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NSG 3130 EXAM 1 (GALEN) NEWEST 2026 ACTUAL
EXAM| NSG3130 FUNDAMENTAL CONCEPTS &
SKILLS FOR NURSING PRACTICE II EXAM 1 REVIEW
WITH COMPLETE REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (BRAND NEW!!)
Using the concept of "Maslow's Hierarchy," the nurse knows to address which clients' needs first? a. Issues with elimination b. Oxygen, Cardiac Function c. Comfort sleep and warmth d. Inadequate nutrition - Correct Answer - b A mother brings her infant son in for routine immunizations. What level of health care prevention is this patient participating in? a. Primary b. Tertiarv c. Essential d. Secondary - Correct Answer - a The nurse recognizes that intentional behaviors to circumvent illness, detect it early, and maintain the best possible level of mental and
physiologic function within the boundaries of illness is the definition of which term? - ANSWER - Health protection The nurse is caring for a patient with chronic pain uses guided imagery, therapeutic touch, and relaxation techniques as interventions for pain. The nurse is using what type of approach? - ANSWER - Holistic The nurse knows that the use of seatbelts and airbags in automobiles is an example of which term? - ANSWER - primary prevention A 40-year-old patient presents to her provider for a yearly physical. The provider notes a family history of breast cancer in the patient's mother. The provider schedules the patient for a mammogram. The nurse recognizes this as what level of prevention? - ANSWER - secondary The nurse has assessed that the patient has confidence in the ability to take action. What is this concept is called? a. Perceived benefits b. Self-efficacy c. Perceived severity d. Cues to action - Correct Answer - b A nurse gives a resident in a nursing home a choice about which color shirt to wear. Which level needs, according to Maslow's Hierarchy of Needs, has the nurse just met?
blood pressure and begins walking 20 to 30 minutes in the evenings with his wife and reduces his pack-a-day cigarette habit to ten cigarettes a day. The nurse identifies these actions are the initial step of which behavior? - ANSWER - Risk-factor reduction The nurse recognizes the nursing goal for individuals and families seeking preventive care is to have those groups carry out which action? - ANSWER - take responsibility for their health and wellness The patient asks the nurse to explain health care partnerships. The nurse gives a correct description when making which statement regarding collaborative care? - ANSWER - is designed to provide care to the patient as a whole A patient is diagnosed with pneumonia after an abrupt onset of fever, cough, and malaise. The patient is started on antibiotic therapy and is expected to improve in 2 to 3 weeks. Which statement by the nurse correctly identifies this illness? - ANSWER - Acute The nurse needs to consider which approach when caring for patients with chronic illness? - ANSWER - focus on improving quality of life through preventive behaviors A patient presents to the clinic for illness, and the sick role is legitimized by the provider. The nurse recognizes this as what stage of illness according to Suchman's Model? - ANSWER - III
When considering factors influencing health and the impact of illness, specifically age, the nurse would correctly identify which patient as having the greatest risk? - ANSWER - 85 - year-old-woman When discussing immunizations for infants and children with new parents, the nurse should focus on which approach? - ANSWER - providing scientific evidence to parents The nurse recognizes which concept that correctly completes the definition of the genetic vulnerability of an organism (risk of disease expression based on genotype)? - ANSWER - It is involuntarily passed from biologic parents to offspring The patient is asking about using the Internet for resources regarding lifestyle behaviors and benefits of modification. What is the best response that the nurse should provide the patient? - ANSWER - the patient should use websites that are easy to understand The nurse is assessing a patient's environment and its impact on outdoor activity and notes - ANSWER - indoor activity is sometimes a result of unsafe outdoor conditions The nurse correctly recognizes which one of the following illnesses to trigger the broadest range of emotional and behavioral responses? - ANSWER - rheumatoid arthritis
A nurse has been told he has many obvious stereotypes about a specific cultural group. What action by the nurse is best? - ANSWER - begin to educate himself on aspects of this cultural group A nurse is caring for a homeless patient and tells the manager, "I will make sure he doesn't steal food from our nourishment center." What action by the manager is best? inform the nurse that not all homeless people will steal The new nurse tells the preceptor that since she is not prejudiced against ethnic minorities, they will not be discriminated against while in the hospital. What statement by the preceptor is most appropriate? discrimination can occur at the societal level What does the nursing student learn about race? it is a social construct The nurse is caring for a patient from a culture that is unfamiliar. The patient nodded her head "yes" when asked if she will take her prescriptions as ordered, but the nurse discovers the patient does not take the medication but uses herbs for treatment. What action by the nurse is best? ask the patient to explain the meaning of the herbal products
A nurse is caring for a refugee patient who wants the community shaman to perform a healing ritual at the bedside. What action by the nurse is best? work with the patient to allow the shaman to perform the ritual A new graduate nurse tells the manager that she does not believe she needs more in-service training on culturally congruent care because she already recognizes that there are significant differences among cultures to consider when providing care. What response by the manager is best? "providing culturally congruent care takes ongoing work and effort" A nurse is working with a patient who has limited English proficiency. What action by the nurse is best? use a qualified interpreter The nurse is working with a patient from an unfamiliar culture. After assessing the patient and the patient's cultural beliefs related to health care, what action by the nurse is best? recheck cultural beliefs with the patient A patient from an unfamiliar culture appears disinterested when the physician is telling her about options for treatment of a new diagnosis. After the physician leaves, the nurse attempts to talk to the patient and notices the same behavior. What action by the nurse is best? investigate nonverbal communication patterns of this group
The nurse is caring for a patient from a different culture. After assessing the patient and formulating the care plan, what action by the nurse is best? review the care plan for acceptance by the patient A patient has hypertension and is on a very-low-sodium diet. However, the patient is going to celebrate an important religious holiday soon that includes many food items high in sodium. What action by the nurse is best? collaborate with the patient about increasing the blood pressure medications The nurse manager would counsel the staff nurse for delegating which task to the UAP? interpretation of abnormal vital signs Which delegation of tasks would require the nurse manager to intervene? the UAP re-delegates vital signs to the student nurse The nurse understands the need for accurate documentation due to which fact? accurate documentation is needed for proper reimbursement
The nurse identifies which statement to be true regarding nursing documentation? high-quality nursing documentation reflects the nursing process The nurse identifies which true statement regarding the medical record? it can be used as a tool for biomedical research and provide education The nurse knows that paper records are being replaced by other forms of record keeping for what reason? paper is fragile and susceptible to damage When the nurse is charting in the paper medical record, what action does the nurse carry out? use black ink unless the facility allows a different color The nurse is admitting a patient who has had several previous admissions. To obtain a knowledge base about the patient's medical history, the nurse would assess which document? electronic health record (EHR) The nurse understands which statement about the use of electronic health records is true? they improve patient health status
MAR
The nurse is caring for a patient for the first time and needs background information such as history, medications taken at home, etc. What is the best central location for the nurse to obtain this information? admission summary What fact is the nurse aware of when charting using paper nursing notes? the medical record, in any format, is the most reliable source of information in a legal action What fact is the nurse aware of when charting using electronic documentation? log-on access to the electronic record identifies the person charting What action should the nurse take to correct an error in paper charting? draw a single line through the error write "error" above or after the entry, along with the nurse's initials If a verbal or phone order is necessary in an emergency, the nurse knows what action needs to be completed? the order must be repeated verbatim to confirm accuracy
The nurse identifies which statement to be accurate regarding the process of making a change-of-shift report (handoff)? handoff can lead to patient death if dont incorrectly When the patient has had a fall while trying to climb out of bed, the nurse must carry out which task? complete an incident report as a risk management document A nurse is caring for a patient who has asthma. The patient has been going to a pulmonologist routinely, has been taking their preventative inhaler every day, and avoids going outside on days where the air quality is poor. According to Dunn's wellness grid, what category does this patient fall into? a. Protected poor health in a favorable environment b. Emergent high level wellness c. Poor health in unfavorable environment d. high level of wellness in favorable environment a A nurse is caring for a patient who suffered a spinal cord injury following a motor vehicle accident. The patient, although a paraplegic from his accident, participates in the Paralympics, is a motivational
d. Refer the patient for professional pain relief counseling. b The nurse notices a nursing staff member from another unit is reading the chart of one of the unit's patients. What action by the nurse is most appropriate? a. Inform the staff person that he/she may not read records of patients not assigned to them. b. Tell the patient that someone from off the unit was reading the record. c. Ask the charge nurse if this person is allowed to read the record. d. Don't worry since this staff member has a hospital ID badge. a Legal issues related to medical records include which of the following? (Select all that apply.) a. Medical record entries can be altered or erased to increase accuracy. b. In the event of litigation, the medical record is often the only available evidence. c. The medical record is the legal documentation of care provided to a patient. d. Medical record documentation should be based strictly on facts, not opinions. e. The nurse cannot make corrections at all to the record. b, c, d
The registered nurse knows that medical record documentation is important for which reasons? (Select all that apply.) a. Use of the nursing process can be demonstrated. b. It is the record of care provided. c. Improves communication between providers. d. The record becomes a legal document. e. It is where the nurse records thoughts about patient care. b, c, d A nursing student has been attending a session on proper therapeutic communication techniques. Which of the following indicates a correct understanding of the term giving recognition? a. Periodically, I should express what I have perceived as being said. b. Throughout the conversation, I should clarify the timeline of events. c. When speaking to the client, I should encourage the client to continue speaking. d. I should indicate awareness of what the client is saying and feeling. d A nurse is caring for a group of patients and needs to delegate assignments. Which of the following is not an efficient use of the 5 rights of delegation?
a. Right task b. Right supervision and evaluation c. Right Person d. Right directions & communication e. Right circumstances a WHO Definition of Health - ANSWER - a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity WHO Determinants of Heath - ANSWER - Social and Economic Environment Physical Environment Persons individual characteristics and behaviours General Determinants of Health - ANSWER - Income and Social Status Social Support Education and literacy Employment/Working Conditions Housing Transportation
Personal Health Practices Coping Skills Healthy child development Biology Genetic environment Health services Gender What is Public Health? - ANSWER - organized community efforts aimed at the prevention of disease and the promotion of health Benefits from Public Health - ANSWER - Dramatic increase in life expectancy: Decreased number of deaths from stroke, coronary heart disease, and cancer Declines in death rates of adults and children Population-focused PH approaches could help prevent up to 70% of early deaths in America, compared to only 10% for medical treatment.
