NSG 3130 EXAM 3 2026-2027
FUNDAMENTAL CONCEPTS & SKILLS
FOR NURSING PRACTICE II EXAM
PREP | VERIFIED Q&A – GALEN
COLLEGE OF NURSING
1. A client on complete bed rest reports lower back
discomfort due to prolonged immobility. Which
nonpharmacologic nursing action is appropriate to help ease
this discomfort?
A. Assisting the client to sit in a bedside chair
B. Administering a prescribed dose of PRN analgesia
C. Instructing the client in guided imagery techniques
D. Telling the client that the health care provider will address it
during morning rounds
• Correct Answer: C. Instructing the client in guided
imagery techniques
• Rationale: Guided imagery is a valid nonpharmacologic
cognitive-behavioral intervention that helps ease
discomfort without violating bed rest orders. Assisting to a
chair violates the bed rest directive, and analgesia is
pharmacologic.
2. A client taking oral contraceptive pills unexpectedly
becomes pregnant. Upon reviewing the client’s health
,history, the nurse identifies that the client has been taking an
herbal supplement. Which supplement is known to interfere
with oral contraceptives?
A. Milk Thistle
B. Echinacea
C. Ginseng
D. Valerian
• Correct Answer: A. Milk Thistle
• Rationale: Milk thistle can alter hepatic enzyme activity
and reduce the effectiveness of oral contraceptive
medications. Echinacea, ginseng, and valerian do not
commonly cause oral contraceptive failure in this specific
context.
3. A terminally ill client states to the nurse, "I have lived a
full life, and I am ready to go." Which response by the nurse
demonstrates the most therapeutic presence?
A. Offer to give the client a soothing back rub
B. Sit quietly at the client's bedside
C. Immediately notify the client's family about the statement
D. Explain to the client how dying is a natural part of the human
life cycle
• Correct Answer: B. Sit quietly at the client's bedside
, • Rationale: Sitting quietly offers presence, active listening,
and silent support, allowing the client space to express
feelings without judgment or unsolicited advice.
4. A mother whose young daughter recently died from
leukemia is crying uncontrollably and cannot talk about her
loss. Which statement by the nurse is most appropriate?
A. "Everyone will remember her because she was such a sweet
child."
B. "As painful as this is, it is for the best because she is no
longer suffering."
C. "She fought hard, but now she is at peace and in a better
place."
D. "It must be so difficult to deal with such a precious loss."
• Correct Answer: D. "It must be so difficult to deal with
such a precious loss."
• Rationale: Empathic statements validate grief without
offering clichés or minimizing the magnitude of the
parent's loss.
5. The nurse is caring for a dying client whose family
members are present at the bedside. Which therapeutic
technique should the nurse employ?
A. Discourage family members from reminiscing about past
events
B. Make necessary end-of-life decisions on behalf of the family
, C. Encourage open expression of feelings, concerns, and fears
D. Explain all clinical details simultaneously to all extended
family members
• Correct Answer: C. Encourage open expression of
feelings, concerns, and fears
• Rationale: Encouraging open communication helps family
members process grief and express emotional needs in a
supportive environment.
6. A dying client’s family asks the nurse how they will know
when death has occurred. What is the nurse's best response?
A. "Your loved one will stop breathing and the monitor alarms
will sound."
B. "Your father's blood pressure will drop significantly right
before death."
C. "Your father will stop breathing, his heart will stop beating,
and he will have no blood pressure."
D. "It will happen shortly because his blood pressure is already
low."
• Correct Answer: C. "Your father will stop breathing, his
heart will stop beating, and he will have no blood
pressure."
• Rationale: Providing objective, clear, and accurate factual
information helps families recognize clinical signs of death
without relying on technical jargon or alarm reliance.
FUNDAMENTAL CONCEPTS & SKILLS
FOR NURSING PRACTICE II EXAM
PREP | VERIFIED Q&A – GALEN
COLLEGE OF NURSING
1. A client on complete bed rest reports lower back
discomfort due to prolonged immobility. Which
nonpharmacologic nursing action is appropriate to help ease
this discomfort?
A. Assisting the client to sit in a bedside chair
B. Administering a prescribed dose of PRN analgesia
C. Instructing the client in guided imagery techniques
D. Telling the client that the health care provider will address it
during morning rounds
• Correct Answer: C. Instructing the client in guided
imagery techniques
• Rationale: Guided imagery is a valid nonpharmacologic
cognitive-behavioral intervention that helps ease
discomfort without violating bed rest orders. Assisting to a
chair violates the bed rest directive, and analgesia is
pharmacologic.
2. A client taking oral contraceptive pills unexpectedly
becomes pregnant. Upon reviewing the client’s health
,history, the nurse identifies that the client has been taking an
herbal supplement. Which supplement is known to interfere
with oral contraceptives?
A. Milk Thistle
B. Echinacea
C. Ginseng
D. Valerian
• Correct Answer: A. Milk Thistle
• Rationale: Milk thistle can alter hepatic enzyme activity
and reduce the effectiveness of oral contraceptive
medications. Echinacea, ginseng, and valerian do not
commonly cause oral contraceptive failure in this specific
context.
3. A terminally ill client states to the nurse, "I have lived a
full life, and I am ready to go." Which response by the nurse
demonstrates the most therapeutic presence?
A. Offer to give the client a soothing back rub
B. Sit quietly at the client's bedside
C. Immediately notify the client's family about the statement
D. Explain to the client how dying is a natural part of the human
life cycle
• Correct Answer: B. Sit quietly at the client's bedside
, • Rationale: Sitting quietly offers presence, active listening,
and silent support, allowing the client space to express
feelings without judgment or unsolicited advice.
4. A mother whose young daughter recently died from
leukemia is crying uncontrollably and cannot talk about her
loss. Which statement by the nurse is most appropriate?
A. "Everyone will remember her because she was such a sweet
child."
B. "As painful as this is, it is for the best because she is no
longer suffering."
C. "She fought hard, but now she is at peace and in a better
place."
D. "It must be so difficult to deal with such a precious loss."
• Correct Answer: D. "It must be so difficult to deal with
such a precious loss."
• Rationale: Empathic statements validate grief without
offering clichés or minimizing the magnitude of the
parent's loss.
5. The nurse is caring for a dying client whose family
members are present at the bedside. Which therapeutic
technique should the nurse employ?
A. Discourage family members from reminiscing about past
events
B. Make necessary end-of-life decisions on behalf of the family
, C. Encourage open expression of feelings, concerns, and fears
D. Explain all clinical details simultaneously to all extended
family members
• Correct Answer: C. Encourage open expression of
feelings, concerns, and fears
• Rationale: Encouraging open communication helps family
members process grief and express emotional needs in a
supportive environment.
6. A dying client’s family asks the nurse how they will know
when death has occurred. What is the nurse's best response?
A. "Your loved one will stop breathing and the monitor alarms
will sound."
B. "Your father's blood pressure will drop significantly right
before death."
C. "Your father will stop breathing, his heart will stop beating,
and he will have no blood pressure."
D. "It will happen shortly because his blood pressure is already
low."
• Correct Answer: C. "Your father will stop breathing, his
heart will stop beating, and he will have no blood
pressure."
• Rationale: Providing objective, clear, and accurate factual
information helps families recognize clinical signs of death
without relying on technical jargon or alarm reliance.
