NSG 3800 All Exams Binder exam
Questions and Correct Answers (Verified
Answers) Plus Rationale 2027 Q&A|
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1. A nurse is assessing a patient who has just been admitted with
shortness of breath. Which assessment should the nurse perform
first?
A. Obtain the patient's complete medication history
B. Assess airway and breathing
C. Determine the patient's dietary preferences
D. Review the patient's family medical history
Answer: B. Assess airway and breathing
Rationale: Airway and breathing are immediate priorities under the
ABC framework. A compromised airway or inadequate ventilation can
rapidly become life-threatening, so these assessments take
precedence over historical or nonurgent information.
, 2. Which finding most strongly indicates that a patient is
experiencing impaired oxygenation?
A. Warm, dry skin
B. Oxygen saturation of 88%
C. Respiratory rate of 16/min
D. Capillary refill of 2 seconds
Answer: B. Oxygen saturation of 88%
Rationale: An oxygen saturation of 88% indicates hypoxemia in most
clinical situations and requires prompt assessment and intervention.
Normal oxygen saturation is generally around 95% to 100%, although
target ranges may vary for certain chronic conditions.
3. A nurse is preparing to administer an oral medication. Which
action is most important before administration?
A. Ask the patient whether the medication tastes good
B. Verify the medication against the prescription and patient identifiers
C. Place all medications at the patient's bedside
D. Document the medication before giving it
Answer: B. Verify the medication against the prescription and patient
identifiers
,Rationale: Medication safety requires verification of the medication,
dose, route, timing, and patient identity before administration.
Patient identification and medication verification help prevent
potentially serious medication errors.
4. A patient reports severe pain after surgery. Which assessment is
most appropriate before administering an analgesic?
A. Pain intensity and characteristics
B. Favorite sleeping position
C. Usual breakfast preferences
D. Preferred room temperature
Answer: A. Pain intensity and characteristics
Rationale: Pain should be assessed systematically, including intensity,
location, quality, duration, and aggravating or relieving factors. This
assessment establishes a baseline and helps determine the
appropriate intervention and subsequent response.
5. Which nursing intervention is most appropriate for preventing
pressure injuries in an immobile patient?
A. Reposition the patient regularly
B. Limit fluid intake
, C. Massage reddened areas vigorously
D. Keep the patient in one position for comfort
Answer: A. Reposition the patient regularly
Rationale: Regular repositioning reduces prolonged pressure over
bony prominences and helps maintain tissue perfusion. Reddened
areas should not be vigorously massaged because this may further
damage compromised tissue.
6. A nurse is caring for a patient at increased risk for falls. Which
intervention is appropriate?
A. Keep the bed in its highest position
B. Place frequently used items within reach
C. Encourage the patient to walk without assistance
D. Keep the room dark at all times
Answer: B. Place frequently used items within reach
Rationale: Keeping personal items and the call light within reach
reduces the need for unnecessary movement and helps prevent falls.
Other safety measures include appropriate bed positioning, adequate
lighting, and assistance with ambulation when needed.
7. Which patient statement demonstrates effective understanding
of incentive spirometer use?
Questions and Correct Answers (Verified
Answers) Plus Rationale 2027 Q&A|
Instant Download Pdf
1. A nurse is assessing a patient who has just been admitted with
shortness of breath. Which assessment should the nurse perform
first?
A. Obtain the patient's complete medication history
B. Assess airway and breathing
C. Determine the patient's dietary preferences
D. Review the patient's family medical history
Answer: B. Assess airway and breathing
Rationale: Airway and breathing are immediate priorities under the
ABC framework. A compromised airway or inadequate ventilation can
rapidly become life-threatening, so these assessments take
precedence over historical or nonurgent information.
, 2. Which finding most strongly indicates that a patient is
experiencing impaired oxygenation?
A. Warm, dry skin
B. Oxygen saturation of 88%
C. Respiratory rate of 16/min
D. Capillary refill of 2 seconds
Answer: B. Oxygen saturation of 88%
Rationale: An oxygen saturation of 88% indicates hypoxemia in most
clinical situations and requires prompt assessment and intervention.
Normal oxygen saturation is generally around 95% to 100%, although
target ranges may vary for certain chronic conditions.
3. A nurse is preparing to administer an oral medication. Which
action is most important before administration?
A. Ask the patient whether the medication tastes good
B. Verify the medication against the prescription and patient identifiers
C. Place all medications at the patient's bedside
D. Document the medication before giving it
Answer: B. Verify the medication against the prescription and patient
identifiers
,Rationale: Medication safety requires verification of the medication,
dose, route, timing, and patient identity before administration.
Patient identification and medication verification help prevent
potentially serious medication errors.
4. A patient reports severe pain after surgery. Which assessment is
most appropriate before administering an analgesic?
A. Pain intensity and characteristics
B. Favorite sleeping position
C. Usual breakfast preferences
D. Preferred room temperature
Answer: A. Pain intensity and characteristics
Rationale: Pain should be assessed systematically, including intensity,
location, quality, duration, and aggravating or relieving factors. This
assessment establishes a baseline and helps determine the
appropriate intervention and subsequent response.
5. Which nursing intervention is most appropriate for preventing
pressure injuries in an immobile patient?
A. Reposition the patient regularly
B. Limit fluid intake
, C. Massage reddened areas vigorously
D. Keep the patient in one position for comfort
Answer: A. Reposition the patient regularly
Rationale: Regular repositioning reduces prolonged pressure over
bony prominences and helps maintain tissue perfusion. Reddened
areas should not be vigorously massaged because this may further
damage compromised tissue.
6. A nurse is caring for a patient at increased risk for falls. Which
intervention is appropriate?
A. Keep the bed in its highest position
B. Place frequently used items within reach
C. Encourage the patient to walk without assistance
D. Keep the room dark at all times
Answer: B. Place frequently used items within reach
Rationale: Keeping personal items and the call light within reach
reduces the need for unnecessary movement and helps prevent falls.
Other safety measures include appropriate bed positioning, adequate
lighting, and assistance with ambulation when needed.
7. Which patient statement demonstrates effective understanding
of incentive spirometer use?
