NSG 501 Exam 1 Practice Questions With
Complete Solutions
A |nurse |asks |a |student |nurse |to |irrigate |a |patient's |feeding |tube. |The |student |has |not |performed |the |
procedure |other |than |in |simulation |laboratory. |The |student |approaches |her |clinical |instructor |and |
asks |a |clarifying |question |about |the |amount |of |saline |to |use |in |the |procedure. |This |is |an |example |of |
which |critical |thinking |attitude? |1. |Risk |taking |2. |Confidence |3. |Consistency |4. |Curiosity |- |VERIFIED |
ANSWER✔✔-2.
A |nurse |enters |a |heated |discussion |with |a |colleague |over |a |work |schedule |change. |The |nurse |has |a |
patient |who |asked |for |a |pain |medication |20 |minutes |earlier. |Another |patient |calls |the |nurse |to |
request |assistance. |The |nurse |feels |tension |in |her |neck |and |around |her |eyes, |and |she |takes |a |10-
second |time |out. |This |shows |the |nurse |is |aware |of |which |of |the |following? |(Select |all |that |apply.) |1. |
Stress |affects |accuracy |of |problem |solving. |2. |During |stressful |events, |it |is |easier |to |communicate |
concise |information. |3. |The |level |of |stress |can |affect |the |nurse's |ability |to |speak |clearly. |4. |Stress |
improves |recall |of |information. |5. |Managing |emotions |is |difficult |during |stress. |- |VERIFIED |
ANSWER✔✔-1, |3, |5
You |can |use |the |REFLECT |model |to |improve |learning |after |providing |patient |care. |Place |the |steps |of |
this |model |in |the |correct |order. |1. |Think |about |your |thoughts |and |actions |at |the |time |of |the |
situation. |2. |Review |the |knowledge |you |gained |from |the |experience. |3. |Review |the |facts |of |the |
situation. |4. |Set |a |schedule |for |completing |your |plan |of |action. |5. |Consider |options |for |handling |a |
similar |situation |in |the |future. |6. |Recall |any |feelings |you |had |at |the |time |of |the |situation. |7. |Create |a |
plan |for |future |situations |- |VERIFIED |ANSWER✔✔-3,1,6,2,5,7,4
One |element |of |clinical |decision |making |is |knowing |the |patient. |Which |of |the |following |activities |
affect |a |nurse's |ability |to |know |patients |better? |(Select |all |that |apply.) |1. |Caring |for |similar |groups |of |
patients |over |time |2. |Reading |the |evidence-based |practices |appropriate |to |patients |3. |Learning |how |
patients |typically |respond |to |a |particular |clinical |situation |4. |Observing |patients |5. |Engaging |with |
patients |experiencing |illness |- |VERIFIED |ANSWER✔✔-1,3,4,5
While |preparing |medications |for |a |patient, |the |nurse |compares |the |name |of |the |medication |on |the |
label |with |the |name |of |the |medication |on |the |physician's |order. |At |the |bedside, |the |nurse |checks |the
|patient's |name |against |the |order |as |well. |The |nurse |is |following |which |critical |thinking |attitude? |1. |
Responsible |2. |Complete |3. |Accurate |- |VERIFIED |ANSWER✔✔-1
,A |patient |has |regularly |visited |the |outpatient |wound |clinic |over |the |last |2 |months |for |treatment |of |a |
foot |ulcer. |The |nurses |have |tried |two |types |of |dressings, |but |the |wound |shows |little |improvement. |
During |the |patient's |next |visit, |a |nurse |recommends |a |hydrocolloid |dressing |and |use |of |a |foot |boot |to
|reduce |pressure |on |the |ulcer |when |the |patient |walks. |This |approach |to |selecting |an |intervention |
employs |which |critical |thinking |attitude? |1. |Significance |2. |Curiosity |3. |Perseverance |4. |Logic |- |
VERIFIED |ANSWER✔✔-3
A |patient |diagnosed |with |stage |4 |breast |cancer |has |undergone |three |different |chemotherapy |trials. |
The |patient |has |severe |hip |pain |as |a |result |of |the |cancer |spreading |to |the |bones. |The |nurse |and |
patient |discuss |the |patient's |expectations |for |pain |management |and |the |approach |she |prefers |for |
treatment |while |meeting |the |Oncology |Nurses |Society |(ONS) |standards |for |pain |management. |The |
nurse |has |applied |which |critical |thinking |standards? |(Select |all |that |apply.) |1. |Specific |critical |thinking |
2. |Evidence-based |criteria |3. |Standards |of |practice |4. |Intellectual |standards |5. |Ethical |standards |- |
VERIFIED |ANSWER✔✔-2,5
A |nurse |working |on |a |cardiac |unit |is |assigned |an |84-yearold |patient |who |was |just |admitted |with |
symptoms |of |lung |infection. |When |the |nurse |enters |the |room, |the |nurse |notices |that |the |patient |is |
short |of |breath. |The |patient |continues |to |cough |and |has |a |respiratory |rate |of |36 |breaths/min. |The |
patient |is |anxious |and |states |"I |am |scared." |The |nurse |does |an |initial |preliminary |assessment |and |
follows |up |30 |minutes |later. |The |nurse's |knowledge |about |the |patient |results |in |which |of |the |
following |assessment |approaches? |(Select |all |that |apply.) |1. |Problem-focused |approach |2. |Structured |
comprehensive |approach |3. |Emotion-focused |approach |4. |Using |multiple |visits |to |gather |a |complete |
patient |database |5. |Focusing |on |the |functional |health |pattern |of |role-relationship |- |VERIFIED |
ANSWER✔✔-1,4
A |patient |has |a |pressure |injury |resulting |from |urinary |incontinence |and |sustained |pressure |over |the |
coccyx. |The |nursing |plan |of |care |includes |a |goal |of |"Pressure |injury |heals |in |3 |weeks." |Which |of |the |
following |is |an |evaluation |measure |for |this |goal? |(Select |all |that |apply.) |1. |Turn |patient |every |90 |
minutes. |2. |Measure |the |diameter |of |the |pressure |injury. |3. |Measure |urine |output. |4. |Monitor |
patient's |report |of |discomfort |during |turning. |5. |Measure |depth |of |pressure |injury. |- |VERIFIED |
ANSWER✔✔-2, |5
. |A |nurse |completes |a |respiratory |assessment |on |a |patient |who |had |abdominal |surgery |1 |day |ago. |
During |the |assessment, |the |nurse |auscultates |crackles |in |both |lower |lobes, |and |the |patient |coughs, |
producing |light |yellow |sputum. |The |patient's |body |temperature |is |37.0°C |(98.6°F), |pulse |is |110 |
beats/min, |respiratory |rate |is |28 |breaths/min, |and |blood |pressure |is |118/82 |mm |Hg. |Pulse |oximetry |
was |99% |and |is |now |93%. |The |nurse |identifies |a |nursing |diagnosis |of |Impaired |Gas |Exchange. |Which |
of |following |goals |is |appropriate |for |this |patient? |1. |Patient's |pulse |oximetry |will |be |greater |than |95%.
, 2. |Instruct |patient |to |deep |breathe |and |cough |every |2 |hours. |3. |Patient's |lungs |will |be |clear |to |
|
auscultation. |4. |Patient |will |be |able |to |sleep |through |the |night. |- |VERIFIED |ANSWER✔✔-3
During |the |implementation |step |of |the |nursing |process, |a |nurse |reviews |and |revises |the |nursing |care |
plan. |Place |the |following |steps |of |review |and |revision |in |the |correct |order. |1. |Review |the |care |plan. |2.
|Decide |whether |the |nursing |interventions |remain |appropriate. |3. |Reassess |the |patient. |4. |Compare |
assessment |findings |to |validate |existing |nursing |diagnosis. |- |VERIFIED |ANSWER✔✔-3, |4, |1, |2
Which |of |the |following |statements |correctly |describes |the |evaluation |process? |(Select |all |that |apply.) |
1. |Evaluation |is |an |ongoing |process. |2. |Evaluation |usually |reveals |obvious |changes |in |a |patient. |3. |
Evaluation |involves |making |clinical |decisions. |4. |Evaluation |requires |the |use |of |assessment |skills. |5. |
Evaluation |is |performed |only |when |the |patient's |condition |changes. |- |VERIFIED |ANSWER✔✔-1, |3, |4
A |patient |tells |the |nurse, |"I |have |had |this |dull |ache |in |my |side |now |for |4 |days. |It |really |hurts |when |I |
bend |over." |The |nurse |responds, |"All |right, |go |on." |What |type |of |nursing |interview |technique |is |the |
nurse's |response? |1. |Inference |2. |A |cue |3. |Back-channeling |4. |Open-ended |question |- |VERIFIED |
ANSWER✔✔-3
A |nurse |has |been |interviewing |a |newly |assigned |patient. |The |patient |complains |of |difficulty |breathing.
|Other |cues |from |the |history |indicate |that |that |patient |has |had |a |productive |cough |for |the |last |2 |
weeks. |The |nurse |does |not |validate |the |findings |by |doing |a |physical |examination. |This |is |an |example |
of |which |type |of |error? |1. |Error |in |data |clustering |2. |Error |in |data |collection |3. |Error |in |diagnostic |
statement |4. |Error |in |interpretation |and |analysis |- |VERIFIED |ANSWER✔✔-2
Which |of |the |following |are |examples |of |data |validation? |(Select |all |that |apply.) |1. |The |nurse |assesses |
the |patient's |heart |rate |and |compares |the |value |with |the |last |value |entered |in |the |medical |record. |2. |
The |nurse |asks |the |patient |if |he |is |having |pain |and |then |asks |him |to |rate |the |severity. |3. |The |nurse |
observes |a |patient |reading |a |teaching |booklet |and |asks |whether |he |has |any |questions |about |its |
content. |4. |The |nurse |obtains |a |blood |pressure |value |that |is |abnormal |and |asks |the |charge |nurse |to |
repeat |the |measurement. |5. |The |nurse |asks |the |patient |to |describe |a |symptom |by |saying |"go |on." |- |
VERIFIED |ANSWER✔✔-1, |4
A |nurse |is |caring |for |a |patient |who |had |surgery |2 |days |ago |and |has |not |yet |had |a |bowel |movement. |
Upon |assessment, |the |nurse |finds |bowel |sounds |are |present |in |all |four |quadrants, |abdomen |is |slightly
|distended, |and |patient |reports |feeling |uncomfortably |full. |The |patient |has |been |scheduled |for |
discharge |tomorrow. |The |nursing |history |on |admission |noted |that |the |patient |had |a |history |of |
constipation |and |takes |stool |softeners. |The |nurse |prepares |to |call |the |health |care |provider |to |request
|a |medication |for |constipation. |Place |the |following |in |the |correct |order |for |an |SBAR |communication |
Complete Solutions
A |nurse |asks |a |student |nurse |to |irrigate |a |patient's |feeding |tube. |The |student |has |not |performed |the |
procedure |other |than |in |simulation |laboratory. |The |student |approaches |her |clinical |instructor |and |
asks |a |clarifying |question |about |the |amount |of |saline |to |use |in |the |procedure. |This |is |an |example |of |
which |critical |thinking |attitude? |1. |Risk |taking |2. |Confidence |3. |Consistency |4. |Curiosity |- |VERIFIED |
ANSWER✔✔-2.
A |nurse |enters |a |heated |discussion |with |a |colleague |over |a |work |schedule |change. |The |nurse |has |a |
patient |who |asked |for |a |pain |medication |20 |minutes |earlier. |Another |patient |calls |the |nurse |to |
request |assistance. |The |nurse |feels |tension |in |her |neck |and |around |her |eyes, |and |she |takes |a |10-
second |time |out. |This |shows |the |nurse |is |aware |of |which |of |the |following? |(Select |all |that |apply.) |1. |
Stress |affects |accuracy |of |problem |solving. |2. |During |stressful |events, |it |is |easier |to |communicate |
concise |information. |3. |The |level |of |stress |can |affect |the |nurse's |ability |to |speak |clearly. |4. |Stress |
improves |recall |of |information. |5. |Managing |emotions |is |difficult |during |stress. |- |VERIFIED |
ANSWER✔✔-1, |3, |5
You |can |use |the |REFLECT |model |to |improve |learning |after |providing |patient |care. |Place |the |steps |of |
this |model |in |the |correct |order. |1. |Think |about |your |thoughts |and |actions |at |the |time |of |the |
situation. |2. |Review |the |knowledge |you |gained |from |the |experience. |3. |Review |the |facts |of |the |
situation. |4. |Set |a |schedule |for |completing |your |plan |of |action. |5. |Consider |options |for |handling |a |
similar |situation |in |the |future. |6. |Recall |any |feelings |you |had |at |the |time |of |the |situation. |7. |Create |a |
plan |for |future |situations |- |VERIFIED |ANSWER✔✔-3,1,6,2,5,7,4
One |element |of |clinical |decision |making |is |knowing |the |patient. |Which |of |the |following |activities |
affect |a |nurse's |ability |to |know |patients |better? |(Select |all |that |apply.) |1. |Caring |for |similar |groups |of |
patients |over |time |2. |Reading |the |evidence-based |practices |appropriate |to |patients |3. |Learning |how |
patients |typically |respond |to |a |particular |clinical |situation |4. |Observing |patients |5. |Engaging |with |
patients |experiencing |illness |- |VERIFIED |ANSWER✔✔-1,3,4,5
While |preparing |medications |for |a |patient, |the |nurse |compares |the |name |of |the |medication |on |the |
label |with |the |name |of |the |medication |on |the |physician's |order. |At |the |bedside, |the |nurse |checks |the
|patient's |name |against |the |order |as |well. |The |nurse |is |following |which |critical |thinking |attitude? |1. |
Responsible |2. |Complete |3. |Accurate |- |VERIFIED |ANSWER✔✔-1
,A |patient |has |regularly |visited |the |outpatient |wound |clinic |over |the |last |2 |months |for |treatment |of |a |
foot |ulcer. |The |nurses |have |tried |two |types |of |dressings, |but |the |wound |shows |little |improvement. |
During |the |patient's |next |visit, |a |nurse |recommends |a |hydrocolloid |dressing |and |use |of |a |foot |boot |to
|reduce |pressure |on |the |ulcer |when |the |patient |walks. |This |approach |to |selecting |an |intervention |
employs |which |critical |thinking |attitude? |1. |Significance |2. |Curiosity |3. |Perseverance |4. |Logic |- |
VERIFIED |ANSWER✔✔-3
A |patient |diagnosed |with |stage |4 |breast |cancer |has |undergone |three |different |chemotherapy |trials. |
The |patient |has |severe |hip |pain |as |a |result |of |the |cancer |spreading |to |the |bones. |The |nurse |and |
patient |discuss |the |patient's |expectations |for |pain |management |and |the |approach |she |prefers |for |
treatment |while |meeting |the |Oncology |Nurses |Society |(ONS) |standards |for |pain |management. |The |
nurse |has |applied |which |critical |thinking |standards? |(Select |all |that |apply.) |1. |Specific |critical |thinking |
2. |Evidence-based |criteria |3. |Standards |of |practice |4. |Intellectual |standards |5. |Ethical |standards |- |
VERIFIED |ANSWER✔✔-2,5
A |nurse |working |on |a |cardiac |unit |is |assigned |an |84-yearold |patient |who |was |just |admitted |with |
symptoms |of |lung |infection. |When |the |nurse |enters |the |room, |the |nurse |notices |that |the |patient |is |
short |of |breath. |The |patient |continues |to |cough |and |has |a |respiratory |rate |of |36 |breaths/min. |The |
patient |is |anxious |and |states |"I |am |scared." |The |nurse |does |an |initial |preliminary |assessment |and |
follows |up |30 |minutes |later. |The |nurse's |knowledge |about |the |patient |results |in |which |of |the |
following |assessment |approaches? |(Select |all |that |apply.) |1. |Problem-focused |approach |2. |Structured |
comprehensive |approach |3. |Emotion-focused |approach |4. |Using |multiple |visits |to |gather |a |complete |
patient |database |5. |Focusing |on |the |functional |health |pattern |of |role-relationship |- |VERIFIED |
ANSWER✔✔-1,4
A |patient |has |a |pressure |injury |resulting |from |urinary |incontinence |and |sustained |pressure |over |the |
coccyx. |The |nursing |plan |of |care |includes |a |goal |of |"Pressure |injury |heals |in |3 |weeks." |Which |of |the |
following |is |an |evaluation |measure |for |this |goal? |(Select |all |that |apply.) |1. |Turn |patient |every |90 |
minutes. |2. |Measure |the |diameter |of |the |pressure |injury. |3. |Measure |urine |output. |4. |Monitor |
patient's |report |of |discomfort |during |turning. |5. |Measure |depth |of |pressure |injury. |- |VERIFIED |
ANSWER✔✔-2, |5
. |A |nurse |completes |a |respiratory |assessment |on |a |patient |who |had |abdominal |surgery |1 |day |ago. |
During |the |assessment, |the |nurse |auscultates |crackles |in |both |lower |lobes, |and |the |patient |coughs, |
producing |light |yellow |sputum. |The |patient's |body |temperature |is |37.0°C |(98.6°F), |pulse |is |110 |
beats/min, |respiratory |rate |is |28 |breaths/min, |and |blood |pressure |is |118/82 |mm |Hg. |Pulse |oximetry |
was |99% |and |is |now |93%. |The |nurse |identifies |a |nursing |diagnosis |of |Impaired |Gas |Exchange. |Which |
of |following |goals |is |appropriate |for |this |patient? |1. |Patient's |pulse |oximetry |will |be |greater |than |95%.
, 2. |Instruct |patient |to |deep |breathe |and |cough |every |2 |hours. |3. |Patient's |lungs |will |be |clear |to |
|
auscultation. |4. |Patient |will |be |able |to |sleep |through |the |night. |- |VERIFIED |ANSWER✔✔-3
During |the |implementation |step |of |the |nursing |process, |a |nurse |reviews |and |revises |the |nursing |care |
plan. |Place |the |following |steps |of |review |and |revision |in |the |correct |order. |1. |Review |the |care |plan. |2.
|Decide |whether |the |nursing |interventions |remain |appropriate. |3. |Reassess |the |patient. |4. |Compare |
assessment |findings |to |validate |existing |nursing |diagnosis. |- |VERIFIED |ANSWER✔✔-3, |4, |1, |2
Which |of |the |following |statements |correctly |describes |the |evaluation |process? |(Select |all |that |apply.) |
1. |Evaluation |is |an |ongoing |process. |2. |Evaluation |usually |reveals |obvious |changes |in |a |patient. |3. |
Evaluation |involves |making |clinical |decisions. |4. |Evaluation |requires |the |use |of |assessment |skills. |5. |
Evaluation |is |performed |only |when |the |patient's |condition |changes. |- |VERIFIED |ANSWER✔✔-1, |3, |4
A |patient |tells |the |nurse, |"I |have |had |this |dull |ache |in |my |side |now |for |4 |days. |It |really |hurts |when |I |
bend |over." |The |nurse |responds, |"All |right, |go |on." |What |type |of |nursing |interview |technique |is |the |
nurse's |response? |1. |Inference |2. |A |cue |3. |Back-channeling |4. |Open-ended |question |- |VERIFIED |
ANSWER✔✔-3
A |nurse |has |been |interviewing |a |newly |assigned |patient. |The |patient |complains |of |difficulty |breathing.
|Other |cues |from |the |history |indicate |that |that |patient |has |had |a |productive |cough |for |the |last |2 |
weeks. |The |nurse |does |not |validate |the |findings |by |doing |a |physical |examination. |This |is |an |example |
of |which |type |of |error? |1. |Error |in |data |clustering |2. |Error |in |data |collection |3. |Error |in |diagnostic |
statement |4. |Error |in |interpretation |and |analysis |- |VERIFIED |ANSWER✔✔-2
Which |of |the |following |are |examples |of |data |validation? |(Select |all |that |apply.) |1. |The |nurse |assesses |
the |patient's |heart |rate |and |compares |the |value |with |the |last |value |entered |in |the |medical |record. |2. |
The |nurse |asks |the |patient |if |he |is |having |pain |and |then |asks |him |to |rate |the |severity. |3. |The |nurse |
observes |a |patient |reading |a |teaching |booklet |and |asks |whether |he |has |any |questions |about |its |
content. |4. |The |nurse |obtains |a |blood |pressure |value |that |is |abnormal |and |asks |the |charge |nurse |to |
repeat |the |measurement. |5. |The |nurse |asks |the |patient |to |describe |a |symptom |by |saying |"go |on." |- |
VERIFIED |ANSWER✔✔-1, |4
A |nurse |is |caring |for |a |patient |who |had |surgery |2 |days |ago |and |has |not |yet |had |a |bowel |movement. |
Upon |assessment, |the |nurse |finds |bowel |sounds |are |present |in |all |four |quadrants, |abdomen |is |slightly
|distended, |and |patient |reports |feeling |uncomfortably |full. |The |patient |has |been |scheduled |for |
discharge |tomorrow. |The |nursing |history |on |admission |noted |that |the |patient |had |a |history |of |
constipation |and |takes |stool |softeners. |The |nurse |prepares |to |call |the |health |care |provider |to |request
|a |medication |for |constipation. |Place |the |following |in |the |correct |order |for |an |SBAR |communication |
