NSG 3250 EXAM 1 ,GALEN COLLEGE OF
NURSING,NURSING ,NSG 3250,MED SURG 1,
1. The nurse is performing a focused respiratory assessment. Which finding is most concerning?
, NSG 3250 EXAM 1 ,GALEN COLLEGE OF
NURSING,NURSING ,NSG 3250,MED SURG 1,
A. Respiratory rate 22/min
B. Fine crackles at bases
C. Audible stridor
D. SpO₂ 95% on room air
Correct Answer: C
Rationale: Stridor indicates upper airway obstruction—requires immediate intervention.
2. Which action demonstrates proper sterile technique?
A. Turning back to sterile field
B. Keeping hands below waist
C. Opening sterile package away from the body
D. Shaking sterile items to open them
Correct Answer: C
Rationale: First flap of sterile package always opened away to avoid contamination.
3. A patient with COPD is on 2 L/min by nasal cannula. Which finding requires intervention?
A. Using pursed-lip breathing
B. SpO₂ decreases to 86%
C. Productive cough
D. Barrel chest appearance
Correct Answer: B
Rationale: SpO₂ 86% is low—consider adjusting oxygen or notifying provider.
, 4. Which is the BEST indicator of pain?
A. Vital signs
B. Patient's self-report
C. Facial grimacing
D. Nurse’s assessment
Correct Answer: B
Rationale: Self-report is the gold standard for pain assessment.
Document shared on https://www.docsity.com/en/docs/nsg-3250-exam-1-galen-galen-college-of-nursingnursing-nsg-3250med-surg-1adult-healt/14898836/
NURSING,NURSING ,NSG 3250,MED SURG 1,
1. The nurse is performing a focused respiratory assessment. Which finding is most concerning?
, NSG 3250 EXAM 1 ,GALEN COLLEGE OF
NURSING,NURSING ,NSG 3250,MED SURG 1,
A. Respiratory rate 22/min
B. Fine crackles at bases
C. Audible stridor
D. SpO₂ 95% on room air
Correct Answer: C
Rationale: Stridor indicates upper airway obstruction—requires immediate intervention.
2. Which action demonstrates proper sterile technique?
A. Turning back to sterile field
B. Keeping hands below waist
C. Opening sterile package away from the body
D. Shaking sterile items to open them
Correct Answer: C
Rationale: First flap of sterile package always opened away to avoid contamination.
3. A patient with COPD is on 2 L/min by nasal cannula. Which finding requires intervention?
A. Using pursed-lip breathing
B. SpO₂ decreases to 86%
C. Productive cough
D. Barrel chest appearance
Correct Answer: B
Rationale: SpO₂ 86% is low—consider adjusting oxygen or notifying provider.
, 4. Which is the BEST indicator of pain?
A. Vital signs
B. Patient's self-report
C. Facial grimacing
D. Nurse’s assessment
Correct Answer: B
Rationale: Self-report is the gold standard for pain assessment.
Document shared on https://www.docsity.com/en/docs/nsg-3250-exam-1-galen-galen-college-of-nursingnursing-nsg-3250med-surg-1adult-healt/14898836/
