NSG-501 Exam 1 Practice Questions and
Answers A+ Graded
A .nurse .asks .a .student .nurse .to .irrigate .a .patient's .feeding .tube. .The .student
.has .not .performed .the .procedure .other .than .in .simulation .laboratory. .The
.student .approaches .her .clinical .instructor .and .asks .a .clarifying .question .about
.the .amount .of .saline .to .use .in .the .procedure. .This .is .an .example .of .which
.critical .thinking .attitude? .1. .Risk .taking .2. .Confidence .3. .Consistency .4.
.Curiosity .- .CORRECT .ANSWER-2.
A .nurse .enters .a .heated .discussion .with .a .colleague .over .a .work .schedule
.change. .The .nurse .has .a .patient .who .asked .for .a .pain .medication .20 .minutes
.earlier. .Another .patient .calls .the .nurse .to .request .assistance. .The .nurse .feels
.tension .in .her .neck .and .around .her .eyes, .and .she .takes .a .10-second .time .out.
.This .shows .the .nurse .is .aware .of .which .of .the .following? .(Select .all .that
.apply.) .1. .Stress .affects .accuracy .of .problem .solving. .2. .During .stressful
.events, .it .is .easier .to .communicate .concise .information. .3. .The .level .of .stress
.can .affect .the .nurse's .ability .to .speak .clearly. .4. .Stress .improves .recall .of
.information. .5. .Managing .emotions .is .difficult .during .stress. .- .CORRECT
.ANSWER-1, .3, .5
You .can .use .the .REFLECT .model .to .improve .learning .after .providing .patient
.care. .Place .the .steps .of .this .model .in .the .correct .order. .1. .Think .about .your
.thoughts .and .actions .at .the .time .of .the .situation. .2. .Review .the .knowledge .you
.gained .from .the .experience. .3. .Review .the .facts .of .the .situation. .4. .Set .a
.schedule .for .completing .your .plan .of .action. .5. .Consider .options .for .handling .a
.similar .situation .in .the .future. .6. .Recall .any .feelings .you .had .at .the .time .of .the
.situation. .7. .Create .a .plan .for .future .situations .- .CORRECT .ANSWER-
3,1,6,2,5,7,4
One .element .of .clinical .decision .making .is .knowing .the .patient. .Which .of .the
.following .activities .affect .a .nurse's .ability .to .know .patients .better? .(Select .all
.that .apply.) .1. .Caring .for .similar .groups .of .patients .over .time .2. .Reading .the
.evidence-based .practices .appropriate .to .patients .3. .Learning .how .patients
.typically .respond .to .a .particular .clinical .situation .4. .Observing .patients .5.
.Engaging .with .patients .experiencing .illness .- .CORRECT .ANSWER-1,3,4,5
While .preparing .medications .for .a .patient, .the .nurse .compares .the .name .of .the
.medication .on .the .label .with .the .name .of .the .medication .on .the .physician's
.order. .At .the .bedside, .the .nurse .checks .the .patient's .name .against .the .order .as
.well. .The .nurse .is .following .which .critical .thinking .attitude? .1. .Responsible .2.
.Complete .3. .Accurate .- .CORRECT .ANSWER-1
,A .patient .has .regularly .visited .the .outpatient .wound .clinic .over .the .last .2
.months .for .treatment .of .a .foot .ulcer. .The .nurses .have .tried .two .types .of
.dressings, .but .the .wound .shows .little .improvement. .During .the .patient's .next
.visit, .a .nurse .recommends .a .hydrocolloid .dressing .and .use .of .a .foot .boot .to
.reduce .pressure .on .the .ulcer .when .the .patient .walks. .This .approach .to
.selecting .an .intervention .employs .which .critical .thinking .attitude? .1.
.Significance .2. .Curiosity .3. .Perseverance .4. .Logic .- .CORRECT .ANSWER-3
A .patient .diagnosed .with .stage .4 .breast .cancer .has .undergone .three .different
.chemotherapy .trials. .The .patient .has .severe .hip .pain .as .a .result .of .the .cancer
.spreading .to .the .bones. .The .nurse .and .patient .discuss .the .patient's
.expectations .for .pain .management .and .the .approach .she .prefers .for .treatment
.while .meeting .the .Oncology .Nurses .Society .(ONS) .standards .for .pain
.management. .The .nurse .has .applied .which .critical .thinking .standards? .(Select
.all .that .apply.) .1. .Specific .critical .thinking .2. .Evidence-based .criteria .3.
.Standards .of .practice .4. .Intellectual .standards .5. .Ethical .standards .- .CORRECT
.ANSWER-2,5
A .nurse .working .on .a .cardiac .unit .is .assigned .an .84-yearold .patient .who .was
.just .admitted .with .symptoms .of .lung .infection. .When .the .nurse .enters .the
.room, .the .nurse .notices .that .the .patient .is .short .of .breath. .The .patient
.continues .to .cough .and .has .a .respiratory .rate .of .36 .breaths/min. .The .patient .is
.anxious .and .states ."I .am .scared." .The .nurse .does .an .initial .preliminary
.assessment .and .follows .up .30 .minutes .later. .The .nurse's .knowledge .about .the
.patient .results .in .which .of .the .following .assessment .approaches? .(Select .all
.that .apply.) .1. .Problem-focused .approach .2. .Structured .comprehensive
.approach .3. .Emotion-focused .approach .4. .Using .multiple .visits .to .gather .a
.complete .patient .database .5. .Focusing .on .the .functional .health .pattern .of .role-
relationship .- .CORRECT .ANSWER-1,4
A .patient .has .a .pressure .injury .resulting .from .urinary .incontinence .and
.sustained .pressure .over .the .coccyx. .The .nursing .plan .of .care .includes .a .goal
.of ."Pressure .injury .heals .in .3 .weeks." .Which .of .the .following .is .an .evaluation
.measure .for .this .goal? .(Select .all .that .apply.) .1. .Turn .patient .every .90 .minutes.
.2. .Measure .the .diameter .of .the .pressure .injury. .3. .Measure .urine .output. .4.
.Monitor .patient's .report .of .discomfort .during .turning. .5. .Measure .depth .of
.pressure .injury. .- .CORRECT .ANSWER-2, .5
. .A .nurse .completes .a .respiratory .assessment .on .a .patient .who .had .abdominal
.surgery .1 .day .ago. .During .the .assessment, .the .nurse .auscultates .crackles .in
.both .lower .lobes, .and .the .patient .coughs, .producing .light .yellow .sputum. .The
.patient's .body .temperature .is .37.0°C .(98.6°F), .pulse .is .110 .beats/min,
.respiratory .rate .is .28 .breaths/min, .and .blood .pressure .is .118/82 .mm .Hg. .Pulse
.oximetry .was .99% .and .is .now .93%. .The .nurse .identifies .a .nursing .diagnosis .of
.Impaired .Gas .Exchange. .Which .of .following .goals .is .appropriate .for .this
.patient? .1. .Patient's .pulse .oximetry .will .be .greater .than .95%. .2. .Instruct .patient
.to .deep .breathe .and .cough .every .2 .hours. .3. .Patient's .lungs .will .be .clear .to
, .auscultation. .4. .Patient .will .be .able .to .sleep .through .the .night. .- .CORRECT
.ANSWER-3
During .the .implementation .step .of .the .nursing .process, .a .nurse .reviews .and
.revises .the .nursing .care .plan. .Place .the .following .steps .of .review .and .revision
.in .the .correct .order. .1. .Review .the .care .plan. .2. .Decide .whether .the .nursing
.interventions .remain .appropriate. .3. .Reassess .the .patient. .4. .Compare
.assessment .findings .to .validate .existing .nursing .diagnosis. .- .CORRECT
.ANSWER-3, .4, .1, .2
Which .of .the .following .statements .correctly .describes .the .evaluation .process?
.(Select .all .that .apply.) .1. .Evaluation .is .an .ongoing .process. .2. .Evaluation
.usually .reveals .obvious .changes .in .a .patient. .3. .Evaluation .involves .making
.clinical .decisions. .4. .Evaluation .requires .the .use .of .assessment .skills. .5.
.Evaluation .is .performed .only .when .the .patient's .condition .changes. .-
.CORRECT .ANSWER-1, .3, .4
A .patient .tells .the .nurse, ."I .have .had .this .dull .ache .in .my .side .now .for .4 .days.
.It .really .hurts .when .I .bend .over." .The .nurse .responds, ."All .right, .go .on." .What
.type .of .nursing .interview .technique .is .the .nurse's .response? .1. .Inference .2. .A
.cue .3. .Back-channeling .4. .Open-ended .question .- .CORRECT .ANSWER-3
A .nurse .has .been .interviewing .a .newly .assigned .patient. .The .patient .complains
.of .difficulty .breathing. .Other .cues .from .the .history .indicate .that .that .patient
.has .had .a .productive .cough .for .the .last .2 .weeks. .The .nurse .does .not .validate
.the .findings .by .doing .a .physical .examination. .This .is .an .example .of .which .type
.of .error? .1. .Error .in .data .clustering .2. .Error .in .data .collection .3. .Error .in
.diagnostic .statement .4. .Error .in .interpretation .and .analysis .- .CORRECT
.ANSWER-2
Which .of .the .following .are .examples .of .data .validation? .(Select .all .that .apply.)
.1. .The .nurse .assesses .the .patient's .heart .rate .and .compares .the .value .with .the
.last .value .entered .in .the .medical .record. .2. .The .nurse .asks .the .patient .if .he .is
.having .pain .and .then .asks .him .to .rate .the .severity. .3. .The .nurse .observes .a
.patient .reading .a .teaching .booklet .and .asks .whether .he .has .any .questions
.about .its .content. .4. .The .nurse .obtains .a .blood .pressure .value .that .is .abnormal
.and .asks .the .charge .nurse .to .repeat .the .measurement. .5. .The .nurse .asks .the
.patient .to .describe .a .symptom .by .saying ."go .on." .- .CORRECT .ANSWER-1, .4
A .nurse .is .caring .for .a .patient .who .had .surgery .2 .days .ago .and .has .not .yet
.had .a .bowel .movement. .Upon .assessment, .the .nurse .finds .bowel .sounds .are
.present .in .all .four .quadrants, .abdomen .is .slightly .distended, .and .patient
.reports .feeling .uncomfortably .full. .The .patient .has .been .scheduled .for
.discharge .tomorrow. .The .nursing .history .on .admission .noted .that .the .patient
.had .a .history .of .constipation .and .takes .stool .softeners. .The .nurse .prepares .to
.call .the .health .care .provider .to .request .a .medication .for .constipation. .Place .the
.following .in .the .correct .order .for .an .SBAR .communication .related .to .this
.concern. .1. .Would .you .prescribe .a .medication .for .relief .of .constipation? .2. .Mr.
.John .Smith .had .surgery .3 .days .ago, .and .he .has .not .yet .had .a .bowel
Answers A+ Graded
A .nurse .asks .a .student .nurse .to .irrigate .a .patient's .feeding .tube. .The .student
.has .not .performed .the .procedure .other .than .in .simulation .laboratory. .The
.student .approaches .her .clinical .instructor .and .asks .a .clarifying .question .about
.the .amount .of .saline .to .use .in .the .procedure. .This .is .an .example .of .which
.critical .thinking .attitude? .1. .Risk .taking .2. .Confidence .3. .Consistency .4.
.Curiosity .- .CORRECT .ANSWER-2.
A .nurse .enters .a .heated .discussion .with .a .colleague .over .a .work .schedule
.change. .The .nurse .has .a .patient .who .asked .for .a .pain .medication .20 .minutes
.earlier. .Another .patient .calls .the .nurse .to .request .assistance. .The .nurse .feels
.tension .in .her .neck .and .around .her .eyes, .and .she .takes .a .10-second .time .out.
.This .shows .the .nurse .is .aware .of .which .of .the .following? .(Select .all .that
.apply.) .1. .Stress .affects .accuracy .of .problem .solving. .2. .During .stressful
.events, .it .is .easier .to .communicate .concise .information. .3. .The .level .of .stress
.can .affect .the .nurse's .ability .to .speak .clearly. .4. .Stress .improves .recall .of
.information. .5. .Managing .emotions .is .difficult .during .stress. .- .CORRECT
.ANSWER-1, .3, .5
You .can .use .the .REFLECT .model .to .improve .learning .after .providing .patient
.care. .Place .the .steps .of .this .model .in .the .correct .order. .1. .Think .about .your
.thoughts .and .actions .at .the .time .of .the .situation. .2. .Review .the .knowledge .you
.gained .from .the .experience. .3. .Review .the .facts .of .the .situation. .4. .Set .a
.schedule .for .completing .your .plan .of .action. .5. .Consider .options .for .handling .a
.similar .situation .in .the .future. .6. .Recall .any .feelings .you .had .at .the .time .of .the
.situation. .7. .Create .a .plan .for .future .situations .- .CORRECT .ANSWER-
3,1,6,2,5,7,4
One .element .of .clinical .decision .making .is .knowing .the .patient. .Which .of .the
.following .activities .affect .a .nurse's .ability .to .know .patients .better? .(Select .all
.that .apply.) .1. .Caring .for .similar .groups .of .patients .over .time .2. .Reading .the
.evidence-based .practices .appropriate .to .patients .3. .Learning .how .patients
.typically .respond .to .a .particular .clinical .situation .4. .Observing .patients .5.
.Engaging .with .patients .experiencing .illness .- .CORRECT .ANSWER-1,3,4,5
While .preparing .medications .for .a .patient, .the .nurse .compares .the .name .of .the
.medication .on .the .label .with .the .name .of .the .medication .on .the .physician's
.order. .At .the .bedside, .the .nurse .checks .the .patient's .name .against .the .order .as
.well. .The .nurse .is .following .which .critical .thinking .attitude? .1. .Responsible .2.
.Complete .3. .Accurate .- .CORRECT .ANSWER-1
,A .patient .has .regularly .visited .the .outpatient .wound .clinic .over .the .last .2
.months .for .treatment .of .a .foot .ulcer. .The .nurses .have .tried .two .types .of
.dressings, .but .the .wound .shows .little .improvement. .During .the .patient's .next
.visit, .a .nurse .recommends .a .hydrocolloid .dressing .and .use .of .a .foot .boot .to
.reduce .pressure .on .the .ulcer .when .the .patient .walks. .This .approach .to
.selecting .an .intervention .employs .which .critical .thinking .attitude? .1.
.Significance .2. .Curiosity .3. .Perseverance .4. .Logic .- .CORRECT .ANSWER-3
A .patient .diagnosed .with .stage .4 .breast .cancer .has .undergone .three .different
.chemotherapy .trials. .The .patient .has .severe .hip .pain .as .a .result .of .the .cancer
.spreading .to .the .bones. .The .nurse .and .patient .discuss .the .patient's
.expectations .for .pain .management .and .the .approach .she .prefers .for .treatment
.while .meeting .the .Oncology .Nurses .Society .(ONS) .standards .for .pain
.management. .The .nurse .has .applied .which .critical .thinking .standards? .(Select
.all .that .apply.) .1. .Specific .critical .thinking .2. .Evidence-based .criteria .3.
.Standards .of .practice .4. .Intellectual .standards .5. .Ethical .standards .- .CORRECT
.ANSWER-2,5
A .nurse .working .on .a .cardiac .unit .is .assigned .an .84-yearold .patient .who .was
.just .admitted .with .symptoms .of .lung .infection. .When .the .nurse .enters .the
.room, .the .nurse .notices .that .the .patient .is .short .of .breath. .The .patient
.continues .to .cough .and .has .a .respiratory .rate .of .36 .breaths/min. .The .patient .is
.anxious .and .states ."I .am .scared." .The .nurse .does .an .initial .preliminary
.assessment .and .follows .up .30 .minutes .later. .The .nurse's .knowledge .about .the
.patient .results .in .which .of .the .following .assessment .approaches? .(Select .all
.that .apply.) .1. .Problem-focused .approach .2. .Structured .comprehensive
.approach .3. .Emotion-focused .approach .4. .Using .multiple .visits .to .gather .a
.complete .patient .database .5. .Focusing .on .the .functional .health .pattern .of .role-
relationship .- .CORRECT .ANSWER-1,4
A .patient .has .a .pressure .injury .resulting .from .urinary .incontinence .and
.sustained .pressure .over .the .coccyx. .The .nursing .plan .of .care .includes .a .goal
.of ."Pressure .injury .heals .in .3 .weeks." .Which .of .the .following .is .an .evaluation
.measure .for .this .goal? .(Select .all .that .apply.) .1. .Turn .patient .every .90 .minutes.
.2. .Measure .the .diameter .of .the .pressure .injury. .3. .Measure .urine .output. .4.
.Monitor .patient's .report .of .discomfort .during .turning. .5. .Measure .depth .of
.pressure .injury. .- .CORRECT .ANSWER-2, .5
. .A .nurse .completes .a .respiratory .assessment .on .a .patient .who .had .abdominal
.surgery .1 .day .ago. .During .the .assessment, .the .nurse .auscultates .crackles .in
.both .lower .lobes, .and .the .patient .coughs, .producing .light .yellow .sputum. .The
.patient's .body .temperature .is .37.0°C .(98.6°F), .pulse .is .110 .beats/min,
.respiratory .rate .is .28 .breaths/min, .and .blood .pressure .is .118/82 .mm .Hg. .Pulse
.oximetry .was .99% .and .is .now .93%. .The .nurse .identifies .a .nursing .diagnosis .of
.Impaired .Gas .Exchange. .Which .of .following .goals .is .appropriate .for .this
.patient? .1. .Patient's .pulse .oximetry .will .be .greater .than .95%. .2. .Instruct .patient
.to .deep .breathe .and .cough .every .2 .hours. .3. .Patient's .lungs .will .be .clear .to
, .auscultation. .4. .Patient .will .be .able .to .sleep .through .the .night. .- .CORRECT
.ANSWER-3
During .the .implementation .step .of .the .nursing .process, .a .nurse .reviews .and
.revises .the .nursing .care .plan. .Place .the .following .steps .of .review .and .revision
.in .the .correct .order. .1. .Review .the .care .plan. .2. .Decide .whether .the .nursing
.interventions .remain .appropriate. .3. .Reassess .the .patient. .4. .Compare
.assessment .findings .to .validate .existing .nursing .diagnosis. .- .CORRECT
.ANSWER-3, .4, .1, .2
Which .of .the .following .statements .correctly .describes .the .evaluation .process?
.(Select .all .that .apply.) .1. .Evaluation .is .an .ongoing .process. .2. .Evaluation
.usually .reveals .obvious .changes .in .a .patient. .3. .Evaluation .involves .making
.clinical .decisions. .4. .Evaluation .requires .the .use .of .assessment .skills. .5.
.Evaluation .is .performed .only .when .the .patient's .condition .changes. .-
.CORRECT .ANSWER-1, .3, .4
A .patient .tells .the .nurse, ."I .have .had .this .dull .ache .in .my .side .now .for .4 .days.
.It .really .hurts .when .I .bend .over." .The .nurse .responds, ."All .right, .go .on." .What
.type .of .nursing .interview .technique .is .the .nurse's .response? .1. .Inference .2. .A
.cue .3. .Back-channeling .4. .Open-ended .question .- .CORRECT .ANSWER-3
A .nurse .has .been .interviewing .a .newly .assigned .patient. .The .patient .complains
.of .difficulty .breathing. .Other .cues .from .the .history .indicate .that .that .patient
.has .had .a .productive .cough .for .the .last .2 .weeks. .The .nurse .does .not .validate
.the .findings .by .doing .a .physical .examination. .This .is .an .example .of .which .type
.of .error? .1. .Error .in .data .clustering .2. .Error .in .data .collection .3. .Error .in
.diagnostic .statement .4. .Error .in .interpretation .and .analysis .- .CORRECT
.ANSWER-2
Which .of .the .following .are .examples .of .data .validation? .(Select .all .that .apply.)
.1. .The .nurse .assesses .the .patient's .heart .rate .and .compares .the .value .with .the
.last .value .entered .in .the .medical .record. .2. .The .nurse .asks .the .patient .if .he .is
.having .pain .and .then .asks .him .to .rate .the .severity. .3. .The .nurse .observes .a
.patient .reading .a .teaching .booklet .and .asks .whether .he .has .any .questions
.about .its .content. .4. .The .nurse .obtains .a .blood .pressure .value .that .is .abnormal
.and .asks .the .charge .nurse .to .repeat .the .measurement. .5. .The .nurse .asks .the
.patient .to .describe .a .symptom .by .saying ."go .on." .- .CORRECT .ANSWER-1, .4
A .nurse .is .caring .for .a .patient .who .had .surgery .2 .days .ago .and .has .not .yet
.had .a .bowel .movement. .Upon .assessment, .the .nurse .finds .bowel .sounds .are
.present .in .all .four .quadrants, .abdomen .is .slightly .distended, .and .patient
.reports .feeling .uncomfortably .full. .The .patient .has .been .scheduled .for
.discharge .tomorrow. .The .nursing .history .on .admission .noted .that .the .patient
.had .a .history .of .constipation .and .takes .stool .softeners. .The .nurse .prepares .to
.call .the .health .care .provider .to .request .a .medication .for .constipation. .Place .the
.following .in .the .correct .order .for .an .SBAR .communication .related .to .this
.concern. .1. .Would .you .prescribe .a .medication .for .relief .of .constipation? .2. .Mr.
.John .Smith .had .surgery .3 .days .ago, .and .he .has .not .yet .had .a .bowel
