NSG 300 Final Exam
NSG 300 FINAL EXAM FROM GRAND CANYON UNIVERSITY (GCU)
INCLUDES ACCURATE AND VERIFIED QUESTIONS COVERING
FOUNDATIONAL NURSING CONCEPTS SUCH AS THE NURSING
PROCESS, CRITICAL THINKING, PATIENT SAFETY, COMMUNICATION,
AND EVIDENCE BASED PRACTICE
Which nutrient supports healing by promoting wound closure?1
a. Protein
b. Vitamin A
c. Vitamin C
d. Zinc - ANSWER-Answer: b
* One role of vitamin A in healing is to promote wound closure
* Protein helps promote collagen formation which helps with wound healing not closure
specifically
A patient who has an acute wound due to trauma is admitted to the emergency unit. Which
nursing action for wound care is the priority in this situation?
a. Educating the patient about wound care
b. Positioning the patient in different angles
c. Encouraging the patient to drink 6 to 8 L of water
d. Applying a sterile dressing as per the health care provider's order - ANSWER-Answer: d
When cleaning a wound, which action is incorrect?
a. Using two separate swabs to clean the affected site
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, NSG 300 Final Exam
b. Irrigating from the least to most contaminated area
c. Applying noncytotoxic solutions using gentle friction
d. Cleaning from the surrounding skin to the site of incision - ANSWER-Answer: d
* The nurse should clean away from the wound to prevent contamination
Which type of ulcer can be dressed with a transparent or hydrocolloid dressing?
a. Stage I
b. Stage II
c. Stage III
d. Stage IV - ANSWER-Answer: a
* A stage I pressure ulcer is an intact ulcer that can be dressed with a transparent or
hydrocolloid dressing
A patient who has a stage III pressure ulcer develops a body temperature of 103° F. While
changing the wound dressing, the nurse finds purulent discharge with an odor coming from the
wound. What will the nurse suspect is occurring in the patient?
a. Bruising
b. Infection
c. Internal bleeding
d. Blanchable erythema - ANSWER-Answer: b
A female patient is diagnosed with deep-vein thrombosis. Which nursing diagnosis should
receive the highest priority at this time?
a. Impaired gas exchange related to increased blood flow
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, NSG 300 Final Exam
b. Fluid volume excess related to peripheral vascular disease
c. Risk for injury related to edema
d. Altered peripheral tissue perfusion related to venous congestion - ANSWER-Answer: d
* This answer takes highest priority because venous inflammation and clot formation impede
blood flow in a patient with deep-vein thrombosis
A nurse is revising a client's care plan. During which step of the nursing process does such a
revision take place?
a. Assessment
b. Planning
c. Implementation
d. Evaluation - ANSWER-Answer: d
* During the evaluation step of the nursing process the nurse determines whether the goals
established have been achieved, and evaluates the success of the plan
A nurse is caring for a patient who has poor pain control. The patient has a history of opioid
abuse. During the day the patient made frequent requests for a pain medication. In order to
make an effective clinical decision about this patient, the nurse needs to ask questions about
the data available on the patient to make a thorough and thoughtful decision. The nurse asks
herself, "How does my view about the patient's pain tolerance compare with the patient's, and
does that pose a problem?" This is an example of:
a. A question about assumptions.
b. A question about evidence.
c. A question about procedure.
d. A question about perspective - ANSWER-Answer: d
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, NSG 300 Final Exam
Which of the following describes a nurse's application of a specific knowledge base during
critical thinking? (Select all that apply)
a. Initiative in reading current evidence from the literature
b. Application of nursing theory
c. Reviewing a policy and procedure manual
d. Considering a colleague's view of a patient's needs
e. Previous time caring for a specific group of patients - ANSWER-Answer: a & b
Which intervention should the nurse in charge try first for a client that exhibits signs of sleep
disturbance?
a. Administer sleeping medication before bedtime
b. Ask the client each morning to describe the quantity of sleep the night before
c. Teach the client relaxation techniques, such as guided imagery and progressive muscle
relaxation
d. Provide the client normal sleep aids, such as pillows, back rubs, and snacks - ANSWER-
Answer: d
A nurse is assigned to care for a postoperative male client who has diabetes mellitus. During the
assessment interview, the client reports that he's impotent and says he's concerned about the
effect on his marriage. In planning this client's care, the most appropriate intervention would be
to:
a. Encourage the client to ask questions about personal sexuality
b. Provide time for privacy
c. Suggest referral to a sex counselor or other appropriate professional
d. Provide support for the spouse - ANSWER-Answer: c
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NSG 300 FINAL EXAM FROM GRAND CANYON UNIVERSITY (GCU)
INCLUDES ACCURATE AND VERIFIED QUESTIONS COVERING
FOUNDATIONAL NURSING CONCEPTS SUCH AS THE NURSING
PROCESS, CRITICAL THINKING, PATIENT SAFETY, COMMUNICATION,
AND EVIDENCE BASED PRACTICE
Which nutrient supports healing by promoting wound closure?1
a. Protein
b. Vitamin A
c. Vitamin C
d. Zinc - ANSWER-Answer: b
* One role of vitamin A in healing is to promote wound closure
* Protein helps promote collagen formation which helps with wound healing not closure
specifically
A patient who has an acute wound due to trauma is admitted to the emergency unit. Which
nursing action for wound care is the priority in this situation?
a. Educating the patient about wound care
b. Positioning the patient in different angles
c. Encouraging the patient to drink 6 to 8 L of water
d. Applying a sterile dressing as per the health care provider's order - ANSWER-Answer: d
When cleaning a wound, which action is incorrect?
a. Using two separate swabs to clean the affected site
1|Page
, NSG 300 Final Exam
b. Irrigating from the least to most contaminated area
c. Applying noncytotoxic solutions using gentle friction
d. Cleaning from the surrounding skin to the site of incision - ANSWER-Answer: d
* The nurse should clean away from the wound to prevent contamination
Which type of ulcer can be dressed with a transparent or hydrocolloid dressing?
a. Stage I
b. Stage II
c. Stage III
d. Stage IV - ANSWER-Answer: a
* A stage I pressure ulcer is an intact ulcer that can be dressed with a transparent or
hydrocolloid dressing
A patient who has a stage III pressure ulcer develops a body temperature of 103° F. While
changing the wound dressing, the nurse finds purulent discharge with an odor coming from the
wound. What will the nurse suspect is occurring in the patient?
a. Bruising
b. Infection
c. Internal bleeding
d. Blanchable erythema - ANSWER-Answer: b
A female patient is diagnosed with deep-vein thrombosis. Which nursing diagnosis should
receive the highest priority at this time?
a. Impaired gas exchange related to increased blood flow
2|Page
, NSG 300 Final Exam
b. Fluid volume excess related to peripheral vascular disease
c. Risk for injury related to edema
d. Altered peripheral tissue perfusion related to venous congestion - ANSWER-Answer: d
* This answer takes highest priority because venous inflammation and clot formation impede
blood flow in a patient with deep-vein thrombosis
A nurse is revising a client's care plan. During which step of the nursing process does such a
revision take place?
a. Assessment
b. Planning
c. Implementation
d. Evaluation - ANSWER-Answer: d
* During the evaluation step of the nursing process the nurse determines whether the goals
established have been achieved, and evaluates the success of the plan
A nurse is caring for a patient who has poor pain control. The patient has a history of opioid
abuse. During the day the patient made frequent requests for a pain medication. In order to
make an effective clinical decision about this patient, the nurse needs to ask questions about
the data available on the patient to make a thorough and thoughtful decision. The nurse asks
herself, "How does my view about the patient's pain tolerance compare with the patient's, and
does that pose a problem?" This is an example of:
a. A question about assumptions.
b. A question about evidence.
c. A question about procedure.
d. A question about perspective - ANSWER-Answer: d
3|Page
, NSG 300 Final Exam
Which of the following describes a nurse's application of a specific knowledge base during
critical thinking? (Select all that apply)
a. Initiative in reading current evidence from the literature
b. Application of nursing theory
c. Reviewing a policy and procedure manual
d. Considering a colleague's view of a patient's needs
e. Previous time caring for a specific group of patients - ANSWER-Answer: a & b
Which intervention should the nurse in charge try first for a client that exhibits signs of sleep
disturbance?
a. Administer sleeping medication before bedtime
b. Ask the client each morning to describe the quantity of sleep the night before
c. Teach the client relaxation techniques, such as guided imagery and progressive muscle
relaxation
d. Provide the client normal sleep aids, such as pillows, back rubs, and snacks - ANSWER-
Answer: d
A nurse is assigned to care for a postoperative male client who has diabetes mellitus. During the
assessment interview, the client reports that he's impotent and says he's concerned about the
effect on his marriage. In planning this client's care, the most appropriate intervention would be
to:
a. Encourage the client to ask questions about personal sexuality
b. Provide time for privacy
c. Suggest referral to a sex counselor or other appropriate professional
d. Provide support for the spouse - ANSWER-Answer: c
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