NSG 100 FINAL EXAM | NEWEST VERSION | UPDATED
ACTUAL QUESTIONS WITH CORRECT ANSWERS
• A nurse is caring for a group of clients. Which of the following actions by the
nurse demonstrates the use of critical thinking skills?
A.Administer an influenza vaccine after asking a client about allergies.
B.Check a client's armband before dispensing daily thyroid medication to a client
who has hypothyroidism.
C.Give a client who has type 1 diabetes mellitus her morning dose of insulin after
checking her blood glucose level.
D.Intervene after reviewing arterial blood gas results for a client who is on
mechanical ventilation. -✓✓ANSWER: D
• The registered nurse (RN) is explaining Tanner's clinical judgment model to a
student nurse. Which element should the RN explain is needed first to make a
clinical judgment?
A.Intuition
B.Initiation of practice
C.Nursing school education
D.Multiple years of experience -✓✓ANSWER: C
• During the process of reflection, what is the most appropriate question for a
nurse to ask himself or herself?
A."What could I have done differently?"
B."What's going on right now?"
,C."How can the patient's status change?"
D."What should I do to communicate this information?" -✓✓ANSWER: A
• Entering a room at 2:00 am, a nurse notes that the patient is not in bed; the
patient is sitting in the chair and states that she is having difficulty sleeping.
Employing critical thinking, the nurse responds by:
A.Assisting the patient back into bed
B.Asking more about the patient's sleep problem
C.Positioning the patient and providing a warm blanket
D.Obtaining an order for a hypnotic medication -✓✓ANSWER: B
• A nurse is admitting a client who reports increased thirst and fatigue. Which of
the following actions should the nurse include in the assessment step of the
nursing process?
A.Take action to restore the client's health.
B.Ask the client when the condition started.
C.Reach a conclusion about the client's health status.
D.Set goals for the client's recovery. -✓✓ANSWER: B
• An alert, oriented patient is admitted to the hospital with chest pain. From
whom should the nurse collect primary data on this patient?
A.Family member
B.Physician
C.Another nurse
D.Patient -✓✓ANSWER: D
,• The nurse is reviewing assessment data collected from a patient with
pneumonia. Which data should the nurse identify as subjective?
A.Report of difficulty breathing
B.Presence of cough
C.Observation of yellow sputum
D.Rapid breathing -✓✓ANSWER: A
• The nurse is explaining how to develop an appropriate nursing diagnosis. Which
participant statement indicates an appropriate understanding?
A."A nursing diagnosis is developed after the nurse evaluates the interventions
provided."
B."A nursing diagnosis is derived after the nurse develops the plan of care for the
patient."
C."A nursing diagnosis is determined by the medical diagnosis and current patient
needs."
D."A nursing diagnosis is based on clinical judgment that is derived from
assessment data." -✓✓ANSWER: D
• Which of the following nursing diagnoses is written correctly?
A.Risk for constipation R/T decreased daily activity and medication use AEB
abdominal pain and hard formed stool
B.Breast Cancer R/T to family history
C.Imbalanced Nutrition R/T insufficient funds in meal budget AEB body weight
20% below ideal weight.
, D.Deficient Knowledge R/T inaccurate follow through of instructions -
✓✓ANSWER: C
• A patient who admits to smoking two packs of cigarettes a day is diagnosed with
lung cancer based on his symptoms and a series of test results. Which of the
following is the etiology in this scenario?
A.Lung cancer
B.Test results
C.Smoking cigarettes
D.The subjective and objective data -✓✓ANSWER: C
• A patient is admitted to the hospital with pneumonia. The nurse develops a plan
of care with a nursing diagnosis of Impaired Gas Exchange related to inadequate
ventilation secondary to atelectasis.
Which goal includes all elements of a goal statement?
A.The patient will demonstrate correct use of the incentive spirometer after the
teaching session.
B.The patient will be given supplemental oxygen to use via nasal cannula.
C.The patient will be given bronchodilators as prescribed.
D.The patient will be instructed in use of the incentive spirometer every hour. -
✓✓ANSWER: A
• Which of the following statements includes the essential components of a well
written goal?
A.The patient will use the 4-prong walker he brought from home correctly
ACTUAL QUESTIONS WITH CORRECT ANSWERS
• A nurse is caring for a group of clients. Which of the following actions by the
nurse demonstrates the use of critical thinking skills?
A.Administer an influenza vaccine after asking a client about allergies.
B.Check a client's armband before dispensing daily thyroid medication to a client
who has hypothyroidism.
C.Give a client who has type 1 diabetes mellitus her morning dose of insulin after
checking her blood glucose level.
D.Intervene after reviewing arterial blood gas results for a client who is on
mechanical ventilation. -✓✓ANSWER: D
• The registered nurse (RN) is explaining Tanner's clinical judgment model to a
student nurse. Which element should the RN explain is needed first to make a
clinical judgment?
A.Intuition
B.Initiation of practice
C.Nursing school education
D.Multiple years of experience -✓✓ANSWER: C
• During the process of reflection, what is the most appropriate question for a
nurse to ask himself or herself?
A."What could I have done differently?"
B."What's going on right now?"
,C."How can the patient's status change?"
D."What should I do to communicate this information?" -✓✓ANSWER: A
• Entering a room at 2:00 am, a nurse notes that the patient is not in bed; the
patient is sitting in the chair and states that she is having difficulty sleeping.
Employing critical thinking, the nurse responds by:
A.Assisting the patient back into bed
B.Asking more about the patient's sleep problem
C.Positioning the patient and providing a warm blanket
D.Obtaining an order for a hypnotic medication -✓✓ANSWER: B
• A nurse is admitting a client who reports increased thirst and fatigue. Which of
the following actions should the nurse include in the assessment step of the
nursing process?
A.Take action to restore the client's health.
B.Ask the client when the condition started.
C.Reach a conclusion about the client's health status.
D.Set goals for the client's recovery. -✓✓ANSWER: B
• An alert, oriented patient is admitted to the hospital with chest pain. From
whom should the nurse collect primary data on this patient?
A.Family member
B.Physician
C.Another nurse
D.Patient -✓✓ANSWER: D
,• The nurse is reviewing assessment data collected from a patient with
pneumonia. Which data should the nurse identify as subjective?
A.Report of difficulty breathing
B.Presence of cough
C.Observation of yellow sputum
D.Rapid breathing -✓✓ANSWER: A
• The nurse is explaining how to develop an appropriate nursing diagnosis. Which
participant statement indicates an appropriate understanding?
A."A nursing diagnosis is developed after the nurse evaluates the interventions
provided."
B."A nursing diagnosis is derived after the nurse develops the plan of care for the
patient."
C."A nursing diagnosis is determined by the medical diagnosis and current patient
needs."
D."A nursing diagnosis is based on clinical judgment that is derived from
assessment data." -✓✓ANSWER: D
• Which of the following nursing diagnoses is written correctly?
A.Risk for constipation R/T decreased daily activity and medication use AEB
abdominal pain and hard formed stool
B.Breast Cancer R/T to family history
C.Imbalanced Nutrition R/T insufficient funds in meal budget AEB body weight
20% below ideal weight.
, D.Deficient Knowledge R/T inaccurate follow through of instructions -
✓✓ANSWER: C
• A patient who admits to smoking two packs of cigarettes a day is diagnosed with
lung cancer based on his symptoms and a series of test results. Which of the
following is the etiology in this scenario?
A.Lung cancer
B.Test results
C.Smoking cigarettes
D.The subjective and objective data -✓✓ANSWER: C
• A patient is admitted to the hospital with pneumonia. The nurse develops a plan
of care with a nursing diagnosis of Impaired Gas Exchange related to inadequate
ventilation secondary to atelectasis.
Which goal includes all elements of a goal statement?
A.The patient will demonstrate correct use of the incentive spirometer after the
teaching session.
B.The patient will be given supplemental oxygen to use via nasal cannula.
C.The patient will be given bronchodilators as prescribed.
D.The patient will be instructed in use of the incentive spirometer every hour. -
✓✓ANSWER: A
• Which of the following statements includes the essential components of a well
written goal?
A.The patient will use the 4-prong walker he brought from home correctly
