(2026/2027) – Verified Q&A | Grade A
Introduction to Nursing Fundamentals | Key Domains: Professional Nursing Identity & Ethics,
Nursing Process (Assessment, Diagnosis), Communication & Therapeutic Relationships, Basic
Human Needs & Maslow's Hierarchy, Introduction to Safety & Infection Control, and Beginning
Documentation | Expert-Aligned Structure | Exam-Ready Format
Introduction
This structured Galen NSG 3100 Exam 1 for 2026/2027 provides a focused set of high-quality
exam-style questions with Grade A verified answers and rationales. It emphasizes the foundational
concepts, attitudes, and introductory competencies essential for professional nursing practice,
establishing the basis for safe, patient-centered care and continued learning in the nursing program.
Exam Structure:
• Exam 1: (60 QUESTIONS)
Answer Format
All correct answers must appear in bold and cyan blue, accompanied by concise rationales
explaining the core nursing value, the correct initial step in the nursing process, the principle of
therapeutic communication, the rationale for a basic safety measure, and why alternative options
violate foundational nursing principles or represent unsafe or unprofessional practice.
Verified Grade A Questions (1–60)
1. The primary purpose of the nursing process is to:
, A. Complete required documentation efficiently
B. Follow physician orders exactly
C. Provide a systematic, client-centered approach to care
D. Ensure all tasks are completed during a shift
Rationale (Grade A): The nursing process (assess, diagnose, plan, implement, evaluate) is a critical
thinking framework that ensures care is individualized, evidence-based, and focused on client outcomes.
Option A emphasizes paperwork over care; B reduces nursing to task completion; D prioritizes tasks
over the client. Only C reflects the professional, holistic foundation of nursing practice as taught in Galen
NSG 3100.
2. Which action by the nurse best demonstrates the ethical principle of beneficence?
A. Respecting a client’s decision to refuse a blood transfusion
B. Ensuring all clients receive care regardless of insurance status
C. Administering pain medication to relieve a client’s suffering
D. Reporting a colleague for medication errors
,Rationale (Grade A): Beneficence means “doing good” or promoting the client’s well-being. Relieving
pain directly benefits the client. Option A reflects autonomy; B reflects justice; D reflects accountability.
While all are important, only C exemplifies the active promotion of good, a core value in Galen’s
professional nursing identity module.
3. During the assessment phase of the nursing process, the nurse’s primary role is to:
A. Identify actual or potential health problems
B. Develop a plan of care with measurable goals
C. Collect comprehensive, accurate client data
D. Evaluate the client’s response to interventions
Rationale (Grade A): Assessment is the first step—gathering subjective and objective data through
interview, observation, and examination. Diagnosis (A) comes next. Planning (B) and evaluation (D) are
later steps. Galen NSG 3100 emphasizes that accurate assessment is the foundation for all subsequent
decisions; without it, care is unsafe and ineffective.
4. A client says, “I’m really scared about this surgery.” Which response by the nurse is most
therapeutic?
A. “Don’t worry—everything will be fine.”
B. “The surgeon is very experienced.”
, C. “Tell me more about what’s frightening you.”
D. “You should have asked more questions before signing consent.”
Rationale (Grade A): Therapeutic communication involves exploring the client’s feelings without
minimizing (“Don’t worry”) or deflecting (“The surgeon is good”). Option C uses an open-ended
statement that validates the client’s emotion and encourages dialogue—core to building trust. Option D
is judgmental and unprofessional. Galen’s communication module stresses presence and empathy over
reassurance.
5. According to Maslow’s Hierarchy of Needs, which need must be met first before addressing a
client’s self-esteem?
A. Love and belonging
B. Safety and security
C. Physiological needs (e.g., oxygen, hydration)
D. Self-actualization
Rationale (Grade A): Maslow’s pyramid places physiological needs (air, water, food, elimination) at the
base—these must be met before higher-level needs like safety, love, esteem, or self-actualization. A client
in respiratory distress (unmet physiological need) cannot focus on self-esteem. Galen NSG 3100 uses
Maslow to prioritize care and understand human behavior in health and illness.