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NSG 140 Final Exam Quiz! Flashcards | StudBud
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NSG 140 Final Exam Quiz!
NSG 140 Final Exam Quiz!
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1
Why is partnering with the patient for care important?
It ensures care is centered around the patient’s needs & preferences.
It allows nurses to delegate all tasks to the patient’s family.
It minimizes the need for interdisciplinary communication.
It reduces the nurse’s workload by letting the patient make all decisions.
2
A nurse observes increased yellow-green drainage and a foul odor from a wound vac site. What is the nurse’s best action?
Remove the wound vac without an order
Increase the suction pressure on the wound vac
Reinforce the dressing and continue monitoring
Notify the provider and assess for signs of infection.
3
What is a normal finding in adult urinary elimination?
Frequent urination with burning.
Dark brown urine with a strong odor.
Urine output less than 200 mL/day.
Clear, pale yellow urine with no pain or urgency.
4
What is the purpose of using the Braden Scale during a skin assessment?
To evaluate the effectiveness of wound dressings
To measure skin hydration levels
To determine the stage of an existing wound
To assess a patient’s risk for developing pressure injuries.
5
What is the primary purpose of using a wound vacuum-assisted closure (wound vac)?
To deliver antibiotics directly into the wound
To prevent the need for surgical debridement
To keep the wound open for frequent inspection
Applying negative pressure to remove drainage & increase blood flow
6
Which of the following is an example of therapeutic communication?
Asking "Why?" questions
Giving advice
Active listening
Changing the subject
7
A patient with a urinary catheter develops a fever and confusion. What should the nurse do first?
Remove the catheter without an order
Document the fever and continue routine care
Assess for signs of infection and notify the provider.
Offer fluids and reassess in a few hours
8
What is the purpose of the nursing process?
To create medical diagnoses
To provide framework for decisions & actions that meet Pt unique needs
To document physician orders
To reduce the nurse’s workload
9
Why is using a structured tool like ISBARR important during handoff reports?
It allows the nurse to skip background details.
It reduces the need for documentation.
It ensures clear, concise, and complete communication for patient safety.
It shortens the conversation.
10
What is the goal of culturally competent nursing care?
Focus only on physical health needs.
Ensure all patients receive identical care.
Provide respectful, individualized care includes client’s cultural beliefs
To avoid discussing cultural differences.
11
Why is understanding the ANA Code of Ethics important for nursing students?
It helps guide ethical decision-making and professional behavior.
It teaches nurses how to perform technical skills.
It replaces the need for clinical judgment.
It allows nurses to avoid legal responsibility.
12
A nurse identifies that a pt is at risk for falls due to unsteady gait. Which nursing diagnosis is most appropriate?
Risk for falls related to impaired mobility.
Ineffective breathing pattern related to fatigue
Impaired skin integrity related to immobility
Acute pain related to injury
13
How would you apply the Nurse Practice Act if you witnessed a peer performing a skill outside their scope?
Ignore the situation because students are still learning.
Alert faculty immediately, recognizing the limits of student practice.
Record the incident on social media to raise awareness.
Attempt to correct the peer yourself without informing anyone.
14
Why is early ambulation important for hospitalized patients?
It eliminates the need for physical therapy.
It reduces the need for pain medication.
It helps prevent complications: blood clots, pneumonia, & muscle atrophy.
It prevents the need for oxygen therapy.
15
A nurse finds a confused patient attempting to get out of bed without assistance. What is the priority nursing action?
Leave to get restraints.
Document the behavior and reassess later.
Stay with the patient and call for help to prevent a fall.
Tell the patient to stay in bed and walk away.
16
A nurse documents “Patient seems better today.” What is the issue with this statement, and how should it be corrected?
The doc is vague & subjective; it should be replaced with objective data
The nurse should delete the note and leave it undocumented.
The statement is fine as long as the nurse feels confident.
It should be rewritten to say, “Patient is doing well.”
17
What is a key difference between delirium and dementia?
Delirium is permanent, and dementia is reversible.
Delirium only affects memory, while dementia affects physical function.
Dementia is caused by infection, and delirium is caused by aging.
Deliriuma sudden onset & fluctuating course, dementia progresses slowly.
18
Several patients have experienced medication delays due to a new EHR. What is the most appropriate intervention?
Have Patients bring their own medications from home to avoid delays.
Report the delays to the quality improvement team for investigation.
Ignore the issue because it’s a system-wide problem.
Document the delays in patient charts but take no further action.
19
What is the purpose of therapeutic communication in nursing?
To gather information as quickly as possible.
To build trust and support the emotional needs of the patient.
To give advice and direct the patient’s decisions.
To avoid discussing sensitive topics.
20
According to the FICA spiritual assessment tool, what does the “F” represent?
Feelings about illness
Family support
Frequency of prayer
Faith or beliefs
21
What is the first step in the evidence-based practice process?
Cultivate a spirit of inquiry and ask a clinical question
Implement a change in practice immediately
Search for the most relevant evidence
Critically appraise the evidence
22
A patient with difficulty chewing due to poor dentition is not eating well. What is the best nursing intervention?
Collaborate with dietary services to provide soft or pureed foods.
Tell the patient to eat when family visits.
Offer only liquids to avoid choking.
Encourage the patient to eat regular meals anyway.
23
In the ISBARR communication tool, what does the "A" stand for?
Assessment
Analysis
Assignment
Action
24
Why is it important to adapt communication techniques based on a client’s situation?
To ensure the client feels respected, heard, and understood
To speed up the assessment process
To control the conversation
To avoid spending too much time with the client
25
Why is it important for nurses to ensure that patients with hearing aids or glasses have access to them?
To avoid using written communication
To reduce the need for pain medication
To help the patient sleep better
To promote safety, communication, and orientation.
26
A terminally ill patient expresses fear of dying & asks the nurse to pray w/ them. What's the most approp response?
Change the subject to avoid discomfort.
Suggest the patient pray silently on their own.
Tell the patient that nurses should not engage in prayer.
Offer to pray with the pt or find someone who can support their request.
27
What is the main goal of quality improvement (QI) in healthcare?
To enhance patient outcomes by improving care processes.
To reduce the number of staff needed
To avoid using evidence-based practice
To increase hospital profits
28
What is the main purpose of using standardized documentation formats like SOAP or DAR?
To reduce the amount of documentation required.
To replace verbal communication with written notes.
To ensure organized, consistent & clear comm among the healthcare team.
To allow nurses to use informal language.
29
A student nurse witnesses a peer documenting vital signs they did not take. What is the best course of action
Ignore the situation to avoid conflict.
Confront the peer privately and ask them to fix it.
Wait to see if the peer does it again before acting.
Report the incident to the clinical instructor or supervisor.
30
After implementing fall precautions, PT remains free from injury. What step of the nursing process does this represent?
Diagnosis
Planning
Assessment
Evaluation
31
Which three components are integrated in evidence-based practice to make clinical decisions?
Research evidence, clinical expertise, and patient/family values
Textbook information, hospital traditions, and peer opinions
Hospital policies, physician preferences, and insurance guidelines
Nurse opinions, patient complaints, and staffing availability
32
You are delegating vital signs for a stable patient to a UAP. Which action best demonstrates sa
Confirm UAP understands the task & knows to report abnormal findings.
Assume the UAP will know what to do without follow-up.
Delegate assessment of abnormal findings to the UAP.
Assign the task without giving any instructions.
33
When using narrative charting, what is the nurse’s main focus?
Writing a detailed, chronological account of patient care and events
Documenting only abnormal findings
Only charting vital signs
Using checkboxes to minimize writing
34
A patient refuses a scheduled medication. What is the nurse’s best action when documenting this event?
Document the refusal, who was notified, and the patient’s response
Only document that the medication was not administered
Skip charting since the medication was not given
Chart that the patient was noncompliant without further details
35
What is the purpose of using fall risk assessment tools like the Morse Fall Scale?
To evaluate medication effectiveness.
To determine discharge readiness
To identify patients at risk for falls and implement preventive measures.
To assess nutritional status.
36
What are two key responsibilities of a student nurse according to the ANA Standards of Excellence?
Perform all procedure w/ no supervision & advocate for personal opinions
Administer medications independently and diagnose patient conditions.
Focus on completing assignments & avoid collaboration w/ team.
Foster high standards of nursing practice & promote safe work environment
37
A nurse is documenting using Charting by Exception (CBE). What should the nurse chart?
A detailed narrative of the entire shift
Only vital signs
Only abnormal findings or significant changes
Every normal and abnormal finding
38
Why is adequate sleep important for overall health?
It increases appetite and weight gain.
It eliminates the need for medication.
It supports immune function, memory, and physical healing.
It prevents all chronic illnesses.
39
Nurse is caring for a pt who refuses a blood transfusion due to religious beliefs. What is the most appropriate action?
Notify the provider & explore alt txs that respect the pts beliefs.
Explain the importance of the transfusion and encourage compliance.
Document the refusal and take no further action.
Ask the family to convince the patient to accept treatment.
40
How could electronic health records (EHRs) improve patient outcomes in a hospital setting?
By allowing nurses to skip documenting minor patient changes.
By providing real-time access to patient data, enhancing communication.
By making patient information harder to access.
By replacing the need for any verbal communication between staff.
41
What is the primary purpose of the Nurse Practice Act in each state?
To determine nurse salaries.
To assign patient care tasks to physicians.
To manage hospital policies and procedures.
To define the scope of practice and protect public safety.
42
A patient becomes acutely confused two days after surgery. What should the nurse assess first?
Whether the patient has a history of dementia
If the patient has visitors
What the patient ate for lunch
Oxygen saturation, medications, and signs of infection.
43
A patient recovering from surgery reports poor sleep quality in the hospital. What is the best initial action to take?
Encourage the patient to stay awake during the day without assessing.
Ask focused questions about their sleep habits and environment.
Administer a sleeping pill immediately.
Tell the patient that sleep problems are normal after surgery.
44
A hospitalized patient reports difficulty sleeping due to noise & frequent vital signs. What is the nurse’s best action?
Tell the patient to ignore the noise.
Encourage the patient to nap during the day instead.
Cluster care activities and reduce environmental stimuli at night.
Offer a sleeping pill without a provider’s order.
45
A nurse is caring for a post-op patient who is reluctant to get out of bed due to pain. What is the best nursing action?
Delay ambulation until the patient feels ready
Encourage the patient to stay in bed to rest
Wait for the provider to order physical therapy
Administer pain medication as ordered and assist with ambulation.
46
In Focused DAR charting, what does "DAR" stand for?
Diagnosis, Assessment, Results
Data, Action, Response
Data, Assessment, Results
Documentation, Analysis, Reporting
47
Why is it important for nurses to assess both subjective and objective data when evaluating a patient’s pain?
Because pain is a multidimensional experience
Subjective data is not necessary if the patient appears comfortable.
Objective data is more reliable than subjective data.
Pain can only be assessed through vital signs.
48
A nurse is documenting a patient's progress using a SOAP note. What does "SOAP" stand for?
Signs, Observations, Assessment, Plan
Subjective, Objective, Actions, Planning
Symptoms, Observations, Actions, Procedures
Subjective, Objective, Assessment, Plan
49
A nurse notes crackles in lower lobes & an O2 sat of 89% in a pt with pneumonia. What is the best initial action
Elevate the head of the bed and encourage deep breathing.
Document findings and take no further action
Wait 30 minutes and reassess
Lower the head of the bed to conserve energy
50
What is a common sign of poor nutritional status in older adults?
Increased appetite and thirst.
Unintentional weight loss and muscle wasting.
Elevated blood pressure.
Decreased need for vitamins.
51
What is the purpose of standard precautions in infection control?
To avoid using PPE unless a diagnosis is confirmed
To replace hand hygiene
To prevent the spread of infection from known and unknown sources.
To protect only immunocompromised patients
52
A patient reports 9/10 pain but is resting quietly and watching TV. What should the nurse do?
Delay pain medication because the patient appears comfortable.
Document the pain as 5/10 based on observation.
Ask the family if they think the patient is exaggerating.
Accept the patient’s report and reassess using a validated pain scale.
53
What occurs during the planning phase of the nursing process?
The nurse collects subjective and objective data.
The nurse implements physician orders.
The nurse evaluates the effectiveness of care.
The nurse sets measurable goals and selects appropriate interventions.
54
A nurse enters the room of a patient with visual impairment & finds call light out of reach. What is the best action?
Leave the room quietly to avoid startling the patient
Ask the family to monitor the patient
Turn off the lights to reduce stimulation
Place the call light within reach and explain its location clearly.
55
A nurse uses closed-ended questions with a pt who is anxious & withdrawn. What comm. strategy would be more effective?
Use open-ended questions and active listening to encourage expression.
Provide reassurance without asking further questions.
Continue with closed-ended questions to speed up the assessment.
Refer the patient to a counselor immediately without further communication.
56
A nurse accidentally administers the wrong medication but reports it immediately. What ethical principle is demonstrated
Veracity
Fidelity
Beneficence
Autonomy
57
A patient with limited mobility is experiencing constipation. What is the most appropriate nursing intervention?
Wait for the provider to address the issue.
Encourage increased fluid intake, fiber, and ambulation
Limit fluids to prevent incontinence.
Offer laxatives with every meal.
58
What is the purpose of using an incentive spirometer in a post-op patient?
To deliver supplemental oxygen
To measure respiratory rate
To promote lung expansion and prevent atelectasis.
To monitor oxygen saturation levels
59
A nurse notes redness over a sacrum that does not blanch with pressure. What is the most appropriate nursing action?
Massage the area to reduce redness
Leave the area uncovered to dry out
Apply heat to improve circulation
Reposition the patient and document the area as a Stage 1 pressure injury.
