NSG 3130 EXAM 1 (GALEN) EXAM | NSG3130 FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE II: COMPLETE REVIEW WITH 200 REAL EXAM QUESTIONS, CORRECT VERIFIED ANSWERS, AND IN-DEPTH RATIONALES FOR EVERY TOPIC TESTED (A+ GUARANTEED)

NSG 3130 EXAM 1 (GALEN) EXAM | NSG3130 FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE II: COMPLETE REVIEW WITH 200 REAL EXAM QUESTIONS, CORRECT VERIFIED ANSWERS, AND IN-DEPTH RATIONALES FOR EVERY TOPIC TESTED (A+ GUARANTEED) 1. A nurse is caring for a patient who recently lost their spouse. The patient states, "I don't know how I'll go on without them." According to Maslow's Hierarchy, which level of need is this patient struggling with? a. Physiological needs b. Safety and security c. Love and belonging d. Self-actualization Correct Answer: c - Love and belonging Rationale: Grief and loss of a significant other directly impacts the love and belonging level of Maslow's Hierarchy, which addresses relationships, affection, and social connections. This level must be addressed before higher-level needs can be achieved. ________________________________________ 2. A patient with end-stage renal disease is receiving hemodialysis three times weekly. What type of illness is this patient experiencing? a. Acute illness b. Chronic illness c. Terminal illness d. Episodic illness Correct Answer: b - Chronic illness Rationale: Chronic illness persists for an extended period, typically longer than 6 months, and requires ongoing management. End-stage renal disease requiring dialysis is a classic example of a chronic condition that requires continuous medical management and lifestyle adjustments. ________________________________________ 3. The nurse is performing hand hygiene before caring for a patient with a compromised immune system. This intervention represents which level of prevention? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Health promotion Correct Answer: a - Primary prevention Rationale: Primary prevention aims to prevent disease before it occurs. Hand hygiene prevents the transmission of pathogens and protects vulnerable patients from acquiring infections, thus preventing illness from developing. ________________________________________ 4. A patient who is post-operative day 1 following abdominal surgery is encouraged to ambulate. The nurse understands this intervention is designed to prevent which complication? a. Wound dehiscence b. Deep vein thrombosis c. Surgical site infection d. Urinary retention Correct Answer: b - Deep vein thrombosis Rationale: Early ambulation after surgery promotes venous return and prevents venous stasis, reducing the risk of deep vein thrombosis. Immobility leads to pooling of blood in the lower extremities, increasing clot formation risk. ________________________________________ 5. Which nursing action demonstrates the principle of beneficence? a. Withholding information from a patient to prevent anxiety b. Administering pain medication to a patient experiencing severe pain c. Allowing a patient to refuse a blood transfusion d. Maintaining patient confidentiality Correct Answer: b - Administering pain medication to a patient experiencing severe pain Rationale: Beneficence refers to actions that promote the well-being of others and prevent harm. Administering pain medication relieves suffering and demonstrates a commitment to the patient's best interest and comfort. ________________________________________ 6. A nurse is providing education about immunizations to a group of new parents. What level of prevention is this teaching? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Restorative care Correct Answer: a - Primary prevention Rationale: Immunization education aims to prevent disease occurrence and is therefore considered primary prevention. This level focuses on health promotion and disease prevention before illness develops. ________________________________________ 7. The nurse recognizes that a patient who makes healthy lifestyle changes after a heart attack is participating in which level of prevention? a. Primary b. Secondary c. Tertiary d. Health promotion Correct Answer: c - Tertiary prevention Rationale: Tertiary prevention involves reducing the impact of an existing disease and preventing further deterioration. Lifestyle modifications after a cardiac event aim to prevent recurrence and complications, representing tertiary prevention. ________________________________________ 8. A patient tells the nurse, "I believe I can successfully quit smoking if I use nicotine patches." This statement demonstrates which concept? a. Perceived susceptibility b. Perceived severity c. Self-efficacy d. Cues to action Correct Answer: c - Self-efficacy Rationale: Self-efficacy refers to an individual's confidence in their ability to successfully perform a behavior. The patient's statement reflects belief in their capability to quit smoking, which is a key component of the Health Belief Model.