NSG 3180 Unit 2 Assessment Graded A+
TOPICS
Communication in Nursing Practice
Electronic Health Records (EHRs) and Technology
Teamwork and Collaboration
Clinical Judgment and NGN-Style Scenarios
Ethics, Privacy, and Professionalism
1. A nurse is caring for a patient with a central venous catheter. Which action is
most important to prevent infection?
A. Change the dressing every 72 hours
B. Flush the catheter with saline every 12 hours
C. Maintain strict hand hygiene before handling the catheter
D. Use sterile gloves for all patient care
Answer: C. Maintain strict hand hygiene before handling the catheter
Rationale: Hand hygiene is the single most effective measure to prevent infection.
Dressing changes and sterile technique are important, but without proper hand hygiene,
infection risk remains high.
2. A patient reports new shortness of breath after receiving a blood transfusion.
What is the nurse’s priority action?
A. Document the patient’s symptoms
B. Slow the transfusion rate
C. Stop the transfusion immediately
,D. Administer oxygen via nasal cannula
Answer: C. Stop the transfusion immediately
Rationale: Any suspected transfusion reaction requires stopping the transfusion first to
prevent further exposure. Oxygen and documentation follow after the immediate safety
intervention.
3. Which statement by a patient indicates understanding of fall prevention
strategies at home? A. “I will keep my floors polished so they are smooth.”
B. “I will remove loose rugs from my living room.”
C. “I will keep my medications on the top shelf.”
D. “I will walk in socks instead of shoes indoors.”
Answer: B. I will remove loose rugs from my living room
Rationale: Loose rugs are a common fall hazard. Floors should not be slippery,
medications should be accessible, and shoes with traction are safer than socks.
4. When communicating with a patient who has hearing loss, which technique is
most effective? A. Speak loudly and quickly
B. Use written communication only
C. Face the patient and speak clearly
D. Ask family members to interpret
Answer: C. Face the patient and speak clearly
Rationale: Facing the patient allows lip-reading and clear communication. Shouting
distorts sound, and written communication should supplement, not replace, verbal
interaction.
5. A nurse is preparing to administer oral medications. Which action ensures
patient safety? A. Crush all tablets for easier swallowing
B. Verify patient identity using two identifiers
C. Leave medications at the bedside for later use
D. Ask the family to confirm the patient’s name
, Answer: B. Verify patient identity using two identifiers
Rationale: Patient safety requires confirming identity with two identifiers before
medication administration.
6. Which intervention best prevents pressure injuries in immobile patients?
A. Encourage fluid intake
B. Reposition every 2 hours
C. Apply lotion daily
D. Use a soft mattress only
Answer: B. Reposition every 2 hours
Rationale: Frequent repositioning reduces pressure and promotes circulation.
7. A nurse notes a patient’s IV site is red and swollen. What is the priority action?
A. Apply a warm compress
B. Stop the infusion immediately
C. Document the findings
D. Elevate the extremity
Answer: B. Stop the infusion immediately
Rationale: Stopping the infusion prevents further complications such as infiltration or
phlebitis.
8. Which statement reflects therapeutic communication?
A. “Don’t worry, everything will be fine.”
B. “Tell me more about how you’re feeling.”
C. “You should not feel anxious.”
D. “Let’s talk about something else.”
Answer: B. Tell me more about how you’re feeling
TOPICS
Communication in Nursing Practice
Electronic Health Records (EHRs) and Technology
Teamwork and Collaboration
Clinical Judgment and NGN-Style Scenarios
Ethics, Privacy, and Professionalism
1. A nurse is caring for a patient with a central venous catheter. Which action is
most important to prevent infection?
A. Change the dressing every 72 hours
B. Flush the catheter with saline every 12 hours
C. Maintain strict hand hygiene before handling the catheter
D. Use sterile gloves for all patient care
Answer: C. Maintain strict hand hygiene before handling the catheter
Rationale: Hand hygiene is the single most effective measure to prevent infection.
Dressing changes and sterile technique are important, but without proper hand hygiene,
infection risk remains high.
2. A patient reports new shortness of breath after receiving a blood transfusion.
What is the nurse’s priority action?
A. Document the patient’s symptoms
B. Slow the transfusion rate
C. Stop the transfusion immediately
,D. Administer oxygen via nasal cannula
Answer: C. Stop the transfusion immediately
Rationale: Any suspected transfusion reaction requires stopping the transfusion first to
prevent further exposure. Oxygen and documentation follow after the immediate safety
intervention.
3. Which statement by a patient indicates understanding of fall prevention
strategies at home? A. “I will keep my floors polished so they are smooth.”
B. “I will remove loose rugs from my living room.”
C. “I will keep my medications on the top shelf.”
D. “I will walk in socks instead of shoes indoors.”
Answer: B. I will remove loose rugs from my living room
Rationale: Loose rugs are a common fall hazard. Floors should not be slippery,
medications should be accessible, and shoes with traction are safer than socks.
4. When communicating with a patient who has hearing loss, which technique is
most effective? A. Speak loudly and quickly
B. Use written communication only
C. Face the patient and speak clearly
D. Ask family members to interpret
Answer: C. Face the patient and speak clearly
Rationale: Facing the patient allows lip-reading and clear communication. Shouting
distorts sound, and written communication should supplement, not replace, verbal
interaction.
5. A nurse is preparing to administer oral medications. Which action ensures
patient safety? A. Crush all tablets for easier swallowing
B. Verify patient identity using two identifiers
C. Leave medications at the bedside for later use
D. Ask the family to confirm the patient’s name
, Answer: B. Verify patient identity using two identifiers
Rationale: Patient safety requires confirming identity with two identifiers before
medication administration.
6. Which intervention best prevents pressure injuries in immobile patients?
A. Encourage fluid intake
B. Reposition every 2 hours
C. Apply lotion daily
D. Use a soft mattress only
Answer: B. Reposition every 2 hours
Rationale: Frequent repositioning reduces pressure and promotes circulation.
7. A nurse notes a patient’s IV site is red and swollen. What is the priority action?
A. Apply a warm compress
B. Stop the infusion immediately
C. Document the findings
D. Elevate the extremity
Answer: B. Stop the infusion immediately
Rationale: Stopping the infusion prevents further complications such as infiltration or
phlebitis.
8. Which statement reflects therapeutic communication?
A. “Don’t worry, everything will be fine.”
B. “Tell me more about how you’re feeling.”
C. “You should not feel anxious.”
D. “Let’s talk about something else.”
Answer: B. Tell me more about how you’re feeling
