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NSG 3130 Exam 1 Fundamental Concepts & Skills for Nursing
Practice II Questions & Verified Answers 2026/2027 | Galen
College of Nursing | NGN Grade A Study Guide
1. A charge nurse is orienting a new graduate nurse to the unit. Which statement by
the charge nurse best reflects the primary responsibility of an RN before delegating a
task to a UAP?
A. "Make sure the UAP is not busy with another patient."
B. "Verify that the UAP has the training and skill set to perform the task safely."
C. "Tell the UAP to report to you only if something goes wrong."
D. "Have the UAP check the policy and procedure manual first."
CORRECT ANSWER: B
Rationale: The "never assume" rule is fundamental to safe delegation. The RN must first
verify that the delegatee (UAP, LVN) is competent and has the necessary training to
perform the task. This protects patient safety and is a core legal and ethical
responsibility of the delegating RN.
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2. An RN asks a UAP to check on a patient who reported pain 30 minutes after
receiving medication. Which instruction by the RN is most appropriate for this
delegation?
A. "Please go see if the patient is comfortable now."
B. "Ask the patient, 'Are you still having pain?' and report exactly what they say back to
me."
C. "Document the patient's pain level on the flow sheet when you get back."
D. "Let me know if the patient needs more pain medicine."
CORRECT ANSWER: B
Rationale: UAPs can check patient status as directed, but they must report their findings
back to the RN. They cannot assess, evaluate, or make decisions about medication. The
RN retains the responsibility for evaluating the patient's response to the intervention.
3. Which of the following tasks is within the scope of practice for a UAP to perform?
A. Administering oral medications to a stable patient.
B. Performing a sterile dressing change on a surgical wound.
C. Emptying a patient's Jackson-Pratt (JP) drain and recording the output.
D. Assessing the lung sounds of a patient on bed rest.
CORRECT ANSWER: C
Rationale: UAPs are trained to empty and record output from established drainage
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devices like urinary catheters and JP drains. Administering medications, performing
sterile procedures, and performing assessments are not within the UAP scope of
practice.
4. An LVN is assigned to care for a group of patients. Which patient would be most
appropriate to assign to the LVN?
A. A patient being admitted for new-onset chest pain requiring an initial assessment.
B. A stable post-operative patient needing a scheduled oral pain medication and a
dressing check.
C. A patient returning from the post-anesthesia care unit (PACU) after surgery.
D. A patient with a new order for IV antibiotics to be administered through a central
line.
CORRECT ANSWER: B
Rationale: LVNs can administer PO medications and perform dressing changes for
stable, non-complex patients. Initial assessments, admissions, care of unstable patients,
and IV medications are typically outside the LVN scope and must be performed by the
RN.
5. A patient is being prepared for a transfer from the medical-surgical unit to the
intensive care unit (ICU). According to standard delegation rules, which task must the
RN complete personally?
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A. Gathering the patient's belongings and chart.
B. Emptying the patient's urinary drainage bag.
C. Performing the pre-transfer assessment.
D. Notifying the family of the room change.
CORRECT ANSWER: C
Rationale: Transfers on or off the unit require an assessment by the RN. This is a non-
delegable task because it involves evaluating the patient's stability and readiness for
transfer. The RN must also complete all initial assessments, evaluations, and patient
teaching.
6. A nurse discovers they made an error while documenting a patient's vital signs in
the electronic health record. Which action by the nurse is correct?
A. Use white-out to cover the error and type over it.
B. Delete the entire entry and rewrite it correctly.
C. Draw a single line through the error, add initials, and document correctly.
D. Leave the error and have the charge nurse add a correction note.
CORRECT ANSWER: C
Rationale: The correct method for correcting a charting error is to draw a single line
through the error so the original entry remains visible, then initial it and document the
NSG 3130 Exam 1 Fundamental Concepts & Skills for Nursing
Practice II Questions & Verified Answers 2026/2027 | Galen
College of Nursing | NGN Grade A Study Guide
1. A charge nurse is orienting a new graduate nurse to the unit. Which statement by
the charge nurse best reflects the primary responsibility of an RN before delegating a
task to a UAP?
A. "Make sure the UAP is not busy with another patient."
B. "Verify that the UAP has the training and skill set to perform the task safely."
C. "Tell the UAP to report to you only if something goes wrong."
D. "Have the UAP check the policy and procedure manual first."
CORRECT ANSWER: B
Rationale: The "never assume" rule is fundamental to safe delegation. The RN must first
verify that the delegatee (UAP, LVN) is competent and has the necessary training to
perform the task. This protects patient safety and is a core legal and ethical
responsibility of the delegating RN.
,2|Page
2. An RN asks a UAP to check on a patient who reported pain 30 minutes after
receiving medication. Which instruction by the RN is most appropriate for this
delegation?
A. "Please go see if the patient is comfortable now."
B. "Ask the patient, 'Are you still having pain?' and report exactly what they say back to
me."
C. "Document the patient's pain level on the flow sheet when you get back."
D. "Let me know if the patient needs more pain medicine."
CORRECT ANSWER: B
Rationale: UAPs can check patient status as directed, but they must report their findings
back to the RN. They cannot assess, evaluate, or make decisions about medication. The
RN retains the responsibility for evaluating the patient's response to the intervention.
3. Which of the following tasks is within the scope of practice for a UAP to perform?
A. Administering oral medications to a stable patient.
B. Performing a sterile dressing change on a surgical wound.
C. Emptying a patient's Jackson-Pratt (JP) drain and recording the output.
D. Assessing the lung sounds of a patient on bed rest.
CORRECT ANSWER: C
Rationale: UAPs are trained to empty and record output from established drainage
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devices like urinary catheters and JP drains. Administering medications, performing
sterile procedures, and performing assessments are not within the UAP scope of
practice.
4. An LVN is assigned to care for a group of patients. Which patient would be most
appropriate to assign to the LVN?
A. A patient being admitted for new-onset chest pain requiring an initial assessment.
B. A stable post-operative patient needing a scheduled oral pain medication and a
dressing check.
C. A patient returning from the post-anesthesia care unit (PACU) after surgery.
D. A patient with a new order for IV antibiotics to be administered through a central
line.
CORRECT ANSWER: B
Rationale: LVNs can administer PO medications and perform dressing changes for
stable, non-complex patients. Initial assessments, admissions, care of unstable patients,
and IV medications are typically outside the LVN scope and must be performed by the
RN.
5. A patient is being prepared for a transfer from the medical-surgical unit to the
intensive care unit (ICU). According to standard delegation rules, which task must the
RN complete personally?
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A. Gathering the patient's belongings and chart.
B. Emptying the patient's urinary drainage bag.
C. Performing the pre-transfer assessment.
D. Notifying the family of the room change.
CORRECT ANSWER: C
Rationale: Transfers on or off the unit require an assessment by the RN. This is a non-
delegable task because it involves evaluating the patient's stability and readiness for
transfer. The RN must also complete all initial assessments, evaluations, and patient
teaching.
6. A nurse discovers they made an error while documenting a patient's vital signs in
the electronic health record. Which action by the nurse is correct?
A. Use white-out to cover the error and type over it.
B. Delete the entire entry and rewrite it correctly.
C. Draw a single line through the error, add initials, and document correctly.
D. Leave the error and have the charge nurse add a correction note.
CORRECT ANSWER: C
Rationale: The correct method for correcting a charting error is to draw a single line
through the error so the original entry remains visible, then initial it and document the
