Questions and Answers 2025 Comprehensive Study
Guide
Introduction:
This document contains the complete set of NSG 521 Exam 1
preparation questions and answers (2025 edition), covering key
nursing theory, advanced clinical practices, evidence-based care,
ethical standards, and professional development topics. It includes
detailed explanations of nursing processes (ADPIE), types of
assessments, communication tools like ISBAR, infection control,
patient safety, and evidence-based practice concepts. The guide also
provides scenario-based examples, legal and ethical principles, and
patient education strategies essential for success in advanced nursing
exams.
Exam Questions and Answers
What is the respiratory assessment order? --- correct answer ---I-
Inspect
P-Palpate
P-Percuss
A-Auscultate
What is the GI assessment order? --- correct answer ---I-Inspect
A-Auscultate
P-Percuss
,P-Palpate
What are primary and secondary sources of information? --- correct
answer ---Primary Sources: Direct information from the
patient.Example: Patient's verbal complaints of pain.
Secondary Sources: Information from other sources (family,
medical records).Example: Medical history from a family member
or previous chart.
What are the purpose and components of an Emergency Health
History? --- correct answer ---Purpose: Nurses collect the most
important information and defer obtaining details until patients are
stable. They elicit the reason for seeking care along with current
health problems, medications, and allergies.
Components: Care focuses on gathering information so that
interventions can resolve the immediate problem. Assessments and
interventions are concurrent.
What is the purpose and components of a Focused Health History? -
-- correct answer ---Purpose: The focused health history involves
questions that relate to the current situation.
Components: An example is the patient visiting the primary care
provider about a cough. In this case, the nurse asks about the
length, severity, and timing of the cough and other related factors.
During focused health histories, nurses do not perform a complete
review of systems (discussed later).
,What are the purpose and components of a Comprehensive Health
History? --- correct answer ---Purpose: The comprehensive health
history takes place during an annual physical examination, for
sports participation screenings, and during a hospital admission.
Components: It includes demographic data, a full description of the
reason for seeking care, individual health history, family history,
functional status, and a history in all physical and psychosocial
areas.
Name environmental safety and risk reduction techniques ---
correct answer ---Nursing process: Identify risks, assess, plan
interventions, implement, and evaluate effectiveness.
Fall prevention: Bed alarms, lowered bed, non-slip socks, proper
lighting, keeping call light within reach.
How do you identify patient before administering medication or
treatment? --- correct answer ---Patients should be identified using
a minimum 2 of these methods:
-Check the name on the patient's identification band
-Check the identification number on the patient's identification
band
-Check the birth date on the patient's identification band
-Ask the patient to state their full name and birthdate
, Why is hand hygiene so important? --- correct answer ---Most
effective way to prevent infections
The recommended duration for lathering hands is at least ________
seconds. --- correct answer ---15 seconds
The most effective way to prevent transmission of infection is
performing hand hygiene and ________. --- correct answer ---
Wearing Gloves
Whats the difference between standard precautions and
tramsmission-based precautions? --- correct answer ---Standard
Precautions: apply to all patients, covering body fluids, blood, and
nonintact skin, with added measures like respiratory hygiene and
safe injection practices.
Transmission-Based Precautions: extra precautions for patients
with infections spread through airborne, droplet, or contact routes,
requiring PPE when entering and exiting the patient's room.
What is the purpose of Personal Protective Equipment (PPE)? What
are the different kinds of PPE? --- correct answer ---According to
the 1992 Occupational Safety and Health Administration (OSHA)
ruling, health care facilities must provide employees with the
equipment and supplies necessary to minimize or prevent exposure
to infectious material. Includes gloves, gowns, masks, and
protective eye gear.