NSG-300 Questions with answers well
graded A+
A patient with a tracheostomy has thick tenacious secretions. To maintain the airway, the most
appropriate action for the nurse includes:
A. Tracheal suctioning
B. Oropharyngeal suctioning
C. Nasotracheal suctioning
D. Orotracheal suctioning - ANS✅✅Answer: A
When evaluating a post-thoracotomy patient with a chest tube, the best method to properly
maintain the chest tube would be to:
A. strip the chest tube every hour to maintain drainage
B. place the device below the patient's chest
C. double clamp the tube except during assessment
D. remove the tubing from the drainage device to check for proper suctioning - ANS✅✅Answer : B
"Handle the chest drainage unit carefully and maintain the drainage device below the patient's
chest," (pg. 899). Chest tubes are not routinely stripped or milked to move clots or increase chest
drainage. Clamping can result in a tension pneumothorax and a chest tube is only clamped when
replacing the chest drainage system, assessing for an air leak, or during removal. You do not want to
remove the tubing because it requires patient preparation due to the burning, pulling, and painful
sensation.
A patient complains of chest pain. When assessing the pain, you decide that its origin is cardiac -
rather than respiratory or gastrointestinal - when it:
A. does not occur with respiratory variations
B. is peripheral and may radiate to the scapular region
C. is aggravated by inspiratory movements
D. is non radiating and occurs during inspiration - ANS✅✅Answer: A
, C & D have the words "inspiratory" and "inspiration" both indicating respiration.
During rounds on the night shift, you note that a patient stops breathing for 1 to 2 minutes several
times during the shift. This condition is know as:
A. Cataplexy
B. Insomnia
C. Narcolepsy
D. Sleep Apnea - ANS✅✅Answer: D
A patient suffers from sleep pattern disturbance. To promote adequate sleep, the most important
nursing intervention is...
A. Administering a sleep aid
B. Synchronizing the medication, treatment, and vital signs schedule
C. Encouraging the patient to exercise immediately before sleep
D. Discussing with the patient the benefits of beginning a long-term night-time medication regimen -
ANS✅✅Answer: B
An elderly patient who lives in an adult assisted-living facility mentions that he is experiencing
hearing and vision changes. During your assessment, you would associate this type of sensory
deprivation with...
A. Stable affect
B. Altered perception
C. Improved task completion
D. Increased need for social interaction - ANS✅✅Answer: B
A patient with glaucoma is being discharged from the hospital. When teaching the patient and family
ways to improve home safety, the nurse tells the family to...
A. Use throw rugs to prevent tripping
B. Paint the floor black and white to improve perception
graded A+
A patient with a tracheostomy has thick tenacious secretions. To maintain the airway, the most
appropriate action for the nurse includes:
A. Tracheal suctioning
B. Oropharyngeal suctioning
C. Nasotracheal suctioning
D. Orotracheal suctioning - ANS✅✅Answer: A
When evaluating a post-thoracotomy patient with a chest tube, the best method to properly
maintain the chest tube would be to:
A. strip the chest tube every hour to maintain drainage
B. place the device below the patient's chest
C. double clamp the tube except during assessment
D. remove the tubing from the drainage device to check for proper suctioning - ANS✅✅Answer : B
"Handle the chest drainage unit carefully and maintain the drainage device below the patient's
chest," (pg. 899). Chest tubes are not routinely stripped or milked to move clots or increase chest
drainage. Clamping can result in a tension pneumothorax and a chest tube is only clamped when
replacing the chest drainage system, assessing for an air leak, or during removal. You do not want to
remove the tubing because it requires patient preparation due to the burning, pulling, and painful
sensation.
A patient complains of chest pain. When assessing the pain, you decide that its origin is cardiac -
rather than respiratory or gastrointestinal - when it:
A. does not occur with respiratory variations
B. is peripheral and may radiate to the scapular region
C. is aggravated by inspiratory movements
D. is non radiating and occurs during inspiration - ANS✅✅Answer: A
, C & D have the words "inspiratory" and "inspiration" both indicating respiration.
During rounds on the night shift, you note that a patient stops breathing for 1 to 2 minutes several
times during the shift. This condition is know as:
A. Cataplexy
B. Insomnia
C. Narcolepsy
D. Sleep Apnea - ANS✅✅Answer: D
A patient suffers from sleep pattern disturbance. To promote adequate sleep, the most important
nursing intervention is...
A. Administering a sleep aid
B. Synchronizing the medication, treatment, and vital signs schedule
C. Encouraging the patient to exercise immediately before sleep
D. Discussing with the patient the benefits of beginning a long-term night-time medication regimen -
ANS✅✅Answer: B
An elderly patient who lives in an adult assisted-living facility mentions that he is experiencing
hearing and vision changes. During your assessment, you would associate this type of sensory
deprivation with...
A. Stable affect
B. Altered perception
C. Improved task completion
D. Increased need for social interaction - ANS✅✅Answer: B
A patient with glaucoma is being discharged from the hospital. When teaching the patient and family
ways to improve home safety, the nurse tells the family to...
A. Use throw rugs to prevent tripping
B. Paint the floor black and white to improve perception
