NSG 3180 Communication and Teamwork Exam &
Practice Exam Questions and Answers Practice
Questions with Solutions Newest | Already Graded A+
1. Which of the following is considered a reliability event? 1) Low voltage 2) Loss of a small
generator 3) SOL or IROL exceeded 4) Loss of Energy Management System
A. 1, 2, and 3
B. 1 and 3
C. 4 only
D. 2 and 4
Answer: B
Rationale: Reliability events typically involve conditions that threaten system stability or violate
operating limits. Low voltage (1) and exceeding SOL or IROL (3) directly indicate such threats. Loss of
a small generator (2) and loss of EMS (4) are operational issues but not classified as reliability events
unless they lead to the former conditions.
2. As a Reliability Coordinator, you observe that a flow gate has become overloaded due to the
relay-out of a parallel 345 kV line, resulting in an SOL violation. What action should you take to
alleviate this violation?
A. Implement the appropriate transmission loading relief procedures
B. Immediately shed load to reduce the overload
C. Increase generation at the receiving end of the flow gate
D. Reclose the tripped 345 kV line without further analysis
Answer: A
Rationale: Transmission loading relief (TLR) procedures are the standard method to manage SOL
violations by re-dispatching generation or curtailing transactions. Load shedding is a last resort,
reclosing without analysis risks further issues, and increasing generation may worsen the overload.
3. Which nonpharmacologic intervention is effective in reducing neonatal procedural pain?
A. Warm compress application
B. Acetaminophen administration
C. Oral sucrose and nonnutritive sucking
D. Topical lidocaine cream
Answer: C
Rationale: Nonnutritive sucking attenuates behavioral, physiologic, and hormonal responses to pain. The
addition of sucrose has been demonstrated to have calming and pain- relieving effects for neonates.
Tactile stimulation has a variable effect on response to procedural pain. No evidence supports
commercial warm packs as a pain control measure. With resulting increased blood flow to the area,
pain may be greater. The infant should not be disturbed during the sleep cycle. It makes it more difficult
Page 1
,for the infant to begin organization of sleep and awake cycles.
4. During a nutritional assessment of a Hispanic family, the nurse discovers that their diet
primarily consists of vegetables, legumes, and starches. The nurse should understand that this
dietary pattern is:
A. Deficient in carbohydrates
B. Providing sufficient amino acids
C. High in saturated fats
D. Lacking in essential vitamins
Answer: B
Rationale: A diet that contains vegetables, legumes, and starches may provide sufficient essential amino
acids even though the actual amount of meat or dairy protein is low. Combinations of foods contain the
essential amino acids necessary for growth. Many cultures use diets that contain this combination of
foods. It is not indicative of poverty. A dietary assessment should be done, but many vegetarian diets are
sufficient for growth.
5. What is the recommended daily intake of calcium during a normal pregnancy?
A. 1200 mg/day
B. 1000 mg/day
C. 1500 mg/day
D. 600 mg/day
Answer: B
Rationale: The recommended dietary allowance for calcium during pregnancy is 1000 mg per day for
women aged 19-50 years. Higher intakes are not generally recommended unless specifically indicated.
Options B, C, and D represent common distractors that are either too high or too low.
6. A nurse is initiating an enteral feeding for a client with chronic bronchitis. Which type of
formula should the nurse anticipate administering?
A. High calorie
B. Low carbohydrate
C. High protein
D. Low fat
Answer: A
Rationale: Clients with chronic bronchitis often have carbon dioxide retention, so a low-carbohydrate
formula is preferred to minimize carbon dioxide production. High-calorie formulas are not specifically
indicated for this condition.
7. When coordinating under-frequency load shedding (UFLS) and under-frequency generator
tripping, which of the following sequences is correct?
A. generators should trip after the UFLS
B. generators should trip before the UFLS
C. generators and UFLS should trip simultaneously
Page 2
,D. UFLS should trip after the generators
Answer: A
Rationale: Under-frequency load shedding is designed to shed load first to stabilize frequency, and
generator tripping occurs afterward as a last resort to prevent equipment damage. This sequence
ensures that load is reduced before losing generation capacity.
8. A nurse is caring for a client receiving continuous tube feedings via a gastrostomy tube. The
client has had three loose stools in the past 4 hours. Which of the following prescriptions should the
nurse anticipate?
A. Change the formula to a hypotonic solution.
B. Increase the rate of the feeding.
C. Administer an antidiarrheal medication.
D. Decrease the rate of the feeding.
Answer: D
Rationale: Loose stools during continuous tube feedings often indicate rapid gastric emptying or
intolerance to the rate. Decreasing the feeding rate can help reduce diarrhea by slowing the infusion.
9. The nurse is teaching a client with coronary artery disease about implementing a heart-healthy
diet. Which of the following foods should the nurse recommend?
A. Canned soup with sodium
B. Broiled salmon
C. Buttered white rice
D. Fried chicken
Answer: B
Rationale: Broiled salmon is rich in omega-3 fatty acids, which are beneficial for heart health. The other
options are high in saturated fats, sodium, or refined carbohydrates, which are not recommended for a
heart-healthy diet.
10. A nurse is providing teaching to a client who has dumping syndrome. Which of the following
instructions should the nurse include in the teaching?
A. Lie flat in bed after meals.
B. Sit up in bed after meals.
C. Consume high-sugar foods immediately after meals.
D. Increase fluid intake with meals.
Answer: B
Rationale: For dumping syndrome, lying down after meals helps slow gastric emptying and reduce
symptoms. Sitting up, increasing fluids, and high-sugar foods can worsen dumping syndrome.
11. A nurse is teaching a client about dietary changes needed when transitioning from pregnancy
to lactation. Which advice should the nurse provide to a breastfeeding mother?
A. Calorie intake should be increased only if the mother is underweight.
B. Calorie intake should remain the same as during pregnancy.
Page 3
, C. Even if a mother has adequate fat stores, calorie intake should be increased.
D. Calorie intake should be decreased to promote weight loss.
Answer: C
Rationale: Breastfeeding requires additional calories to support milk production, even if the mother has
fat stores. Option A is correct because calorie intake should be increased by about 330-400 kcal/day.
Options B, C, and D are incorrect: fluid intake should be increased, calcium needs are higher, and iron
supplements may continue if deficient.
12. A cancer patient is experiencing neuropathic cancer pain. Which prescription should the nurse
expect to be ordered to control this type of pain?
A. Morphine sulfate (MS Contin)
B. Acetaminophen (Tylenol)
C. Diazepam (Valium)
D. Gabapentin (Neurontin)
Answer: D
Rationale: Gabapentin is a first-line treatment for neuropathic pain, as it modulates calcium channels to
reduce abnormal neuronal firing. Opioids like morphine are more effective for nociceptive pain, while
diazepam is used for anxiety or muscle spasms, and acetaminophen is inadequate for neuropathic pain.
13. Which test is most commonly used to measure visual acuity?
A. Tumbling E chart
B. Snellen letter chart
C. Jaeger eye chart
D. Rosenbaum pocket screener
Answer: B
Rationale: The Snellen chart is the standard and most frequently used tool for assessing distance visual
acuity in clinical settings. While other charts like the Jaeger or Tumbling E are used for specific
purposes (e.g., near vision or non-verbal patients), the Snellen chart remains the primary choice for
routine acuity testing.
14. A nurse is providing teaching to an obese client who has gestational diabetes and is at 25 weeks
of gestation. Which of the following statements made by the client indicates a need for further
teaching?
A. I may need to take insulin if diet and exercise are not enough.
B. This means that I will have diabetes for the rest of my life.
C. I should follow a healthy meal plan to control my blood sugar.
D. I need to monitor my blood glucose levels regularly.
Answer: B
Rationale: Gestational diabetes typically resolves after delivery, so the statement that it will last for life
indicates a misunderstanding. The other options reflect appropriate knowledge of management.
Page 4
Practice Exam Questions and Answers Practice
Questions with Solutions Newest | Already Graded A+
1. Which of the following is considered a reliability event? 1) Low voltage 2) Loss of a small
generator 3) SOL or IROL exceeded 4) Loss of Energy Management System
A. 1, 2, and 3
B. 1 and 3
C. 4 only
D. 2 and 4
Answer: B
Rationale: Reliability events typically involve conditions that threaten system stability or violate
operating limits. Low voltage (1) and exceeding SOL or IROL (3) directly indicate such threats. Loss of
a small generator (2) and loss of EMS (4) are operational issues but not classified as reliability events
unless they lead to the former conditions.
2. As a Reliability Coordinator, you observe that a flow gate has become overloaded due to the
relay-out of a parallel 345 kV line, resulting in an SOL violation. What action should you take to
alleviate this violation?
A. Implement the appropriate transmission loading relief procedures
B. Immediately shed load to reduce the overload
C. Increase generation at the receiving end of the flow gate
D. Reclose the tripped 345 kV line without further analysis
Answer: A
Rationale: Transmission loading relief (TLR) procedures are the standard method to manage SOL
violations by re-dispatching generation or curtailing transactions. Load shedding is a last resort,
reclosing without analysis risks further issues, and increasing generation may worsen the overload.
3. Which nonpharmacologic intervention is effective in reducing neonatal procedural pain?
A. Warm compress application
B. Acetaminophen administration
C. Oral sucrose and nonnutritive sucking
D. Topical lidocaine cream
Answer: C
Rationale: Nonnutritive sucking attenuates behavioral, physiologic, and hormonal responses to pain. The
addition of sucrose has been demonstrated to have calming and pain- relieving effects for neonates.
Tactile stimulation has a variable effect on response to procedural pain. No evidence supports
commercial warm packs as a pain control measure. With resulting increased blood flow to the area,
pain may be greater. The infant should not be disturbed during the sleep cycle. It makes it more difficult
Page 1
,for the infant to begin organization of sleep and awake cycles.
4. During a nutritional assessment of a Hispanic family, the nurse discovers that their diet
primarily consists of vegetables, legumes, and starches. The nurse should understand that this
dietary pattern is:
A. Deficient in carbohydrates
B. Providing sufficient amino acids
C. High in saturated fats
D. Lacking in essential vitamins
Answer: B
Rationale: A diet that contains vegetables, legumes, and starches may provide sufficient essential amino
acids even though the actual amount of meat or dairy protein is low. Combinations of foods contain the
essential amino acids necessary for growth. Many cultures use diets that contain this combination of
foods. It is not indicative of poverty. A dietary assessment should be done, but many vegetarian diets are
sufficient for growth.
5. What is the recommended daily intake of calcium during a normal pregnancy?
A. 1200 mg/day
B. 1000 mg/day
C. 1500 mg/day
D. 600 mg/day
Answer: B
Rationale: The recommended dietary allowance for calcium during pregnancy is 1000 mg per day for
women aged 19-50 years. Higher intakes are not generally recommended unless specifically indicated.
Options B, C, and D represent common distractors that are either too high or too low.
6. A nurse is initiating an enteral feeding for a client with chronic bronchitis. Which type of
formula should the nurse anticipate administering?
A. High calorie
B. Low carbohydrate
C. High protein
D. Low fat
Answer: A
Rationale: Clients with chronic bronchitis often have carbon dioxide retention, so a low-carbohydrate
formula is preferred to minimize carbon dioxide production. High-calorie formulas are not specifically
indicated for this condition.
7. When coordinating under-frequency load shedding (UFLS) and under-frequency generator
tripping, which of the following sequences is correct?
A. generators should trip after the UFLS
B. generators should trip before the UFLS
C. generators and UFLS should trip simultaneously
Page 2
,D. UFLS should trip after the generators
Answer: A
Rationale: Under-frequency load shedding is designed to shed load first to stabilize frequency, and
generator tripping occurs afterward as a last resort to prevent equipment damage. This sequence
ensures that load is reduced before losing generation capacity.
8. A nurse is caring for a client receiving continuous tube feedings via a gastrostomy tube. The
client has had three loose stools in the past 4 hours. Which of the following prescriptions should the
nurse anticipate?
A. Change the formula to a hypotonic solution.
B. Increase the rate of the feeding.
C. Administer an antidiarrheal medication.
D. Decrease the rate of the feeding.
Answer: D
Rationale: Loose stools during continuous tube feedings often indicate rapid gastric emptying or
intolerance to the rate. Decreasing the feeding rate can help reduce diarrhea by slowing the infusion.
9. The nurse is teaching a client with coronary artery disease about implementing a heart-healthy
diet. Which of the following foods should the nurse recommend?
A. Canned soup with sodium
B. Broiled salmon
C. Buttered white rice
D. Fried chicken
Answer: B
Rationale: Broiled salmon is rich in omega-3 fatty acids, which are beneficial for heart health. The other
options are high in saturated fats, sodium, or refined carbohydrates, which are not recommended for a
heart-healthy diet.
10. A nurse is providing teaching to a client who has dumping syndrome. Which of the following
instructions should the nurse include in the teaching?
A. Lie flat in bed after meals.
B. Sit up in bed after meals.
C. Consume high-sugar foods immediately after meals.
D. Increase fluid intake with meals.
Answer: B
Rationale: For dumping syndrome, lying down after meals helps slow gastric emptying and reduce
symptoms. Sitting up, increasing fluids, and high-sugar foods can worsen dumping syndrome.
11. A nurse is teaching a client about dietary changes needed when transitioning from pregnancy
to lactation. Which advice should the nurse provide to a breastfeeding mother?
A. Calorie intake should be increased only if the mother is underweight.
B. Calorie intake should remain the same as during pregnancy.
Page 3
, C. Even if a mother has adequate fat stores, calorie intake should be increased.
D. Calorie intake should be decreased to promote weight loss.
Answer: C
Rationale: Breastfeeding requires additional calories to support milk production, even if the mother has
fat stores. Option A is correct because calorie intake should be increased by about 330-400 kcal/day.
Options B, C, and D are incorrect: fluid intake should be increased, calcium needs are higher, and iron
supplements may continue if deficient.
12. A cancer patient is experiencing neuropathic cancer pain. Which prescription should the nurse
expect to be ordered to control this type of pain?
A. Morphine sulfate (MS Contin)
B. Acetaminophen (Tylenol)
C. Diazepam (Valium)
D. Gabapentin (Neurontin)
Answer: D
Rationale: Gabapentin is a first-line treatment for neuropathic pain, as it modulates calcium channels to
reduce abnormal neuronal firing. Opioids like morphine are more effective for nociceptive pain, while
diazepam is used for anxiety or muscle spasms, and acetaminophen is inadequate for neuropathic pain.
13. Which test is most commonly used to measure visual acuity?
A. Tumbling E chart
B. Snellen letter chart
C. Jaeger eye chart
D. Rosenbaum pocket screener
Answer: B
Rationale: The Snellen chart is the standard and most frequently used tool for assessing distance visual
acuity in clinical settings. While other charts like the Jaeger or Tumbling E are used for specific
purposes (e.g., near vision or non-verbal patients), the Snellen chart remains the primary choice for
routine acuity testing.
14. A nurse is providing teaching to an obese client who has gestational diabetes and is at 25 weeks
of gestation. Which of the following statements made by the client indicates a need for further
teaching?
A. I may need to take insulin if diet and exercise are not enough.
B. This means that I will have diabetes for the rest of my life.
C. I should follow a healthy meal plan to control my blood sugar.
D. I need to monitor my blood glucose levels regularly.
Answer: B
Rationale: Gestational diabetes typically resolves after delivery, so the statement that it will last for life
indicates a misunderstanding. The other options reflect appropriate knowledge of management.
Page 4
