NSG300 EXAM 2 2025 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY
TESTED QUESTIONS AND SOLUTIONS
|ALREADY GRADED A+|LATEST
UPDATE|GUARANTEED PASS
What is an example of a clinical practice guideline or protocol?
A. Appropriate staffing ratios
B. A mandatory lunch break policy
C. Pressure injury prevention
D. Annual nursing education competency requirements
C.
Rationale:
A clinical practice guideline or protocol is a developed set of statements about appropriate
health care for specific health care problems or clinical situations (ex. pressure injury
prevention, fall prevention, DVT, prevention)
The nurse assesses pain, edema, and redness at a vascular access device (VAD) site. Which
action is taken first?
A. Apply a warm, moist compress
B. Aspirate the infusing fluid from the VAD
C. Report the situation to the HCP
D. Discontinue the IV infusion
D.
Rationale:
Discontinuing the IV infusion is the best way to eliminate further damage to the skin and
surrounding tissues
1|Page
,As the nurse is caring for a patient with parenteral nutrition (PN), which actions take priority?
(SELECT ALL THAT APPLY)
A. Clinical and lab monitoring
B. Consistent reevaluation of the PN
C. Careful management of the central venous catheter (CVC)
D. Adherence to asepsis and infusion management principles
E. Changing the CVC dressing per facility protocol and whenever visibly contaminated
All of the answers take priority
What is NOT an important part of having calcium in the diet?
A. Healthy bone growth
B. Pregnancy, especially in the third trimester
C. Protection against obesity
D. Protection against osteoporosis
C.
Which of the following is NOT an objective finding?
A. The client has dysuria
B. The client's BP is 110/70
C. The client ambulates 50 feet
D. The clients HR is 62 bpm
A.
Rationale:
Dysuria is painful urination, which must be reported by the client and is considered a
subjective finding.
Which assessment is NOT used by the nurse as a clinical marker of vascular volume in a patient
with risk of extracellular fluid volume (ECV) defecit?
A. Dryness of mucous membranes
B. Skin turgor
C. Fullness of neck veins when upright
D. Fullness of neck veins when supine
C.
Rationale:
The neck veins will appear flat when lying supine in a patient with ECV deficit
When repositioning an immobile patient, the nurse notices redness over the hip bone. What is
indicated when a reddened area blanches on fingertip touch?
2|Page
, A. Sensitive skin that requires special bed linen
B. A local skin infection requiring antibiotics
C. Blanching erythema
D. Nonblancheable erythema
C.
Rationale:
Blanching erythema occurs when the skin turns lighter in color and erythema returns after
removing your finger. The skin turning red indicates the attempt by the body to overcome an
ischemic episode
Which factor is the most important when determining a patient's total fluid volume status?
A. Intake and output
B. Daily weights
C. Fluid intake only
D. Fluid output only
B.
Rationale:
Daily weights are an important indicator of fluid status. Fluid gains or losses indicate changes
in the amount of total body fluid, usually ECF.
The use of diagnostic reasoning involves a rigorous approach to clinical practice and
demonstrates that critical thinking cannot be done:
A. Logically
B. Haphazardly
C. Independently
D. Systematically
B.
Rationale:
Critical thinking should be done using a systematic approach, using knowledge and
experience to formulate an opinion
To maintain normal elimination patterns in the hospitalized patient, you should instruct the
patient to defecate 1 hour after meals because:
A. the presence of food stimulates peristalsis.
B. mass colonic peristalsis occurs at this time.
C. irregularity helps to develop a habitual pattern.
D. neglecting the urge to defecate can cause diarrhea.
3|Page
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY
TESTED QUESTIONS AND SOLUTIONS
|ALREADY GRADED A+|LATEST
UPDATE|GUARANTEED PASS
What is an example of a clinical practice guideline or protocol?
A. Appropriate staffing ratios
B. A mandatory lunch break policy
C. Pressure injury prevention
D. Annual nursing education competency requirements
C.
Rationale:
A clinical practice guideline or protocol is a developed set of statements about appropriate
health care for specific health care problems or clinical situations (ex. pressure injury
prevention, fall prevention, DVT, prevention)
The nurse assesses pain, edema, and redness at a vascular access device (VAD) site. Which
action is taken first?
A. Apply a warm, moist compress
B. Aspirate the infusing fluid from the VAD
C. Report the situation to the HCP
D. Discontinue the IV infusion
D.
Rationale:
Discontinuing the IV infusion is the best way to eliminate further damage to the skin and
surrounding tissues
1|Page
,As the nurse is caring for a patient with parenteral nutrition (PN), which actions take priority?
(SELECT ALL THAT APPLY)
A. Clinical and lab monitoring
B. Consistent reevaluation of the PN
C. Careful management of the central venous catheter (CVC)
D. Adherence to asepsis and infusion management principles
E. Changing the CVC dressing per facility protocol and whenever visibly contaminated
All of the answers take priority
What is NOT an important part of having calcium in the diet?
A. Healthy bone growth
B. Pregnancy, especially in the third trimester
C. Protection against obesity
D. Protection against osteoporosis
C.
Which of the following is NOT an objective finding?
A. The client has dysuria
B. The client's BP is 110/70
C. The client ambulates 50 feet
D. The clients HR is 62 bpm
A.
Rationale:
Dysuria is painful urination, which must be reported by the client and is considered a
subjective finding.
Which assessment is NOT used by the nurse as a clinical marker of vascular volume in a patient
with risk of extracellular fluid volume (ECV) defecit?
A. Dryness of mucous membranes
B. Skin turgor
C. Fullness of neck veins when upright
D. Fullness of neck veins when supine
C.
Rationale:
The neck veins will appear flat when lying supine in a patient with ECV deficit
When repositioning an immobile patient, the nurse notices redness over the hip bone. What is
indicated when a reddened area blanches on fingertip touch?
2|Page
, A. Sensitive skin that requires special bed linen
B. A local skin infection requiring antibiotics
C. Blanching erythema
D. Nonblancheable erythema
C.
Rationale:
Blanching erythema occurs when the skin turns lighter in color and erythema returns after
removing your finger. The skin turning red indicates the attempt by the body to overcome an
ischemic episode
Which factor is the most important when determining a patient's total fluid volume status?
A. Intake and output
B. Daily weights
C. Fluid intake only
D. Fluid output only
B.
Rationale:
Daily weights are an important indicator of fluid status. Fluid gains or losses indicate changes
in the amount of total body fluid, usually ECF.
The use of diagnostic reasoning involves a rigorous approach to clinical practice and
demonstrates that critical thinking cannot be done:
A. Logically
B. Haphazardly
C. Independently
D. Systematically
B.
Rationale:
Critical thinking should be done using a systematic approach, using knowledge and
experience to formulate an opinion
To maintain normal elimination patterns in the hospitalized patient, you should instruct the
patient to defecate 1 hour after meals because:
A. the presence of food stimulates peristalsis.
B. mass colonic peristalsis occurs at this time.
C. irregularity helps to develop a habitual pattern.
D. neglecting the urge to defecate can cause diarrhea.
3|Page
