NSG 101 Exam #1 Questions With Complete Solutions
1.) A nurse is teaching the patient and family about wound care.
Which technique will the nurse teach to best prevent
transmission of pathogens?
a. Effective hand hygiene
b. Saline wound irrigation
c. Appropriate use of gloves
d. When eye protection is needed Correct Answers ANS: A
One of the most effective methods for limiting the transmission
of pathogens is the medically aseptic practice of hand hygiene.
The most common means of transmission of pathogens is by the
hands. While washing the wound is needed, the best method to
prevent transmission is hand hygiene. Wearing gloves and
possibly eye protection help protect the nurse, but handwashing
is best for limiting the transmission of pathogens.
1.) A nurse is trying to decrease the rate of falls on the unit.
After reviewing the literature, a strategy is implemented on the
unit. After 3 months, the nurse finds that the falls have
decreased. Which process did the nurse institute?
a. Performance improvement
b. Peer-reviewed project
c. Generalizability study
d. Qualitative research Correct Answers ANS: A
Performance improvement focuses on performance issues like
falls or pressure injury incidence. A peer-reviewed article is
reviewed for accuracy, validity, and rigor and approved for
publication by experts before it is published. Generalizability is
,not study/research; it is if the results of a study can be compared
to other patients with similar experiences. This is a quantitative
study, not a qualitative study.
1.) The nurse enters the patient's room and notices a small fire in
the headlight above the patient's bed. In which order will the
nurse perform the steps, beginning with the first one?
1. Pull the alarm.
2. Remove the patient.
3. Use the fire extinguisher.
4. Close doors and windows.
a. 2, 1, 4, 3
b. 1, 2, 4, 3
c. 1, 2, 3, 4
d. 2, 1, 3, 4 Correct Answers ANS: A
Nurses use the mnemonic RACE to set priorities in case of fire.
The steps are as follows: rescue and remove all patients in
immediate danger; activate the alarm; confine the fire by closing
doors and windows; and extinguish the fire using an appropriate
extinguisher.
1.) The nurse is caring for a hospitalized patient. Which
behavior alerts the nurse to consider the temporary need for a
restraint?
a. The patient refuses to call for help to go to the bathroom.
b. The patient continues to remove the nasogastric tube.
c. The patient gets confused regarding the time at night.
,d. The patient does not sleep and continues to ask for items.
Correct Answers ANS: B
Patients who are confused, disoriented, and wander or
repeatedly fall or try to remove medical devices (e.g., oxygen
equipment, IV lines, or dressings) often require the temporary
use of restraints to keep them safe. Restraints can be used to
prevent interruption of therapy such as traction, IV infusions,
NG tube feeding, or Foley catheterization. Refusing to call for
help, although unsafe, is not a reason for restraint. Getting
confused at night regarding the time or not sleeping and
bothering the staff to ask for items is not a reason for restraint
1.) The nurse is caring for a patient who has a blood-borne
pathogen. The nurse splashes blood above the glove to intact
skin while discontinuing an intravenous (IV) infusion. Which
step(s) will the nurse take next?
a. Obtain an alcohol swab, remove the blood with an alcohol
swab, and continue care.
b. Immediately wash the site with soap and running water and
seek guidance from the manager.
c. Do nothing; accidentally getting splashed with blood happens
frequently and is part of the job.
d. Delay washing of the site until the nurse is finished providing
care to the patient. Correct Answers ANS: B
After getting splashed with blood from a patient who has a
known bloodborne pathogen, it is important to cleanse the site
immediately and thoroughly with soap and running water and
notify the manager for guidance on next steps in the process.
Removing the blood with an alcohol swab, delaying washing,
and doing nothing because the splash was to intact skin could
, possibly spread the blood within the room and could spread the
infection. Contain contamination immediately to prevent contact
spread.
11. Vital signs for a patient reveal a blood pressure of 187/100.
Orders state to notify the health care provider for diastolic blood
pressure greater than 90. What is the nurse's first action?
a. Follow the clinical protocol for a stroke.
b. Review the most recent lab results for the patient's potassium
level.
c. Assess the patient for other symptoms or problems, and then
notify the health care provider.
d. Administer an antihypertensive medication from the stock
supply, and then notify the health care provider. Correct
Answers ANS: C
Communication to other health care professionals must be
timely, accurate, and relevant to a patient's clinical situation.
The best answer is to reassess the patient for other symptoms or
problems, and then notify the health care provider according to
the orders. Reviewing the potassium level does not address the
problem of high blood pressure. The nurse does not follow the
protocol since the order says to notify the health care provider.
The orders read to notify the health care provider, not administer
medications.
13. The patient is found to be unresponsive and not breathing.
Which pulse site will the nurse use?
a. Radial c. Carotid
b. Apical d. Brachial Correct Answers ANS: C
1.) A nurse is teaching the patient and family about wound care.
Which technique will the nurse teach to best prevent
transmission of pathogens?
a. Effective hand hygiene
b. Saline wound irrigation
c. Appropriate use of gloves
d. When eye protection is needed Correct Answers ANS: A
One of the most effective methods for limiting the transmission
of pathogens is the medically aseptic practice of hand hygiene.
The most common means of transmission of pathogens is by the
hands. While washing the wound is needed, the best method to
prevent transmission is hand hygiene. Wearing gloves and
possibly eye protection help protect the nurse, but handwashing
is best for limiting the transmission of pathogens.
1.) A nurse is trying to decrease the rate of falls on the unit.
After reviewing the literature, a strategy is implemented on the
unit. After 3 months, the nurse finds that the falls have
decreased. Which process did the nurse institute?
a. Performance improvement
b. Peer-reviewed project
c. Generalizability study
d. Qualitative research Correct Answers ANS: A
Performance improvement focuses on performance issues like
falls or pressure injury incidence. A peer-reviewed article is
reviewed for accuracy, validity, and rigor and approved for
publication by experts before it is published. Generalizability is
,not study/research; it is if the results of a study can be compared
to other patients with similar experiences. This is a quantitative
study, not a qualitative study.
1.) The nurse enters the patient's room and notices a small fire in
the headlight above the patient's bed. In which order will the
nurse perform the steps, beginning with the first one?
1. Pull the alarm.
2. Remove the patient.
3. Use the fire extinguisher.
4. Close doors and windows.
a. 2, 1, 4, 3
b. 1, 2, 4, 3
c. 1, 2, 3, 4
d. 2, 1, 3, 4 Correct Answers ANS: A
Nurses use the mnemonic RACE to set priorities in case of fire.
The steps are as follows: rescue and remove all patients in
immediate danger; activate the alarm; confine the fire by closing
doors and windows; and extinguish the fire using an appropriate
extinguisher.
1.) The nurse is caring for a hospitalized patient. Which
behavior alerts the nurse to consider the temporary need for a
restraint?
a. The patient refuses to call for help to go to the bathroom.
b. The patient continues to remove the nasogastric tube.
c. The patient gets confused regarding the time at night.
,d. The patient does not sleep and continues to ask for items.
Correct Answers ANS: B
Patients who are confused, disoriented, and wander or
repeatedly fall or try to remove medical devices (e.g., oxygen
equipment, IV lines, or dressings) often require the temporary
use of restraints to keep them safe. Restraints can be used to
prevent interruption of therapy such as traction, IV infusions,
NG tube feeding, or Foley catheterization. Refusing to call for
help, although unsafe, is not a reason for restraint. Getting
confused at night regarding the time or not sleeping and
bothering the staff to ask for items is not a reason for restraint
1.) The nurse is caring for a patient who has a blood-borne
pathogen. The nurse splashes blood above the glove to intact
skin while discontinuing an intravenous (IV) infusion. Which
step(s) will the nurse take next?
a. Obtain an alcohol swab, remove the blood with an alcohol
swab, and continue care.
b. Immediately wash the site with soap and running water and
seek guidance from the manager.
c. Do nothing; accidentally getting splashed with blood happens
frequently and is part of the job.
d. Delay washing of the site until the nurse is finished providing
care to the patient. Correct Answers ANS: B
After getting splashed with blood from a patient who has a
known bloodborne pathogen, it is important to cleanse the site
immediately and thoroughly with soap and running water and
notify the manager for guidance on next steps in the process.
Removing the blood with an alcohol swab, delaying washing,
and doing nothing because the splash was to intact skin could
, possibly spread the blood within the room and could spread the
infection. Contain contamination immediately to prevent contact
spread.
11. Vital signs for a patient reveal a blood pressure of 187/100.
Orders state to notify the health care provider for diastolic blood
pressure greater than 90. What is the nurse's first action?
a. Follow the clinical protocol for a stroke.
b. Review the most recent lab results for the patient's potassium
level.
c. Assess the patient for other symptoms or problems, and then
notify the health care provider.
d. Administer an antihypertensive medication from the stock
supply, and then notify the health care provider. Correct
Answers ANS: C
Communication to other health care professionals must be
timely, accurate, and relevant to a patient's clinical situation.
The best answer is to reassess the patient for other symptoms or
problems, and then notify the health care provider according to
the orders. Reviewing the potassium level does not address the
problem of high blood pressure. The nurse does not follow the
protocol since the order says to notify the health care provider.
The orders read to notify the health care provider, not administer
medications.
13. The patient is found to be unresponsive and not breathing.
Which pulse site will the nurse use?
a. Radial c. Carotid
b. Apical d. Brachial Correct Answers ANS: C
