NSG 300 Exam 3 (2026/2027) |
Foundations of Nursing | Grand
Canyon University – 200 Questi,
Exams of Nursing
should the nurse include on the plan? (Select all that apply) A. Take brief, 20-
minute naps no more than twice a day B. Drink a glass of wine with dinner C.
Eat a large meal at lunch rather than dinner D. Establish a regular exercise
program E. Teach the patient about the side effects of modafinil -
ANSWER//Answers: A, D, & E Which statements from a patient indicate an
understanding of behaviors that will promote sleep? (Select all that apply) A. "I
will not watch tv in bed" B. "I will not drink caffeine later in the day" C. "A short
nap late in the evening will lead to a more restful night of sleep" D. "I am going
to start eating dinner closer to my bedtime" E. "I will start to exercise regularly
during the day" - ANSWER//Answers: A, B, & E A 72-year-old patient asks the
nurse about using an OTC antihistamine as a sleeping pill to help her get to
sleep. What is the nurse's best response? A. "Antihistamines are better than
prescription medications because prescriptions medications can cause a lot of
problems" B. "Antihistamines should not be used because they can cause
confusion and increase your risk of falls" C. "Antihistamines are effective
sleep aids because they do not have many side effects" D. "Over-the-counter
medications when combined with sleep-hygiene measures are a good plan for
sleep" - ANSWER//Answer: B Which statement made by the patient indicates
an understanding of sleep-hygiene practices? A. "I usually drink a cup of
warm milk in the evening to help me sleep" B. "If I exercise right before
bedtime, I will be tired and fall asleep faster" C. "I know it does not matter
what time I go to bed as long as I am tired" D. "If I use hypnotics for a long
time, my insomnia will be cured" - ANSWER//Answers: A Which statement
made by a mother being discharged to home with her newborn infant
indicates that she understands the discharge teaching related to best sleep
practices? A. "I'll give the baby a bottle to help her fall asleep" B. "We'll place
the baby on her back to sleep" C. "We put the baby's stuffed animals in the
crib to .A patient with a tracheostomy has thick tenacious secretions. To
maintain the airway, the most appropriate action for the nurse includes: A.
Tracheal suctioning B. Oropharyngeal suctioning C. Nasotracheal suctioning
D. Orotracheal suctioning - ANSWER//Answer: A When evaluating a post-
thoracotomy patient with a chest tube, the best method to properly maintain
the chest tube would be to: A. strip the chest tube every hour to maintain
drainage B. place the device below the patient's chest C. double clamp the
tube except during assessment D. remove the tubing from the drainage
device to check for proper suctioning - ANSWER//Answer : B "Handle the
chest drainage unit carefully and maintain the drainage device below the
, patient's chest," (pg. 899). Chest tubes are not routinely stripped or milked to
move clots or increase chest drainage. Clamping can result in a tension
pneumothorax and a chest tube is only clamped when replacing the chest
drainage system, assessing for an air leak, or during removal. You do not
want to remove the tubing because it requires patient preparation due to the
burning, pulling, and painful sensation. A patient complains of chest pain.
When assessing the pain, you decide that its origin is cardiac - rather than
respiratory or gastrointestinal - when it: A. does not occur with respiratory
variations B. is peripheral and may radiate to the scapular region C. is
aggravated by inspiratory movements D. is non radiating and occurs during
inspiration - ANSWER//Answer: A C & D have the words "inspiratory" and
"inspiration" both indicating respiration. During rounds on the night shift, you
note that a patient stops breathing for 1 to 2 minutes several times during the
shift. This condition is know as: A. Cataplexy B. Insomnia C. Narcolepsy D.
Sleep Apnea - ANSWER//Answer: D A patient suffers from sleep pattern
disturbance. To promote adequate sleep, the most important nursing
intervention is... A. Administering a sleep aid B. Synchronizing the medication,
treatment, and vital signs schedule C. Encouraging the patient to exercise
immediately before sleep D. Discussing with the patient the benefits of
beginning a long-term night-time medication regimen - ANSWER//Answer: B
An elderly patient who lives in an adult assisted-living facility mentions that he
is experiencing hearing and vision changes. During your assessment, you
would associate this type of sensory deprivation with... A. Stable affect B.
Altered perception C. Improved task completion D. Increased need for social
interaction - ANSWER//Answer: B A patient with glaucoma is being
discharged from the hospital. When teaching the patient and family ways to
improve home safety, the nurse tells the family to... A. Use throw rugs to
prevent tripping B. Paint the floor black and white to improve perception C.
Install extra incandescent lighting D. Install handrails painted the same color
as the walls - ANSWER//Answer: C When a smiling and cooperative patient
complains of discomfort, nurses caring for this patient often harbor
misconceptions about the patient's pain. Which of the following is true? A.
Chronic pain is psychological in nature B. Patients are the best judges of their
pain C. Regular use of narcotic analgesics lead to drug addiction D. Amount
of pain is reflective of actual tissue damage - ANSWER//Answer: B A patient
has just undergone an appendectomy. When discussing with the patient
several pain-relief interventions, the most appropriate recommendation would
be... A. Adjunctive therapy B. Nonopioids C. NSAIDs D. PCA Pain
Management - ANSWER//Answer: D This is the best answer since they just
got out of the hospital! A postoperative patient is using PCA. You will evaluate
the effectiveness of the medication when... A. You compare assessed pain
with baseline pain B. Body language is incongruent with reports of pain relief
C. Family members report that pain has subsided D. Vital signs have returned
to baseline - ANSWER//Answer: A Which skills can the nurse delegate to
assistive personnel (AP)? (Select all that apply) A. Initiate oxygen therapy via
nasal cannula B. Perform nasotracheal suctioning of a patient C. Educate the
patient about the use of an incentive spirometer D. Assist with care of an
established tracheostomy tube E. Reposition a patient with a chest tube -
ANSWER//Answer: D & E The nurse is caring for a patient with pneumonia.
On entering the room, the nurse finds the patient lying in bed, coughing, and
Foundations of Nursing | Grand
Canyon University – 200 Questi,
Exams of Nursing
should the nurse include on the plan? (Select all that apply) A. Take brief, 20-
minute naps no more than twice a day B. Drink a glass of wine with dinner C.
Eat a large meal at lunch rather than dinner D. Establish a regular exercise
program E. Teach the patient about the side effects of modafinil -
ANSWER//Answers: A, D, & E Which statements from a patient indicate an
understanding of behaviors that will promote sleep? (Select all that apply) A. "I
will not watch tv in bed" B. "I will not drink caffeine later in the day" C. "A short
nap late in the evening will lead to a more restful night of sleep" D. "I am going
to start eating dinner closer to my bedtime" E. "I will start to exercise regularly
during the day" - ANSWER//Answers: A, B, & E A 72-year-old patient asks the
nurse about using an OTC antihistamine as a sleeping pill to help her get to
sleep. What is the nurse's best response? A. "Antihistamines are better than
prescription medications because prescriptions medications can cause a lot of
problems" B. "Antihistamines should not be used because they can cause
confusion and increase your risk of falls" C. "Antihistamines are effective
sleep aids because they do not have many side effects" D. "Over-the-counter
medications when combined with sleep-hygiene measures are a good plan for
sleep" - ANSWER//Answer: B Which statement made by the patient indicates
an understanding of sleep-hygiene practices? A. "I usually drink a cup of
warm milk in the evening to help me sleep" B. "If I exercise right before
bedtime, I will be tired and fall asleep faster" C. "I know it does not matter
what time I go to bed as long as I am tired" D. "If I use hypnotics for a long
time, my insomnia will be cured" - ANSWER//Answers: A Which statement
made by a mother being discharged to home with her newborn infant
indicates that she understands the discharge teaching related to best sleep
practices? A. "I'll give the baby a bottle to help her fall asleep" B. "We'll place
the baby on her back to sleep" C. "We put the baby's stuffed animals in the
crib to .A patient with a tracheostomy has thick tenacious secretions. To
maintain the airway, the most appropriate action for the nurse includes: A.
Tracheal suctioning B. Oropharyngeal suctioning C. Nasotracheal suctioning
D. Orotracheal suctioning - ANSWER//Answer: A When evaluating a post-
thoracotomy patient with a chest tube, the best method to properly maintain
the chest tube would be to: A. strip the chest tube every hour to maintain
drainage B. place the device below the patient's chest C. double clamp the
tube except during assessment D. remove the tubing from the drainage
device to check for proper suctioning - ANSWER//Answer : B "Handle the
chest drainage unit carefully and maintain the drainage device below the
, patient's chest," (pg. 899). Chest tubes are not routinely stripped or milked to
move clots or increase chest drainage. Clamping can result in a tension
pneumothorax and a chest tube is only clamped when replacing the chest
drainage system, assessing for an air leak, or during removal. You do not
want to remove the tubing because it requires patient preparation due to the
burning, pulling, and painful sensation. A patient complains of chest pain.
When assessing the pain, you decide that its origin is cardiac - rather than
respiratory or gastrointestinal - when it: A. does not occur with respiratory
variations B. is peripheral and may radiate to the scapular region C. is
aggravated by inspiratory movements D. is non radiating and occurs during
inspiration - ANSWER//Answer: A C & D have the words "inspiratory" and
"inspiration" both indicating respiration. During rounds on the night shift, you
note that a patient stops breathing for 1 to 2 minutes several times during the
shift. This condition is know as: A. Cataplexy B. Insomnia C. Narcolepsy D.
Sleep Apnea - ANSWER//Answer: D A patient suffers from sleep pattern
disturbance. To promote adequate sleep, the most important nursing
intervention is... A. Administering a sleep aid B. Synchronizing the medication,
treatment, and vital signs schedule C. Encouraging the patient to exercise
immediately before sleep D. Discussing with the patient the benefits of
beginning a long-term night-time medication regimen - ANSWER//Answer: B
An elderly patient who lives in an adult assisted-living facility mentions that he
is experiencing hearing and vision changes. During your assessment, you
would associate this type of sensory deprivation with... A. Stable affect B.
Altered perception C. Improved task completion D. Increased need for social
interaction - ANSWER//Answer: B A patient with glaucoma is being
discharged from the hospital. When teaching the patient and family ways to
improve home safety, the nurse tells the family to... A. Use throw rugs to
prevent tripping B. Paint the floor black and white to improve perception C.
Install extra incandescent lighting D. Install handrails painted the same color
as the walls - ANSWER//Answer: C When a smiling and cooperative patient
complains of discomfort, nurses caring for this patient often harbor
misconceptions about the patient's pain. Which of the following is true? A.
Chronic pain is psychological in nature B. Patients are the best judges of their
pain C. Regular use of narcotic analgesics lead to drug addiction D. Amount
of pain is reflective of actual tissue damage - ANSWER//Answer: B A patient
has just undergone an appendectomy. When discussing with the patient
several pain-relief interventions, the most appropriate recommendation would
be... A. Adjunctive therapy B. Nonopioids C. NSAIDs D. PCA Pain
Management - ANSWER//Answer: D This is the best answer since they just
got out of the hospital! A postoperative patient is using PCA. You will evaluate
the effectiveness of the medication when... A. You compare assessed pain
with baseline pain B. Body language is incongruent with reports of pain relief
C. Family members report that pain has subsided D. Vital signs have returned
to baseline - ANSWER//Answer: A Which skills can the nurse delegate to
assistive personnel (AP)? (Select all that apply) A. Initiate oxygen therapy via
nasal cannula B. Perform nasotracheal suctioning of a patient C. Educate the
patient about the use of an incentive spirometer D. Assist with care of an
established tracheostomy tube E. Reposition a patient with a chest tube -
ANSWER//Answer: D & E The nurse is caring for a patient with pneumonia.
On entering the room, the nurse finds the patient lying in bed, coughing, and
