NSG3100 Exam 1 Study Questions and
Answers 2025
which action would the nurse undertake first when beginning to formulate a patient's
plan of care
a- list possible treatment options
b-identify realistic outcome indicators
c- consult with healthcare team members
d- rank patient concerns from assessment data -Correct Answer ✔d
which resource is most helpful when prioritizing identified nursing diagnoses
a- nursing interventions classification
b- gordon's functional health patterns
c- maslow's hierarchy of needs
d- nursing outcomes classification -Correct Answer ✔c
if a patient is exhibiting signs and symptoms of each of these nursing diagnoses, which
should the nurse address first while planning care?
a- fatigue
b- acute pain
c- lack of knowledge
d- disturbed body image -Correct Answer ✔b
which statement illustrates a characteristic of goals within the care planning process?
a- goals are vague objectives communicating expectations for improvement
b- short-term goals need not be measurable, unlike long term goals
c- goal attainment can be measured by identifying nursing interventions
d- long term goals are helpful in judging a patient's progress -Correct Answer ✔d
which nursing goal is written correctly for a patient with the nursing diagnosis for risk for
infection after abdominal surgery?
a- nurse will encourage use of sterile technique during each dressing change
b- patient's WBC will remain within normal range throughout hospitalization
c- patient's visitors will be instructed in proper handwashing before direct interaction
with patient
d- patient will understand the importance of cleaning around the incision with a clean
cloth during bath time -Correct Answer ✔b
If the nurse chooses the Nursing Outcome Classification (NOC), Appetite (1014) for a
chemotherapy patient, which outcome indicators would be acceptable for evaluation of
goal attainment? (Select all that apply.)
a. Expressed desire to eat
b. Report that food smells good
c. Use of relaxation techniques before meals
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d. Preparation of home-cooked meals for self and family
e. Uses nutritional information on labels to guide selections -Correct Answer ✔a, b, d
which action by the nurse would be most important in developing a patient-centered
plan of care for an alert, oriented adult
a- providing a written copy of care options to the patient and family
b- collaborrating with the patient's social worker to determine resources
c- listening to patient's concerns and beliefs about proposed treatment
d- engaging the patient's family, friends or care providers in conversation -Correct
Answer ✔c
which interventions can the nurse initiate independently while providing patient care?
a- ordering blood transfusion
b- auscultating lung sounds
c- monitoring skin integrity
d- apply heel protectors
e- adjusting antibiotic dosages -Correct Answer ✔b,c,d
the nurse notices that a patient is becoming short of breath and anxious. which
intervention is dependent nursing action, requiring the order of a PCP?
a- elevating the head of the patient's bed
b- administering oxygen by nasal cannula
c- assessing the patient's O2 saturation
d- elevating the patient's peripheral circulation -Correct Answer ✔b
which situation indicates the greatest need for collaborative interventions provided by
several health care team members?
a- hospice referral
b- physical assessment
c- activities of daily living
d- health history interview -Correct Answer ✔a
what should the nurse consider before implementation of all nursing interventions
a- potential communication barriers
b- diverse cultural practices
c- scope of nursing practice
d- functional status of patient
e- time of most recent shift change -Correct Answer ✔a,b,c,d
which intervention would be most important for the nurse to include in a patient's care
plan if the patient is unable to complete activities of daily living without becoming
fatigued?
a- instruct the patient to shower and shave simultaneously
b- discourage the patient from bathing while hospitalized
c- encourage the patient to rest between bathing activities
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d- ask the patient's spouse to assist with all bathing -Correct Answer ✔c
which nursing intervention is most important to complete before giving medication to a
patient?
a- provide water to aid in the patients ability to swallow med
b- double-check the patient's allergies before giving the drug
c- ask the patient to verify having taken the medication before
d- place the patient in a side-lying position to prevent aspiration -Correct Answer ✔b
Which direct-care intervention would be most effective in helping a patient cope
emotionally with a new diagnosis of cancer?
a. Reassessing for changes in the patient's physical condition
b. Teaching the patient various methods of stress reduction
c. Referring the patient for music and massage therapy
d. Encouraging the patient to explore options for care -Correct Answer ✔d
what should be taken into consideration by the nurse when deciding on interventions to
include in a patient's plan of care?
a- patient's treatment preferences
b- cultural and ethnic influences
c- nurses professional expertise
d- current evidence based research
e- convenience to nursing staff -Correct Answer ✔a,b,c,d
Which task may the registered nurse safely delegate to unlicensed assistive personnel
without prior intervention?
a. Ambulating a patient with ataxia and new right sided paresthesia
b. Feeding a patient with cerebral palsy who recently aspirated
c. Transporting a patient to the hospital entrance for discharge
d. Administering prescribed programmed medications -Correct Answer ✔c
which actions are part of the evaluation step in the nursing process?
a- recognizing the need for modifications in the care plan
b. documenting performed nursing interventions
c- determining if nursing interventions were completed
d- reviewing whether a patient met their short term goal
e- identifying realistic outcomes with patient input -Correct Answer ✔a, d
which action by the day-shift nurse provides objective data that enables the night-shift
nurse to complete an evaluation of the patient's short term goals?
a- encouraging the patient to share observations from the day
b- leaving a message with the charge nurse before shift change
c- documenting patient assessment findings in the patients chart
d- checking with the pharmacist regarding possible drug interactions -Correct Answer
✔c
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