NSG 300 EXAM 3 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
When assessing a patient with chest pain, what questions would the nurse include that
are best related to chest pain? Select all that apply.
A. Does the problem occur at a specific time of the day, during or after exercise, or all the time?
B. What causes the pain and how long does it last? Is this a different type of pain? Can you show
me where the pain is located?
C. What relieves or makes the pain worse?
D. Does the pain occur with coughing?
E. On a scale of 0 to 10, with 0 being the most severe pain and 10 being no pain, how would you
rate your pain?
A. Does the problem occur at a specific time of the day, during or after exercise, or all the time?
B. What causes the pain and how long does it last? Is this a different type of pain? Can you show
me where the pain is located?
C. What relieves or makes the pain worse?
D. Does the pain occur with coughing?
What does the right ventricle do?
A. Pumps deoxygenated blood through the pulmonary circulation
B. Pumps oxygenated blood through the pulmonary circulation
C. Pumps deoxygenated blood through the systemic circulation
D. Pumps oxygenated blood through the systemic circulation
A. Pumps deoxygenated blood through the pulmonary circulation
How does continuous positive airway pressure (CPAP) work?
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A. CPAP works by providing assistance during inspiration and preventing alveolar closure during
expiration
B. CPAP maintains an intermittent stream of pressure throughout a patient’s breathing cycle
C. CPAP maintains a steady stream of pressure throughout a patient’s breathing cycle
D. CPAP prevents air or fluid from reentering the pleural space
C. CPAP maintains a steady stream of pressure throughout a patient's breathing cycle
What position is the most effective to promote lung expansion and reduce pressure from the
abdomen on the diaphragm?
A. High fowler’s position
B. Semi-fowlers position
C. Prone position
D. Supine position
B. Semi-fowlers position
What systems work together to supply the body with oxygen necessary for carrying out the
respiratory and metabolic processes needed to sustain life?
A. Cardiac and respiratory
B. Cardiac and endocrine
C. Respiratory and gastrointestinal
D. Respiratory and integumentary
A. Cardiac and respiratory
What could trigger an asthma attack?
A. Continuous stress
B. Poor appetite
C. Fluid volume overload
D. Chronic pain
A. Continuous stress
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Why is the huff cough technique generally used?
A. Generally used to help increase the client’s tidal volume
B. Generally used to help with abdominal muscle control
C. Generally used to help move secretions to the smaller airways
D. Generally used to help move secretions into larger airways
D. Generally used to help move secretions into larger airways
What does an electrocardiogram measure?
A. The electrical activity of the conduction system
B. The muscular activity of the conduction system
C. The electrical and muscular activity of the conduction system
D. None of the above
A. The electrical activity of the conduction system
Which skills can the nurse delegate to assistive personnel (AP)? Select all that apply.
A. Initiate oxygen therapy via nasal cannula
B. Perform nasotracheal suctioning of a patient
C. Educate the patient about the use of an incentive spirometer
D. Assist with care of an established tracheostomy tube
E. Reposition a patient with a chest tube
D. Assist with care of an established tracheostomy tube
E. Reposition a patient with a chest tube
The nurse is caring for a patient with pneumonia. On entering the room, the nurse finds the
patient lying in bed, coughing, and unable to clear secretions. What should the nurse do first?
A. Start oxygen at 2 L/min via nasal cannula
B. Elevate the head of the bed to 45 degrees
C. Encourage the patient to use the incentive spirometer
D. Notify the health care provider
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B. Elevate the head of the bed to 45 degrees
The nurse is performing discharge teaching for a patient with chronic obstructive pulmonary
disease (COPD). What statement, made by the patient, indicates the need for further
teaching?
A. “Pursed-lip breathing is like exercise for my lungs and will help me strengthen my breathing
muscles”
B. “When I am sick, I should limit the amount of fluids I drink so that I don’t produce excess
mucus”
C. “I will ensure that I receive an influenza vaccine every year, preferably in the fall”
D. “I will look for a smoking-cessation support group in my neighborhood”
B. "When I am sick, I should limit the amount of fluids I drink so that I don't produce excess
mucus"
Which assessment findings indicate that the patient is experiencing an acute disturbance in
oxygenation and requires immediate intervention? Select all that apply.
A. SpO2 value of 95%
B. Chest retractions
C. Respiratory rate of 28 breaths per minute
D. Nasal flaring
E. Clubbing of fingers
B. Chest retractions
C. Respiratory rate of 28 breaths per minute
D. Nasal flaring
The nurse is administering an IV push medication to a patient who has a compatible IV fluid
running through IV tubing. Place the following steps in the appropriate order.
1. Select injection port of IV tubing closest to patient. Whenever possible, injection port should
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