NSG300 / NSG 300 (Latest Update)
Foundations of Nursing Exam 2 | Questions and
Verified Answers | 100% Correct | Grade A – GCU
1. A nurse is using Maslow’s hierarchy of needs to prioritize client care. Which of
the following needs should the nurse address first?
A. Administering oxygen to a client with shortness of breath
B. Providing emotional support to a client in distress
C. Assisting a client with financial concerns
D. Educating a client on medication compliance
Maslow’s hierarchy prioritizes physiological needs first. Airway and
breathing are the highest priority.
2. Which action by the nurse demonstrates advocacy?
A. Documenting client care in the chart
B. Explaining a medical procedure
C. Contacting the provider when a treatment seems unnecessary
D. Assisting with daily hygiene
Advocacy involves speaking up on behalf of the client’s best interests,
especially regarding their care.
3. A nurse is caring for a client who is unconscious. Which action best ensures
the client's rights are protected?
,A. Asking a family member to decide care
B. Proceeding with care without delay
C. Involving a durable power of attorney
D. Assigning a different nurse
When clients are incapacitated, legal proxies such as a power of
attorney make decisions on their behalf.
4. Which technique is most appropriate during a physical assessment of an older
adult?
A. Perform a rapid head-to-toe exam
B. Allow time for client to answer questions
C. Use medical jargon to explain findings
D. Avoid eye contact to prevent intimidation
Older adults may require additional time to respond due to hearing,
cognitive, or processing delays.
5. Which of the following is an example of a breach of client confidentiality?
A. Discussing a patient’s condition with a colleague in the elevator
B. Talking to the physician in a private room
C. Giving information to a nurse involved in care
D. Documenting the client’s response accurately
Talking about a patient in a public place can violate HIPAA and is
considered a confidentiality breach.
, 6. The nurse assesses a client’s radial pulse and notes an irregular rhythm. What
should the nurse do next?
A. Notify the healthcare provider
B. Auscultate the apical pulse for one full minute
C. Document the findings and recheck in one hour
D. Check the blood pressure
An irregular radial pulse requires verification with an apical pulse before
further action.
7. Which intervention is most appropriate for promoting sleep in hospitalized
clients?
A. Encourage napping during the day
B. Maintain a quiet environment during nighttime hours
C. Administer caffeine for alertness
D. Increase fluid intake before bedtime
A calm, quiet environment promotes restful sleep.
8. When a nurse makes a medication error, what is the first action to take?
A. Assess the client for adverse effects
B. Complete an incident report
C. Notify the provider
D. Document the error in the chart
The nurse must first ensure client safety by assessing for harm before
proceeding with reporting.
9. Which action is most appropriate to reduce risk of pressure ulcers in an
immobile client?
Foundations of Nursing Exam 2 | Questions and
Verified Answers | 100% Correct | Grade A – GCU
1. A nurse is using Maslow’s hierarchy of needs to prioritize client care. Which of
the following needs should the nurse address first?
A. Administering oxygen to a client with shortness of breath
B. Providing emotional support to a client in distress
C. Assisting a client with financial concerns
D. Educating a client on medication compliance
Maslow’s hierarchy prioritizes physiological needs first. Airway and
breathing are the highest priority.
2. Which action by the nurse demonstrates advocacy?
A. Documenting client care in the chart
B. Explaining a medical procedure
C. Contacting the provider when a treatment seems unnecessary
D. Assisting with daily hygiene
Advocacy involves speaking up on behalf of the client’s best interests,
especially regarding their care.
3. A nurse is caring for a client who is unconscious. Which action best ensures
the client's rights are protected?
,A. Asking a family member to decide care
B. Proceeding with care without delay
C. Involving a durable power of attorney
D. Assigning a different nurse
When clients are incapacitated, legal proxies such as a power of
attorney make decisions on their behalf.
4. Which technique is most appropriate during a physical assessment of an older
adult?
A. Perform a rapid head-to-toe exam
B. Allow time for client to answer questions
C. Use medical jargon to explain findings
D. Avoid eye contact to prevent intimidation
Older adults may require additional time to respond due to hearing,
cognitive, or processing delays.
5. Which of the following is an example of a breach of client confidentiality?
A. Discussing a patient’s condition with a colleague in the elevator
B. Talking to the physician in a private room
C. Giving information to a nurse involved in care
D. Documenting the client’s response accurately
Talking about a patient in a public place can violate HIPAA and is
considered a confidentiality breach.
, 6. The nurse assesses a client’s radial pulse and notes an irregular rhythm. What
should the nurse do next?
A. Notify the healthcare provider
B. Auscultate the apical pulse for one full minute
C. Document the findings and recheck in one hour
D. Check the blood pressure
An irregular radial pulse requires verification with an apical pulse before
further action.
7. Which intervention is most appropriate for promoting sleep in hospitalized
clients?
A. Encourage napping during the day
B. Maintain a quiet environment during nighttime hours
C. Administer caffeine for alertness
D. Increase fluid intake before bedtime
A calm, quiet environment promotes restful sleep.
8. When a nurse makes a medication error, what is the first action to take?
A. Assess the client for adverse effects
B. Complete an incident report
C. Notify the provider
D. Document the error in the chart
The nurse must first ensure client safety by assessing for harm before
proceeding with reporting.
9. Which action is most appropriate to reduce risk of pressure ulcers in an
immobile client?
