NSG 3100 PRACTICE NCLEX QUESTIONS EXAM 1
QUESTIONS AND ANSWERS
The nurse is prioritizing a client's problems based on Maslow's hierarchy of needs. The
nurse would address which problem first?
a. Poor understanding
b. Fear of the unknown
c. Social isolation
d. Lack of sleep - Answers - D. Lack of Sleep
The nurse is taking care of 4 patients on a med-surge unit. Which of the following
Maslow's "areas of need" will the nurse address first? a. The patient with concerns and
fears about their procedure in the morning. b. The patient that is being discharged this
morning who has medication questions. c. The patient who is hyperventilating about
having had an incontinent episode. d. The patient who is hungry and requesting a
second tray. - Answers - C. The patient who is hyperventilating about having had an
incontinent episode.
*Think ABC (airway, breathing, circulation)
The nurse is caring for a hospitalized patient. The patient states his current stress level
is high and the hospitalization is making the level even higher. When providing teaching
to the patient, the nurse notes that the patient appears to be having difficulty
concentrating. The nurse would contribute this finding to:
a. stress level.
b. lack of understanding.
c. lack of interest.
d. cognitive ability. - Answers - A. Stress level
Using the concept of "Maslow's Hierarchy", the nurse knows to address which patients
needs first? a. Comfort, sleep, and warmth b. Oxygen, Cardiac Function c. Inadequate
nutrition d. Issues with elimination - Answers - B. Oxygen, cardiac function
The nurse is providing teaching on holistic healthcare. Which statement by the staff
shows that the teaching was effective?
a. "A holistic approach considers the client's biologic, psychological, sociological, and
spiritual needs."
b. "Holistic medicine is only effective when self-responsibility of healthcare decisions is
made."
c. "The focal point of holistic healthcare is the disease or injury not natural remedies."
d. "Holistic healthcare discourages the use of more natural remedies and alternative
medicine." - Answers - a. "A holistic approach considers the client's biologic,
psychological, sociological, and spiritual needs."
, A patient fell at home and is complaining of severe pain in her right ankle. The nurse
assesses the patient's ankle and visualizes inflammation of the joint. The nurse would
document which findings for inflammation?
a. Bruising around the ankle
b. Rash with itching
c. Purple in color
d. Swelling and warmth - Answers - d. Swelling and warmth
An elderly person is more at risk for infection, which of the following nursing
interventions is appropriate to reduce that risk?
a. Provide as much opportunity for rest as possible by encouraging bed rest and limited
physical exercise.
b. Encourage the use of indwelling urinary catheters to drain urine to decrease the
likelihood of stagnant urine remaining in the bladder resulting from incomplete emptying.
c. Encourage deep-breathing and increased intake of fluids to keep respiratory
secretions thin and keep them from accumulating in the lower lungs.
d. Provide meals and snacks that are high in calories and fat to provide for weight gain
rather than loss. - Answers - c. Encourage deep-breathing and increased intake of fluids
to keep respiratory secretions thin and keep them from accumulating in the lower lungs.
The nurse is caring for a client diagnosed with Clostridium difficile (C. diff). To prevent
the transmission of C. diff, the nurse would:
a. sterilize all of the equipment and supplies that leave the client's room.
b. wear a mask when in the room and for the client to wear a mask when in public.
c. assume that only surfaces that the client has touched are actually contaminated.
d. perform hand hygiene with soap and water rather than alcohol based hand sanitize -
Answers - d. perform hand hygiene with soap and water rather than alcohol based hand
sanitize
The nursing instructor is teaching a group of nursing students about how to prevent the
spread of influenza. The nursing instructor identifies further teaching is necessary when
a student states,
a. "Hand hygiene must consist of soap and water in order to kill the influenza
microorganism."
b. "I will limit the amount of supplies that I bring into the client's room."
c. "The client should wear a mask if he/she must leave the room."
d. "I will wear gloves, gown, and mask when I enter the room to perform a physical
assessment on the client." - Answers - a. "Hand hygiene must consist of soap and water
in order to kill the influenza microorganism."
The nurse is reinforcing teaching on foot care. The nurse understands that additional
teaching is necessary if the client states:
a. "I will wash my feet daily with soap and water."
b. "I will trim my nails with rounded edges using toenail clippers."
c. "I will clean under the nails to prevent infection."
QUESTIONS AND ANSWERS
The nurse is prioritizing a client's problems based on Maslow's hierarchy of needs. The
nurse would address which problem first?
a. Poor understanding
b. Fear of the unknown
c. Social isolation
d. Lack of sleep - Answers - D. Lack of Sleep
The nurse is taking care of 4 patients on a med-surge unit. Which of the following
Maslow's "areas of need" will the nurse address first? a. The patient with concerns and
fears about their procedure in the morning. b. The patient that is being discharged this
morning who has medication questions. c. The patient who is hyperventilating about
having had an incontinent episode. d. The patient who is hungry and requesting a
second tray. - Answers - C. The patient who is hyperventilating about having had an
incontinent episode.
*Think ABC (airway, breathing, circulation)
The nurse is caring for a hospitalized patient. The patient states his current stress level
is high and the hospitalization is making the level even higher. When providing teaching
to the patient, the nurse notes that the patient appears to be having difficulty
concentrating. The nurse would contribute this finding to:
a. stress level.
b. lack of understanding.
c. lack of interest.
d. cognitive ability. - Answers - A. Stress level
Using the concept of "Maslow's Hierarchy", the nurse knows to address which patients
needs first? a. Comfort, sleep, and warmth b. Oxygen, Cardiac Function c. Inadequate
nutrition d. Issues with elimination - Answers - B. Oxygen, cardiac function
The nurse is providing teaching on holistic healthcare. Which statement by the staff
shows that the teaching was effective?
a. "A holistic approach considers the client's biologic, psychological, sociological, and
spiritual needs."
b. "Holistic medicine is only effective when self-responsibility of healthcare decisions is
made."
c. "The focal point of holistic healthcare is the disease or injury not natural remedies."
d. "Holistic healthcare discourages the use of more natural remedies and alternative
medicine." - Answers - a. "A holistic approach considers the client's biologic,
psychological, sociological, and spiritual needs."
, A patient fell at home and is complaining of severe pain in her right ankle. The nurse
assesses the patient's ankle and visualizes inflammation of the joint. The nurse would
document which findings for inflammation?
a. Bruising around the ankle
b. Rash with itching
c. Purple in color
d. Swelling and warmth - Answers - d. Swelling and warmth
An elderly person is more at risk for infection, which of the following nursing
interventions is appropriate to reduce that risk?
a. Provide as much opportunity for rest as possible by encouraging bed rest and limited
physical exercise.
b. Encourage the use of indwelling urinary catheters to drain urine to decrease the
likelihood of stagnant urine remaining in the bladder resulting from incomplete emptying.
c. Encourage deep-breathing and increased intake of fluids to keep respiratory
secretions thin and keep them from accumulating in the lower lungs.
d. Provide meals and snacks that are high in calories and fat to provide for weight gain
rather than loss. - Answers - c. Encourage deep-breathing and increased intake of fluids
to keep respiratory secretions thin and keep them from accumulating in the lower lungs.
The nurse is caring for a client diagnosed with Clostridium difficile (C. diff). To prevent
the transmission of C. diff, the nurse would:
a. sterilize all of the equipment and supplies that leave the client's room.
b. wear a mask when in the room and for the client to wear a mask when in public.
c. assume that only surfaces that the client has touched are actually contaminated.
d. perform hand hygiene with soap and water rather than alcohol based hand sanitize -
Answers - d. perform hand hygiene with soap and water rather than alcohol based hand
sanitize
The nursing instructor is teaching a group of nursing students about how to prevent the
spread of influenza. The nursing instructor identifies further teaching is necessary when
a student states,
a. "Hand hygiene must consist of soap and water in order to kill the influenza
microorganism."
b. "I will limit the amount of supplies that I bring into the client's room."
c. "The client should wear a mask if he/she must leave the room."
d. "I will wear gloves, gown, and mask when I enter the room to perform a physical
assessment on the client." - Answers - a. "Hand hygiene must consist of soap and water
in order to kill the influenza microorganism."
The nurse is reinforcing teaching on foot care. The nurse understands that additional
teaching is necessary if the client states:
a. "I will wash my feet daily with soap and water."
b. "I will trim my nails with rounded edges using toenail clippers."
c. "I will clean under the nails to prevent infection."
