NSG300 Exam 1 practice set with Actual
study Questions and correct/verified
Answers
Which cues would the nurse observe in a patient with a BP of 60/40 and shock? Select all that apply.
A. Clammy skin
B. Thready pulse
C. Increased urinary output
D. Confusion
E. Bradycardia - ANSWER-A. Clammy skin
B. Thready pulse
D. Confusion
Antiembolism stockings are helpful in preventing thrombus formation in what way?
A. Provide pressure on the legs and prevent stasis of venous blood
B. Eliminate the need to exercise the legs and increase venous return
C. Stimulate capillary pressure and increase arterial blood flow
D. Reduct the flow of venous blood back to the heart and reduce cardiac workload - ANSWER-A. Provide
pressure on the legs and prevent stasis of venous blood
The nurse discovers smoke in a soiled utility room and remembers that the initial step taken to protect
the client in the event of a fire is:
A. Notify the fire department
B. Disconnect the oxygen supply
C. Use a fire extinguisher
D. Remove client from the area - ANSWER-D. Remove client from the area
The nurse plans to give the patient a bed bath. When washing the patient's face, the nurse will:
A. Only use sterile water
B. Ask the client their preference
C. Use soap in all areas except the eyes
D. Use a cleansing cream - ANSWER-B. Ask the client their preference
-A nurse should always ask what hygiene preferences the patient has
A nurse is caring for a client with a history of falls. Which action is the nurses FIRST priority?
A. Complete a fall risk assessment
B. Educate the client and family about fall risks
C. Eliminate safety hazards from the client's environment
D. Make sure the client uses an assistive aid as ordered - ANSWER-A. Complete a fall risk assessment
, -The other 3 are incorrect because they are all something a nurse would do after assessing
The nurse is obtaining a history from a client who is experiencing pain. The nurse understands that when
assessing pain:
A. Some clients exaggerate pain
B. Pain is whatever the client says it is
C. Objective data is essential in assessing pain
D. Pain must have a source to justify the use of opioids - ANSWER-B. Pain is whatever the client says it is
A nurse is caring for a client who fell in an acute-care facility. Which actions should the nurse take to
decrease the risk of another fall? (Select all that apply)
A. Place a belt restraint on the client when sitting on a bedside commode
B. Keep the bed in its lowest position with all side rails up
C. Make sure that the client's call light is within reach
D. Provide the client with nonskid footwear
E. Complete a fall risk assessment daily - ANSWER-C. Make sure that the client's call light is within reach
D. Provide the client with nonskid footwear
E. Complete a fall risk assessment daily
- A is incorrect because a RESTRAINT should never be used unless the patient is acting up
- B is incorrect because with all side rails being up the patient may try to climb over them and injure
themselves.
A nurse is planning care for a client who is on bed rest. Which intervention should the nurse plan to
implement?
A. Encourage the client to perform anti-embolic exercises hourly
B. Instruct the client to cough and deep breathe every 4 hrs
C. Restrict the client's fluid intake
D. Reposition the client every 4 hrs - ANSWER-A. Encourage the client to perform anti-embolic exercises
hourly
-B is incorrect because they should perform respiratory exercises every 1-2hrs
-C is incorrect because you do not need to decrease fluids with bed rest
-D is incorrect because you should reposition the patient at least every 2 hours
What are the consequences of bed rest the nurse will tell the patient about? (Select all that apply)
A. Pneumonia
B. Muscle atrophy
C. Loose bowels
D. Thrombus formation
E. Pressure ulcers
F. Renal calculi
study Questions and correct/verified
Answers
Which cues would the nurse observe in a patient with a BP of 60/40 and shock? Select all that apply.
A. Clammy skin
B. Thready pulse
C. Increased urinary output
D. Confusion
E. Bradycardia - ANSWER-A. Clammy skin
B. Thready pulse
D. Confusion
Antiembolism stockings are helpful in preventing thrombus formation in what way?
A. Provide pressure on the legs and prevent stasis of venous blood
B. Eliminate the need to exercise the legs and increase venous return
C. Stimulate capillary pressure and increase arterial blood flow
D. Reduct the flow of venous blood back to the heart and reduce cardiac workload - ANSWER-A. Provide
pressure on the legs and prevent stasis of venous blood
The nurse discovers smoke in a soiled utility room and remembers that the initial step taken to protect
the client in the event of a fire is:
A. Notify the fire department
B. Disconnect the oxygen supply
C. Use a fire extinguisher
D. Remove client from the area - ANSWER-D. Remove client from the area
The nurse plans to give the patient a bed bath. When washing the patient's face, the nurse will:
A. Only use sterile water
B. Ask the client their preference
C. Use soap in all areas except the eyes
D. Use a cleansing cream - ANSWER-B. Ask the client their preference
-A nurse should always ask what hygiene preferences the patient has
A nurse is caring for a client with a history of falls. Which action is the nurses FIRST priority?
A. Complete a fall risk assessment
B. Educate the client and family about fall risks
C. Eliminate safety hazards from the client's environment
D. Make sure the client uses an assistive aid as ordered - ANSWER-A. Complete a fall risk assessment
, -The other 3 are incorrect because they are all something a nurse would do after assessing
The nurse is obtaining a history from a client who is experiencing pain. The nurse understands that when
assessing pain:
A. Some clients exaggerate pain
B. Pain is whatever the client says it is
C. Objective data is essential in assessing pain
D. Pain must have a source to justify the use of opioids - ANSWER-B. Pain is whatever the client says it is
A nurse is caring for a client who fell in an acute-care facility. Which actions should the nurse take to
decrease the risk of another fall? (Select all that apply)
A. Place a belt restraint on the client when sitting on a bedside commode
B. Keep the bed in its lowest position with all side rails up
C. Make sure that the client's call light is within reach
D. Provide the client with nonskid footwear
E. Complete a fall risk assessment daily - ANSWER-C. Make sure that the client's call light is within reach
D. Provide the client with nonskid footwear
E. Complete a fall risk assessment daily
- A is incorrect because a RESTRAINT should never be used unless the patient is acting up
- B is incorrect because with all side rails being up the patient may try to climb over them and injure
themselves.
A nurse is planning care for a client who is on bed rest. Which intervention should the nurse plan to
implement?
A. Encourage the client to perform anti-embolic exercises hourly
B. Instruct the client to cough and deep breathe every 4 hrs
C. Restrict the client's fluid intake
D. Reposition the client every 4 hrs - ANSWER-A. Encourage the client to perform anti-embolic exercises
hourly
-B is incorrect because they should perform respiratory exercises every 1-2hrs
-C is incorrect because you do not need to decrease fluids with bed rest
-D is incorrect because you should reposition the patient at least every 2 hours
What are the consequences of bed rest the nurse will tell the patient about? (Select all that apply)
A. Pneumonia
B. Muscle atrophy
C. Loose bowels
D. Thrombus formation
E. Pressure ulcers
F. Renal calculi
