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GALEN NSG 3100 EXAM 1 LATEST 2024
WITH 200 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS ALREADY
GRADED A+/ NSG 3100 EXAM 1
(FUNDAMENTAL CONCEPTS & SKILLS FOR
NURSING PRACTICE I)
A nurse is assessing a group of clients for those at risk for falls. Which of the following clients is most at risk?
- The 80 y.o. client who had a stroke with left sided weakness and urinary
frequency.
- The 30 y.o. male client receiving IV narcotics every 2hrs.
- The 25 y.o. client who had a spinal fusion who is completely reliant on staff to
turn and reposition.
- The 72 y.o. client taking a beta blocker that is causing orthostatic hypotension. -
ANSWER-A
This patient has 3 risk factors whereas the others only have 1 or 2. This patient is elderly, has reduced sensation/weakness, and urinary frequency
A nurse is educating a client with diabetes about proper foot care. Which statement indicates the client needs additional teaching?
- "I will not go barefoot and wear shoes that fit correctly." 1 / 4
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- "I will cut my nails in a rounded manner so the nail is not sharp."
- "I will be sure to keep my feet warm and change socks daily."
- "I will inspect my feet carefully each day for signs of redness, swelling, or any
breaks in the skin." - ANSWER-B Diabetics should cut toenail straight across. Rounded increases the incidence of tears/cuts which predisposes them to infection. They should really be seeing a good podiatrist.
A home health nurse is discussing the dangers of carbon monoxide poisoning with a client. Which of the following information should be included in the teaching?
- Water heaters should be inspected every 5 years.
- Carbon monoxide binds with the hemoglobin in the body.
- The lungs are damaged from carbon monoxide inhalation.
- Carbon monoxide has a distinct odor, so report any unusual smells immediately.
- ANSWER-B
CO2 competes with oxygen CO is typically odorless that's why its so dangerous and we need detectors for safety Anything gas burning should be inspected annually No damage directly to the lungs. The issue comes from lack of oxygen on the Hemoglobin
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pg. 3 A nurse is observing an unlicensed assistive personnel (UAP) provide care to a client. Which of the following observations requires follow-up?
- The UAP puts lotion on the feet of a client with diabetes
- The UAP puts the arms of a client at their side as they prepare them for transfer
- The UAP positions the unconscious client laterally prior to providing oral care
- The UAP puts on clean gloves prior to brushing teeth - ANSWER-B
The UAP should ask the client or place the clients arms crisscross over their chest.This will help prevent injury or manipulation to the clients arms.
A nurse is observing an unlicensed assistive personnel (UAP) change the linens of a client's bed. Which of the following observations requires follow-up?
- The UAP raises the bed to waist level
- The UAP rolls the client back and forth from one side of the bed to the other to
make access easier
- The UAP reaches across the bed to straighten the fitted sheet.
- The UAP lowers the side rail on the side closest to them. - ANSWER-C 3 / 4
pg. 4 Poor body mechanics is being used when reaching over bed rails or client. Never twist, reach, bend, and/or lift anything heavier than 35 lbs without assistance.Placing the bed at working height, lowering bed rail on the side closes to you, using drawl sheet to lift or roll patient, ask for assistance when needed.
The nurse preceptor is observing a new nurse wash their hands. Which of the following, if observed, would require the preceptor to intervene?
- The nurse washes their hands as opposed to using hand gel when they notice
blood on their palms
- The nurse washes their hands for 15-20 seconds in a circular motion using lots
of friction
- The nurse rinses from fingertips to wrists, keeping hands with fingers pointing
upward, hands slightly together.
- The nurse will use a clean paper towel to dry hands thoroughly in the same
order (from wrists to fingers) using a patting motion. - ANSWER-C Chapter 26, Skill Hand Washing
Hand washing: Soap and Water Method1. Introduce self and educate the patient
regarding hand washing if procedure is taking place within a patient room. 2. Turn on warm water at a medium flow. 3. Wet the wrists and hands; with fingers pointing downward. 4. Apply soap. 5. Lather; rub using a circular movement; wash
for 15 to 20 seconds in this order: a. Palms of hands with fingertipb. Backs
(dorsum) of handc. Wristsd. Between fingers (interlaced, including thumbs)e.Fingersf. Fingertips; cleaned under nails6. Rinse from wrist to fingertips, keeping hands with fingers pointing downward, hands slightly apart. 7. Using clean paper towels, dry thoroughly in the same order (from wrists to fingers) using a patting motion. 8. Throw the paper towels in an appropriate receptacle. 9. Turn off the water by holding the faucet with a clean, dry paper towel. 10. Throw the paper towel in an appropriate receptacle.
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