NSG-501 Exam 1 Practice Questions With Complete
Solutions
. 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
. Involuntary leakage of small amounts of urine that occurs
when coughing or getting up from a chair is an example of
______________ urinary incontinence. 1. Overflow 2. Reflex 3.
Stress 4. Urge Correct Answer 2
. The nurse is providing care for a patient who reports no bowel
movement for 5 days except for small amounts of liquid stool.
Which immediate intervention will most likely be ordered for
the patient? 1. Laxatives at bedtime 2. Manual removal of a
fecal impaction 3. Instruction in high-fiber diet 4. Increase in her
ambulation from 1 to 2 times a day Correct Answer 2
. The nurse recognizes that an older adult patient needs
additional teaching about skin care when the patient makes
,which statement? 1. "I should bathe no more than twice a week."
2. "I should rinse well after using soap." 3. "I should use warm
(not hot) water for bathing." 4. "I should drink plenty of fluids."
Correct Answer 1
A 35-year-old woman has Medicaid coverage for herself and 2
young children. She missed an appointment at the local health
clinic to get an annual mammogram because she has no
transportation. She gets the annual screening because her mother
had breast cancer. Which of the following are social
determinants of this woman's health? (Select all that apply.) 1.
Medicaid insurance 2. Annual screening 3. Mother's history of
breast cancer 4. Lack of transportation 5. Woman's age Correct
Answer 1, 4, 5
A 5-year-old patient tells you that her abdominal incision hurts.
She rates the pain as 4 on the FACES Pain Scale of 0 to 10. Her
mother corrects her and states that the pain is at a level of 8 on
the 0-to-10 scale. Which is the most accurate assessment of the
pain? 1. The patient is the best resource for assessing the pain
and should receive the appropriate pain medication. 2. The
patient is the best resource for assessing the pain but should not
receive the pain medication because her pain level is only 4 out
of 10. 3. The family member is the best resource for assessing
the pain, and the patient should receive the maximum dose of
pain medication ordered. 4. The primary health care provider is
the best resource for assessing the pain and should be called to
determine if the pain medication should be administered
Correct Answer 1
,A 7-year-old child was recently diagnosed with asthma. A nurse
is providing education to the child and her parents about the
treatment and management of asthma and changes they need to
make in their home environment to promote her health. Which
statement made by the parents requires follow-up by the nurse?
1. "We have made an appointment to talk with the school nurse
about the change in our child's health." 2. "We forgot to give our
daughter her medications before bedtime so we made a list of
her medications to help us remember." 3. "We have not been
spending time with our parents because we are so busy taking
care of our daughter." 4. "We have worked out a schedule to
check on her before and after school." Correct Answer 3
A 72-year-old male patient is scheduled for elective surgery. A
review of his history shows that he takes six medicines daily. He
is generally healthy but has an enlarged prostate that causes him
to go to the bathroom frequently. He had a low-grade fever the
night before surgery but is afebrile at 7 a.m. Which factors place
him at a fall risk? (Select all that apply.) 1. Low-grade fever 2.
Multiple medications 3. Elective surgery 4. Urinary frequency 5.
Patient age Correct Answer 2, 4, 5
A 74-year-old patient is admitted to the trauma unit with a rib
fracture after a fall at home. He states that he has pain in the
right chest. What should be the first action taken by the nurse? 1.
Complete the admission assessment 2. Administer the lowest
dose of pain medication 3. Assess the characteristics of the pain
4. Call the health care provider Correct Answer 3
A 79-year-old patient with a history of stroke 8 years ago
resulting in aphasia (inability to verbally express thoughts)
, returns to the surgical unit after removal of a mass from his
neck. The surgeon ordered pain medication every 4 hours as
needed (prn) for postoperative pain. What should the nurse do
next to help manage the patient's pain? 1. Administer the pain
medication every 4 hours around the clock 2. Administer the
pain medication when the patient becomes restless 3. Wait until
the patient verbalizes that he is experiencing pain to administer
the pain medication 4. Assess the patient's level of pain with the
FACES pain scale Correct Answer 4
A clinical agency is starting to use chlorhexidine gluconate
(CHG) 4% in a bath base basin for certain patients. Which
points are important to remember? (Select all that apply.) 1. Use
one wash cloth, only once, for each body part. 2. Patient's skin
may feel sticky after bathing. 3. Wipe off sticky residue from
patient's skin. 4. Wash patient's face with CHG 4%. 5. One
bottle of CHG solution is insufficient for a complete bath.
Correct Answer 1, 2
A family consists of two parents and their three children. The
parents decide to become foster parents and now have two foster
children living with them. What term best describes this family?
1. Nuclear 2. Extended 3. Single-parent 4. Blended Correct
Answer 4
A family member angrily tells the nurse, "No one told me that
my husband was back in his room after surgery. I have been
waiting and worrying for 3 hours!" How should the nurse reply?
1. "Well, the recovery room nurse is supposed to take care of
that before sending the patient back to us. I will be sure to let her
know about your frustration." 2. "I am sorry we did not notify
Solutions
. 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
. Involuntary leakage of small amounts of urine that occurs
when coughing or getting up from a chair is an example of
______________ urinary incontinence. 1. Overflow 2. Reflex 3.
Stress 4. Urge Correct Answer 2
. The nurse is providing care for a patient who reports no bowel
movement for 5 days except for small amounts of liquid stool.
Which immediate intervention will most likely be ordered for
the patient? 1. Laxatives at bedtime 2. Manual removal of a
fecal impaction 3. Instruction in high-fiber diet 4. Increase in her
ambulation from 1 to 2 times a day Correct Answer 2
. The nurse recognizes that an older adult patient needs
additional teaching about skin care when the patient makes
,which statement? 1. "I should bathe no more than twice a week."
2. "I should rinse well after using soap." 3. "I should use warm
(not hot) water for bathing." 4. "I should drink plenty of fluids."
Correct Answer 1
A 35-year-old woman has Medicaid coverage for herself and 2
young children. She missed an appointment at the local health
clinic to get an annual mammogram because she has no
transportation. She gets the annual screening because her mother
had breast cancer. Which of the following are social
determinants of this woman's health? (Select all that apply.) 1.
Medicaid insurance 2. Annual screening 3. Mother's history of
breast cancer 4. Lack of transportation 5. Woman's age Correct
Answer 1, 4, 5
A 5-year-old patient tells you that her abdominal incision hurts.
She rates the pain as 4 on the FACES Pain Scale of 0 to 10. Her
mother corrects her and states that the pain is at a level of 8 on
the 0-to-10 scale. Which is the most accurate assessment of the
pain? 1. The patient is the best resource for assessing the pain
and should receive the appropriate pain medication. 2. The
patient is the best resource for assessing the pain but should not
receive the pain medication because her pain level is only 4 out
of 10. 3. The family member is the best resource for assessing
the pain, and the patient should receive the maximum dose of
pain medication ordered. 4. The primary health care provider is
the best resource for assessing the pain and should be called to
determine if the pain medication should be administered
Correct Answer 1
,A 7-year-old child was recently diagnosed with asthma. A nurse
is providing education to the child and her parents about the
treatment and management of asthma and changes they need to
make in their home environment to promote her health. Which
statement made by the parents requires follow-up by the nurse?
1. "We have made an appointment to talk with the school nurse
about the change in our child's health." 2. "We forgot to give our
daughter her medications before bedtime so we made a list of
her medications to help us remember." 3. "We have not been
spending time with our parents because we are so busy taking
care of our daughter." 4. "We have worked out a schedule to
check on her before and after school." Correct Answer 3
A 72-year-old male patient is scheduled for elective surgery. A
review of his history shows that he takes six medicines daily. He
is generally healthy but has an enlarged prostate that causes him
to go to the bathroom frequently. He had a low-grade fever the
night before surgery but is afebrile at 7 a.m. Which factors place
him at a fall risk? (Select all that apply.) 1. Low-grade fever 2.
Multiple medications 3. Elective surgery 4. Urinary frequency 5.
Patient age Correct Answer 2, 4, 5
A 74-year-old patient is admitted to the trauma unit with a rib
fracture after a fall at home. He states that he has pain in the
right chest. What should be the first action taken by the nurse? 1.
Complete the admission assessment 2. Administer the lowest
dose of pain medication 3. Assess the characteristics of the pain
4. Call the health care provider Correct Answer 3
A 79-year-old patient with a history of stroke 8 years ago
resulting in aphasia (inability to verbally express thoughts)
, returns to the surgical unit after removal of a mass from his
neck. The surgeon ordered pain medication every 4 hours as
needed (prn) for postoperative pain. What should the nurse do
next to help manage the patient's pain? 1. Administer the pain
medication every 4 hours around the clock 2. Administer the
pain medication when the patient becomes restless 3. Wait until
the patient verbalizes that he is experiencing pain to administer
the pain medication 4. Assess the patient's level of pain with the
FACES pain scale Correct Answer 4
A clinical agency is starting to use chlorhexidine gluconate
(CHG) 4% in a bath base basin for certain patients. Which
points are important to remember? (Select all that apply.) 1. Use
one wash cloth, only once, for each body part. 2. Patient's skin
may feel sticky after bathing. 3. Wipe off sticky residue from
patient's skin. 4. Wash patient's face with CHG 4%. 5. One
bottle of CHG solution is insufficient for a complete bath.
Correct Answer 1, 2
A family consists of two parents and their three children. The
parents decide to become foster parents and now have two foster
children living with them. What term best describes this family?
1. Nuclear 2. Extended 3. Single-parent 4. Blended Correct
Answer 4
A family member angrily tells the nurse, "No one told me that
my husband was back in his room after surgery. I have been
waiting and worrying for 3 hours!" How should the nurse reply?
1. "Well, the recovery room nurse is supposed to take care of
that before sending the patient back to us. I will be sure to let her
know about your frustration." 2. "I am sorry we did not notify
