NSG 101 Final Exam Questions With

NSG 101 Final Exam – Questions With Complete Solutions A nurse identifies a fall risk when assessing a patient upon admission. The nurse and the patient agree that the goal is for the patient to remain free from falls. However, the patient fell just before shift change. Which action is the nurse's priority when evaluating the patient after the fall?

• Identifying factors interfering with goal achievement
• Counseling the nursing assistive personnel on duty when the patient fell
• Removing the fall risk sign from the patient's door because the patient

has suffered a fall

• Requesting that the more experienced charge nurse complete the

documentation about the fall Correct Ans - a. Identifying factors interfering with goal achievement A patient is admitted and is placed on fall precautions. The nurse teaches the patient and family about fall precautions. Which action will the nurse take in accordance with hospital policy?

• Check on the patient once a shift.
• Encourage visitors in the early evening.
• Place all four side rails in the ―up position.

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• Keep the patient on fall risk until discharge. Correct Ans - d. Keep

the patient on fall risk until discharge.A nurse is attempting to minimize the risk of future infection for a post- surgical patient about to be discharged. Which technique will the nurse teach the patient to best achieve this goal?

• Sanitizing of eating utensils
• Medical asepsis hand-washing
• Wound care using surgical asepsis
• Limiting visitors during flu season Correct Ans - b. Medical

asepsis hand-washing 1 / 4

The nurse is caring for an older adult who presents to the clinic after a fall.The nurse reviews fall prevention in the home. Which information will the nurse include in the teaching session? (Select all that apply.)

• Water outdoor plants with a nozzle and hose.
• Walk to the mailbox in the summer.
• Encourage yearly eye examinations.
• Use bathtubs without safety strips.
• Keep pathways clutter free. Correct Ans - b. Walk to the mailbox

in the summer.

• Encourage yearly eye examinations.
• Keep pathways clutter free.

A nurse is using Maslow's hierarchy of needs to prioritize care. Place the levels in order of basic priority to highest priority that the nurse will follow.

• Physiological
• Self-esteem
• Self-actualization
• Safety and security
• Love and belonging
• 4, 1, 2, 3, 5
• 1, 4, 5, 3, 2
• 4, 5, 3, 2, 1
• 1, 4, 5, 2, 3 Correct Ans - d. 1, 4, 5, 2, 3

Which goal is priority when the nurse is caring for a middle-aged adult?

• Maintain immediate family relationships.
• Maintain future generation relationships.
• Maintain personal career relationships.
• Maintain work relationships. Correct Ans - b. Maintain future

generation relationships.Upon assessment of a middle-aged adult, the nurse observes uneven weight bearing and decreased range of joint motion. Which area is priority? 2 / 4

• Abuse potential
• Fall precautions
• Stroke prevention
• Self-esteem issues Correct Ans - b. Fall precautions

A 72-year-old woman was recently widowed. She worked as a teller at a bank for 40 years and has been retired for the past 5 years. She never learned how to drive. She lives in a rural area that does not have public transportation. Which psychosocial change does the nurse focus on as a priority?

• Sexuality
• Retirement
• Environment
• Social isolation Correct Ans - d. Social isolation

A nursing assessment for a patient with a spinal cord injury leads to several pertinent nursing diagnoses. Which nursing diagnosis is the highest priority for this patient?

• Risk for impaired skin integrity
• Risk for infection
• Spiritual distress
• Reflex urinary incontinence Correct Ans - d. Reflex urinary

incontinence The nurse is caring for a patient who has an open wound and is evaluating the progress of wound healing. Which priority action will the nurse take?

• Asking the nursing assistive personnel if the wound looks better
• Documenting the progress of wound healing as "better" in the chart
• Measuring the wound and observe for redness, swelling, or drainage
• Leaving the dressing off the wound for easier access and more frequent

assessments Correct Ans - c. Measuring the wound and observe for redness, swelling, or drainage A nurse is teaching a community group of school-aged parents about safety.The proper fitting of which safety item is most important for the nurse to include in the teaching session? 3 / 4

• A bicycle helmet
• Soccer shin guards
• Swimming goggles
• Baseball sliding shorts Correct Ans - a. A bicycle helmet

The nurse is presenting an educational session on safety for parents of adolescents. Which information will the nurse include in the teaching session?

• Frequent injuries related to poor psychomotor coordination
• Recognizing common signs and symptoms of the schizophrenia
• Failing grades and changes in dress may indicate substance abuse
• The importance of the use seat belts whenever riding in the backseat of a

car Correct Ans - a. Frequent injuries related to poor psychomotor coordination The nurse is monitoring for risks for injury identified in the health care environment. Which finding will alert the nurse that these safety risks are occurring?

• Tile floors, cold food, scratchy linen, and noisy alarms
• Dirty floors, hallways blocked, medication room locked, and alarms set
• Carpeted floors, ice machine empty, unlocked supply cabinet, and nurse

call system in reach

• Wet floors unmarked, failure to use lift for patient, and alarms not

functioning properly Correct Ans - d. Wet floors unmarked, failure to use lift for patient, and alarms not functioning properly Which activity will increase the need for the nurse to monitor for equipment-related accidents?

• Using a patient-controlled analgesic pump
• Making an entry in a computer-based documentation record
• Using a plastic measuring device to accurately measure urine
• Removing medications from a manual medication-dispensing device

Correct Ans - a. Using a patient-controlled analgesic pump

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