NSG 100 Exam 4 - Nursing Concepts (High Difficult… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NSG 100 Exam 4 - Nursing Concepts (High Difficulty)
2026/2027 UPDATE – Germanna College
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NSG 100 Exam 4 - Nursing Concepts (High Difficult… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a client who refuses a scheduled blood transfusion for religious
reasons. The nurse respects the decision even though they believe the transfusion is life-
saving. Which ethical principle is the nurse primarily demonstrating?
A. Autonomy
B. Nonmaleficence
C. Beneficence
D. Justice
Answer: A
Rationale: Autonomy refers to the right of the patient to make their own decisions about their medical
care, even if the nurse disagrees with the choice. Clear understanding of this concept improves both
test performance and everyday clinical judgment. Practice applying it to short case scenarios to lock
the idea in place. This knowledge supports safe care and helps the nurse teach the client and family
clearly and simply. Clear teaching improves cooperation and reduces anxiety.
2. Which legal term describes a situation where a nurse performs a procedure on a client
without their informed consent, even if no harm is done?
A. Negligence
B. Battery
C. Assault
D. False Imprisonment
Answer: B
Rationale: Battery is the intentional and wrongful physical contact with a person without their consent
that entails some injury or offensive touching. In practice, this guides the nurse to set priorities and
protect the client from harm. Safety, nutrition, and clear communication are frequent priorities. This
knowledge supports safe care and helps the nurse teach the client and family clearly and simply. Clear
teaching improves cooperation and reduces anxiety.
Exam (Elaborations) • Detailed Rationales Page 2
, NSG 100 Exam 4 - Nursing Concepts (High Difficult… 2026/2027 • Verified • Assured Grade A+
3. A nurse identifies that a client’s surgical wound has partial thickness loss of dermis,
presenting as a shallow open ulcer with a red-pink wound bed without slough. How should
the nurse document this pressure injury?
A. Stage 2
B. Stage 1
C. Stage 3
D. Unstageable
Answer: A
Rationale: Stage 2 pressure injuries involve partial-thickness loss of skin with exposed dermis. The
wound bed is viable, pink or red, and moist. Exam questions often test whether you can pick the most
practical and safe choice for the client in real situations. Focus on what the nurse can actually do right
now. Knowing the reason behind the correct answer makes it easier to rule out the wrong options
quickly. Look for the choice that protects the client and matches the priority need.
4. During the intraoperative phase, a client develops a sudden rise in body temperature,
muscle rigidity, and tachycardia. The nurse recognizes these as signs of which condition?
A. Hypovolemic shock
B. Pulmonary embolism
C. Malignant hyperthermia
D. Anaphylactic reaction
Answer: C
Rationale: Malignant hyperthermia is a rare, life-threatening pharmacogenetic disorder of skeletal
muscle triggered by volatile anesthetics and succinylcholine, characterized by hypercarbia, rigidity,
and hyperthermia. Clear understanding of this concept improves both test performance and everyday
clinical judgment. Practice applying it to short case scenarios to lock the idea in place. This knowledge
supports safe care and helps the nurse teach the client and family clearly and simply. Clear teaching
improves cooperation and reduces anxiety.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NSG 100 Exam 4 - Nursing Concepts (High Difficulty)
2026/2027 UPDATE – Germanna College
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NSG 100 Exam 4 - Nursing Concepts (High Difficult… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a client who refuses a scheduled blood transfusion for religious
reasons. The nurse respects the decision even though they believe the transfusion is life-
saving. Which ethical principle is the nurse primarily demonstrating?
A. Autonomy
B. Nonmaleficence
C. Beneficence
D. Justice
Answer: A
Rationale: Autonomy refers to the right of the patient to make their own decisions about their medical
care, even if the nurse disagrees with the choice. Clear understanding of this concept improves both
test performance and everyday clinical judgment. Practice applying it to short case scenarios to lock
the idea in place. This knowledge supports safe care and helps the nurse teach the client and family
clearly and simply. Clear teaching improves cooperation and reduces anxiety.
2. Which legal term describes a situation where a nurse performs a procedure on a client
without their informed consent, even if no harm is done?
A. Negligence
B. Battery
C. Assault
D. False Imprisonment
Answer: B
Rationale: Battery is the intentional and wrongful physical contact with a person without their consent
that entails some injury or offensive touching. In practice, this guides the nurse to set priorities and
protect the client from harm. Safety, nutrition, and clear communication are frequent priorities. This
knowledge supports safe care and helps the nurse teach the client and family clearly and simply. Clear
teaching improves cooperation and reduces anxiety.
Exam (Elaborations) • Detailed Rationales Page 2
, NSG 100 Exam 4 - Nursing Concepts (High Difficult… 2026/2027 • Verified • Assured Grade A+
3. A nurse identifies that a client’s surgical wound has partial thickness loss of dermis,
presenting as a shallow open ulcer with a red-pink wound bed without slough. How should
the nurse document this pressure injury?
A. Stage 2
B. Stage 1
C. Stage 3
D. Unstageable
Answer: A
Rationale: Stage 2 pressure injuries involve partial-thickness loss of skin with exposed dermis. The
wound bed is viable, pink or red, and moist. Exam questions often test whether you can pick the most
practical and safe choice for the client in real situations. Focus on what the nurse can actually do right
now. Knowing the reason behind the correct answer makes it easier to rule out the wrong options
quickly. Look for the choice that protects the client and matches the priority need.
4. During the intraoperative phase, a client develops a sudden rise in body temperature,
muscle rigidity, and tachycardia. The nurse recognizes these as signs of which condition?
A. Hypovolemic shock
B. Pulmonary embolism
C. Malignant hyperthermia
D. Anaphylactic reaction
Answer: C
Rationale: Malignant hyperthermia is a rare, life-threatening pharmacogenetic disorder of skeletal
muscle triggered by volatile anesthetics and succinylcholine, characterized by hypercarbia, rigidity,
and hyperthermia. Clear understanding of this concept improves both test performance and everyday
clinical judgment. Practice applying it to short case scenarios to lock the idea in place. This knowledge
supports safe care and helps the nurse teach the client and family clearly and simply. Clear teaching
improves cooperation and reduces anxiety.
Exam (Elaborations) • Detailed Rationales Page 3
