NSG 3130 Exam 1 – Nursing Concepts & Clinical Judgment – Galen College of
Nursing
NSG 3130 Exam 1 – Nursing Concepts & Clinical Judgment – Galen College of
Nursing
NSG 3130 Exam 1 – Nursing Concepts & Clinical Judgment – Galen College of
Nursing
NSG 3130 Exam 1 – Nursing Concepts & Clinical Judgment – Galen College of
Nursing
Exam Coverage
1. Nursing Process & Clinical Judgment
2. Health, Wellness & Health Promotion Models
3. Levels of Prevention (Primary, Secondary, Tertiary)
4. Cultural Competence & Transcultural Nursing
, 5. Delegation & Scope of Practice
6. Documentation & Legal/Ethical Practice
7. Patient Safety & Quality Improvement
8. Vital Signs & Physical Assessment
9. Medication Administration & Dosage Safety
10. Infection Prevention & Standard Precautions
NSG 3130 Exam 1 – Nursing Concepts & Clinical Judgment – Galen College of
Nursing
1. A nurse is reviewing a patient's chart and notes the medical diagnosis of
"Community-Acquired Pneumonia." Which of the following represents an
appropriate nursing diagnosis for this patient?
A. Streptococcus pneumoniae infection
,B. Ineffective airway clearance related to increased sputum production
C. Prescribe broad-spectrum antibiotics
D. Resolve fever within 48 hours
Answer: B
Rationale: A nursing diagnosis focuses on the patient's human response to a
health condition that the nurse can independently treat, such as managing
airway clearance. Medical diagnoses and prescriptive actions are outside the
scope of nursing diagnosis 1 .
2. A nurse receives handoff report on four patients. Which patient should the
nurse assess first based on clinical judgment priorities?
A. A patient requesting a refill of their routine home blood pressure medication
, B. A patient who is 2 days postoperative and reporting incisional pain rated 4 out
of 10
C. A patient with asthma who is experiencing new-onset wheezing and a
respiratory rate of 28 breaths per minute
D. A patient who needs assistance with ambulation to the bathroom
Answer: C
Rationale: The best answer is the patient with new-onset wheezing and
tachypnea, as airway and breathing concerns always take priority according to
the ABCs of clinical judgment 1 .
3. During the assessment phase of the nursing process, which action by the
nurse is most appropriate and accurately reflects this step?
A. Administering a prescribed antiemetic for the patient's nausea
Nursing
NSG 3130 Exam 1 – Nursing Concepts & Clinical Judgment – Galen College of
Nursing
NSG 3130 Exam 1 – Nursing Concepts & Clinical Judgment – Galen College of
Nursing
NSG 3130 Exam 1 – Nursing Concepts & Clinical Judgment – Galen College of
Nursing
Exam Coverage
1. Nursing Process & Clinical Judgment
2. Health, Wellness & Health Promotion Models
3. Levels of Prevention (Primary, Secondary, Tertiary)
4. Cultural Competence & Transcultural Nursing
, 5. Delegation & Scope of Practice
6. Documentation & Legal/Ethical Practice
7. Patient Safety & Quality Improvement
8. Vital Signs & Physical Assessment
9. Medication Administration & Dosage Safety
10. Infection Prevention & Standard Precautions
NSG 3130 Exam 1 – Nursing Concepts & Clinical Judgment – Galen College of
Nursing
1. A nurse is reviewing a patient's chart and notes the medical diagnosis of
"Community-Acquired Pneumonia." Which of the following represents an
appropriate nursing diagnosis for this patient?
A. Streptococcus pneumoniae infection
,B. Ineffective airway clearance related to increased sputum production
C. Prescribe broad-spectrum antibiotics
D. Resolve fever within 48 hours
Answer: B
Rationale: A nursing diagnosis focuses on the patient's human response to a
health condition that the nurse can independently treat, such as managing
airway clearance. Medical diagnoses and prescriptive actions are outside the
scope of nursing diagnosis 1 .
2. A nurse receives handoff report on four patients. Which patient should the
nurse assess first based on clinical judgment priorities?
A. A patient requesting a refill of their routine home blood pressure medication
, B. A patient who is 2 days postoperative and reporting incisional pain rated 4 out
of 10
C. A patient with asthma who is experiencing new-onset wheezing and a
respiratory rate of 28 breaths per minute
D. A patient who needs assistance with ambulation to the bathroom
Answer: C
Rationale: The best answer is the patient with new-onset wheezing and
tachypnea, as airway and breathing concerns always take priority according to
the ABCs of clinical judgment 1 .
3. During the assessment phase of the nursing process, which action by the
nurse is most appropriate and accurately reflects this step?
A. Administering a prescribed antiemetic for the patient's nausea
