NSG 300 Practice Exam Questions and Correct Answers
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Course
NSG 300
Institution
NSG 300
A 50-year-old woman is recovering from a bilateral mastectomy. She refuses to eat, discourages visitors, and pays little attention to her appearance. One morning the nurse enters the room to see the patient with her hair combed and makeup applied. Which of the following is the best response from th...
NSG 300 Practice Exam Questions and
Correct Answers
A 50-year-old woman is recovering from a bilateral mastectomy. She refuses to eat,
discourages visitors, and pays little attention to her appearance. One morning the nurse
enters the room to see the patient with her hair combed and makeup applied. Which of
the following is the best response from the nurse? ✅"I see that you've combed your
hair and put on makeup."
A 30-year-old patient diagnosed with major depressive disorder has a nursing diagnosis
of Situational Low Self-Esteem related to negative view of self. Which of the following
are appropriate interventions by the nurse? (Select all that apply) ✅focus on identifying
strengths and accomplishments.
provide time for journaling to explore underlying thoughts and feelings.
A patient who is depressed is crying and verbalize his feelings of low self-esteem and
self-worth such as, "I'm such a failure, I can't do anything right." What is the nurse's best
response? ✅remain with the patient until he or she validates feeling more stable.
A 20-year-old patient diagnosed with an eating disorder has a nursing diagnosis of
Situational Low Self-Esteem. Which of the following nursing interventions are
appropriate to address self-esteem? (Select all that apply.) ✅Offer independent
decision making opportunities.
Review previously successful coping strategies.
The nurse can increase a patient's self-awareness and self- concept through which of
the following actions? (Select all that apply.) ✅Helping the patient define personal
problems clearly.
Allowing the patient to openly explore thoughts and feelings.
Reframing the patient's thoughts and feeling.
Which of the following assessment findings suggest an altered self-concept? (Select all
that apply.) ✅slumped posture and poor personal hygiene
avoidance of eye contact when answering a question
The home health nurses visiting a 90-year-old man who lives with this 89-year-old wife.
He is legally blind and is 3 weeks post right hip replacement. He ambulates with
difficulty with a walker. He comments that he is saddened now that his wife has to do
,more for him and he is doing less for her. Which of the following is the priority nursing
diagnosis? ✅Risk for Situational Low Self-Esteem
A nurse is working with an older adult who recently moved to an assisted-living Center
because of declining physical capabilities associated with normal aging process. Which
nursing interventions are directed at promoting self esteem in this patient?
✅Commending the patient's efforts at completing self-care tasks
The nurse is caring for a 40-year-old male diagnosed with Crohn's disease several
years ago, resulting in numerous hospitalizations each year for the past 3 years. Which
of the following behaviors interfere with the developmental task of middle adulthood?
(Select all that apply.) ✅Refuses visitors while hospitalized
Self-absorbed in physical and psychological issues
Rationale:
intimacy versus isolation is from the late teens to the mid 40s.
When assessing a patient's adjustment to the role changes brought about by a medical
condition such as a stroke, the nurse asks about which of the following? (Select all that
apply.) ✅What are your thoughts about returning to work?
How has your health affected your relationship with your partner?
What level of physical activity are you able to perform?
A 16-year-old female tells the school nurse that she doesn't need that human papilloma
virus (HPV) vaccine since her partner always uses condoms. The best response by the
nurse to this statement is: ✅"The HPV 9-valent vaccine is recommended for males and
females even if they use condoms because it targets the specific viruses that cause
cancer and genital warts."
An adolescent who is pregnant for the first time is at her initial prenatal visit. The
women's health nurse practitioner (WHNP) informs the patient that she will be screening
her for sexually transmitted infections (STIs). The patient replies, "I know I don't have an
STI because I don't have any symptoms." Which responses by the WHNP would be
appropriate? (select all that apply.) ✅"Untreated STIs can cause serious complications
in pregnancy, so we routinely screen pregnant women.
"Chlamydia screening is recommended for all sexually active women up to age 25 even
if asymptomatic."
"People between the ages of 15 and 24 are often asymptomatic and have the highest
incidence of STIs."
, A nurse who recently graduated from nursing school is providing discharge instructions
to a patient who suffered a myocardial infarction (MI). The nurse knows that sexual
issues are common after an MI but feels uncomfortable bringing up this topic. What is
the best way for the nurse to handle this situation? (Select all that apply.)
1. Instruct the patient to discuss any sexual concerns with his or her partner after
discharge.
2. Avoid discussing the topic unless the patient brings it up.
3. Ask a more experienced nurse to cover this with the patient and learn from the
example.
4. Plan to attend conferences or training soon on how to discuss such issues.
5. Encourage the patient to discuss any personal concerns with the cardiologist. ✅3.
Ask a more experienced nurse to cover this with the patient and learn from the example.
4. Plan to attend conferences or training soon on how to discuss such issues.
The nurse is gathering a history from a 72-year-old male patient being admitted to a
nursing home. The patient requests a private room. The nurse understands that: ✅The
patient may be requesting a private room to facilitate an intimate relationship with his
partner.
A patient has just learned she has been diagnosed with malignant brain tumor. She is
alone; her family will not be arriving from out of town for an hour. The nurse has been
caring for her for only 2 hours but has a good relationship with her. What is the most
appropriate intervention for support of her spiritual well-being at this time? ✅Sit down
and talk with the patient; have her discuss her feelings and listen attentively.
A nurse is preparing to teach an older adult who has chronic arthritis how to practice
meditation. Which of the following strategies are appropriate? (Select all that apply.)
✅Have patient identify a quiet room in the home that has minimal interruptions.
Suggest the use of a quiet fan running in the room.
Show the patient how to sit comfortably with the limitation of his arthritis and focus on a
prayer.
A nursing student is developing a plan of care for a 74-year- old female patient who has
spiritual distress over losing a spouse. As the student develops appropriate
interventions, which characteristics of older adults should be considered? (Select all that
apply.) ✅Older adults achieve spiritual resilience through frequent expressions of
gratitude.
Have the patient determine whether her husband left a legacy behind.
Offer the patient her choice of rituals or participation in exercise.
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