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NSG 3100 EXAM 1 2025 UPDATED ACTUAL
EXAM WITH CORRECT SOLUTIONS.
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 - correct
answer- 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 - correct answer- 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
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d- disturbed body image - correct answer- 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 -
correct answer- 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 - correct answer- b
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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 -
correct answer- 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 - correct answer- c
which interventions can the nurse initiate independently while
providing patient care?
a- ordering blood transfusion
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b- auscultating lung sounds
c- monitoring skin integrity
d- apply heel protectors
e- adjusting antibiotic dosages - correct answer- 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 - correct answer-
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 - correct answer- a
what should the nurse consider before implementation of all
nursing interventions
NSG 3100 EXAM 1 2025 UPDATED ACTUAL
EXAM WITH CORRECT SOLUTIONS.
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 - correct
answer- 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 - correct answer- 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
,2 | Page
d- disturbed body image - correct answer- 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 -
correct answer- 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 - correct answer- b
,3 | Page
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 -
correct answer- 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 - correct answer- c
which interventions can the nurse initiate independently while
providing patient care?
a- ordering blood transfusion
, 4 | Page
b- auscultating lung sounds
c- monitoring skin integrity
d- apply heel protectors
e- adjusting antibiotic dosages - correct answer- 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 - correct answer-
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 - correct answer- a
what should the nurse consider before implementation of all
nursing interventions
