NSG 3100 Exam 1 Questions with Correct
Answers
The nurse is educating parents about firearm safety. Which parent statement indicates
to the nurse a need for further education?
A. "I should make sure I obtain the proper permits."
B. "It is okay to store firearms with ammunition loaded."
C. "I should store all firearms without ammunition."
D. "I should make sure all firearms are stored in a secure location."
B. "It is okay to store firearms with ammunition loaded."
The nurse is teaching a student nurse about restraint use in patients. Which statement
by the student nurse indicates a learning need regarding restraints?
A. "Having all four side rails up on the bed is considered a restraint."
B. "The use of restraints has been shown to decrease fall-related injuries."
C. "Death has been associated with the use of restraints."
D. "Medications administered to control behavior are considered a chemical restraint."
B. "The use of restraints has been shown to decrease fall-related injuries."
Which statement by the patient indicates to the nurse a teaching need regarding safety
in the home?
A. "I will put a night-light in every room."
B. "I will not use an extension cord to plug in multiple items."
C. "I will wash my throw rugs in the bathroom regularly."
D. "I will keep all cleaning supplies out of reach of children."
C. "I will wash my throw rugs in the bathroom regularly."
,The nurse recognizes which term to identify the second line of defense that leads to local
capillary dilation and leukocyte infiltration?
A. Normal flora
B. Inflammatory response
C. Immune response
D. Humoral immunity
B. Inflammatory response
The nurse is explaining to the patient why antibiotics are being administered. The
answer would be correct if the nnurse stated antibiotics are effective against which
microorganism?
A. Viruses
B. Fungi
C. Parasites
D. Bacteria
D. Bacteria
The nurse recognizes that the stethoscope most correctly represents which possible link
in the chain of infection?
A. Source
B. Portal of exit
C. Portal of entry
D. Mode of transmission
D. Mode of transmission
Excessively dry skin can lead to cracks and openings in the integumentatry system.
Based on this, what is the most applicable nursing diagnosis for a patient with
,excessively dry skin?
A. Impaired health maintenance
B. Risk for injury
C. Risk for infection
D. Acute pain
C. Risk for infection
The UAP asks why the arms are washed from distal to proximal. Which response by the
nurse is appropriate?
A. To promote circulation
B. To maintain asepsis
C. To maintain comfort
D. To maintain tradition
A. To promote circulation
The nurse is implementing generalized fall precautions for patients who are at risk for
falls. Which intervention indicates a lack of understanding of these precautions?
A. The bed is placed in the low position.
B. The patient is wearing socks
C. The patient's cell phone is by the bedside.
D. The patient's call light is within reach.
B. The patient is wearing socks
The nurse is educating the family of a patient on fall risk precautions. Which statement
by he family indicates a need for further education?
A. "I should keep the wheelchair locked unless using it to move Mom."
B. "I should leave the bathroom light on as she does at her home."
, C. "I should leave her slippers by the wheelchair."
D. "I should keep her cell phone close to her bed."
C. "I should leave her slippers by the wheelchair."
The nurse identifies which goal to be appropriate for the patient who is postoperative
day one from abdominal surgery and on bed rest with the nursing diagnosis of impaired
skin integrity?
A. Patient will ambulate twice a day.
B. Patient will eat 50% of meals.
C. Patient will have no further skin breakdown.
D. Patient will interact with others.
C. Patient will have no further skin breakdown.
The nurse identifies which instruction to be appropriate to delegate to the UAP
(unlicensed assistive personnel)?
A. Assess the patient's skin during a bath.
B. Reposition the patient using a trapeze.
C. Assess the patient's ability to perform range-of-motion exercises.
D. Notify the health care provider of any changes.
B. Reposition the patient using a trapeze.
Which of the following is an example of subjective data?
A.Vital signs
B. Intake and output
C. Physical examination
D. A patient stating "I have pain in my arm"
Answers
The nurse is educating parents about firearm safety. Which parent statement indicates
to the nurse a need for further education?
A. "I should make sure I obtain the proper permits."
B. "It is okay to store firearms with ammunition loaded."
C. "I should store all firearms without ammunition."
D. "I should make sure all firearms are stored in a secure location."
B. "It is okay to store firearms with ammunition loaded."
The nurse is teaching a student nurse about restraint use in patients. Which statement
by the student nurse indicates a learning need regarding restraints?
A. "Having all four side rails up on the bed is considered a restraint."
B. "The use of restraints has been shown to decrease fall-related injuries."
C. "Death has been associated with the use of restraints."
D. "Medications administered to control behavior are considered a chemical restraint."
B. "The use of restraints has been shown to decrease fall-related injuries."
Which statement by the patient indicates to the nurse a teaching need regarding safety
in the home?
A. "I will put a night-light in every room."
B. "I will not use an extension cord to plug in multiple items."
C. "I will wash my throw rugs in the bathroom regularly."
D. "I will keep all cleaning supplies out of reach of children."
C. "I will wash my throw rugs in the bathroom regularly."
,The nurse recognizes which term to identify the second line of defense that leads to local
capillary dilation and leukocyte infiltration?
A. Normal flora
B. Inflammatory response
C. Immune response
D. Humoral immunity
B. Inflammatory response
The nurse is explaining to the patient why antibiotics are being administered. The
answer would be correct if the nnurse stated antibiotics are effective against which
microorganism?
A. Viruses
B. Fungi
C. Parasites
D. Bacteria
D. Bacteria
The nurse recognizes that the stethoscope most correctly represents which possible link
in the chain of infection?
A. Source
B. Portal of exit
C. Portal of entry
D. Mode of transmission
D. Mode of transmission
Excessively dry skin can lead to cracks and openings in the integumentatry system.
Based on this, what is the most applicable nursing diagnosis for a patient with
,excessively dry skin?
A. Impaired health maintenance
B. Risk for injury
C. Risk for infection
D. Acute pain
C. Risk for infection
The UAP asks why the arms are washed from distal to proximal. Which response by the
nurse is appropriate?
A. To promote circulation
B. To maintain asepsis
C. To maintain comfort
D. To maintain tradition
A. To promote circulation
The nurse is implementing generalized fall precautions for patients who are at risk for
falls. Which intervention indicates a lack of understanding of these precautions?
A. The bed is placed in the low position.
B. The patient is wearing socks
C. The patient's cell phone is by the bedside.
D. The patient's call light is within reach.
B. The patient is wearing socks
The nurse is educating the family of a patient on fall risk precautions. Which statement
by he family indicates a need for further education?
A. "I should keep the wheelchair locked unless using it to move Mom."
B. "I should leave the bathroom light on as she does at her home."
, C. "I should leave her slippers by the wheelchair."
D. "I should keep her cell phone close to her bed."
C. "I should leave her slippers by the wheelchair."
The nurse identifies which goal to be appropriate for the patient who is postoperative
day one from abdominal surgery and on bed rest with the nursing diagnosis of impaired
skin integrity?
A. Patient will ambulate twice a day.
B. Patient will eat 50% of meals.
C. Patient will have no further skin breakdown.
D. Patient will interact with others.
C. Patient will have no further skin breakdown.
The nurse identifies which instruction to be appropriate to delegate to the UAP
(unlicensed assistive personnel)?
A. Assess the patient's skin during a bath.
B. Reposition the patient using a trapeze.
C. Assess the patient's ability to perform range-of-motion exercises.
D. Notify the health care provider of any changes.
B. Reposition the patient using a trapeze.
Which of the following is an example of subjective data?
A.Vital signs
B. Intake and output
C. Physical examination
D. A patient stating "I have pain in my arm"
