Page 1 of 34
NSG 100 EXAM 4 – NURSING CONCEPT
(GERMANNA COLLEGE) COMPLETE
QUESTIONS AND
CORRECT ANSWERS WITH DETAILED
RATIONALES CURRENT TESTING
1. Which of the following best defines the nursing concept of “accountability”?
A. Following a physician’s order without question
B. Taking responsibility for one’s own actions and professional conduct
D
C. Delegating all patient care tasks to unlicensed assistive personnel
O
D. Avoiding documentation of errors to protect one’s license Answer: B. Taking
responsibility for one’s own actions and professional conduct
N
Rationale: Accountability means being answerable for one’s nursing judgments,
O
actions, and omissions. It is a core professional value and includes accepting
T
consequences of one’s actions.
C
2. A patient with limited English proficiency is admitted. Which action demonstrates
culturally competent care? A. Speaking loudly and slowly in English
O
B. Using the patient’s young child as an interpreter
PY
C. Arranging for a certified medical interpreter
D. Having the patient write down all questions in English
Answer: C. Arranging for a certified medical interpreter Rationale: Professional medical
interpreters improve accuracy, reduce errors, and maintain confidentiality. Family
members, especially children, should not be used as interpreters due to possible
mistranslation and embarrassment.
3. The nurse is caring for a patient who refuses to take a prescribed medication.
What is the nurse’s best action? A. Crush the medication and hide it in
applesauce
B. Explain the risks and benefits, then document the refusal
C. Tell the patient that refusal is not allowed
D. Administer the medication by injection without consent
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Answer: B. Explain the risks and benefits, then document the refusal
Rationale: Patients have the right to refuse treatment. The nurse should educate the
patient, respect autonomy, and document the refusal after notifying the provider.
4. Which finding is the best indicator that a patient understands discharge instructions?
A. The patient nods during the teaching session
B. The patient’s family member says they understand
C. The patient correctly demonstrates a return demonstration of the procedure
D. The patient signs the education form
Answer: C. The patient correctly demonstrates a return demonstration of the procedure
Rationale: Return demonstration is the most objective measure of understanding for
psychomotor skills. Verbal nodding or signing a form does not ensure comprehension.
5. The nurse uses the SBAR framework when calling a provider.
D
What does “S” stand for?
O
A. Summary
N
B. Situation
O
C. Symptoms
T
D. Safety
C
Answer: B. Situation
Rationale: SBAR = Situation, Background, Assessment, Recommendation. It is a
O
standardized communication tool to improve patient safety during handoffs and
PY
provider calls.
6. A patient falls while attempting to get out of bed without assistance. What is the nurse’s
priority action?
A. Complete an incident report
B. Assess the patient for injury
C. Notify the nurse manager
D. Place the patient in restraints
Answer: B. Assess the patient for injury
Rationale: After a fall, the priority is to assess the patient’s ABCs and for any injury (e.g.,
fracture, head trauma). The incident report is completed after the patient is stable.
7. The nurse is preparing to delegate a task to a nursing assistant.
Which task is appropriate to delegate?
, Page 3 of 34
A. Assessing a patient’s lung sounds
B. Creating a plan of care for a new admission
C. Measuring a patient’s vital signs on a stable patient
D. Educating a patient about insulin administration
Answer: C. Measuring a patient’s vital signs on a stable patient Rationale: Vital signs on
a stable, predictable patient are within the scope of a nursing assistant. Assessment, care
planning, and patient teaching are nursing responsibilities that cannot be delegated.
8. Which concept is a fundamental principle of patient-centered care?
A. The healthcare provider knows what is best for the patient B. The patient’s values and
preferences guide all clinical decisions
C. Family visitors are restricted to 10 minutes per day
D. All patients must follow the same standardized treatment plan
D
Answer: B. The patient’s values and preferences guide all clinical decisions
O
Rationale: Patient-centered care respects individual patient preferences, needs, and
values, ensuring that they drive all clinical decisions.
N
9. The nurse notices a small fire in a patient’s trash can. After moving the patient to safety,
O
the next step is to:
T
A. Use a fire extinguisher
C
B. Pull the fire alarm
O
C. Close all doors and windows
PY
D. Call the fire department
Answer: A. Use a fire extinguisher
Rationale: Using the RACE mnemonic: Rescue (move patient),
Alarm (activate fire alarm), Confine (close doors), Extinguish (use extinguisher for small
fires). For a small, contained fire, using an extinguisher is appropriate after activating the
alarm.
10. A patient tells the nurse, “I don’t want any more treatment. Please let me die.” What is
the nurse’s best response?
A. “You must keep fighting; we can’t give up.”
B. “Tell me more about how you are feeling.”
C. “I will call your doctor to force treatment.”
D. “You are being unreasonable.”
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Answer: B. “Tell me more about how you are feeling.”
Rationale: The nurse should explore the patient’s concerns and values. Therapeutic
communication involves open-ended questions to understand the patient’s perspective, not
dismissing or forcing treatment.
11. Which of the following is an example of a nursingsensitive indicator?
A. Hospital census
B. Number of registered nurses per patient day
C. Average length of stay
D. Number of MRI machines in the facility
Answer: B. Number of registered nurses per patient day Rationale: Nursing-sensitive
indicators reflect nursing care quality, such as nurse staffing ratios, pressure injury
rates, and falls. They are influenced by nursing practice, not solely by medical or
D
administrative factors.
O
12. The nurse is providing discharge teaching to a patient with heart failure. Which learning
domain is being used when the patient lists the signs of fluid overload?
N
A. Cognitive
O
B. Affective
T
C. Psychomotor
C
D. Kinesthetic
O
Answer: A. Cognitive
PY
Rationale: The cognitive domain involves knowledge, recall, and understanding. Listing
signs and symptoms requires cognitive learning. Affective = emotions/attitudes;
psychomotor = physical skills.
13. A patient from a culture that values traditional herbal medicine refuses a
prescribed analgesic. The nurse should:
A. Tell the patient that the herbal medicine is useless
B. Respect the patient’s belief and explore alternatives with the provider
C. Administer the analgesic without the patient’s knowledge
D. Call security to enforce treatment
Answer: B. Respect the patient’s belief and explore alternatives with the provider
Rationale: Culturally competent care respects traditional practices. The nurse should
acknowledge the patient’s beliefs, document refusal, and work with the provider to find
acceptable options (e.g., adjusting timing or using non-pharmacologic methods).
NSG 100 EXAM 4 – NURSING CONCEPT
(GERMANNA COLLEGE) COMPLETE
QUESTIONS AND
CORRECT ANSWERS WITH DETAILED
RATIONALES CURRENT TESTING
1. Which of the following best defines the nursing concept of “accountability”?
A. Following a physician’s order without question
B. Taking responsibility for one’s own actions and professional conduct
D
C. Delegating all patient care tasks to unlicensed assistive personnel
O
D. Avoiding documentation of errors to protect one’s license Answer: B. Taking
responsibility for one’s own actions and professional conduct
N
Rationale: Accountability means being answerable for one’s nursing judgments,
O
actions, and omissions. It is a core professional value and includes accepting
T
consequences of one’s actions.
C
2. A patient with limited English proficiency is admitted. Which action demonstrates
culturally competent care? A. Speaking loudly and slowly in English
O
B. Using the patient’s young child as an interpreter
PY
C. Arranging for a certified medical interpreter
D. Having the patient write down all questions in English
Answer: C. Arranging for a certified medical interpreter Rationale: Professional medical
interpreters improve accuracy, reduce errors, and maintain confidentiality. Family
members, especially children, should not be used as interpreters due to possible
mistranslation and embarrassment.
3. The nurse is caring for a patient who refuses to take a prescribed medication.
What is the nurse’s best action? A. Crush the medication and hide it in
applesauce
B. Explain the risks and benefits, then document the refusal
C. Tell the patient that refusal is not allowed
D. Administer the medication by injection without consent
, Page 2 of 34
Answer: B. Explain the risks and benefits, then document the refusal
Rationale: Patients have the right to refuse treatment. The nurse should educate the
patient, respect autonomy, and document the refusal after notifying the provider.
4. Which finding is the best indicator that a patient understands discharge instructions?
A. The patient nods during the teaching session
B. The patient’s family member says they understand
C. The patient correctly demonstrates a return demonstration of the procedure
D. The patient signs the education form
Answer: C. The patient correctly demonstrates a return demonstration of the procedure
Rationale: Return demonstration is the most objective measure of understanding for
psychomotor skills. Verbal nodding or signing a form does not ensure comprehension.
5. The nurse uses the SBAR framework when calling a provider.
D
What does “S” stand for?
O
A. Summary
N
B. Situation
O
C. Symptoms
T
D. Safety
C
Answer: B. Situation
Rationale: SBAR = Situation, Background, Assessment, Recommendation. It is a
O
standardized communication tool to improve patient safety during handoffs and
PY
provider calls.
6. A patient falls while attempting to get out of bed without assistance. What is the nurse’s
priority action?
A. Complete an incident report
B. Assess the patient for injury
C. Notify the nurse manager
D. Place the patient in restraints
Answer: B. Assess the patient for injury
Rationale: After a fall, the priority is to assess the patient’s ABCs and for any injury (e.g.,
fracture, head trauma). The incident report is completed after the patient is stable.
7. The nurse is preparing to delegate a task to a nursing assistant.
Which task is appropriate to delegate?
, Page 3 of 34
A. Assessing a patient’s lung sounds
B. Creating a plan of care for a new admission
C. Measuring a patient’s vital signs on a stable patient
D. Educating a patient about insulin administration
Answer: C. Measuring a patient’s vital signs on a stable patient Rationale: Vital signs on
a stable, predictable patient are within the scope of a nursing assistant. Assessment, care
planning, and patient teaching are nursing responsibilities that cannot be delegated.
8. Which concept is a fundamental principle of patient-centered care?
A. The healthcare provider knows what is best for the patient B. The patient’s values and
preferences guide all clinical decisions
C. Family visitors are restricted to 10 minutes per day
D. All patients must follow the same standardized treatment plan
D
Answer: B. The patient’s values and preferences guide all clinical decisions
O
Rationale: Patient-centered care respects individual patient preferences, needs, and
values, ensuring that they drive all clinical decisions.
N
9. The nurse notices a small fire in a patient’s trash can. After moving the patient to safety,
O
the next step is to:
T
A. Use a fire extinguisher
C
B. Pull the fire alarm
O
C. Close all doors and windows
PY
D. Call the fire department
Answer: A. Use a fire extinguisher
Rationale: Using the RACE mnemonic: Rescue (move patient),
Alarm (activate fire alarm), Confine (close doors), Extinguish (use extinguisher for small
fires). For a small, contained fire, using an extinguisher is appropriate after activating the
alarm.
10. A patient tells the nurse, “I don’t want any more treatment. Please let me die.” What is
the nurse’s best response?
A. “You must keep fighting; we can’t give up.”
B. “Tell me more about how you are feeling.”
C. “I will call your doctor to force treatment.”
D. “You are being unreasonable.”
, Page 4 of 34
Answer: B. “Tell me more about how you are feeling.”
Rationale: The nurse should explore the patient’s concerns and values. Therapeutic
communication involves open-ended questions to understand the patient’s perspective, not
dismissing or forcing treatment.
11. Which of the following is an example of a nursingsensitive indicator?
A. Hospital census
B. Number of registered nurses per patient day
C. Average length of stay
D. Number of MRI machines in the facility
Answer: B. Number of registered nurses per patient day Rationale: Nursing-sensitive
indicators reflect nursing care quality, such as nurse staffing ratios, pressure injury
rates, and falls. They are influenced by nursing practice, not solely by medical or
D
administrative factors.
O
12. The nurse is providing discharge teaching to a patient with heart failure. Which learning
domain is being used when the patient lists the signs of fluid overload?
N
A. Cognitive
O
B. Affective
T
C. Psychomotor
C
D. Kinesthetic
O
Answer: A. Cognitive
PY
Rationale: The cognitive domain involves knowledge, recall, and understanding. Listing
signs and symptoms requires cognitive learning. Affective = emotions/attitudes;
psychomotor = physical skills.
13. A patient from a culture that values traditional herbal medicine refuses a
prescribed analgesic. The nurse should:
A. Tell the patient that the herbal medicine is useless
B. Respect the patient’s belief and explore alternatives with the provider
C. Administer the analgesic without the patient’s knowledge
D. Call security to enforce treatment
Answer: B. Respect the patient’s belief and explore alternatives with the provider
Rationale: Culturally competent care respects traditional practices. The nurse should
acknowledge the patient’s beliefs, document refusal, and work with the provider to find
acceptable options (e.g., adjusting timing or using non-pharmacologic methods).
