NSG 300 FINAL Examinations 2026
Edition with complete questions and
correct answers
what is the best way to assess total fluid volume in patients? - Correct Answer: daily weights
what do we look for when we monitor intake and output? - Correct Answer: ratio should be equal
what can changes in urine volume indicate? - Correct Answer: fluid imbalance, renal dysfunction
what might we see with a client who has a fever and diaphoresis? - Correct Answer: decreased urine
output
how would you prioritize patient safety? - Correct Answer: utilize ABCs, what would happen to my pt if i
left the room?
what are basic pt safety measures? - Correct Answer: call light within reach, bed in lowest position, bed
wheels locked
how can you ensure confused or dementia patients safety? - Correct Answer: move them closer to the
nurse's station
how to check and assess restraints? - Correct Answer: 2 fingers, check restraints every 15 minutes
what is important for providing care for dementia clients? - Correct Answer: keep them on a schedule
(this helps provide them with a sense of control), share pictures and memories with them,
puzzle/coloring book activities
proper body mechanics - Correct Answer: wide stance, raise bed to your level, tighten core, face
direction that you're gonna move the patient (helps avoid twisting)
,proper body mechanics - Correct Answer: work with coworkers, PT and OT, pay attention to your limits,
DON'T LIFT MORE THAN 35 LBS
active ROM - Correct Answer: patient does it themselves, needs no help from nurse
passive ROM - Correct Answer: nurse helps patient
active assisted ROM - Correct Answer: nurse helps pt a little bit
abduction - Correct Answer: away from midline of body
adduction - Correct Answer: coming to midline of body
how does shearing happen? - Correct Answer: head of bed is elevated and the sliding of the skeleton
moves but the skin is FIXED
how can we prevent shearing? - Correct Answer: use drawsheet, transfer board, slide board
why should we not massage areas of red bony areas on patients? - Correct Answer: it can increase
capillary breakage
what skin layer is effected in a stage 1 pressure injury? - Correct Answer: epidermis
stage 1 pressure injury - Correct Answer: nonblanchable erythema, warm to touch, SKIN IS STILL INTACT
what skin layers are effect in a stage 2 pressure injury? - Correct Answer: epidermis and dermis
stage 2 pressure injury - Correct Answer: partial thickness skin loss, BLISTER LOOKING
, what skin layers are effected in a stage 3 pressure injury? - Correct Answer: epidermis, dermis, adipose
tissue
the nurse notices that the patient's injury is now down to adipose/subQ tissue. there are rolled edges of
the wound. While assessing the wound, the nurse notices that there is tunneling. what stage is this
pressure ulcer? - Correct Answer: stage 3
the patient's skin continues to be intact; however, the nurse notices that the patient's area of skin is
now red. The nurse attempts to blanch the skin and notices that the redness does not turn way but stays
red. what pressure injury stage is this? - Correct Answer: stage 1
the nurse notices that the patient's buttocks look like a blister. the area is pink and moist. the area does
not show eschar and slough. what pressure stage is this? - Correct Answer: stage 2
the nurse is assessing the patient's pressure injury. she notices that there is exposed muscle. slough and
eschar are visible. what stage is this pressure injury? - Correct Answer: stage 4
slough and eschar can only be seen in.. - Correct Answer: stage 3 and 4
stage 4 pressure injury - Correct Answer: full thickness loss, goes into bone, muscle, tendon, ligament
deep pressure injury - Correct Answer: can be intact or nonintact with a localized area of nonblanchable
deep red, maroon, purple discoloration
the nurse is assessing the patient's pressure injury; however, slough and eschar are present and the
nurse is unable to see how deep the pressure injury actually is. what should the nurse stage this as? -
Correct Answer: unstageable
serous drainage - Correct Answer: watery, clear, NORMAL
Serosanguineous drainage - Correct Answer: serous fluid mixed w/ blood, usually a pink tint
Edition with complete questions and
correct answers
what is the best way to assess total fluid volume in patients? - Correct Answer: daily weights
what do we look for when we monitor intake and output? - Correct Answer: ratio should be equal
what can changes in urine volume indicate? - Correct Answer: fluid imbalance, renal dysfunction
what might we see with a client who has a fever and diaphoresis? - Correct Answer: decreased urine
output
how would you prioritize patient safety? - Correct Answer: utilize ABCs, what would happen to my pt if i
left the room?
what are basic pt safety measures? - Correct Answer: call light within reach, bed in lowest position, bed
wheels locked
how can you ensure confused or dementia patients safety? - Correct Answer: move them closer to the
nurse's station
how to check and assess restraints? - Correct Answer: 2 fingers, check restraints every 15 minutes
what is important for providing care for dementia clients? - Correct Answer: keep them on a schedule
(this helps provide them with a sense of control), share pictures and memories with them,
puzzle/coloring book activities
proper body mechanics - Correct Answer: wide stance, raise bed to your level, tighten core, face
direction that you're gonna move the patient (helps avoid twisting)
,proper body mechanics - Correct Answer: work with coworkers, PT and OT, pay attention to your limits,
DON'T LIFT MORE THAN 35 LBS
active ROM - Correct Answer: patient does it themselves, needs no help from nurse
passive ROM - Correct Answer: nurse helps patient
active assisted ROM - Correct Answer: nurse helps pt a little bit
abduction - Correct Answer: away from midline of body
adduction - Correct Answer: coming to midline of body
how does shearing happen? - Correct Answer: head of bed is elevated and the sliding of the skeleton
moves but the skin is FIXED
how can we prevent shearing? - Correct Answer: use drawsheet, transfer board, slide board
why should we not massage areas of red bony areas on patients? - Correct Answer: it can increase
capillary breakage
what skin layer is effected in a stage 1 pressure injury? - Correct Answer: epidermis
stage 1 pressure injury - Correct Answer: nonblanchable erythema, warm to touch, SKIN IS STILL INTACT
what skin layers are effect in a stage 2 pressure injury? - Correct Answer: epidermis and dermis
stage 2 pressure injury - Correct Answer: partial thickness skin loss, BLISTER LOOKING
, what skin layers are effected in a stage 3 pressure injury? - Correct Answer: epidermis, dermis, adipose
tissue
the nurse notices that the patient's injury is now down to adipose/subQ tissue. there are rolled edges of
the wound. While assessing the wound, the nurse notices that there is tunneling. what stage is this
pressure ulcer? - Correct Answer: stage 3
the patient's skin continues to be intact; however, the nurse notices that the patient's area of skin is
now red. The nurse attempts to blanch the skin and notices that the redness does not turn way but stays
red. what pressure injury stage is this? - Correct Answer: stage 1
the nurse notices that the patient's buttocks look like a blister. the area is pink and moist. the area does
not show eschar and slough. what pressure stage is this? - Correct Answer: stage 2
the nurse is assessing the patient's pressure injury. she notices that there is exposed muscle. slough and
eschar are visible. what stage is this pressure injury? - Correct Answer: stage 4
slough and eschar can only be seen in.. - Correct Answer: stage 3 and 4
stage 4 pressure injury - Correct Answer: full thickness loss, goes into bone, muscle, tendon, ligament
deep pressure injury - Correct Answer: can be intact or nonintact with a localized area of nonblanchable
deep red, maroon, purple discoloration
the nurse is assessing the patient's pressure injury; however, slough and eschar are present and the
nurse is unable to see how deep the pressure injury actually is. what should the nurse stage this as? -
Correct Answer: unstageable
serous drainage - Correct Answer: watery, clear, NORMAL
Serosanguineous drainage - Correct Answer: serous fluid mixed w/ blood, usually a pink tint
