NSG 119 Exam 1 with correct answers 2025/2026
Which nursing actions performed for a client are most consistent with the attributes of patient-
centered care? Select all that apply. - correct answersAsking the health care provider to
prescribe the daily vitamin C the client takes at home
Ensuring the presence of a professional interpreter when providing discharge instructions to the
client and family whose English is poor
Which nursing action is the best example of patient-centered care? - correct
answersDetermining the family's thoughts and fears when asking them to consider a do-not-
resuscitate option
Which nursing action supports patient-centered care for a fearful client about to have a
colonoscopy who refuses to be sedated until the family pastor can pray with him before the
procedure? - correct answersMoving the client's procedure time until after his pastor arrives
Which response by a nurse to a client's fear that his wide bed with traction equipment might
prevent him from being moved to safety if a fire occurred on the unit demonstrates the most
respect for the client's concerns? - correct answersWe would disconnect your traction, lift you
to the floor with a sheet, and pull you to a safe area.
Which professional nursing concepts are exemplified in an interaction in which a nurse at a
rehabilitation center is working with a client who is Muslim and a registered dietitian
nutritionist to honor the client's request for a Halal-restricted diet? - correct answersAutonomy
Patient-centered care
Safety
,The Emergency Department nurse is admitting a 58-year-old client with atypical chest pain.
Which actions would the nurse delegate to the experienced AP? Select all that apply. - correct
answersA. Label and place the client's belongings in a plastic bag
C. Check admission vital signs and record
D. Complete a 12-lead ECG for the client
F. Place the client on a continuous cardiac monitor
G. Assist the client to use the bathroom
H. Use pulse oximetry to check the client's oxygen saturation
.
The nurse is administering the client's 9 a.m. medications when the client, who was admitted at
4 a.m. and has asthma, asks why he is not receiving his inhaled corticosteroid. Which process
would the nurse use to assure that the client receives the medications he was taking at home
while he is hospitalized? - correct answersMedication reconciliation is a formal process in which
a client's actual current medications are compared to his or her medications during a care
transition such as facility admission, transfer, or discharge.
Which of the following are cognitive skills of Clinical Judgment that are recognized by the
National Council of State Boards of Nursing (NCSBN)? Select all that apply. - correct answersA, C,
D, F, G, H
A. Recognizes cues
C. Analyzes cues
D. Prioritizes hypotheses
F. Generate solutions
G. Take action
H. Evaluate outcomes
Which principle of ethics is violated most when a nurse fails to readminister pain medication to
a client with advanced cancer within the next hour as was promised? - correct answersNearly all
the ethical principles listed are violated to some degree when the nurse fails to follow-through
with an action that was promised; however, fidelity is most violated in this situation. Fidelity is
,the ethical principle in which the nurse always follows through with their obligations to clients
or their promises in order to ensure quality care that is patient-centered. It is related to veracity,
which is the obligation to be truthful.
When using the Situation, Background, Assessment, Recommendation (SBAR) method of
communicating a client's condition, the nurse would include which information in the
background section? - correct answersAdmission diagnosis is new-onset type 2 diabetes
The only background information presented is the admission diagnosis.
Which information communicated by a nurse handing-off a client from the intensive care unit
(ICU) to a receiving nurse in the step-down unit is most relevant to continuity of care in this
transition? - correct answersExplaining that the client's right ear is deaf
Any client problem that interferes with his or her ability to comprehend or communicate
successfully has the potential to affect safety..
The nurse is providing care for four clients. Which best provides an example of the clinical
judgment term failure to rescue (FTR)? - correct answersThe client with pneumonia develops a
fever of 101.9oF (38.8oC) and the nurse does not notify the health care provider.
FTR is the inability of a nurse or other health care team member to save a client's life in a timely
manner when a health care issue or medical complication occurs. Clients often have changes in
signs and symptoms that are subtle. Failure to recognize those changes or to accurately
interpret them leads to actions which may improve the client's condition not being
implemented (FTR).
Which nursing activity most closely demonstrates the concept of telenursing? - correct
answersC.
Using a cell phone camera to directly observe a client while he or she is actually taking
prescribed medication for tuberculosis therapy
, Which type of health factor is best described when a client tells the nurse that she believes
health is important and that people should be willing to take steps to maintain their health such
as getting annual flu shots? - correct answersBehavioral social determinants of health
Behavioral and social determinants of health include what "health" means to the client within
the context of his or her culture and what actions he or she is willing to take to achieve or
maintain health. This client is taking responsibility for her health.
Which QSEN competency is best demonstrated when the nurse places a bed alarm on the bed
of a client with mental status changes? - correct answersSafety
Which process best describes the nurse's actions when his or her assessment reveals an oral
temperature of 102.2°F (39°C) and new crackles in all lobes of the lungs, and then notifies the
health care provider of these findings? - correct answersClinical reasoning
Clinical reasoning is the process by which nurses collect cues, process the information, come to
an understanding of a patient problem or situation, plan and implement interventions, evaluate
outcomes, and reflect on and learn from the process. This nurse recognized the cues that the
client's situation was getting worse and notified the HCP so that the plan of care could be
modified to improve his or her condition.
The nurse admits a client with COPD to the medical care unit and during initial assessment
discovers these findings. Which data are relevant and directly related to client outcomes or
priority of care for this client? Select all that apply. - correct answersA, C, D, F, G, H
When a nurse assesses a patient using clinical judgment, the first step of a six-step process is to
recognize cues and determine which cues are relevant (directly related to the client outcomes
or the priority of care) versus those which are irrelevant (unrelated to the client outcomes or
priority of care). Removal of his gall bladder a year ago and his daughter's fourth pregnancy are
not relevant at this time. The remaining responses are relevant.
A. Client describes shortness of breath when climbing stairs
C. Client's medications include an albuterol inhaler which he uses as needed
Which nursing actions performed for a client are most consistent with the attributes of patient-
centered care? Select all that apply. - correct answersAsking the health care provider to
prescribe the daily vitamin C the client takes at home
Ensuring the presence of a professional interpreter when providing discharge instructions to the
client and family whose English is poor
Which nursing action is the best example of patient-centered care? - correct
answersDetermining the family's thoughts and fears when asking them to consider a do-not-
resuscitate option
Which nursing action supports patient-centered care for a fearful client about to have a
colonoscopy who refuses to be sedated until the family pastor can pray with him before the
procedure? - correct answersMoving the client's procedure time until after his pastor arrives
Which response by a nurse to a client's fear that his wide bed with traction equipment might
prevent him from being moved to safety if a fire occurred on the unit demonstrates the most
respect for the client's concerns? - correct answersWe would disconnect your traction, lift you
to the floor with a sheet, and pull you to a safe area.
Which professional nursing concepts are exemplified in an interaction in which a nurse at a
rehabilitation center is working with a client who is Muslim and a registered dietitian
nutritionist to honor the client's request for a Halal-restricted diet? - correct answersAutonomy
Patient-centered care
Safety
,The Emergency Department nurse is admitting a 58-year-old client with atypical chest pain.
Which actions would the nurse delegate to the experienced AP? Select all that apply. - correct
answersA. Label and place the client's belongings in a plastic bag
C. Check admission vital signs and record
D. Complete a 12-lead ECG for the client
F. Place the client on a continuous cardiac monitor
G. Assist the client to use the bathroom
H. Use pulse oximetry to check the client's oxygen saturation
.
The nurse is administering the client's 9 a.m. medications when the client, who was admitted at
4 a.m. and has asthma, asks why he is not receiving his inhaled corticosteroid. Which process
would the nurse use to assure that the client receives the medications he was taking at home
while he is hospitalized? - correct answersMedication reconciliation is a formal process in which
a client's actual current medications are compared to his or her medications during a care
transition such as facility admission, transfer, or discharge.
Which of the following are cognitive skills of Clinical Judgment that are recognized by the
National Council of State Boards of Nursing (NCSBN)? Select all that apply. - correct answersA, C,
D, F, G, H
A. Recognizes cues
C. Analyzes cues
D. Prioritizes hypotheses
F. Generate solutions
G. Take action
H. Evaluate outcomes
Which principle of ethics is violated most when a nurse fails to readminister pain medication to
a client with advanced cancer within the next hour as was promised? - correct answersNearly all
the ethical principles listed are violated to some degree when the nurse fails to follow-through
with an action that was promised; however, fidelity is most violated in this situation. Fidelity is
,the ethical principle in which the nurse always follows through with their obligations to clients
or their promises in order to ensure quality care that is patient-centered. It is related to veracity,
which is the obligation to be truthful.
When using the Situation, Background, Assessment, Recommendation (SBAR) method of
communicating a client's condition, the nurse would include which information in the
background section? - correct answersAdmission diagnosis is new-onset type 2 diabetes
The only background information presented is the admission diagnosis.
Which information communicated by a nurse handing-off a client from the intensive care unit
(ICU) to a receiving nurse in the step-down unit is most relevant to continuity of care in this
transition? - correct answersExplaining that the client's right ear is deaf
Any client problem that interferes with his or her ability to comprehend or communicate
successfully has the potential to affect safety..
The nurse is providing care for four clients. Which best provides an example of the clinical
judgment term failure to rescue (FTR)? - correct answersThe client with pneumonia develops a
fever of 101.9oF (38.8oC) and the nurse does not notify the health care provider.
FTR is the inability of a nurse or other health care team member to save a client's life in a timely
manner when a health care issue or medical complication occurs. Clients often have changes in
signs and symptoms that are subtle. Failure to recognize those changes or to accurately
interpret them leads to actions which may improve the client's condition not being
implemented (FTR).
Which nursing activity most closely demonstrates the concept of telenursing? - correct
answersC.
Using a cell phone camera to directly observe a client while he or she is actually taking
prescribed medication for tuberculosis therapy
, Which type of health factor is best described when a client tells the nurse that she believes
health is important and that people should be willing to take steps to maintain their health such
as getting annual flu shots? - correct answersBehavioral social determinants of health
Behavioral and social determinants of health include what "health" means to the client within
the context of his or her culture and what actions he or she is willing to take to achieve or
maintain health. This client is taking responsibility for her health.
Which QSEN competency is best demonstrated when the nurse places a bed alarm on the bed
of a client with mental status changes? - correct answersSafety
Which process best describes the nurse's actions when his or her assessment reveals an oral
temperature of 102.2°F (39°C) and new crackles in all lobes of the lungs, and then notifies the
health care provider of these findings? - correct answersClinical reasoning
Clinical reasoning is the process by which nurses collect cues, process the information, come to
an understanding of a patient problem or situation, plan and implement interventions, evaluate
outcomes, and reflect on and learn from the process. This nurse recognized the cues that the
client's situation was getting worse and notified the HCP so that the plan of care could be
modified to improve his or her condition.
The nurse admits a client with COPD to the medical care unit and during initial assessment
discovers these findings. Which data are relevant and directly related to client outcomes or
priority of care for this client? Select all that apply. - correct answersA, C, D, F, G, H
When a nurse assesses a patient using clinical judgment, the first step of a six-step process is to
recognize cues and determine which cues are relevant (directly related to the client outcomes
or the priority of care) versus those which are irrelevant (unrelated to the client outcomes or
priority of care). Removal of his gall bladder a year ago and his daughter's fourth pregnancy are
not relevant at this time. The remaining responses are relevant.
A. Client describes shortness of breath when climbing stairs
C. Client's medications include an albuterol inhaler which he uses as needed
