Solutions.
Course
NSG 3180
1. Nursing Process Priority
Question:
A nurse is caring for a patient with shortness of breath. What is the first step the nurse should
take?
A. Administer oxygen
B. Assess respiratory rate and oxygen saturation
C. Notify the provider
D. Document findings
Solution:
Nursing process begins with assessment
You must gather data before intervention
Answer:
✅ B. Assess respiratory rate and oxygen saturation
2. Maslow’s Hierarchy
Question:
Which patient should the nurse see first?
A. Patient requesting pain medication
B. Patient with oxygen saturation of 88%
C. Patient needing discharge instructions
D. Patient requesting a blanket
Solution:
Use Maslow + ABCs (Airway, Breathing, Circulation)
Oxygenation is highest priority
Answer:
✅ B. Patient with oxygen saturation of 88%
3. Scope of Practice (Delegation)
,Question:
Which task is appropriate to delegate to a UAP?
A. Assess pain level
B. Administer medication
C. Assist with bathing
D. Teach discharge instructions
Solution:
UAP handles non-invasive, routine tasks
No assessment, teaching, or meds
Answer:
✅ C. Assist with bathing
4. Infection Control
Question:
What is the most effective way to prevent the spread of infection?
A. Wearing gloves
B. Hand hygiene
C. Isolation precautions
D. Sterile technique
Solution:
CDC standard: hand hygiene is #1 prevention method
Answer:
✅ B. Hand hygiene
5. Standard Precautions
Question:
When should standard precautions be used?
A. Only for infected patients
B. Only for immunocompromised patients
C. For all patients
D. Only during procedures
Solution:
, Standard precautions apply universally
Answer:
✅ C. For all patients
6. Therapeutic Communication
Question:
Which statement is an example of therapeutic communication?
A. “You shouldn’t feel that way.”
B. “Everything will be fine.”
C. “Tell me more about how you feel.”
D. “At least it’s not worse.”
Solution:
Encourages expression without judgment
Answer:
✅ C. “Tell me more about how you feel.”
7. Safety – Fall Risk
Question:
Which intervention is most appropriate for a high fall-risk patient?
A. Raise all four side rails
B. Keep bed in lowest position
C. Leave call light out of reach
D. Encourage independence without assistance
Solution:
Lowest bed reduces injury risk
Raising all rails = restraint
Answer:
✅ B. Keep bed in lowest position
8. Documentation Principles