NSG 3100 EXAMINATION 1 – FUNDAMENTALS
OF NURSING PRACTICE COMPREHENSIVE
ACTUAL EXAM PREP 2026 ALL QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
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1. A nurse is caring for a client who is experiencing difficulty breathing.
The client's oxygen saturation is 88%. What is the nurse's priority
action?
A. Document the findings in the client's chart
B. Place the client in a high-Fowler's position and notify the
provider
C. Administer a PRN sedative to calm the client
D. Ask the client to rate their pain on a scale of 0-10
Rationale: The client is experiencing respiratory distress with hypoxia.
The priority action is to position the client to maximize oxygenation
(high-Fowler's) and notify the provider for further orders.
Documentation is important but not the priority, and a sedative would
worsen respiratory depression.
2. A nurse is performing an admission assessment. Which data source is
considered primary?
A. Family member's description of the client's symptoms
B. The client's verbal description of their symptoms
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C. The client's medical record from another facility
D. The emergency department provider's notes
Rationale: The client is the primary source of data. Family members,
medical records, and other healthcare providers are secondary sources
of information.
3. A nurse is formulating a nursing diagnosis. Which statement
demonstrates correct NANDA-I format?
A. Risk for Infection related to surgical incision as evidenced by
redness
B. Acute Pain related to incisional trauma as evidenced by client
report of 8/10 pain
C. Acute Pain related to surgical incision as evidenced by client
report of pain
D. Pain caused by surgery
Rationale: The correct format is "Nursing Diagnosis (problem) related
to (etiology) as evidenced by (defining characteristics)". "Acute Pain
related to surgical incision as evidenced by client report of pain"
includes all three components correctly. Option A uses "Risk for"
incorrectly with "as evidenced by" (risk diagnoses use "as evidenced
by" only when describing risk factors).
4. A patient is exhibiting signs of fatigue, acute pain, lack of knowledge,
and disturbed body image. Which nursing diagnosis should the nurse
address first while planning care?
A. Fatigue
B. Acute pain
C. Lack of knowledge
D. Disturbed body image
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Rationale: According to Maslow's Hierarchy of Needs, physiological
needs (like pain, breathing, and circulation) always take priority over
psychosocial needs (body image) or safety needs (knowledge deficits).
Unmanaged acute pain can lead to physiological instability, making it
the priority.
5. Which resource is most helpful when prioritizing identified nursing
diagnoses?
A. Nursing Interventions Classification (NIC)
B. Gordon's Functional Health Patterns
C. Maslow's Hierarchy of Needs
D. Nursing Outcomes Classification (NOC)
Rationale: Maslow's Hierarchy of Needs provides a framework for
prioritizing nursing diagnoses by identifying which needs are most
basic and essential for survival. Physiological needs must be addressed
before safety, love/belonging, esteem, or self-actualization needs.
6. A nurse observes a patient with a gunshot wound and assumes the
client is at an increased risk for hypovolemic shock after observing
blood spurting out of the wound. This is an example of which type of
reasoning?
A. Deductive reasoning
B. Inductive reasoning
C. Intuitive reasoning
D. Reflective reasoning
Rationale: Inductive reasoning involves making generalizations from
specific observations. The nurse observes the specific finding (blood
spurting from the wound) and generalizes that the patient is at risk for
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hypovolemic shock. Deductive reasoning moves from the general to
the specific.
7. A nurse is caring for a patient who is at risk for falls. Which of the
following is an appropriate intervention to prevent falls?
A. Keep the bed in the highest position
B. Place the call light within the patient's reach
C. Remove all handrails from the patient's room
D. Keep the floor wet to prevent slipping
Rationale: Placing the call light within the patient's reach is a key fall
prevention strategy. Other interventions include familiarizing the
patient with the environment, keeping the bed locked and low, using
nonslip footwear, and ensuring a clean, dry floor.
8. The nurse is providing oral care to an unconscious patient. Which of
the following is the safest technique to use?
A. Using a toothbrush and toothpaste
B. Using a soft sponge-tipped swab moistened with a non-
irritating solution
C. Using a hard-bristled toothbrush for a more effective cleaning
D. Applying petroleum jelly to the lips first
Rationale: For unconscious patients, a soft sponge-tipped swab is
safest to prevent injury to the oral mucosa. A toothbrush could cause
trauma. The swab should be moistened with water, mouthwash, or a
mild saline solution. Lemon glycerin swabs should be avoided as they
erode tooth enamel.
9. A patient is being discharged home with a new diagnosis of diabetes.
The nurse is teaching the patient about foot care. Which instruction is
correct?