NSG 300 Exam 4 – Foundations of Nursing 2026 |GCU 2026 Update • Verified Answers
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NSG 300 Exam 4 – Foundations of Nursing 2026
|GCU
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NSG 300 Exam 4 – Foundations of Nursing 2026 |GCU 2026 Update • Verified Answers
Questions & Verified Answers
1. A nurse respects a patient’s decision to refuse a recommended treatment. Which ethical
principle is the nurse upholding?
A. Beneficence
B. Nonmaleficence
C. Justice
D. Autonomy
Answer: D
Rationale: Autonomy refers to the right of patients to make their own decisions about their medical care without
their healthcare provider trying to influence the decision. Exam questions often test the ability to distinguish this
concept from closely related distractors, making a clear rationale essential for mastery.
2. A nurse threatens to restrain a patient if they do not stay in bed. This action can be legally
defined as:
A. Battery
B. Assault
C. Negligence
D. Libel
Answer: B
Rationale: Assault is an intentional threat that causes a person to fear harmful or offensive contact. Battery
involves actual physical contact. Recognizing this principle allows the nurse to prioritize care, anticipate
complications, and provide accurate patient education. Exam questions often test the ability to distinguish this
concept from closely related distractors, making a clear rationale essential for mastery.
3. Which of the following is the priority action when a nurse discovers a fire in a patient’s
room?
A. Extinguish the fire
B. Confine the fire by closing doors
C. Rescue the patient from immediate danger
D. Activate the fire alarm
Answer: C
Rationale: Following the RACE acronym (Rescue, Alarm, Confine, Extinguish), the first priority is to rescue and
remove all patients in immediate danger. Recognizing this principle allows the nurse to prioritize care,
anticipate complications, and provide accurate patient education. Exam questions often test the ability to
distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NSG 300 Exam 4 – Foundations of Nursing 2026 |GCU 2026 Update • Verified Answers
4. A patient is placed on Airborne Precautions. Which piece of personal protective equipment
(PPE) is mandatory for the nurse?
A. Surgical mask
B. Goggles
C. N95 respirator
D. Gown
Answer: C
Rationale: Airborne precautions require the use of a specialized N95 respirator to filter out small droplets that
remain suspended in the air. Recognizing this principle allows the nurse to prioritize care, anticipate
complications, and provide accurate patient education. Exam questions often test the ability to distinguish this
concept from closely related distractors, making a clear rationale essential for mastery.
5. The nurse is preparing to administer medication. Which ‘right’ ensures the nurse is giving
the correct amount?
A. Right Route
B. Right Time
C. Right Dose
D. Right Documentation
Answer: C
Rationale: The Right Dose ensures the patient receives the exact amount of medication prescribed. Applying
this knowledge in clinical settings supports safe, evidence-based practice and improves patient outcomes. This
is an important clinical concept because selecting the correct answer (C) requires understanding both the
pathophysiology and the practical nursing implications.
6. During a physical assessment, in what order should the nurse assess the abdomen?
A. Inspection, Palpation, Percussion, Auscultation
B. Auscultation, Inspection, Palpation, Percussion
C. Inspection, Auscultation, Percussion, Palpation
D. Percussion, Palpation, Inspection, Auscultation
Answer: C
Rationale: For the abdomen, auscultation is performed before percussion and palpation to avoid altering bowel
sounds. This is an important clinical concept because selecting the correct answer (C) requires understanding
both the pathophysiology and the practical nursing implications. Recognizing this principle allows the nurse to
prioritize care, anticipate complications, and provide accurate patient education.
Exam (Elaborations) • Actual Questions & Rationales Page 3
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NSG 300 Exam 4 – Foundations of Nursing 2026
|GCU
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NSG 300 Exam 4 – Foundations of Nursing 2026 |GCU 2026 Update • Verified Answers
Questions & Verified Answers
1. A nurse respects a patient’s decision to refuse a recommended treatment. Which ethical
principle is the nurse upholding?
A. Beneficence
B. Nonmaleficence
C. Justice
D. Autonomy
Answer: D
Rationale: Autonomy refers to the right of patients to make their own decisions about their medical care without
their healthcare provider trying to influence the decision. Exam questions often test the ability to distinguish this
concept from closely related distractors, making a clear rationale essential for mastery.
2. A nurse threatens to restrain a patient if they do not stay in bed. This action can be legally
defined as:
A. Battery
B. Assault
C. Negligence
D. Libel
Answer: B
Rationale: Assault is an intentional threat that causes a person to fear harmful or offensive contact. Battery
involves actual physical contact. Recognizing this principle allows the nurse to prioritize care, anticipate
complications, and provide accurate patient education. Exam questions often test the ability to distinguish this
concept from closely related distractors, making a clear rationale essential for mastery.
3. Which of the following is the priority action when a nurse discovers a fire in a patient’s
room?
A. Extinguish the fire
B. Confine the fire by closing doors
C. Rescue the patient from immediate danger
D. Activate the fire alarm
Answer: C
Rationale: Following the RACE acronym (Rescue, Alarm, Confine, Extinguish), the first priority is to rescue and
remove all patients in immediate danger. Recognizing this principle allows the nurse to prioritize care,
anticipate complications, and provide accurate patient education. Exam questions often test the ability to
distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NSG 300 Exam 4 – Foundations of Nursing 2026 |GCU 2026 Update • Verified Answers
4. A patient is placed on Airborne Precautions. Which piece of personal protective equipment
(PPE) is mandatory for the nurse?
A. Surgical mask
B. Goggles
C. N95 respirator
D. Gown
Answer: C
Rationale: Airborne precautions require the use of a specialized N95 respirator to filter out small droplets that
remain suspended in the air. Recognizing this principle allows the nurse to prioritize care, anticipate
complications, and provide accurate patient education. Exam questions often test the ability to distinguish this
concept from closely related distractors, making a clear rationale essential for mastery.
5. The nurse is preparing to administer medication. Which ‘right’ ensures the nurse is giving
the correct amount?
A. Right Route
B. Right Time
C. Right Dose
D. Right Documentation
Answer: C
Rationale: The Right Dose ensures the patient receives the exact amount of medication prescribed. Applying
this knowledge in clinical settings supports safe, evidence-based practice and improves patient outcomes. This
is an important clinical concept because selecting the correct answer (C) requires understanding both the
pathophysiology and the practical nursing implications.
6. During a physical assessment, in what order should the nurse assess the abdomen?
A. Inspection, Palpation, Percussion, Auscultation
B. Auscultation, Inspection, Palpation, Percussion
C. Inspection, Auscultation, Percussion, Palpation
D. Percussion, Palpation, Inspection, Auscultation
Answer: C
Rationale: For the abdomen, auscultation is performed before percussion and palpation to avoid altering bowel
sounds. This is an important clinical concept because selecting the correct answer (C) requires understanding
both the pathophysiology and the practical nursing implications. Recognizing this principle allows the nurse to
prioritize care, anticipate complications, and provide accurate patient education.
Exam (Elaborations) • Actual Questions & Rationales Page 3
