased blood glucose, and immunosuppression. 3. Posterior Pituitary: Releases ADH $rightarrow$ increases water retention. Systemic Effects of Stress - Answers Chronic stress can lead to tension headaches, rapid breathing, heartburn, high blood pressure, high blood sugar, a weakened immune system, and fertility/libido issues. Stress Exemplars - Answers Burnout in Nursing: Unmanaged, chronic workplace stress. Major causes include working short-staffed, long hours, scheduling changes, and dealing with death/pandemics. Over 2/3 of nurses experience burnout. Post-Traumatic Stress Disorder (PTSD): Occurs after experiencing or witnessing a traumatic event. -Adult S/S: Flashbacks, nightmares, aggression, survivor's guilt, depression. -Child/Adolescent S/S: Bedwetting (after being potty trained), clinginess, acting out, being destructive, or showing thoughts of revenge. Interventions: Prioritize safety. Utilize psychotherapy (CBT, exposure), medications, and avoid alcohol/caffeine. Trauma-Informed Care (The 4 "R"s): - Answers 1. Realization (understanding the impact of trauma). 2. Recognition (identifying signs & symptoms of trauma). 3. Responding (integrating knowledge into policies/practices). 4. Resist traumatization. Gene - Answers A unit of heredity transferred from a parent to offspring, held to determine some characteristic of the offspring. Genome - Answers The entire DNA sequence of an individual. Genetics - Answers The study of heredity and the variation of inherited characteristics. Genomics - Answers The study of all the genes in the human genome together, including their interactions with each other, the environment, and psychosocial/cultural factors. Gene Alterations - Answers Inherited: Hereditary mutations passed from one or both parents. Acquired (Somatic): Occur anytime during a lifetime due to cell division errors or environmental influences (radiation, toxins). Not passed to the next generation. Multifactorial: Multiple gene alterations plus environmental factors (e.g., hypertension, heart disease,

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Institution
NSG 310
Course
NSG 310

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NSG 310 EXAM QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026

Health Promotion - Answers The process of enabling people (individuals, families, communities, and
populations) to increase control over, and improve their health. It is behavior motivated by a personal
desire to increase well-being and health potential.
Wellness - Answers An active, positive state of health of an individual, family, or community. It is
multi-dimensional, encompassing physical, mental, spiritual, social, occupational, environmental,
intellectual, and financial aspects.
Disease Prevention - Answers Behaviors motivated by a desire to avoid illness, detect illness early,
and manage illnesses when they occur.
Wellness and wellbeing components - Answers Physical: Genetic, age, developmental level, race, and
biological sex.
Environmental: Housing, sanitation, climate, pollution, and safe food/water accessibility.
Sociocultural: Economic level, lifestyle, family, culture, and love/belonging needs.
Intellectual & Spiritual: Cognitive abilities, past experiences, religious/spiritual beliefs, and self-
actualization needs.
Emotional: The mind, stress, emotions, and self-esteem needs.
Levels of Prevention - Answers Primary, Secondary, Tertiary
Primary Prevention - Answers Intervening before health effects occur. Directed toward promoting
health and preventing disease development. Examples: Immunization clinics, family planning,
accident prevention education, and altering risky behaviors (poor eating, tobacco use).
Secondary prevention - Answers Focuses on screening for early detection of disease to identify
illness, reduce its severity, or provide a cure. Examples: Regular medical/dental exams, BP checks,
mammograms, and lipid screenings.
Tertiary prevention - Answers Occurs after a disease is diagnosed. The goal is managing the disease to
slow progression, reduce disability, and rehabilitate the patient to maximum functioning. Examples:
Chemotherapy, rehabilitation, teaching to prevent complications, and monitoring response to
therapy.
Childhood prevention examples - Answers Vaccines, lead and anemia, screentime, safety(outdoor
and internet), obesity
Adolescence Prevention examples - Answers vaccines, obesity, cholesterol, diabetes, hypertension,
Safety(vehicle, sex practices, internet)
Adulthood Prevention examples - Answers Vaccines , obesity, chronic diseases, oral health
Older adult - Answers Vaccines, chronic diseases, safety, oral health
Modifiable risk factors - Answers Things that can be changed, such as diet, smoking, alcohol intake,
physical activity, and living circumstances.
Non modifiable risk factors - Answers Things that cannot be changed, such as genetics, age, biological
sex, and race/ethnicity.
Prevention framework - Answers Individual prevention - health screening, personal eduacation,
family values, developmental stages
Local prevention- extends beyond individual, local community actions to prevent or reduce illness and
disease, community education, zoning laws
State prevention- promote both local and federal prevention efforts, inspections or regulation at food
establishments, swimming pools, heart disease and stroke prevention programming
National prevention- policies that establish programming to reduce exposure to harmful
environmental agents, Clean Water act, National Tobacco control
Physical activity recommendations - Answers Preschool (3-5) - active throughout the day with
opportunities for active play
Kids (6-17) - 60 mins or more physical activity a day
Adults- 150 mins each week and muscle strengthening 2 days per week
Activity tolerance - Answers A vital indicator of physical fitness. Nurses should assess by collecting
baseline vital signs, having the patient perform an activity (e.g., ambulating), and repeating vital signs
immediately after and 3 minutes post-activity. A decrease in O2 saturation or complaints of
dizziness/chest pain require stopping the activity and escalating care.
Imbalanced nutrition - Answers Obesity and being overweight increase the risk for cardiovascular
disease, type 2 diabetes, and shortened life expectancy. Nurses should assess BMI, waist
circumference (males >40 in, females >35 in indicates higher risk), and access to healthy foods.

, Overweight VS obese - Answers BMI 25-29.9 is overweight, BMI 30+ is obese

> 95th percentile is obese in children

Obesity is an epidemic (CDC 2022)
Motivational Interviewing - Answers A patient-centered communication approach used to support
behavior change.
Core principles: Express empathy, avoid arguing, roll with resistance, and support self-efficacy.
Effective approach: Use open-ended questions like, "What feels realistic for you this week?". Ask
permission before giving advice.
Illness - Answers An abnormal process in which any of the person's physical, emotional, intellectual,
social, or spiritual functioning is compromised or altered compared to their previous state. Alteration
in persons body function, altered homeostasis
Acute Illness - Answers - sudden stuffy nose, COVID, pneumonia
-Severe symptoms with a short duration. Symptoms appear abruptly and subside quickly, usually
allowing a return to a normal level of wellness.
Chronic illness - Answers Lasts for an extended period (usually 6+ months or for life). Characterized
by a slow onset, periods of remission (symptoms disappear), and periods of exacerbation (symptoms
reappear).
-COPD, hypertension, crohns, ALS
Stages of illness behaviors - Answers 1. Symptoms: Recognizing altered health.
2. Sick Role: Assuming the identity of being ill.
3. Dependence Role: Accepting care and relying on healthcare providers/family.
4. Recovery & Rehab: Returning to baseline or adapting to a new normal.
Trajectory of chronic illness - Answers The course of a chronic disease moves through specific phases:
Pretrajectory (preventive phase), Trajectory onset (signs/symptoms present), Crisis (life-threatening),
Acute (requires hospitalization), Stable (symptoms controlled), Unstable (symptoms not controlled
but no hospitalization needed), Downward (progressive deterioration), and Dying.
Respiratory examplars - Answers 1. Pneumonia (Acute)
Pathophysiology: Inflammation of the alveoli resulting from infection. Causes edematous mucosa,
increased secretions, and impairs gas exchange.
Signs & Symptoms: Sudden chills, high fever, dull chest pain (especially when breathing deep),
shortness of breath, tachypnea, and productive cough with rust-colored, foul-smelling sputum.
Nursing Interventions: Administer antibiotics (if bacterial), antipyretics, and oxygen. Encourage
coughing/deep breathing, maintain hydration to thin secretions, and enforce rest.

2. Chronic Obstructive Pulmonary Disease / COPD (Chronic)
Pathophysiology: Chronic inflammation causes narrowing of airways, decreased elastic recoil, and
hyperinflation of the lungs. Airflow is permanently limited/obstructed.
Signs & Symptoms: Chronic cough, dyspnea (even at rest), weight loss, fatigue, barrel chest, and
assuming a leaning-forward position using accessory muscles.
Nursing Interventions/Education: Smoking cessation is paramount. Educate on safe home oxygen
use, medications (inhalers, bronchodilators, steroids), and specialized breathing techniques:
Diaphragmatic Breathing: Breathe in through the nose (abdomen protrudes), out through pursed lips.
Pursed-Lip Breathing: Prolongs exhalation to reduce trapped air (inhale for 3 counts, exhale through
pursed lips for 7 counts).
Gastrointestinal Exemplars - Answers 1. Appendicitis (Acute)
Pathophysiology: Inflammation/infection of the appendix leading to ischemia.
Signs & Symptoms: Right lower quadrant (RLQ) pain, nausea/vomiting, low-grade fever, and rebound
tenderness (pain upon release of deep palpation).
Nursing Interventions: Prepare for emergent surgery (appendectomy). Position in high Fowler's, place
IV for fluids, and post-operatively encourage ambulation and use of an incentive spirometer.

2. Crohn's Disease (Chronic)
Pathophysiology: Inflammation and abscesses causing ulceration of the GI tract. Characterized by
"cobblestone" intestinal surfaces and fissures.

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