NSG 3100 Exam 1 Questions and Answers Latest Update 2025 Already Passed
which action would the nurse undertake first when beginning to formulate a patient's plan of care
a- list possible treatment options
b-identify realistic outcome indicators
c- consult with healthcare team members
d- rank patient concerns from assessment data - Answers d
which resource is most helpful when prioritizing identified nursing diagnoses
a- nursing interventions classification
b- gordon's functional health patterns
c- maslow's hierarchy of needs
d- nursing outcomes classification - Answers c
if a patient is exhibiting signs and symptoms of each of these nursing diagnoses, which should the nurse
address first while planning care?
a- fatigue
b- acute pain
c- lack of knowledge
d- disturbed body image - Answers b
which statement illustrates a characteristic of goals within the care planning process?
a- goals are vague objectives communicating expectations for improvement
b- short-term goals need not be measurable, unlike long term goals
c- goal attainment can be measured by identifying nursing interventions
d- long term goals are helpful in judging a patient's progress - Answers d
which nursing goal is written correctly for a patient with the nursing diagnosis for risk for infection after
abdominal surgery?
a- nurse will encourage use of sterile technique during each dressing change
b- patient's WBC will remain within normal range throughout hospitalization
,c- patient's visitors will be instructed in proper handwashing before direct interaction with patient
d- patient will understand the importance of cleaning around the incision with a clean cloth during bath
time - Answers b
If the nurse chooses the Nursing Outcome Classification (NOC), Appetite (1014) for a chemotherapy
patient, which outcome indicators would be acceptable for evaluation of goal attainment? (Select all
that apply.)
a. Expressed desire to eat
b. Report that food smells good
c. Use of relaxation techniques before meals
d. Preparation of home-cooked meals for self and family
e. Uses nutritional information on labels to guide selections - Answers a, b, d
which action by the nurse would be most important in developing a patient-centered plan of care for an
alert, oriented adult
a- providing a written copy of care options to the patient and family
b- collaborrating with the patient's social worker to determine resources
c- listening to patient's concerns and beliefs about proposed treatment
d- engaging the patient's family, friends or care providers in conversation - Answers c
which interventions can the nurse initiate independently while providing patient care?
a- ordering blood transfusion
b- auscultating lung sounds
c- monitoring skin integrity
d- apply heel protectors
e- adjusting antibiotic dosages - Answers b,c,d
the nurse notices that a patient is becoming short of breath and anxious. which intervention is
dependent nursing action, requiring the order of a PCP?
a- elevating the head of the patient's bed
b- administering oxygen by nasal cannula
, c- assessing the patient's O2 saturation
d- elevating the patient's peripheral circulation - Answers b
which situation indicates the greatest need for collaborative interventions provided by several health
care team members?
a- hospice referral
b- physical assessment
c- activities of daily living
d- health history interview - Answers a
what should the nurse consider before implementation of all nursing interventions
a- potential communication barriers
b- diverse cultural practices
c- scope of nursing practice
d- functional status of patient
e- time of most recent shift change - Answers a,b,c,d
which intervention would be most important for the nurse to include in a patient's care plan if the
patient is unable to complete activities of daily living without becoming fatigued?
a- instruct the patient to shower and shave simultaneously
b- discourage the patient from bathing while hospitalized
c- encourage the patient to rest between bathing activities
d- ask the patient's spouse to assist with all bathing - Answers c
which nursing intervention is most important to complete before giving medication to a patient?
a- provide water to aid in the patients ability to swallow med
b- double-check the patient's allergies before giving the drug
c- ask the patient to verify having taken the medication before
d- place the patient in a side-lying position to prevent aspiration - Answers b
Which direct-care intervention would be most effective in helping a patient cope emotionally with a new
diagnosis of cancer?
which action would the nurse undertake first when beginning to formulate a patient's plan of care
a- list possible treatment options
b-identify realistic outcome indicators
c- consult with healthcare team members
d- rank patient concerns from assessment data - Answers d
which resource is most helpful when prioritizing identified nursing diagnoses
a- nursing interventions classification
b- gordon's functional health patterns
c- maslow's hierarchy of needs
d- nursing outcomes classification - Answers c
if a patient is exhibiting signs and symptoms of each of these nursing diagnoses, which should the nurse
address first while planning care?
a- fatigue
b- acute pain
c- lack of knowledge
d- disturbed body image - Answers b
which statement illustrates a characteristic of goals within the care planning process?
a- goals are vague objectives communicating expectations for improvement
b- short-term goals need not be measurable, unlike long term goals
c- goal attainment can be measured by identifying nursing interventions
d- long term goals are helpful in judging a patient's progress - Answers d
which nursing goal is written correctly for a patient with the nursing diagnosis for risk for infection after
abdominal surgery?
a- nurse will encourage use of sterile technique during each dressing change
b- patient's WBC will remain within normal range throughout hospitalization
,c- patient's visitors will be instructed in proper handwashing before direct interaction with patient
d- patient will understand the importance of cleaning around the incision with a clean cloth during bath
time - Answers b
If the nurse chooses the Nursing Outcome Classification (NOC), Appetite (1014) for a chemotherapy
patient, which outcome indicators would be acceptable for evaluation of goal attainment? (Select all
that apply.)
a. Expressed desire to eat
b. Report that food smells good
c. Use of relaxation techniques before meals
d. Preparation of home-cooked meals for self and family
e. Uses nutritional information on labels to guide selections - Answers a, b, d
which action by the nurse would be most important in developing a patient-centered plan of care for an
alert, oriented adult
a- providing a written copy of care options to the patient and family
b- collaborrating with the patient's social worker to determine resources
c- listening to patient's concerns and beliefs about proposed treatment
d- engaging the patient's family, friends or care providers in conversation - Answers c
which interventions can the nurse initiate independently while providing patient care?
a- ordering blood transfusion
b- auscultating lung sounds
c- monitoring skin integrity
d- apply heel protectors
e- adjusting antibiotic dosages - Answers b,c,d
the nurse notices that a patient is becoming short of breath and anxious. which intervention is
dependent nursing action, requiring the order of a PCP?
a- elevating the head of the patient's bed
b- administering oxygen by nasal cannula
, c- assessing the patient's O2 saturation
d- elevating the patient's peripheral circulation - Answers b
which situation indicates the greatest need for collaborative interventions provided by several health
care team members?
a- hospice referral
b- physical assessment
c- activities of daily living
d- health history interview - Answers a
what should the nurse consider before implementation of all nursing interventions
a- potential communication barriers
b- diverse cultural practices
c- scope of nursing practice
d- functional status of patient
e- time of most recent shift change - Answers a,b,c,d
which intervention would be most important for the nurse to include in a patient's care plan if the
patient is unable to complete activities of daily living without becoming fatigued?
a- instruct the patient to shower and shave simultaneously
b- discourage the patient from bathing while hospitalized
c- encourage the patient to rest between bathing activities
d- ask the patient's spouse to assist with all bathing - Answers c
which nursing intervention is most important to complete before giving medication to a patient?
a- provide water to aid in the patients ability to swallow med
b- double-check the patient's allergies before giving the drug
c- ask the patient to verify having taken the medication before
d- place the patient in a side-lying position to prevent aspiration - Answers b
Which direct-care intervention would be most effective in helping a patient cope emotionally with a new
diagnosis of cancer?
