NSG 3100 Appraisal Exam Assessment Questions and Certified Answers with Rationales Latest Updates 2024/2025
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Course
NSG 3100
Institution
NSG 3100
NSG 3100 Appraisal Exam Assessment Questions and Certified Answers with Rationales Latest Updates 2024/2025
The patient is experiencing pain and asks for medication, which has been ordered by the provider. The nurse first assesses the vital signs and finds the blood pressure to be 144/82 mmHg, P...
NSG 3100 Appraisal Exam
Assessment Questions and Certified
Answers with Rationales Latest
Updates 2024/2025
The patient is experiencing pain and asks for medication, which
has been ordered by the provider. The nurse first assesses the
vital signs and finds the blood pressure to be 144/82 mmHg,
Pulse 88/min., and respirations 24/min. The nurse should:
A- Give the medication as ordered
B- Check again that the patient has pain
C- Withhold the medication
D- Wait 20 min. and check the vital signs again before giving the
medication - correct answer A- Give the medication as ordered
The patient gets out of bed to go to the bathroom and tells the
nurse that he "feels dizzy." What is the first action the nurse
should take?
A- Go for help
B- Take blood pressure
C- Help the patient to sit down
D- Have the patient take deep breaths - correct answer C- Help
the patient to sit down
A patient asks the nurse about whether her blood pressure is too
high. The nurse informs the patient that the blood pressure
associated with stage 2 hypertension is:
A- 120/70
B- 130/80
,C- 140/90
D- 160/100 - correct answer D- 160/100
A primary concern for a patient w/ orthostatic hypotension is:
A- Risk for falls
B- Fluid overload
C- Oxygen demand
D- Mental confusion - correct answer A- Risk for falls
A 79-year-old resident in a long-term care facility is known to
"wander at night" and has fallen in the past. Which of the
following is the most appropriate nursing intervention?
A- The patient should be checked frequently during the night
B- An abdominal restraint should be placed on the patient during
sleeping hours
C- A radio should be left playing at the bedside to assist in reality
orientation
D- The patient should be placed in a room away from the activity
of the nurses' station - correct answer A- The patient should be
checked frequently during the night
The visiting nurse completes an assessment of the ambulatory
patient in the home and determines the nursing diagnosis Risk
for injury associated with decreased vision. On the basis of this
assessment, the patient will benefit the most from:
A- Installing fluorescent lighting throughout the home
B- Becoming oriented to the position of the furniture and
stairways
C- Maintaining complete bed rest in a hospital bed w/ side rails
,D- Applying physical restraints - correct answer B- Becoming
oriented to the position of the furniture and stairways
When applying a wrist restraint, the nurse knows that:
A- The padded side is away from the skin
B- It should be removed at least once every shift
C- The straps should be secured w/ a knot
D- Two fingers' width should fit between the skin and the
restraint - correct answer D- Two fingers' width should fit
between the skin and the restraint
A patient has a 6-inch laceration on his right forearm. An
infection develops at the site. Which of the following is a sign of a
local inflammatory response observed by the nurse?
A- Blanching of the skin
B- Edema at the site
C- Decrease in temperature
D- Bruising at the site - correct answer B- Edema at the site
The nurse employs surgical aseptic technique when:
A- Disposing syringes in a puncture-proof container
B- Placing soiled linens in a moisture-resistant bag
C- Washing hands before changing a dressing
D- Inserting an intravenous catheter - correct answer D-
Inserting an intravenous catheter
A patient with active tuberculosis is admitted to the medical
center. The nurse recognizes that admission of this patient to the
unit will require the implementation by the staff of:
A patient requires a sterile dressing change for a mid-abdominal
surgical incision. An appropriate intervention for the nurse to
implement in maintaining sterile asepsis is to:
A- Put sterile gloves on before opening sterile packages
B- Place the cap of the sterile solution well within the sterile field
C- Place sterile items on the edge of the sterile drape
D- Discard packages that may have been in contact w/ the area
below waist level - correct answer D- Discard packages that
may have been in contact w/ the area below waist level
The unit manager observes the new staff nurse perform the
following actions for a patient with isolation precautions. Which
of the following actions should the unit manager address and
correct with the new nurse?
A- Keeping a thermometer, stethoscope and BP cuff in the
patient's room.
B- Documenting the precautions required in the patient's record
C- Using a particulate respirator mask for the patient who has
tuberculosis
D- Coming out of the room in the PPE to quickly get another
dressing - correct answer D- Coming out of the room in the PPE
to quickly get another dressing
Pressure injuries form primarily as a result of:
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