NSG 3100 EXAM QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026
Strategy to prevent falls in the hospital environment - Answers Keep call light within reach, ensure
adequate lighting, keep floors clean and dry, remove clutter, and keep the bed in the lowest position.
Appropriate footwear for fall prevention - Answers Non-skid, well-fitting socks or shoes.
Seizure precautions at the bedside - Answers Pad the side rails with blankets/pads and have oral
suction equipment and oxygen available.
Nursing actions during a patient seizure - Answers Remain with the client, call for assistance, do NOT
restrain, do NOT put anything in the mouth, and turn the client to the side to prevent aspiration.
Requirement for restraint orders - Answers Must be ordered by a PCP (no PRN orders allowed),
include specific reason/time/type, and be renewed every 24 hours.
Correct location to tie restraints - Answers To a movable part of the bed frame (never the side rails),
using a quick-release (half-bow) knot.
Restraint monitoring requirements - Answers Check the patient every 15-30 minutes for skin integrity
and pulses; remove the restraint every 2 hours for range of motion and toileting.
Maximum number of side rails allowed without being considered a restraint - Answers 3 side rails; 4
side rails up is considered a restraint unless the patient is on a specialty bed.
R.A.C.E. Fire Safety Acronym - Answers Rescue/Remove patients, Activate alarm, Confine/Contain fire
(close doors/windows), Extinguish or Evacuate.
P.A.S.S. Extinguisher Use - Answers Pull the pin, Aim at the base, Squeeze the handle, Sweep from
side to side.
Recommended duration for hand hygiene (soap and water) - Answers At least 20 seconds of vigorous
rubbing with friction.
When to use soap and water instead of alcohol gel - Answers When hands are visibly soiled, before
eating, after the restroom, or when caring for C. difficile/Norovirus.
Factors influencing hygiene practices - Answers Culture, socioeconomics, spiritual/religious practices,
developmental stage, and personal preference.
Direction for cleaning the eyes - Answers From the inner canthus (near nose) to the outer canthus
using a fresh area of the washcloth.
Technique for examining or cleaning an adult ear - Answers Pull the pinna up and back.
Best practice for shaving a patient - Answers Shave in the direction of hair growth; use an electric
razor for patients on anticoagulants.
Perineal care for females - Answers Always wash from "front to back" (pubis to rectum) to prevent
UTI.
Handling soiled linens - Answers Hold away from your uniform and place directly into the hamper;
never place on the floor or shake them.
General principle of bathing - Answers Wash from the cleanest area to the dirtiest area; provide
privacy and only uncover the part of the body being washed.
Base of support in body mechanics - Answers Feet should be shoulder-width apart to provide a broad
base of support and improve stability.
Center of gravity - Answers The point at which the body's mass is centered; keeping objects close to
your body when lifting lowers the center of gravity and prevents injury.
Orthostatic Hypotension precaution - Answers Have the patient "dangle" their feet at the bedside for
1-2 minutes before standing to prevent dizziness/fainting.
Assisting a falling patient - Answers Extend one leg and let the patient slide down your leg to the floor,
protecting their head and neck.
Correct side to hold a cane - Answers On the stronger (unaffected) side.
Cane Walking: Sequence - Answers Advance the cane 6-10 inches, then move the affected (weak) leg
forward to the cane, then move the strong leg past the cane.
Walker Ambulation: Basic Sequence - Answers Push the walker forward 6-8 inches, step forward with
the weak leg first, then follow with the strong leg.
Crutch Stance: Tripod Position - Answers The basic crutch standing position; crutches are 6 inches in
front and 6 inches to the side of each foot to provide a wide base.
Crutch Gait: 2-Point Gait - Answers Move the left crutch and right foot together, then the right crutch
and left foot together; requires partial weight-bearing on both feet.
Crutch Gait: 3-Point Gait - Answers Move both crutches and the weak leg forward together, then
move the strong leg forward; used for non-weight bearing.
Strategy to prevent falls in the hospital environment - Answers Keep call light within reach, ensure
adequate lighting, keep floors clean and dry, remove clutter, and keep the bed in the lowest position.
Appropriate footwear for fall prevention - Answers Non-skid, well-fitting socks or shoes.
Seizure precautions at the bedside - Answers Pad the side rails with blankets/pads and have oral
suction equipment and oxygen available.
Nursing actions during a patient seizure - Answers Remain with the client, call for assistance, do NOT
restrain, do NOT put anything in the mouth, and turn the client to the side to prevent aspiration.
Requirement for restraint orders - Answers Must be ordered by a PCP (no PRN orders allowed),
include specific reason/time/type, and be renewed every 24 hours.
Correct location to tie restraints - Answers To a movable part of the bed frame (never the side rails),
using a quick-release (half-bow) knot.
Restraint monitoring requirements - Answers Check the patient every 15-30 minutes for skin integrity
and pulses; remove the restraint every 2 hours for range of motion and toileting.
Maximum number of side rails allowed without being considered a restraint - Answers 3 side rails; 4
side rails up is considered a restraint unless the patient is on a specialty bed.
R.A.C.E. Fire Safety Acronym - Answers Rescue/Remove patients, Activate alarm, Confine/Contain fire
(close doors/windows), Extinguish or Evacuate.
P.A.S.S. Extinguisher Use - Answers Pull the pin, Aim at the base, Squeeze the handle, Sweep from
side to side.
Recommended duration for hand hygiene (soap and water) - Answers At least 20 seconds of vigorous
rubbing with friction.
When to use soap and water instead of alcohol gel - Answers When hands are visibly soiled, before
eating, after the restroom, or when caring for C. difficile/Norovirus.
Factors influencing hygiene practices - Answers Culture, socioeconomics, spiritual/religious practices,
developmental stage, and personal preference.
Direction for cleaning the eyes - Answers From the inner canthus (near nose) to the outer canthus
using a fresh area of the washcloth.
Technique for examining or cleaning an adult ear - Answers Pull the pinna up and back.
Best practice for shaving a patient - Answers Shave in the direction of hair growth; use an electric
razor for patients on anticoagulants.
Perineal care for females - Answers Always wash from "front to back" (pubis to rectum) to prevent
UTI.
Handling soiled linens - Answers Hold away from your uniform and place directly into the hamper;
never place on the floor or shake them.
General principle of bathing - Answers Wash from the cleanest area to the dirtiest area; provide
privacy and only uncover the part of the body being washed.
Base of support in body mechanics - Answers Feet should be shoulder-width apart to provide a broad
base of support and improve stability.
Center of gravity - Answers The point at which the body's mass is centered; keeping objects close to
your body when lifting lowers the center of gravity and prevents injury.
Orthostatic Hypotension precaution - Answers Have the patient "dangle" their feet at the bedside for
1-2 minutes before standing to prevent dizziness/fainting.
Assisting a falling patient - Answers Extend one leg and let the patient slide down your leg to the floor,
protecting their head and neck.
Correct side to hold a cane - Answers On the stronger (unaffected) side.
Cane Walking: Sequence - Answers Advance the cane 6-10 inches, then move the affected (weak) leg
forward to the cane, then move the strong leg past the cane.
Walker Ambulation: Basic Sequence - Answers Push the walker forward 6-8 inches, step forward with
the weak leg first, then follow with the strong leg.
Crutch Stance: Tripod Position - Answers The basic crutch standing position; crutches are 6 inches in
front and 6 inches to the side of each foot to provide a wide base.
Crutch Gait: 2-Point Gait - Answers Move the left crutch and right foot together, then the right crutch
and left foot together; requires partial weight-bearing on both feet.
Crutch Gait: 3-Point Gait - Answers Move both crutches and the weak leg forward together, then
move the strong leg forward; used for non-weight bearing.
