NSG 3000 EXAM 1 STUDY GUIDE | TESTBANK | PRACTICE QUESTIONS & ANSWERS
| EXAM PREPARATION | ADVANCED REVIEW | COMPREHENSIVE PRACTICE EXAM |
LATEST UPDATE 2026/2027
Examiner:
Course Faculty, School/College of Nursing (NSG 3000)
TABLE OF CONTENTS
1. Foundations of Professional Nursing
2. Nursing Process and Clinical Judgment
3. Patient Safety and Quality Improvement
4. Infection Prevention and Standard Precautions
5. Health Assessment Fundamentals
6. Communication and Therapeutic Relationships
7. Documentation and Legal/Ethical Practice
8. Medication Safety Principles
9. Evidence-Based Practice
10. Patient Education and Health Promotion
FOUNDATIONS OF NURSING || NURSING PROCESS || CLINICAL JUDGMENT ||
PATIENT SAFETY || THERAPEUTIC COMMUNICATION || HEALTH ASSESSMENT ||
INFECTION PREVENTION || EVIDENCE-BASED PRACTICE || LEGAL
RESPONSIBILITIES || ETHICAL DECISION MAKING || QUALITY IMPROVEMENT ||
DOCUMENTATION || MEDICATION SAFETY || HEALTH PROMOTION ||
PROFESSIONAL ACCOUNTABILITY
QUESTION 1.
A nurse receives handoff on four patients. Which patient should be assessed first
based on clinical judgment principles?
A. A postoperative patient reporting sudden shortness of breath and chest pain.
B. A patient requesting assistance with discharge paperwork.
,C. A stable patient requesting a routine pain medication.
D. A patient awaiting dietary education before lunch.
🔴 Correct Answer: A. A postoperative patient reporting sudden shortness of
breath and chest pain.
🔵 Explanation: Sudden dyspnea and chest pain following surgery may indicate a life-
threatening pulmonary embolism requiring immediate assessment and intervention.
The remaining situations are important but do not present an immediate threat to life
according to prioritization frameworks such as ABCs and clinical urgency.
QUESTION 2.
During medication administration, a nurse notices the prescribed dosage exceeds the
recommended therapeutic range. What is the most appropriate initial action?
A. Administer half the prescribed dose.
B. Verify the prescription and clarify it with the prescribing provider before
administration.
C. Ask another nurse to administer the medication.
D. Delay administration until the next scheduled dose.
🔴 Correct Answer: B. Verify the prescription and clarify it with the prescribing
provider before administration.
🔵 Explanation: Nurses have a professional responsibility to question potentially
unsafe medication orders before administration. Independently changing the dose or
delaying treatment without clarification may jeopardize patient safety.
QUESTION 3.
Which nursing action best reflects application of evidence-based practice?
A. Following unit routines regardless of current literature.
B. Selecting interventions solely based on years of experience.
,C. Integrating current research evidence, clinical expertise, and patient preferences.
D. Applying interventions recommended by coworkers without evaluation.
🔴 Correct Answer: C. Integrating current research evidence, clinical expertise, and
patient preferences.
🔵 Explanation: Evidence-based practice combines the best available evidence with
clinician expertise and patient values to optimize outcomes. Reliance on tradition or
anecdotal recommendations alone does not meet evidence-based standards.
QUESTION 4.
A patient refuses a prescribed treatment after receiving appropriate education.
Which nursing response best demonstrates respect for patient autonomy?
A. Document refusal and notify the provider after ensuring the patient understands
the risks.
B. Continue encouraging treatment until the patient agrees.
C. Administer treatment because it is medically indicated.
D. Ask family members to override the patient's decision.
🔴 Correct Answer: A. Document refusal and notify the provider after ensuring the
patient understands the risks.
🔵 Explanation: Competent patients have the legal and ethical right to refuse
treatment after informed decision-making. Nurses should verify understanding,
document the refusal accurately, and communicate with the provider rather than
coercing or overriding the patient's wishes.
QUESTION 5.
Which assessment finding requires immediate implementation of transmission-based
precautions in addition to standard precautions?
A. Controlled hypertension.
B. Suspected active pulmonary tuberculosis.
, C. Seasonal allergic rhinitis.
D. Chronic osteoarthritis.
🔴 Correct Answer: B. Suspected active pulmonary tuberculosis.
🔵 Explanation: Suspected pulmonary tuberculosis requires airborne precautions
because transmission occurs via droplet nuclei. The other conditions do not warrant
additional isolation precautions beyond standard practices.
QUESTION 6.
A nurse identifies conflicting information between a patient's medication history and
electronic health record. What should the nurse do first?
A. Assume the electronic record is correct.
B. Clarify the discrepancy directly with the patient and available reliable sources.
C. Delete conflicting information immediately.
D. Wait until discharge to reconcile medications.
🔴 Correct Answer: B. Clarify the discrepancy directly with the patient and
available reliable sources.
🔵 Explanation: Medication reconciliation requires verification using the patient and
other reliable sources to prevent medication errors. Assuming documentation is
accurate without verification increases the risk of adverse events.
QUESTION 7.
A nurse enters a patient's room and notices the patient attempting to climb out of
bed despite fall precautions. Which intervention demonstrates the highest priority?
A. Complete scheduled documentation first.
B. Lower the bed, assist the patient safely, and assess the reason for attempting to
get up.
C. Call housekeeping.
D. Notify dietary services.
| EXAM PREPARATION | ADVANCED REVIEW | COMPREHENSIVE PRACTICE EXAM |
LATEST UPDATE 2026/2027
Examiner:
Course Faculty, School/College of Nursing (NSG 3000)
TABLE OF CONTENTS
1. Foundations of Professional Nursing
2. Nursing Process and Clinical Judgment
3. Patient Safety and Quality Improvement
4. Infection Prevention and Standard Precautions
5. Health Assessment Fundamentals
6. Communication and Therapeutic Relationships
7. Documentation and Legal/Ethical Practice
8. Medication Safety Principles
9. Evidence-Based Practice
10. Patient Education and Health Promotion
FOUNDATIONS OF NURSING || NURSING PROCESS || CLINICAL JUDGMENT ||
PATIENT SAFETY || THERAPEUTIC COMMUNICATION || HEALTH ASSESSMENT ||
INFECTION PREVENTION || EVIDENCE-BASED PRACTICE || LEGAL
RESPONSIBILITIES || ETHICAL DECISION MAKING || QUALITY IMPROVEMENT ||
DOCUMENTATION || MEDICATION SAFETY || HEALTH PROMOTION ||
PROFESSIONAL ACCOUNTABILITY
QUESTION 1.
A nurse receives handoff on four patients. Which patient should be assessed first
based on clinical judgment principles?
A. A postoperative patient reporting sudden shortness of breath and chest pain.
B. A patient requesting assistance with discharge paperwork.
,C. A stable patient requesting a routine pain medication.
D. A patient awaiting dietary education before lunch.
🔴 Correct Answer: A. A postoperative patient reporting sudden shortness of
breath and chest pain.
🔵 Explanation: Sudden dyspnea and chest pain following surgery may indicate a life-
threatening pulmonary embolism requiring immediate assessment and intervention.
The remaining situations are important but do not present an immediate threat to life
according to prioritization frameworks such as ABCs and clinical urgency.
QUESTION 2.
During medication administration, a nurse notices the prescribed dosage exceeds the
recommended therapeutic range. What is the most appropriate initial action?
A. Administer half the prescribed dose.
B. Verify the prescription and clarify it with the prescribing provider before
administration.
C. Ask another nurse to administer the medication.
D. Delay administration until the next scheduled dose.
🔴 Correct Answer: B. Verify the prescription and clarify it with the prescribing
provider before administration.
🔵 Explanation: Nurses have a professional responsibility to question potentially
unsafe medication orders before administration. Independently changing the dose or
delaying treatment without clarification may jeopardize patient safety.
QUESTION 3.
Which nursing action best reflects application of evidence-based practice?
A. Following unit routines regardless of current literature.
B. Selecting interventions solely based on years of experience.
,C. Integrating current research evidence, clinical expertise, and patient preferences.
D. Applying interventions recommended by coworkers without evaluation.
🔴 Correct Answer: C. Integrating current research evidence, clinical expertise, and
patient preferences.
🔵 Explanation: Evidence-based practice combines the best available evidence with
clinician expertise and patient values to optimize outcomes. Reliance on tradition or
anecdotal recommendations alone does not meet evidence-based standards.
QUESTION 4.
A patient refuses a prescribed treatment after receiving appropriate education.
Which nursing response best demonstrates respect for patient autonomy?
A. Document refusal and notify the provider after ensuring the patient understands
the risks.
B. Continue encouraging treatment until the patient agrees.
C. Administer treatment because it is medically indicated.
D. Ask family members to override the patient's decision.
🔴 Correct Answer: A. Document refusal and notify the provider after ensuring the
patient understands the risks.
🔵 Explanation: Competent patients have the legal and ethical right to refuse
treatment after informed decision-making. Nurses should verify understanding,
document the refusal accurately, and communicate with the provider rather than
coercing or overriding the patient's wishes.
QUESTION 5.
Which assessment finding requires immediate implementation of transmission-based
precautions in addition to standard precautions?
A. Controlled hypertension.
B. Suspected active pulmonary tuberculosis.
, C. Seasonal allergic rhinitis.
D. Chronic osteoarthritis.
🔴 Correct Answer: B. Suspected active pulmonary tuberculosis.
🔵 Explanation: Suspected pulmonary tuberculosis requires airborne precautions
because transmission occurs via droplet nuclei. The other conditions do not warrant
additional isolation precautions beyond standard practices.
QUESTION 6.
A nurse identifies conflicting information between a patient's medication history and
electronic health record. What should the nurse do first?
A. Assume the electronic record is correct.
B. Clarify the discrepancy directly with the patient and available reliable sources.
C. Delete conflicting information immediately.
D. Wait until discharge to reconcile medications.
🔴 Correct Answer: B. Clarify the discrepancy directly with the patient and
available reliable sources.
🔵 Explanation: Medication reconciliation requires verification using the patient and
other reliable sources to prevent medication errors. Assuming documentation is
accurate without verification increases the risk of adverse events.
QUESTION 7.
A nurse enters a patient's room and notices the patient attempting to climb out of
bed despite fall precautions. Which intervention demonstrates the highest priority?
A. Complete scheduled documentation first.
B. Lower the bed, assist the patient safely, and assess the reason for attempting to
get up.
C. Call housekeeping.
D. Notify dietary services.
