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NSG 3130 FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE
II EXAM COMPREHENSIVE QUESTIONS AND CORRECT ANSWERS LATEST
EDITION 2026
NSG 3130 FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE II
10-POINT EXAM COVERAGE SUMMARY
1. Patient Safety & Quality Improvement – Error prevention, fall risk, restraint use, QI
processes
2. Nursing Process & Clinical Judgment – Assessment, diagnosis, planning,
implementation, evaluation
3. Infection Prevention & Standard Precautions – Hand hygiene, PPE, isolation, sterile
technique
4. Vital Signs & Physical Assessment – Head-to-toe assessment, abnormal findings,
monitoring
5. Medication Administration & Dosage Safety – Rights of medication, calculations, routes,
adverse effects
6. Documentation & Legal/Ethical Practice – Charting, informed consent, confidentiality,
advocacy
7. Mobility, Positioning & Fall Prevention – Safe patient handling, body mechanics,
complications of immobility
8. Hygiene, Skin Integrity & Wound Care – Pressure injuries, wound assessment, dressing
changes
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9. Nutrition, Elimination & Fluid Balance – Diet therapy, NG tubes, urinary/bowel care, IV
therapy
10. Oxygenation, Pain & End-of-Life Care – Respiratory care, pain assessment, hospice, grief
SECTION 1: PATIENT SAFETY & QUALITY IMPROVEMENT (30 QUESTIONS)
1. A nurse is implementing fall prevention strategies for an older adult client who is confused
and has a history of falls. Which intervention should the nurse prioritize first?
A) Apply a bed alarm and keep the bed in the lowest position
B) Restrain the client to prevent any movement
C) Place the client in a room far from the nurses' station
D) Encourage the client to walk without assistance
Rationale: Bed alarms and low beds are appropriate first-line fall prevention strategies;
restraints are a last resort and require specific orders.
2. A nurse is reviewing a medication error that occurred on the unit. Which action best reflects a
culture of safety?
A) Report the error through the facility's incident reporting system
B) Discuss the error only with the nurse involved
C) Ignore the error to avoid disciplinary action
D) Document the error in the client's chart only
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Rationale: A culture of safety encourages nonpunitive reporting of errors to identify system
issues and prevent recurrence.
3. A nurse is caring for a client who is at risk for falls. Which assessment tool is most commonly
used to evaluate fall risk?
A) Morse Fall Scale
B) Glasgow Coma Scale
C) Braden Scale
D) Apgar Score
Rationale: The Morse Fall Scale assesses fall risk based on multiple factors; the Braden Scale
assesses pressure injury risk.
4. A nurse is preparing to apply restraints to a client who is violent and posing a danger to self
and others. Which action is required?
A) Obtain a physician's order within one hour of application
B) Apply restraints without any order
C) Leave the client alone while restrained
D) Remove restraints every eight hours
Rationale: Emergency restraints require a physician's order within one hour, with ongoing
monitoring and regular removal.
5. A nurse is participating in a quality improvement initiative to reduce hospital-acquired
infections. Which action best supports this goal?
A) Auditing hand hygiene compliance among staff
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B) Increasing the number of visitors allowed
C) Reducing the frequency of room cleaning
D) Sharing patient information in public areas
Rationale: Auditing hand hygiene compliance identifies gaps and improves adherence, reducing
infection rates.
6. A nurse is teaching a client about using a call light. Which statement indicates correct
understanding?
A) "I will use the call light to ask for help before getting out of bed."
B) "I will only use the call light in an emergency."
C) "I will wait until someone checks on me."
D) "I will try to get up alone to avoid bothering staff."
Rationale: Using the call light before getting up prevents falls and ensures assistance when
needed.
7. A nurse is assessing a client for risk of falls. Which factor most increases the client's risk?
A) Taking multiple medications including sedatives
B) Having a stable gait and balance
C) Using a walker correctly
D) Having good vision and hearing
Rationale: Sedatives and polypharmacy increase fall risk by affecting alertness and balance.
8. A nurse is implementing seizure precautions for a client with a history of seizures. Which
action is appropriate?
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NSG 3130 FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE
II EXAM COMPREHENSIVE QUESTIONS AND CORRECT ANSWERS LATEST
EDITION 2026
NSG 3130 FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE II
10-POINT EXAM COVERAGE SUMMARY
1. Patient Safety & Quality Improvement – Error prevention, fall risk, restraint use, QI
processes
2. Nursing Process & Clinical Judgment – Assessment, diagnosis, planning,
implementation, evaluation
3. Infection Prevention & Standard Precautions – Hand hygiene, PPE, isolation, sterile
technique
4. Vital Signs & Physical Assessment – Head-to-toe assessment, abnormal findings,
monitoring
5. Medication Administration & Dosage Safety – Rights of medication, calculations, routes,
adverse effects
6. Documentation & Legal/Ethical Practice – Charting, informed consent, confidentiality,
advocacy
7. Mobility, Positioning & Fall Prevention – Safe patient handling, body mechanics,
complications of immobility
8. Hygiene, Skin Integrity & Wound Care – Pressure injuries, wound assessment, dressing
changes
1|Page
,Page 2 of 99
9. Nutrition, Elimination & Fluid Balance – Diet therapy, NG tubes, urinary/bowel care, IV
therapy
10. Oxygenation, Pain & End-of-Life Care – Respiratory care, pain assessment, hospice, grief
SECTION 1: PATIENT SAFETY & QUALITY IMPROVEMENT (30 QUESTIONS)
1. A nurse is implementing fall prevention strategies for an older adult client who is confused
and has a history of falls. Which intervention should the nurse prioritize first?
A) Apply a bed alarm and keep the bed in the lowest position
B) Restrain the client to prevent any movement
C) Place the client in a room far from the nurses' station
D) Encourage the client to walk without assistance
Rationale: Bed alarms and low beds are appropriate first-line fall prevention strategies;
restraints are a last resort and require specific orders.
2. A nurse is reviewing a medication error that occurred on the unit. Which action best reflects a
culture of safety?
A) Report the error through the facility's incident reporting system
B) Discuss the error only with the nurse involved
C) Ignore the error to avoid disciplinary action
D) Document the error in the client's chart only
2|Page
,Page 3 of 99
Rationale: A culture of safety encourages nonpunitive reporting of errors to identify system
issues and prevent recurrence.
3. A nurse is caring for a client who is at risk for falls. Which assessment tool is most commonly
used to evaluate fall risk?
A) Morse Fall Scale
B) Glasgow Coma Scale
C) Braden Scale
D) Apgar Score
Rationale: The Morse Fall Scale assesses fall risk based on multiple factors; the Braden Scale
assesses pressure injury risk.
4. A nurse is preparing to apply restraints to a client who is violent and posing a danger to self
and others. Which action is required?
A) Obtain a physician's order within one hour of application
B) Apply restraints without any order
C) Leave the client alone while restrained
D) Remove restraints every eight hours
Rationale: Emergency restraints require a physician's order within one hour, with ongoing
monitoring and regular removal.
5. A nurse is participating in a quality improvement initiative to reduce hospital-acquired
infections. Which action best supports this goal?
A) Auditing hand hygiene compliance among staff
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B) Increasing the number of visitors allowed
C) Reducing the frequency of room cleaning
D) Sharing patient information in public areas
Rationale: Auditing hand hygiene compliance identifies gaps and improves adherence, reducing
infection rates.
6. A nurse is teaching a client about using a call light. Which statement indicates correct
understanding?
A) "I will use the call light to ask for help before getting out of bed."
B) "I will only use the call light in an emergency."
C) "I will wait until someone checks on me."
D) "I will try to get up alone to avoid bothering staff."
Rationale: Using the call light before getting up prevents falls and ensures assistance when
needed.
7. A nurse is assessing a client for risk of falls. Which factor most increases the client's risk?
A) Taking multiple medications including sedatives
B) Having a stable gait and balance
C) Using a walker correctly
D) Having good vision and hearing
Rationale: Sedatives and polypharmacy increase fall risk by affecting alertness and balance.
8. A nurse is implementing seizure precautions for a client with a history of seizures. Which
action is appropriate?
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