NSG 3130 Exam 4 Fundamental Concepts and Skills
for Nursing Practice II Latest Practice Test with 130
Questions and Correct Answers/ NSG 3130 Exam 4
A new nurse asks the preceptor to describe the primary purpose of evaluation.
Which statement made by the nursing preceptor is most accurate?
a."Nurses use evaluation to determine the effectiveness of nursing care."
b."During evaluation, you determine when to downsize staffing on nursing units."
c."Evaluation eliminates unnecessary paperwork and care planning."
d."An evaluation helps you determine whether all nursing interventions were
completed."
ANSWER:->>"Nurses use evaluation to determine the effectiveness
of nursing care."
The nurse is managing bowel training for a patient. To which patient is the nurse
most likely providing care?
a.A 25-year-old patient with diarrhea
b.A 40-year-old patient with an ileostomy
c.A 30-year-old patient with Clostridium difficile
,d.A 70-year-old patient with stool incontinence
The correct answer is:
A 70-year-old patient with stool incontinence
The nurse is caring for a patient with a history of dementia who is incontinent of
stool because she cannot communicate the need to defecate. What is the priority
action of the nurse?
a.Begin a prompted toileting program to facilitate bowel continence.
b.Insert a rectal tube to facilitate drainage of soft or liquid stool.
c.Administer a daily laxative and take the patient to the toilet afterward.
d.Digitally remove stool from the patient's rectum every other day
The correct answer is: Begin a prompted toileting program to
facilitate bowel continence.
The nurse is creating a plan of care for an obese patient who is suffering from
fatigue related to ineffective breathing. Which intervention best addresses a
short-term goal the patient could achieve?
ANSWER:->>Sleeping on two to three pillows at night
,The nurse is caring for a patient diagnosed with Lyme disease. The patient tells
the nurse, "My heart seems to be skipping some beats. My doctor told me to let
the nurse know if this happens since it might be a complication of my disease."
The nurse auscultates the heart and confirms the palpitations. Which step of the
nursing process does the nurse's action demonstrate?
ANSWER:->>Assessment
Which patient will the nurse assess most closely for an ileus?
ANSWER:->>A patient with fecal impaction
An otherwise self-sufficient patient is temporarily bedridden and unable to reach
all body parts. What type of bath does this patient need?
ANSWER:->>Partial Bed Bath
Nursing students are analyzing the following nursing diagnostic statement
during a study group session. Acute pain related to pressure on lumbar spinal
nerves as evidenced by a pain level of 9, patient verbalizations of pain, and
grimacing when walking. The students would be correct if they stated that the
etiology of the patient's problem is:
ANSWER:->>Pressure on Lumbar Spinal Nerves
, As the client is ambulating to the bathroom, he or she falls. Which INITIAL
action will the nurse take?
ANSWER:->>Assess the patient
Changing a central line dressing... clean or sterile?
ANSWER:->>sterile
Nurse inserts a urinary catheter in the hospital. clean or sterile
sterile
Performing oral cares... clean or sterile?
ANSWER:->>clean
A patient performs self urinary catheterization at home...clean or sterile?
ANSWER:->>clean
Which of these statements are true regarding disinfection and cleaning? (Select
all that apply.)
for Nursing Practice II Latest Practice Test with 130
Questions and Correct Answers/ NSG 3130 Exam 4
A new nurse asks the preceptor to describe the primary purpose of evaluation.
Which statement made by the nursing preceptor is most accurate?
a."Nurses use evaluation to determine the effectiveness of nursing care."
b."During evaluation, you determine when to downsize staffing on nursing units."
c."Evaluation eliminates unnecessary paperwork and care planning."
d."An evaluation helps you determine whether all nursing interventions were
completed."
ANSWER:->>"Nurses use evaluation to determine the effectiveness
of nursing care."
The nurse is managing bowel training for a patient. To which patient is the nurse
most likely providing care?
a.A 25-year-old patient with diarrhea
b.A 40-year-old patient with an ileostomy
c.A 30-year-old patient with Clostridium difficile
,d.A 70-year-old patient with stool incontinence
The correct answer is:
A 70-year-old patient with stool incontinence
The nurse is caring for a patient with a history of dementia who is incontinent of
stool because she cannot communicate the need to defecate. What is the priority
action of the nurse?
a.Begin a prompted toileting program to facilitate bowel continence.
b.Insert a rectal tube to facilitate drainage of soft or liquid stool.
c.Administer a daily laxative and take the patient to the toilet afterward.
d.Digitally remove stool from the patient's rectum every other day
The correct answer is: Begin a prompted toileting program to
facilitate bowel continence.
The nurse is creating a plan of care for an obese patient who is suffering from
fatigue related to ineffective breathing. Which intervention best addresses a
short-term goal the patient could achieve?
ANSWER:->>Sleeping on two to three pillows at night
,The nurse is caring for a patient diagnosed with Lyme disease. The patient tells
the nurse, "My heart seems to be skipping some beats. My doctor told me to let
the nurse know if this happens since it might be a complication of my disease."
The nurse auscultates the heart and confirms the palpitations. Which step of the
nursing process does the nurse's action demonstrate?
ANSWER:->>Assessment
Which patient will the nurse assess most closely for an ileus?
ANSWER:->>A patient with fecal impaction
An otherwise self-sufficient patient is temporarily bedridden and unable to reach
all body parts. What type of bath does this patient need?
ANSWER:->>Partial Bed Bath
Nursing students are analyzing the following nursing diagnostic statement
during a study group session. Acute pain related to pressure on lumbar spinal
nerves as evidenced by a pain level of 9, patient verbalizations of pain, and
grimacing when walking. The students would be correct if they stated that the
etiology of the patient's problem is:
ANSWER:->>Pressure on Lumbar Spinal Nerves
, As the client is ambulating to the bathroom, he or she falls. Which INITIAL
action will the nurse take?
ANSWER:->>Assess the patient
Changing a central line dressing... clean or sterile?
ANSWER:->>sterile
Nurse inserts a urinary catheter in the hospital. clean or sterile
sterile
Performing oral cares... clean or sterile?
ANSWER:->>clean
A patient performs self urinary catheterization at home...clean or sterile?
ANSWER:->>clean
Which of these statements are true regarding disinfection and cleaning? (Select
all that apply.)
