NSG 300 Exam Practice Questions
1. A postoperative patient is using PCA. You will evaluate the effectivenessof the
medication when...
A. You compare assessed pain with baseline pain
B. Body language is incongruent with reports of pain relief
C. Family members report that pain has subsided
D. Vital signs have returned to baseline: Answer: A
2. Which skills can the nurse delegate to assistive personnel (AP)? (Select allthat apply)
A. Initiate oxygen therapy via nasal cannula
B. Perform nasotracheal suctioning of a patient
C. Educate the patient about the use of an incentive spirometer
D. Assist with care of an established tracheostomy tube
E. Reposition a patient with a chest tube: Answer: D & E
3. The nurse is caring for a patient with pneumonia. On entering the room, the nurse finds the
patient lying in bed, coughing, and unable to clear secretions.What should the nurse do first?
A. Start oxygen at 2 L/min via nasal cannula
B. Elevate the head of the bed at 45 degrees
C. Encourage the patient to use the incentive spirometer
D. Notify the health care provider: Answer: B
4. The nurse is performing discharge teaching for a patient with chronic obstructive
pulmonary disease (COPD). What statement, made by the patient,indicates the need for further
teaching?
A. "Pursed-lip breathing is like exercise for my lungs and will help me strength-en my breathing
muscles."
B. "When I am sick, I should limit the amount of fluids I drink so that I don'tproduce excess
mucus."
C. "I will ensure that I receive an influenza vaccine every year, preferably in thefall."
D. "I will look for a smoking-cessation support group in my neighborhood.": -
Answer: B
, 5. Which assessment findings indicate that the patient is experiencing an acute disturbance
in oxygenation and requires immediate intervention? (Se-lect all that apply)
A. SpO2 value of 95%
B. Retractions
C. Respiratory rate of 28 bpm
D. Nasal flaring
E. Clubbing of fingers: Answer: B, C, & D
6. The nurse has just witnessed her patient go into cardiac arrest. What priority interventions
should the nurse perform at this time? (Select all thatapply)
A. Perform chest compressions
B. Ask someone to bring the defibrillator to the room for immediate defibrilla-tion
C. Apply oxygen via nasal cannula
D. Place the patient in the high Fowler's position
E. Educate the family about the need for CPR: Answer: A & B
7. A nurse is developing a plan for a patient who was diagnosed with nar- colepsy. Which
interventions should the nurse include on the plan? (Select allthat apply)
A. Take brief, 20-minute naps no more than twice a day
B. Drink a glass of wine with dinner
C. Eat a large meal at lunch rather than dinner
D. Establish a regular exercise program
E. Teach the patient about the side effects of modafinil: Answers: A, D, & E
8. Which statements from a patient indicate an understanding of behaviorsthat will promote
sleep? (Select all that apply)
A. "I will not watch tv in bed"
B. "I will not drink caffeine later in the day"
C. "A short nap late in the evening will lead to a more restful night of sleep"
D. "I am going to start eating dinner closer to my bedtime"
E. "I will start to exercise regularly during the day": Answers: A, B, & E
1. A postoperative patient is using PCA. You will evaluate the effectivenessof the
medication when...
A. You compare assessed pain with baseline pain
B. Body language is incongruent with reports of pain relief
C. Family members report that pain has subsided
D. Vital signs have returned to baseline: Answer: A
2. Which skills can the nurse delegate to assistive personnel (AP)? (Select allthat apply)
A. Initiate oxygen therapy via nasal cannula
B. Perform nasotracheal suctioning of a patient
C. Educate the patient about the use of an incentive spirometer
D. Assist with care of an established tracheostomy tube
E. Reposition a patient with a chest tube: Answer: D & E
3. The nurse is caring for a patient with pneumonia. On entering the room, the nurse finds the
patient lying in bed, coughing, and unable to clear secretions.What should the nurse do first?
A. Start oxygen at 2 L/min via nasal cannula
B. Elevate the head of the bed at 45 degrees
C. Encourage the patient to use the incentive spirometer
D. Notify the health care provider: Answer: B
4. The nurse is performing discharge teaching for a patient with chronic obstructive
pulmonary disease (COPD). What statement, made by the patient,indicates the need for further
teaching?
A. "Pursed-lip breathing is like exercise for my lungs and will help me strength-en my breathing
muscles."
B. "When I am sick, I should limit the amount of fluids I drink so that I don'tproduce excess
mucus."
C. "I will ensure that I receive an influenza vaccine every year, preferably in thefall."
D. "I will look for a smoking-cessation support group in my neighborhood.": -
Answer: B
, 5. Which assessment findings indicate that the patient is experiencing an acute disturbance
in oxygenation and requires immediate intervention? (Se-lect all that apply)
A. SpO2 value of 95%
B. Retractions
C. Respiratory rate of 28 bpm
D. Nasal flaring
E. Clubbing of fingers: Answer: B, C, & D
6. The nurse has just witnessed her patient go into cardiac arrest. What priority interventions
should the nurse perform at this time? (Select all thatapply)
A. Perform chest compressions
B. Ask someone to bring the defibrillator to the room for immediate defibrilla-tion
C. Apply oxygen via nasal cannula
D. Place the patient in the high Fowler's position
E. Educate the family about the need for CPR: Answer: A & B
7. A nurse is developing a plan for a patient who was diagnosed with nar- colepsy. Which
interventions should the nurse include on the plan? (Select allthat apply)
A. Take brief, 20-minute naps no more than twice a day
B. Drink a glass of wine with dinner
C. Eat a large meal at lunch rather than dinner
D. Establish a regular exercise program
E. Teach the patient about the side effects of modafinil: Answers: A, D, & E
8. Which statements from a patient indicate an understanding of behaviorsthat will promote
sleep? (Select all that apply)
A. "I will not watch tv in bed"
B. "I will not drink caffeine later in the day"
C. "A short nap late in the evening will lead to a more restful night of sleep"
D. "I am going to start eating dinner closer to my bedtime"
E. "I will start to exercise regularly during the day": Answers: A, B, & E
