NSG 1600 Exam 3 Question Exam
With Correct Answers & Detailed Rationales.
1. The nurse identifies a client with a high fall risk. Priority action?
Answer: B. Place the bed in the lowest position
Rationale: Reduces injury risk during unexpected falls.
2. Proper oxygen safety teaching includes:
Answer: D. “Keep oxygen at least 10 feet away from open flames.”
Rationale: Prevents fire hazards.
3. Which patient requires contact precautions?
Answer: A. Patient with C. difficile
Rationale: Spread by spores requiring soap/water and gown/gloves.
4. Which finding is a symptom of hypoglycemia?
Answer: C. Diaphoresis
Rationale: Sweating is a classic early sign.
5. Most accurate method to measure irregular heart rhythm:
Answer: D. Auscultate apical pulse for 1 full minute
Rationale: Ensures accuracy.
, 6. The nurse notes the IV site is warm and red. This indicates:
Answer: B. Phlebitis
Rationale: Inflammation of the vein.
7. Best food choice for a patient with constipation:
Answer: C. Fresh fruits and vegetables
Rationale: High fiber stimulates bowel movement.
8. Before giving a diuretic, the nurse must assess:
Answer: A. Potassium level
Rationale: Many diuretics lower K+.
9. Proper use of an incentive spirometer includes:
Answer: C. Inhale slowly and steadily
Rationale: Maximal lung expansion.
10. A client with COPD should be encouraged to:
Answer: B. Use pursed-lip breathing
Rationale: Improves CO₂ elimination.
11. The nurse recognizes dehydration by:
Answer: D. Dry mucous membranes
Rationale: Classic sign of fluid deficit.
With Correct Answers & Detailed Rationales.
1. The nurse identifies a client with a high fall risk. Priority action?
Answer: B. Place the bed in the lowest position
Rationale: Reduces injury risk during unexpected falls.
2. Proper oxygen safety teaching includes:
Answer: D. “Keep oxygen at least 10 feet away from open flames.”
Rationale: Prevents fire hazards.
3. Which patient requires contact precautions?
Answer: A. Patient with C. difficile
Rationale: Spread by spores requiring soap/water and gown/gloves.
4. Which finding is a symptom of hypoglycemia?
Answer: C. Diaphoresis
Rationale: Sweating is a classic early sign.
5. Most accurate method to measure irregular heart rhythm:
Answer: D. Auscultate apical pulse for 1 full minute
Rationale: Ensures accuracy.
, 6. The nurse notes the IV site is warm and red. This indicates:
Answer: B. Phlebitis
Rationale: Inflammation of the vein.
7. Best food choice for a patient with constipation:
Answer: C. Fresh fruits and vegetables
Rationale: High fiber stimulates bowel movement.
8. Before giving a diuretic, the nurse must assess:
Answer: A. Potassium level
Rationale: Many diuretics lower K+.
9. Proper use of an incentive spirometer includes:
Answer: C. Inhale slowly and steadily
Rationale: Maximal lung expansion.
10. A client with COPD should be encouraged to:
Answer: B. Use pursed-lip breathing
Rationale: Improves CO₂ elimination.
11. The nurse recognizes dehydration by:
Answer: D. Dry mucous membranes
Rationale: Classic sign of fluid deficit.
