NSG300 Final Assessment Graded A+ -GCU
A patient discharged a week ago following a stroke is currently participating in
rehabilitation sessions provided by nurses, physical therapists, and registered
dietitians in an outpatient setting. In what level of prevention is the patient
participating?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Transtheoretical prevention - ANSWER-Answer: C
* Tertiary prevention minimizes the effects of disease or disability through
restoration and rehabilitation
A nurse is conducting a home visit with a new mom and her three children. While in
the home the nurse weighs each family member and reviews their 3-day food diary.
She checks the mom's blood pressure and encourages the mom to take the children
for a 15- to 30-minute walk every day. The nurse is addressing which level of need,
according to Maslow?
a. Physiological
b. Safety and security
c. Love and belonging
d. Self-actualization - ANSWER-Answer: a
* Physiological needs include air, food, drink, shelter, warthm, sex, sleep
The licensed practical nurse (LPN) provides you with the change-of-shift vital signs
on four of your patients. Which patient does the nurse need to assess first?
a. 84-year-old man recently admitted with pneumonia, RR 28, SpO2 89%
b. 54-year-old woman admitted after surgery for repair of a fractured arm, BP
160/86 mm Hg, HR 72
c. 63-year-old man with venous ulcers from diabetes, temperature 37.3° C (99.1°
F), HR 84
d. 77-year-old woman with left mastectomy 2 days ago, RR 22, BP 148/62 -
ANSWER-Answer: a
* Respirations above normal (12-20 bpm)
* SpO2 percentage is below normal (>/= 95%)
Which type of personal protective equipment should the nurse wear when caring for
a patient who is placed on Airborne Precautions for confirmed chickenpox/herpes
zoster? (Select all that apply)
, a. Disposable gown
b. N95 respirator mask
c. Face shield or goggles
d. Disposable mask
e. Gloves - ANSWER-Answer: a, b, & e
* Airborne - measles, chickenpox, disse inated varicella zoster (shingles),
pulmonary TB
* Droplet - rubella, mumps, strep throat, meningitis
* Contact - MRSA, c. diff, herpes simplex, scabies,
A patient is diagnosed with meningitis. Which type of isolation precaution is most
appropriate for this patient?
a. Reverse isolation
b. Droplet Precautions
c. Standard Precautions
d. Contact Precautions - ANSWER-Answer: b
Before transferring a patient from the bed to a stretcher, which assessment data
does the nurse need to gather? (Select all that apply)
a. Patient's weight
b. Patient's activity tolerance
c. Patient's level of mobility
d. Recent laboratory values
e. Nutritional intake - ANSWER-Answer: a, b, & c
A nurse is instructing a patient who has decreased leg strength on the left side on
how to use a cane. Which actions indicate proper cane use by the patient?
a. The patient keeps the cane on the left side of the body.
b. The patient slightly leans to one side while walking.
c. The patient keeps two points of support on the floor at all times.
d. After the patient places the cane forward, he or she then moves the right leg
forward to the cane. - ANSWER-Answer: c
A patient has been on bed rest for over 5 days. Which of these findings during the
nurse's assessment may indicate a complication of immobility?
a. Decreased peristalsis
b. Decreased heart rate
c. Increased blood pressure
d. Increased urinary output - ANSWER-Answer: a
An older adult patient has been bedridden for 2 weeks. Which of these complaints
by the patient indicates to the nurse that he or she is developing a complication of
immobility?
A patient discharged a week ago following a stroke is currently participating in
rehabilitation sessions provided by nurses, physical therapists, and registered
dietitians in an outpatient setting. In what level of prevention is the patient
participating?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Transtheoretical prevention - ANSWER-Answer: C
* Tertiary prevention minimizes the effects of disease or disability through
restoration and rehabilitation
A nurse is conducting a home visit with a new mom and her three children. While in
the home the nurse weighs each family member and reviews their 3-day food diary.
She checks the mom's blood pressure and encourages the mom to take the children
for a 15- to 30-minute walk every day. The nurse is addressing which level of need,
according to Maslow?
a. Physiological
b. Safety and security
c. Love and belonging
d. Self-actualization - ANSWER-Answer: a
* Physiological needs include air, food, drink, shelter, warthm, sex, sleep
The licensed practical nurse (LPN) provides you with the change-of-shift vital signs
on four of your patients. Which patient does the nurse need to assess first?
a. 84-year-old man recently admitted with pneumonia, RR 28, SpO2 89%
b. 54-year-old woman admitted after surgery for repair of a fractured arm, BP
160/86 mm Hg, HR 72
c. 63-year-old man with venous ulcers from diabetes, temperature 37.3° C (99.1°
F), HR 84
d. 77-year-old woman with left mastectomy 2 days ago, RR 22, BP 148/62 -
ANSWER-Answer: a
* Respirations above normal (12-20 bpm)
* SpO2 percentage is below normal (>/= 95%)
Which type of personal protective equipment should the nurse wear when caring for
a patient who is placed on Airborne Precautions for confirmed chickenpox/herpes
zoster? (Select all that apply)
, a. Disposable gown
b. N95 respirator mask
c. Face shield or goggles
d. Disposable mask
e. Gloves - ANSWER-Answer: a, b, & e
* Airborne - measles, chickenpox, disse inated varicella zoster (shingles),
pulmonary TB
* Droplet - rubella, mumps, strep throat, meningitis
* Contact - MRSA, c. diff, herpes simplex, scabies,
A patient is diagnosed with meningitis. Which type of isolation precaution is most
appropriate for this patient?
a. Reverse isolation
b. Droplet Precautions
c. Standard Precautions
d. Contact Precautions - ANSWER-Answer: b
Before transferring a patient from the bed to a stretcher, which assessment data
does the nurse need to gather? (Select all that apply)
a. Patient's weight
b. Patient's activity tolerance
c. Patient's level of mobility
d. Recent laboratory values
e. Nutritional intake - ANSWER-Answer: a, b, & c
A nurse is instructing a patient who has decreased leg strength on the left side on
how to use a cane. Which actions indicate proper cane use by the patient?
a. The patient keeps the cane on the left side of the body.
b. The patient slightly leans to one side while walking.
c. The patient keeps two points of support on the floor at all times.
d. After the patient places the cane forward, he or she then moves the right leg
forward to the cane. - ANSWER-Answer: c
A patient has been on bed rest for over 5 days. Which of these findings during the
nurse's assessment may indicate a complication of immobility?
a. Decreased peristalsis
b. Decreased heart rate
c. Increased blood pressure
d. Increased urinary output - ANSWER-Answer: a
An older adult patient has been bedridden for 2 weeks. Which of these complaints
by the patient indicates to the nurse that he or she is developing a complication of
immobility?
