NSG 430 exam 3 Latest Update 2024-2025 Actual
Exam from Credible Sources with 100 Questions
and Verified Correct Answers Golden Ticket to
Guaranteed A+ Verified by Professor
A 19-yr-old patient is brought to the emergency department (ED) with multiple
lacerations and tissue avulsion of the left hand. When asked about tetanus
immunization, the patient denies having any previous vaccinations. The nurse will
anticipate giving
A. tetanus immunoglobulin (TIG) only.
B. TIG and tetanus-diphtheria toxoid (Td).
C. tetanus-diphtheria toxoid and pertussis vaccine (Tdap) only.
D. TIG and tetanus-diphtheria toxoid and pertussis vaccine (Tdap). - CORRECT
ANSWER: D.
A group of people arrive at the emergency department by private care. they all have
extreme periorbital swelling, coughing, and tightness in the throat. There is a strong
odor emanating from their clothes. They report exposure to a "gas bomb" that was set
off in their house. Which action is the priority?
A. Measure vital signs and listen to lung sounds
B. Decontaminate by brushing off powder
C. Alert security about possible terrorism activity
D. Direct patients to cold or clean zones for immediate treatment - CORRECT
ANSWER: B
A patient admitted with dermal ulcers who has a history of a T3 spinal cord injury tells
the nurse, "I have a pounding headache and I feel sick to my stomach." Which action
should the nurse take first?
,A. check for a fecal impaction
B. Give the prescribed antiemetic
C. assess the blood pressure
D. Notify the health care provider - CORRECT ANSWER: C
A patient arrives in the emergency department (ED) several hours after taking "25 to 30"
acetaminophen (Tylenol) tablets. Which action will the nurse plan to take?
A. Give N-acetylcysteine.
B. Discuss the use of chelation therapy.
C. Start oxygen using a non-rebreather mask.
D. Have the patient drink large amounts of water. - CORRECT ANSWER: A
A patient is hospitalized with new onset of Guillain-Barré syndrome. The most essential
assessment for the nurse to complete is
A. determining level of consciousness.
B. checking strength of the extremities.
C. observing respiratory rate and effort.
D. monitoring the cardiac rate and rhythm. - CORRECT ANSWER: C
A patient who has amyotrophic lateral sclerosis (ALS) is hospitalized with pneumonia.
Which nursing action will be included in the plan of care?
A. Observe for agitation and paranoia.
B. Assess respiratory effort
C. Give muscle relaxants as needed to reduce spasms.
D. Use simple words and phrases to explain procedures. - CORRECT ANSWER: B
,A patient who has been involved in a motor vehicle crash arrives in the emergency
department (ED) with cool, clammy skin; tachycardia; and hypotension. Which
intervention ordered by the health care provider should the nurse implement first?
A. Insert two large-bore IV catheters.
B.Provide O2 at 100% per non-rebreather mask.
C.Draw blood to type and crossmatch for transfusions.
D.Initiate continuous electrocardiogram (ECG) monitoring. - CORRECT ANSWER: b
A patient who has deep human bite wounds on the left hand is being treated in the
urgent care center. Which action will the nurse plan to take?
A. Prepare to administer rabies immune globulin (BayRab).
B. Assist the health care provider with suturing of the bite wounds.
C. Teach the patient the reason for the use of prophylactic antibiotics.
D. Keep the wounds dry until the health care provider can assess them. - CORRECT
ANSWER: C
A patient who has experienced blunt abdominal trauma during a motor vehicle collision
is complaining of increasing abdominal pain. The nurse will plan to teach the patient
about the purpose of
A. peritoneal lavage.
B. abdominal ultrasonography.
C. nasogastric (NG) tube placement.
D. magnetic resonance imaging (MRI). - CORRECT ANSWER: B
A patient who has had open reduction and internal fixation of left lower leg fractures
continues to complain of severe pain in the leg 15 minutes after receiving the prescribed
IV morphine. Pulses are faintly palpable and the foot is cool to the touch. Which action
should the nurse take next?
, a. Maintain leg in neutral position
b. Assess the incision for redness
c. Reposition the left leg on pillows
d. Check the patients blood pressure - CORRECT ANSWER: a
A patient who was found unconscious in a burning house is brought to the emergency
department by ambulance. The nurse notes that the patient's skin color is bright red.
Which action should the nurse take first?
A. Insert two large-bore IV lines.
B. Check the patient's orientation.
C. Assess for singed nasal hair and dark oral mucous membranes.
D. Place the patient on 100% O2using a nonrebreather mask. - CORRECT ANSWER: D
A patient with a complex pelvic fracture from a motor vehicle crash is on bed rest. Which
nursing assessment finding indicates a potential complication of the fracture?
a. The patient states the pelvis feels unstable
b. Abdomen is distended and bowel sounds are absent
c. The patient complains of pelvic pain with palpation
d. Ecchymoses are visible across the abdomen and hips - CORRECT ANSWER: b
A patient with hypotension and an elevated temperature after working outside on a hot
day is treated in the emergency department (ED). The nurse determines that discharge
teaching has been effective when the patient makes which statement?
A. "I'll take salt tablets when I work outdoors in the summer."
B. "I should take acetaminophen (Tylenol) if I start to feel too warm."
C. "I need to drink extra fluids when working outside in hot weather."
Exam from Credible Sources with 100 Questions
and Verified Correct Answers Golden Ticket to
Guaranteed A+ Verified by Professor
A 19-yr-old patient is brought to the emergency department (ED) with multiple
lacerations and tissue avulsion of the left hand. When asked about tetanus
immunization, the patient denies having any previous vaccinations. The nurse will
anticipate giving
A. tetanus immunoglobulin (TIG) only.
B. TIG and tetanus-diphtheria toxoid (Td).
C. tetanus-diphtheria toxoid and pertussis vaccine (Tdap) only.
D. TIG and tetanus-diphtheria toxoid and pertussis vaccine (Tdap). - CORRECT
ANSWER: D.
A group of people arrive at the emergency department by private care. they all have
extreme periorbital swelling, coughing, and tightness in the throat. There is a strong
odor emanating from their clothes. They report exposure to a "gas bomb" that was set
off in their house. Which action is the priority?
A. Measure vital signs and listen to lung sounds
B. Decontaminate by brushing off powder
C. Alert security about possible terrorism activity
D. Direct patients to cold or clean zones for immediate treatment - CORRECT
ANSWER: B
A patient admitted with dermal ulcers who has a history of a T3 spinal cord injury tells
the nurse, "I have a pounding headache and I feel sick to my stomach." Which action
should the nurse take first?
,A. check for a fecal impaction
B. Give the prescribed antiemetic
C. assess the blood pressure
D. Notify the health care provider - CORRECT ANSWER: C
A patient arrives in the emergency department (ED) several hours after taking "25 to 30"
acetaminophen (Tylenol) tablets. Which action will the nurse plan to take?
A. Give N-acetylcysteine.
B. Discuss the use of chelation therapy.
C. Start oxygen using a non-rebreather mask.
D. Have the patient drink large amounts of water. - CORRECT ANSWER: A
A patient is hospitalized with new onset of Guillain-Barré syndrome. The most essential
assessment for the nurse to complete is
A. determining level of consciousness.
B. checking strength of the extremities.
C. observing respiratory rate and effort.
D. monitoring the cardiac rate and rhythm. - CORRECT ANSWER: C
A patient who has amyotrophic lateral sclerosis (ALS) is hospitalized with pneumonia.
Which nursing action will be included in the plan of care?
A. Observe for agitation and paranoia.
B. Assess respiratory effort
C. Give muscle relaxants as needed to reduce spasms.
D. Use simple words and phrases to explain procedures. - CORRECT ANSWER: B
,A patient who has been involved in a motor vehicle crash arrives in the emergency
department (ED) with cool, clammy skin; tachycardia; and hypotension. Which
intervention ordered by the health care provider should the nurse implement first?
A. Insert two large-bore IV catheters.
B.Provide O2 at 100% per non-rebreather mask.
C.Draw blood to type and crossmatch for transfusions.
D.Initiate continuous electrocardiogram (ECG) monitoring. - CORRECT ANSWER: b
A patient who has deep human bite wounds on the left hand is being treated in the
urgent care center. Which action will the nurse plan to take?
A. Prepare to administer rabies immune globulin (BayRab).
B. Assist the health care provider with suturing of the bite wounds.
C. Teach the patient the reason for the use of prophylactic antibiotics.
D. Keep the wounds dry until the health care provider can assess them. - CORRECT
ANSWER: C
A patient who has experienced blunt abdominal trauma during a motor vehicle collision
is complaining of increasing abdominal pain. The nurse will plan to teach the patient
about the purpose of
A. peritoneal lavage.
B. abdominal ultrasonography.
C. nasogastric (NG) tube placement.
D. magnetic resonance imaging (MRI). - CORRECT ANSWER: B
A patient who has had open reduction and internal fixation of left lower leg fractures
continues to complain of severe pain in the leg 15 minutes after receiving the prescribed
IV morphine. Pulses are faintly palpable and the foot is cool to the touch. Which action
should the nurse take next?
, a. Maintain leg in neutral position
b. Assess the incision for redness
c. Reposition the left leg on pillows
d. Check the patients blood pressure - CORRECT ANSWER: a
A patient who was found unconscious in a burning house is brought to the emergency
department by ambulance. The nurse notes that the patient's skin color is bright red.
Which action should the nurse take first?
A. Insert two large-bore IV lines.
B. Check the patient's orientation.
C. Assess for singed nasal hair and dark oral mucous membranes.
D. Place the patient on 100% O2using a nonrebreather mask. - CORRECT ANSWER: D
A patient with a complex pelvic fracture from a motor vehicle crash is on bed rest. Which
nursing assessment finding indicates a potential complication of the fracture?
a. The patient states the pelvis feels unstable
b. Abdomen is distended and bowel sounds are absent
c. The patient complains of pelvic pain with palpation
d. Ecchymoses are visible across the abdomen and hips - CORRECT ANSWER: b
A patient with hypotension and an elevated temperature after working outside on a hot
day is treated in the emergency department (ED). The nurse determines that discharge
teaching has been effective when the patient makes which statement?
A. "I'll take salt tablets when I work outdoors in the summer."
B. "I should take acetaminophen (Tylenol) if I start to feel too warm."
C. "I need to drink extra fluids when working outside in hot weather."
