EXAMS 1-4
Adult Health I
200 Questions with Rationales
Galen College of Nursing
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,Contents
NSG 3250 Exam 1 .................................................................. 2
NSG 3250 Exam 2 ................................................................ 24
NSG 3250 Exam 3 ................................................................ 46
NSG 3250 Exam 4 ................................................................ 70
NSG 3250 Exam 1
1. A nurse is collecting data through interview, observation, and examination to
determine a patient's health status and identify any actual or potential problems.
This action represents which step of the nursing process?
A. Diagnosis
B. Planning
C. Assessment
D. Implementation
Correct Answer: C. Assessment
Rationale: Assessment is the systematic collection of data through interview,
observation, and examination to determine the patient's health status and identify any
actual or potential problems. Diagnosis (Option A) involves clinical judgment about
health problems and follows assessment. Planning (Option B) involves developing
measurable goals and outcomes. Implementation (Option D) refers to carrying out the
nursing plan of care.
2. A hospital unit implements a set of three evidence-based practices that, when
used together, have been shown to reduce central line-associated bloodstream
infections. This approach is best described as:
A. Critical thinking
, B. AA bundle
B. bundle
C. Precision
C. Precisionmedicine
medicine
D. Quality
D. Quality improvement
improvement
Correct Answer:
Correct B. AAbundle
Answer: B. bundle
Rationale: A bundle is
Rationale: is aaset
setofofthree
threetotofive
fiveevidence-based
evidence-based practices
practices that,
that, when
when
implemented appropriately, can can measurably
measurablyimprove
improvepatient
patientoutcomes.
outcomes.Critical
Criticalthinking
thinking
A) isisaacognitive
(Option A) cognitiveprocess
processforfordeveloping
developing conclusions.
conclusions. Precision
Precision medicine
medicine (Option
(Option
C)involves
C) involvesindividualized
individualizedplans
plansofofcare
care based
based onon research
research andand technology.
technology. Quality
Quality
improvement (Option D) D)isisaabroader
broadersystematic
systematicprocess
process rather
rather than
than a specific
a specific setsetof of
evidence-basedpractices.
evidence-based practices.
Whenreviewing
3. When reviewingaapatient's
patient'splan
planofofcare,
care, a nurse
a nurse purposefully
purposefully reflects
reflects on the
on the
responsesand
patient's responses andconsiders
considers alternative
alternative interventions
interventions to achieve
to achieve thethe
desired outcomes.
desired outcomes.This
This cognitive
cognitive process
process bestbest exemplifies:
exemplifies:
A. Implementation
A. Implementation
B. Evaluation
B. Evaluation
C. Critical
C. Criticalthinking
thinking
D. Health
D. Health promotion
promotion
Correct Answer:
Correct C.Critical
Answer: C. Criticalthinking
thinking
Critical thinking
Rationale: Critical
Rationale: thinking isisaapurposeful,
purposeful,insightful,
insightful,reflective,
reflective,and
andgoal-directed
goal-directed
processused
cognitive process usedtotodevelop
developappropriate
appropriateconclusions,
conclusions, solutions,
solutions, andand alternatives.
alternatives.
Implementation (Option A) A) refers
refersto
tocarrying
carryingout
outthe
theplan
planofofcare.
care.Evaluation
Evaluation (Option
(Option B) B)
the extent
determines the extent toto which
which outcomes
outcomesare areachieved.
achieved.Health
Health promotion
promotion (Option
(Option D)D)
focuseson
focuses onwellness
wellnessand andrisk
riskreduction
reductionthrough
throughlifestyle
lifestylealterations.
alterations.
4. After administering
administeringpain
painmedication
medicationand
andrepositioning
repositioning a patient,
a patient, the
the nurse
nurse
returns in
in one
onehour
hourto
todetermine
determinewhether
whetherthethepatient's
patient'spain
painrating
ratinghas
has decreased.
decreased.
This actionbest
This action bestexemplifies
exemplifieswhich
which step
step of of
thethe nursing
nursing process?
process?
A. Assessment
A. Assessment
B. Planning
B. Planning
C. Implementation
C. Implementation
D. Evaluation
Evaluation
Correct Answer:
Correct D. Evaluation
Answer: D. Evaluation