NSG300 / NSG 300 Exam 2
Foundations of Nursing - GCU
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
100% Guarantee Pass.
Multiple-Choice (A–D), For Some Questions.
Each Question Includes The Correct Answer
Foundations of Nursing at Grand Canyon University
,The nurse receives the patient's most recent blood work results. Which laboratory
value is of greatest concern?
Correct Answer:
Calcium of 15.5 mg/dL
Explanation:
Normal calcium range is 9 to 10.5 mg/dL; therefore, a value of 15.5mg/dL is
abnormally high and of concern.
Normal sodium: 136 to 145 mEq/L
Normal potassium: 3.5 to 5.0 mEq/L
Normal chloride: 98 to 106 mEq/L
The patient is an 80-year-old male who is visiting the clinic today for a routine physical
examination. The patient's skin turgor is fair, but the patient reports fatigue,
lightheadedness, and weakness. The skin is warm and dry, pulse rate is 116 beats/min,
and urinary sodium level is slightly elevated. Which instruction should the nurse
provide?
Correct Answer:
Drink more water to prevent further dehydration.
Explanation:
Thirst sensation diminishes as you age, leading to inadequate fluid intake or
dehydration; the client should be encouraged to drink more water/fluids. Suggest the
client keeps a pitcher of water near to maintain adequate fluid intake. Symptoms of
dehydration in older adults include confusion, weakness, lightheadedness, hot dry skin,
furrowed tongue, and high urinary sodium. Milk continues to be an important food
,for older woman and men, who need adequate calcium to protect against
osteoporosis; the patient's problem is dehydration, not osteoporosis.
The nurse will anticipate which diagnostic examination for a patient with black tarry
stools?
Correct Answer:
Endoscopy
Explanation:
Black tarry stools are an indication of bleeding in the GI tract; endoscopy would allow
visualization of the bleeding. No other option (ultrasound, barium enema, and
anorectal manometry) would allow GI visualization.
A patient requests the nurse's help to the bedside commode and becomes frustrated
when unable to void in front of the nurse. How should the nurse interpret the patient's
inability to void?
Correct Answer:
The patient may be anxious, making it difficult for abdominal and perineal muscles to
relax enough to void.
Explanation:
Attempting to void in the presence of another can cause anxiety and tension in the
muscles that make voiding difficult. Anxiety can impact bladder emptying due to
inadequate relaxation of the pelvic floor muscles and urinary sphincter. The nurse
should give the patient privacy and adequate time if appropriate. No evidence
, suggests that an underlying physiological (does not recognize signals or not drinking
enough fluids) or psychological (lonely) condition exists.
While receiving a shift report on a female patient, the nurse is informed that the
patient has been experiencing urinary incontinence. Upon assessment, which finding
will the nurse expect?
Correct Answer:
Reddened irritated skin on buttocks
Explanation:
Urinary incontinence is uncontrolled urinary elimination; if the urine has prolonged
contact with the skin, skin breakdown can occur. If
this is a new occurrence, it is important for the nurse to investigate reasons for the
incontinence. An indwelling Foley catheter is a solution for urine retention. Blood clots
and foul-smelling discharge are often signs of infection.
In providing diet education for a patient on a low-fat diet, which information is
important for the nurse to share?
Correct Answer:
Saturated fats are found mostly in animal sources.
Explanation:
Most animal fats have high proportions of saturated fatty acids, whereas vegetable
fats have higher amounts of unsaturated and polyunsaturated fatty acids. Diet
recommendations include limiting saturated and trans fat to less than 10%.
A nurse is performing an assessment on a patient who has not had a bowel
movement in 3 days. The nurse will expect which other assessment finding?
Foundations of Nursing - GCU
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
100% Guarantee Pass.
Multiple-Choice (A–D), For Some Questions.
Each Question Includes The Correct Answer
Foundations of Nursing at Grand Canyon University
,The nurse receives the patient's most recent blood work results. Which laboratory
value is of greatest concern?
Correct Answer:
Calcium of 15.5 mg/dL
Explanation:
Normal calcium range is 9 to 10.5 mg/dL; therefore, a value of 15.5mg/dL is
abnormally high and of concern.
Normal sodium: 136 to 145 mEq/L
Normal potassium: 3.5 to 5.0 mEq/L
Normal chloride: 98 to 106 mEq/L
The patient is an 80-year-old male who is visiting the clinic today for a routine physical
examination. The patient's skin turgor is fair, but the patient reports fatigue,
lightheadedness, and weakness. The skin is warm and dry, pulse rate is 116 beats/min,
and urinary sodium level is slightly elevated. Which instruction should the nurse
provide?
Correct Answer:
Drink more water to prevent further dehydration.
Explanation:
Thirst sensation diminishes as you age, leading to inadequate fluid intake or
dehydration; the client should be encouraged to drink more water/fluids. Suggest the
client keeps a pitcher of water near to maintain adequate fluid intake. Symptoms of
dehydration in older adults include confusion, weakness, lightheadedness, hot dry skin,
furrowed tongue, and high urinary sodium. Milk continues to be an important food
,for older woman and men, who need adequate calcium to protect against
osteoporosis; the patient's problem is dehydration, not osteoporosis.
The nurse will anticipate which diagnostic examination for a patient with black tarry
stools?
Correct Answer:
Endoscopy
Explanation:
Black tarry stools are an indication of bleeding in the GI tract; endoscopy would allow
visualization of the bleeding. No other option (ultrasound, barium enema, and
anorectal manometry) would allow GI visualization.
A patient requests the nurse's help to the bedside commode and becomes frustrated
when unable to void in front of the nurse. How should the nurse interpret the patient's
inability to void?
Correct Answer:
The patient may be anxious, making it difficult for abdominal and perineal muscles to
relax enough to void.
Explanation:
Attempting to void in the presence of another can cause anxiety and tension in the
muscles that make voiding difficult. Anxiety can impact bladder emptying due to
inadequate relaxation of the pelvic floor muscles and urinary sphincter. The nurse
should give the patient privacy and adequate time if appropriate. No evidence
, suggests that an underlying physiological (does not recognize signals or not drinking
enough fluids) or psychological (lonely) condition exists.
While receiving a shift report on a female patient, the nurse is informed that the
patient has been experiencing urinary incontinence. Upon assessment, which finding
will the nurse expect?
Correct Answer:
Reddened irritated skin on buttocks
Explanation:
Urinary incontinence is uncontrolled urinary elimination; if the urine has prolonged
contact with the skin, skin breakdown can occur. If
this is a new occurrence, it is important for the nurse to investigate reasons for the
incontinence. An indwelling Foley catheter is a solution for urine retention. Blood clots
and foul-smelling discharge are often signs of infection.
In providing diet education for a patient on a low-fat diet, which information is
important for the nurse to share?
Correct Answer:
Saturated fats are found mostly in animal sources.
Explanation:
Most animal fats have high proportions of saturated fatty acids, whereas vegetable
fats have higher amounts of unsaturated and polyunsaturated fatty acids. Diet
recommendations include limiting saturated and trans fat to less than 10%.
A nurse is performing an assessment on a patient who has not had a bowel
movement in 3 days. The nurse will expect which other assessment finding?
