NSG 3160 Exam 1
Health Assessment
Galen College of Nursing
2026/2027 |Newly Released
50 Verified questions & Answers with Detailed Rationales
Graded A+
Q1: A nurse is completing the discharge plan for a patient who was admitted for pneumonia. The
patient has met the goal of oxygenation (SpO2 96% on room air) and is able to clear secretions.
Which phase of the nursing process is the nurse performing?
A. Assessment
B. Diagnosis
C. Evaluation [CORRECT]
D. Planning
Correct Answer: C
Rationale: The nurse is comparing the patient's current status (oxygenation and secretions)
against the expected outcomes for this hospitalization. This demonstrates the Evaluation phase,
which determines whether goals have been met.
Q2: The nurse is caring for a client who is recovering from a stroke and has difficulty
swallowing (dysphagia). Based on Maslow’s Hierarchy of Needs, which nursing intervention is
the priority?
A. Encouraging the client to participate in social activities to prevent isolation.
B. Assisting the client with oral intake and ensuring aspiration precautions. [CORRECT]
C. Teaching the client about adaptive equipment for ambulation.
D. Discussing long-term rehabilitation goals.
Correct Answer: B
Rationale: According to Maslow, physiological needs (airway, hydration, nutrition) take priority
over safety, love/belonging, or self-actualization. Ensuring the client eats safely addresses the
basic physiological and safety needs.
, Q3: The nurse is documenting a client's response to pain medication. Which of the following
statements by the nurse represents an "Nursing Diagnosis"?
A. "Client reports pain of 5 on a scale of 0 to 10."
B. "Client's pain is related to surgical incision as evidenced by guarding behavior." [CORRECT]
C. "Client states they feel better after taking the medication."
D. "Client appears to be resting comfortably."
Correct Answer: B
Rationale: A Nursing Diagnosis is a clinical judgment about the client's response to a health
condition or life process. Option B includes a problem statement (pain), an etiology (surgery),
and defining characteristics (guarding), which fits PES (Problem, Etiology, Signs/Symptoms)
format.
Q4: Which of the following actions by the nurse represents the "Implementation" phase of the
nursing process? Select all that apply.
A. Administering the prescribed dose of furosemide to a client with edema. [CORRECT]
B. Educating the client on how to use an incentive spirometer post-operatively. [CORRECT]
C. Documenting the client's vital signs at the beginning of the shift.
D. Reassessing the client's pain level 30 minutes after administering medication. [CORRECT]
Correct Answer: A, B, D
Rationale: Implementation involves carrying out the plan of care. Administering medication
(A), teaching (B), and acting on interventions like repositioning or comfort measures (D) are all
implementation. Documenting vital signs (C) is part of Assessment.
Q5: A nurse is conducting a comprehensive health history. The nurse asks, "Do you have any
allergies to medications, food, or the environment?" Which component of the database is being
explored with this question?
A. Biographical data
B. Past medical history
C. Family history
D. Current health history [CORRECT]
Correct Answer: D
Rationale: The question regarding allergies relates to the client's current health status and how it
affects their care, making it part of the Current Health History.
Health Assessment
Galen College of Nursing
2026/2027 |Newly Released
50 Verified questions & Answers with Detailed Rationales
Graded A+
Q1: A nurse is completing the discharge plan for a patient who was admitted for pneumonia. The
patient has met the goal of oxygenation (SpO2 96% on room air) and is able to clear secretions.
Which phase of the nursing process is the nurse performing?
A. Assessment
B. Diagnosis
C. Evaluation [CORRECT]
D. Planning
Correct Answer: C
Rationale: The nurse is comparing the patient's current status (oxygenation and secretions)
against the expected outcomes for this hospitalization. This demonstrates the Evaluation phase,
which determines whether goals have been met.
Q2: The nurse is caring for a client who is recovering from a stroke and has difficulty
swallowing (dysphagia). Based on Maslow’s Hierarchy of Needs, which nursing intervention is
the priority?
A. Encouraging the client to participate in social activities to prevent isolation.
B. Assisting the client with oral intake and ensuring aspiration precautions. [CORRECT]
C. Teaching the client about adaptive equipment for ambulation.
D. Discussing long-term rehabilitation goals.
Correct Answer: B
Rationale: According to Maslow, physiological needs (airway, hydration, nutrition) take priority
over safety, love/belonging, or self-actualization. Ensuring the client eats safely addresses the
basic physiological and safety needs.
, Q3: The nurse is documenting a client's response to pain medication. Which of the following
statements by the nurse represents an "Nursing Diagnosis"?
A. "Client reports pain of 5 on a scale of 0 to 10."
B. "Client's pain is related to surgical incision as evidenced by guarding behavior." [CORRECT]
C. "Client states they feel better after taking the medication."
D. "Client appears to be resting comfortably."
Correct Answer: B
Rationale: A Nursing Diagnosis is a clinical judgment about the client's response to a health
condition or life process. Option B includes a problem statement (pain), an etiology (surgery),
and defining characteristics (guarding), which fits PES (Problem, Etiology, Signs/Symptoms)
format.
Q4: Which of the following actions by the nurse represents the "Implementation" phase of the
nursing process? Select all that apply.
A. Administering the prescribed dose of furosemide to a client with edema. [CORRECT]
B. Educating the client on how to use an incentive spirometer post-operatively. [CORRECT]
C. Documenting the client's vital signs at the beginning of the shift.
D. Reassessing the client's pain level 30 minutes after administering medication. [CORRECT]
Correct Answer: A, B, D
Rationale: Implementation involves carrying out the plan of care. Administering medication
(A), teaching (B), and acting on interventions like repositioning or comfort measures (D) are all
implementation. Documenting vital signs (C) is part of Assessment.
Q5: A nurse is conducting a comprehensive health history. The nurse asks, "Do you have any
allergies to medications, food, or the environment?" Which component of the database is being
explored with this question?
A. Biographical data
B. Past medical history
C. Family history
D. Current health history [CORRECT]
Correct Answer: D
Rationale: The question regarding allergies relates to the client's current health status and how it
affects their care, making it part of the Current Health History.
