NSG 3100 EXAM 1 2026/2027 (2 LATEST
VERSIONS) WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS |CURRENTLY TESTING
QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|NEWEST |BRAND NEW
VERSION|JUST RELEASED!!
VERSION 1
If a patient is exhibiting signs and symptoms of each of these nursing diagnoses, which should
the nurse address first while planning care?
a. Fatigue
b. Acute Pain
c. Lack of Knowledge
d. Disturbed Body Image
Answer: b
Acute Pain is the most urgent nursing diagnosis of these options to address. Fatigue may be a
result of the pain and may be alleviated if the patient's pain level is reduced. Disturbed Body
Image and Lack of Knowledge can be treated only after the patient's pain level is at an
acceptable level. Both of the last two diagnoses require teaching, during which the patient
needs to concentrate. The ability to concentrate is affected by pain level.
Which statement illustrates a characteristic of goals within the care planning process?
a. Goals are vague objectives communicating expectations for improvement.
1|Page
,b. Short-term goals need not be measurable, unlike long-term goals.
c. Goal attainment can be measured by identifying nursing interventions.
d. Long-term goals are helpful in judging a patient's progress.
Answer: d
Long-term goals are very useful in determining patient progress. Both short-term and long-
term goals need to be measurable. Goal attainment is based on patient actions, not nursing
actions.
Which nursing goal is written correctly for a patient with the nursing diagnosis of Risk for
Infection after abdominal surgery?
a. Nurse will encourage use of sterile technique during each dressing change.
b. Patient's white blood count will remain within normal range throughout hospitalization.
c. Patient's visitors will be instructed in proper handwashing before direct interaction with
patient.
d. Patient will understand the importance of cleaning around the incision with a clean cloth
during bathing.
Answer: b
A patient's white blood cell count is a laboratory test that is a measurable indicator of
infection. The correct answer is also patient focused and realistic. Encouraging the use of
sterile technique by the nurse during each dressing change and instructing the patient's
visitors in the proper handwashing technique before direct interaction with the patient are
not patient focused. The patient understanding the importance of cleaning around the
incision with a clean cloth during bathing uses a non-measurable verb, which should be
avoided when formulating patient goals.
If the nurse chooses the Nursing Outcome Classification (NOC) Appetite for a chemotherapy
patient, which outcome indicators would be acceptable for evaluation of goal attainment?
(Select all that apply.)
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,a. Expressed desire to eat
b. Report that food smells good
c. Use of relaxation techniques before meals
d. Preparation of home-cooked meals for self and family
e. Use of nutritional information on labels to guide selections
Answers: a, b, d
Sharing a desire to eat, reporting that food smells good, and preparing meals are indications
of an increased appetite. Although relaxation techniques may decrease anxiety associated
with eating, they do not indicate an increase in appetite. Reading nutrition labels is unlikely to
increase a person's appetite.
Which action by the nurse would be most important in developing a patient-centered plan of
care for an alert, oriented adult?
a. Providing a written copy of care options to the patient and family
b. Collaborating with the patient's social worker to determine resources
c. Listening to the patient's concerns and beliefs about proposed treatment
d. Engaging the patient's family, friends, or care providers in conversation
Answer: c
It is most important to involve the patient in developing realistic, attainable, patient-centered
plans of care. Involving others in care planning is secondary to involving the patient unless the
patient is cognitively impaired.
Which interventions can the nurse initiate independently while providing patient care? (Select
all that apply.)
a. Ordering a blood transfusion
b. Auscultating lung sounds
c. Monitoring skin integrity
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, d. Applying heel protectors
e. Adjusting antibiotic dosages
Answers: b, c, d
Auscultating lung sounds and monitoring skin integrity are both important aspects of basic
patient assessment that are required independent nursing actions. Ordering and applying
heel protectors is done independently by nurses to prevent skin breakdown on patients
confined to the bed. Ordering blood transfusions and adjusting antibiotic dosages are the
responsibility of the patient's primary health care provider.
The nurse notices that a patient is becoming short of breath and anxious. Which interventions
are independent nursing actions that do not require the order of a primary care provider?
(Select all that apply.)
a. Elevating the head of the patient's bed
b. Administering oxygen by nasal cannula
c. Assessing the patient's oxygen saturation
d. Evaluating the patient's peripheral circulation
Answer: a, c, d
Elevating the head of the bed, assessing a patient's oxygen saturation and peripheral
circulation are all independent nursing interventions. Before a nurse can legally administer
oxygen to a patient, the method of delivery and amount must be ordered by the primary care
provider or be part of standing orders for patients experiencing similar symptoms.
Which situation indicates the greatest need for collaborative interventions provided by several
health care team members?
a. Hospice referral
b. Physical assessment
c. Activities of daily living
d. Health history interview
4|Page
VERSIONS) WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS |CURRENTLY TESTING
QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|NEWEST |BRAND NEW
VERSION|JUST RELEASED!!
VERSION 1
If a patient is exhibiting signs and symptoms of each of these nursing diagnoses, which should
the nurse address first while planning care?
a. Fatigue
b. Acute Pain
c. Lack of Knowledge
d. Disturbed Body Image
Answer: b
Acute Pain is the most urgent nursing diagnosis of these options to address. Fatigue may be a
result of the pain and may be alleviated if the patient's pain level is reduced. Disturbed Body
Image and Lack of Knowledge can be treated only after the patient's pain level is at an
acceptable level. Both of the last two diagnoses require teaching, during which the patient
needs to concentrate. The ability to concentrate is affected by pain level.
Which statement illustrates a characteristic of goals within the care planning process?
a. Goals are vague objectives communicating expectations for improvement.
1|Page
,b. Short-term goals need not be measurable, unlike long-term goals.
c. Goal attainment can be measured by identifying nursing interventions.
d. Long-term goals are helpful in judging a patient's progress.
Answer: d
Long-term goals are very useful in determining patient progress. Both short-term and long-
term goals need to be measurable. Goal attainment is based on patient actions, not nursing
actions.
Which nursing goal is written correctly for a patient with the nursing diagnosis of Risk for
Infection after abdominal surgery?
a. Nurse will encourage use of sterile technique during each dressing change.
b. Patient's white blood count will remain within normal range throughout hospitalization.
c. Patient's visitors will be instructed in proper handwashing before direct interaction with
patient.
d. Patient will understand the importance of cleaning around the incision with a clean cloth
during bathing.
Answer: b
A patient's white blood cell count is a laboratory test that is a measurable indicator of
infection. The correct answer is also patient focused and realistic. Encouraging the use of
sterile technique by the nurse during each dressing change and instructing the patient's
visitors in the proper handwashing technique before direct interaction with the patient are
not patient focused. The patient understanding the importance of cleaning around the
incision with a clean cloth during bathing uses a non-measurable verb, which should be
avoided when formulating patient goals.
If the nurse chooses the Nursing Outcome Classification (NOC) Appetite for a chemotherapy
patient, which outcome indicators would be acceptable for evaluation of goal attainment?
(Select all that apply.)
2|Page
,a. Expressed desire to eat
b. Report that food smells good
c. Use of relaxation techniques before meals
d. Preparation of home-cooked meals for self and family
e. Use of nutritional information on labels to guide selections
Answers: a, b, d
Sharing a desire to eat, reporting that food smells good, and preparing meals are indications
of an increased appetite. Although relaxation techniques may decrease anxiety associated
with eating, they do not indicate an increase in appetite. Reading nutrition labels is unlikely to
increase a person's appetite.
Which action by the nurse would be most important in developing a patient-centered plan of
care for an alert, oriented adult?
a. Providing a written copy of care options to the patient and family
b. Collaborating with the patient's social worker to determine resources
c. Listening to the patient's concerns and beliefs about proposed treatment
d. Engaging the patient's family, friends, or care providers in conversation
Answer: c
It is most important to involve the patient in developing realistic, attainable, patient-centered
plans of care. Involving others in care planning is secondary to involving the patient unless the
patient is cognitively impaired.
Which interventions can the nurse initiate independently while providing patient care? (Select
all that apply.)
a. Ordering a blood transfusion
b. Auscultating lung sounds
c. Monitoring skin integrity
3|Page
, d. Applying heel protectors
e. Adjusting antibiotic dosages
Answers: b, c, d
Auscultating lung sounds and monitoring skin integrity are both important aspects of basic
patient assessment that are required independent nursing actions. Ordering and applying
heel protectors is done independently by nurses to prevent skin breakdown on patients
confined to the bed. Ordering blood transfusions and adjusting antibiotic dosages are the
responsibility of the patient's primary health care provider.
The nurse notices that a patient is becoming short of breath and anxious. Which interventions
are independent nursing actions that do not require the order of a primary care provider?
(Select all that apply.)
a. Elevating the head of the patient's bed
b. Administering oxygen by nasal cannula
c. Assessing the patient's oxygen saturation
d. Evaluating the patient's peripheral circulation
Answer: a, c, d
Elevating the head of the bed, assessing a patient's oxygen saturation and peripheral
circulation are all independent nursing interventions. Before a nurse can legally administer
oxygen to a patient, the method of delivery and amount must be ordered by the primary care
provider or be part of standing orders for patients experiencing similar symptoms.
Which situation indicates the greatest need for collaborative interventions provided by several
health care team members?
a. Hospice referral
b. Physical assessment
c. Activities of daily living
d. Health history interview
4|Page
