NSG 3130 EXAM 2 (GALEN) NEWEST ACTUAL EXAM REVIEW COMPREHENSIVE PRACTICE TEST BANK: 200 REAL EXAM-STYLE QUESTIONS WITH VERIFIED CORRECT ANSWERS AND DETAILED RATIONALES FOR NSG3130 FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE II

NSG 3130 EXAM 2 (GALEN) NEWEST ACTUAL EXAM REVIEW COMPREHENSIVE PRACTICE TEST BANK: 200 REAL EXAM-STYLE QUESTIONS WITH VERIFIED CORRECT ANSWERS AND DETAILED RATIONALES FOR NSG3130 FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE II 1. A patient is learning to self-administer insulin injections. The nurse provides education and then observes the patient perform the injection. This teaching method primarily addresses which domain of learning? A. Affective B. Cognitive C. Psychomotor D. VARK Correct Answer: C. Psychomotor Rationale: Psychomotor learning involves physical movement and the development of motor skills. Observing a patient perform a skill like insulin injection demonstrates psychomotor learning. The cognitive domain involves knowledge and understanding, while the affective domain involves feelings and attitudes. ________________________________________ 2. Which nursing diagnosis should the nurse prioritize for a patient who is on complete bed rest following spinal surgery? A. Risk for Impaired Skin Integrity B. Risk for Constipation C. Risk for Decreased Cardiac Output D. Risk for Injury Correct Answer: A. Risk for Impaired Skin Integrity Rationale: While all are concerns for an immobile patient, impaired skin integrity leading to pressure ulcers is a high priority due to the potential for serious complications. Pressure ulcers develop quickly in immobile patients and can lead to infection, sepsis, and prolonged hospitalization. ________________________________________ 3. A patient who has been immobile for several days develops shortness of breath and chest pain. The nurse suspects which complication? A. Pneumonia B. Pulmonary embolism C. Atelectasis D. Pleural effusion Correct Answer: B. Pulmonary embolism Rationale: Immobility increases the risk of deep vein thrombosis (DVT), which can dislodge and travel to the lungs causing a pulmonary embolism. Symptoms include sudden shortness of breath, chest pain, tachycardia, and hemoptysis. This is a life-threatening emergency requiring immediate intervention. ________________________________________ 4. When performing range-of-motion exercises on a patient's elbow, the nurse bends the arm so that the hand touches the shoulder. Which term should the nurse use to document this movement? A. Extension B. Flexion C. Hyperextension D. Abduction Correct Answer: B. Flexion Rationale: Flexion is the movement that decreases the angle between two body parts. Bending the elbow so the hand approaches the shoulder is an example of flexion. Extension increases the angle, hyperextension is extension beyond normal range, and abduction moves a body part away from the midline. ________________________________________ 5. A patient with a history of stroke has difficulty swallowing and frequently chokes on thin liquids. The nurse should recommend which consistency of food? A. Mechanical soft B. Pureed C. Nectar-thick liquids D. Regular diet Correct Answer: C. Nectar-thick liquids Rationale: Nectar-thick liquids have a consistency similar to nectar and are safer for patients with dysphagia because they flow more slowly, giving the patient more time to control the swallow. Pureed foods may be appropriate for some patients, but the question specifically addresses thin liquids. ________________________________________ 6. Which assessment finding indicates a patient is experiencing orthostatic hypotension? A. Blood pressure increase from 120/80 to 140/90 when standing B. Blood pressure decrease from 130/85 to 100/70 when standing C. Heart rate decrease from 80 to 60 when standing D. Respiratory rate increase from 16 to 20 when standing Correct Answer: B. Blood pressure decrease from 130/85 to 100/70 when standing Rationale: Orthostatic hypotension is defined as a drop in systolic blood pressure of at least 20 mmHg or diastolic blood pressure of at least 10 mmHg within 3 minutes of standing. It occurs due to venous pooling in the lower extremities when an immobile patient stands up. ________________________________________ 7. The nurse is teaching a patient with a new colostomy about stoma care. Which teaching strategy would be most effective for this patient? A. Providing a written pamphlet about stoma care B. Showing a video about stoma care C. Demonstrating stoma care and having the patient return the demonstration D. Giving a lecture about stoma care Correct Answer: C. Demonstrating stoma care and having the patient return the demonstration