NSG 300/NSG300 Exam 3 V3 | Foundations
of Nursing Q&A with Rationale | Grand
Canyon University
1. A nurse is caring for an older adult patient who is at risk for falls due to orthostatic
hypotension. Which intervention is the most appropriate to ensure patient safety?
A. Instruct the patient to use the call light and wait for assistance before getting out of bed.
B. Encourage the patient to stand up quickly to minimize the time spent in a transitional
state.
C. Maintain the bed in the highest position to facilitate easier standing for the patient.
D. Place the patient in a room far from the nurses’ station to reduce noise and promote rest.
Correct Answer: A
Expert Explanation: Instructing the patient to wait for assistance helps prevent falls
associated with sudden blood pressure drops upon standing. Orthostatic hypotension is
common in older adults and requires a slow transition from lying to standing positions.
This intervention prioritizes safety by providing physical support during the most
vulnerable moments of mobility.
2. When assessing a patient with a history of chronic pain, the nurse understands that which
of the following is the most reliable indicator of pain?
A. The patient’s vital signs, specifically an increased heart rate and blood pressure.
,B. The nurse’s professional judgment based on the patient’s physical appearance.
C. The patient’s ability to perform activities of daily living without verbal complaints.
D. The patient’s self-report of the pain intensity and character.
Correct Answer: D
Expert Explanation: Pain is a subjective experience and the patient is the only authority
on their own pain level. While physiological signs may change in acute pain, they often
normalize in chronic pain settings. Trusting the patient’s self-report is the standard of
practice for effective pain management and assessment.
3. A patient is diagnosed with expressive aphasia following a stroke. Which nursing
intervention is most effective for communicating with this patient?
A. Speak loudly and slowly to ensure the patient can hear and process the information.
B. Finish the patient’s sentences to reduce their frustration when they struggle to find
words.
C. Use simple ‘yes’ or ‘no’ questions and allow the patient time to respond.
D. Avoid using non-verbal cues as they may distract the patient from the verbal message.
Correct Answer: C
Expert Explanation: Expressive aphasia affects the patient’s ability to produce language,
not necessarily their ability to understand it. Using closed-ended questions reduces the
, cognitive load required for the patient to communicate their needs. Providing adequate
time for a response respects the patient’s processing time and reduces anxiety.
4. A nurse is educating a patient about sleep hygiene. Which statement by the patient
indicates a need for further teaching?
A. “Watching television in bed will help me relax so I can fall asleep faster.”
B. “I will limit my caffeine intake to the morning hours only.”
C. “I should try to go to bed and wake up at the same time every day.”
D. “I should keep my bedroom cool, dark, and quiet to promote better rest.”
Correct Answer: A
Expert Explanation: Watching television in bed can stimulate the brain and interfere with
the body’s ability to fall asleep due to blue light exposure. The bed should ideally be
reserved for sleep and intimacy only to strengthen the mental association between the bed
and rest. Proper sleep hygiene involves creating a consistent routine and an environment
conducive to relaxation.
5. Which of the following is a potential complication of immobility that affects the
gastrointestinal system?
A. Increased peristalsis leading to frequent diarrhea.
B. Reduced appetite and increased risk of constipation.
C. Enhanced nutrient absorption due to slower transit time.
of Nursing Q&A with Rationale | Grand
Canyon University
1. A nurse is caring for an older adult patient who is at risk for falls due to orthostatic
hypotension. Which intervention is the most appropriate to ensure patient safety?
A. Instruct the patient to use the call light and wait for assistance before getting out of bed.
B. Encourage the patient to stand up quickly to minimize the time spent in a transitional
state.
C. Maintain the bed in the highest position to facilitate easier standing for the patient.
D. Place the patient in a room far from the nurses’ station to reduce noise and promote rest.
Correct Answer: A
Expert Explanation: Instructing the patient to wait for assistance helps prevent falls
associated with sudden blood pressure drops upon standing. Orthostatic hypotension is
common in older adults and requires a slow transition from lying to standing positions.
This intervention prioritizes safety by providing physical support during the most
vulnerable moments of mobility.
2. When assessing a patient with a history of chronic pain, the nurse understands that which
of the following is the most reliable indicator of pain?
A. The patient’s vital signs, specifically an increased heart rate and blood pressure.
,B. The nurse’s professional judgment based on the patient’s physical appearance.
C. The patient’s ability to perform activities of daily living without verbal complaints.
D. The patient’s self-report of the pain intensity and character.
Correct Answer: D
Expert Explanation: Pain is a subjective experience and the patient is the only authority
on their own pain level. While physiological signs may change in acute pain, they often
normalize in chronic pain settings. Trusting the patient’s self-report is the standard of
practice for effective pain management and assessment.
3. A patient is diagnosed with expressive aphasia following a stroke. Which nursing
intervention is most effective for communicating with this patient?
A. Speak loudly and slowly to ensure the patient can hear and process the information.
B. Finish the patient’s sentences to reduce their frustration when they struggle to find
words.
C. Use simple ‘yes’ or ‘no’ questions and allow the patient time to respond.
D. Avoid using non-verbal cues as they may distract the patient from the verbal message.
Correct Answer: C
Expert Explanation: Expressive aphasia affects the patient’s ability to produce language,
not necessarily their ability to understand it. Using closed-ended questions reduces the
, cognitive load required for the patient to communicate their needs. Providing adequate
time for a response respects the patient’s processing time and reduces anxiety.
4. A nurse is educating a patient about sleep hygiene. Which statement by the patient
indicates a need for further teaching?
A. “Watching television in bed will help me relax so I can fall asleep faster.”
B. “I will limit my caffeine intake to the morning hours only.”
C. “I should try to go to bed and wake up at the same time every day.”
D. “I should keep my bedroom cool, dark, and quiet to promote better rest.”
Correct Answer: A
Expert Explanation: Watching television in bed can stimulate the brain and interfere with
the body’s ability to fall asleep due to blue light exposure. The bed should ideally be
reserved for sleep and intimacy only to strengthen the mental association between the bed
and rest. Proper sleep hygiene involves creating a consistent routine and an environment
conducive to relaxation.
5. Which of the following is a potential complication of immobility that affects the
gastrointestinal system?
A. Increased peristalsis leading to frequent diarrhea.
B. Reduced appetite and increased risk of constipation.
C. Enhanced nutrient absorption due to slower transit time.
