NSG 3130 Sharon Cash High Yield 2026
Comprehensive Practice Exam with Rationales and
Study Guide for Fall Quarter Nursing Students Just
Released Pass Guaranteed
TABLE OF CONTENTS
Topic Questions
1 Foundations of Nursing Practice Questions 1 to 20
2 Nursing Process and Critical Thinking Questions 21 to 40
3 Therapeutic Communication Questions 41 to 60
4 Ethical and Legal Issues Questions 61 to 80
5 Patient Safety and Quality Improvement Questions 81 to 100
6 Infection Control and Prevention Questions 101 to 120
7 Medication Administration Questions 121 to 140
8 Patient Education and Health Promotion Questions 141 to 160
9 Cultural Competence and Diversity Questions 161 to 180
10 Professionalism and Leadership Questions 181 to 200
Brief Study Tips by Topic
SECTION 1 FOUNDATIONS OF NURSING PRACTICE
Questions 1 to 20
Question 1
A nursing student is studying the history of nursing. The student learns that
Florence Nightingale's environmental theory emphasized the importance of
which factor in promoting patient healing
A Manipulation of the physical environment including fresh air, light,
cleanliness, and proper nutrition
B Strict adherence to physician orders and medical treatments
C Development of standardized nursing diagnoses
D Use of advanced technology and monitoring equipment
E Implementation of evidence-based practice protocols
,
Answer A Manipulation of the physical environment including fresh air, light,
cleanliness, and proper nutrition
Rationale Florence Nightingale's environmental theory emphasized that the
physical environment fresh air, light, warmth, cleanliness, quiet, and proper
nutrition directly impacts the patient's ability to heal. She believed nurses
should manipulate the environment to support nature's healing processes. The
other options are not central to Nightingale's theory.
Question 2
A nurse educator is discussing the difference between nursing and medicine.
Which statement accurately describes the focus of nursing practice
A Nursing focuses on the diagnosis and treatment of human responses to
actual or potential health problems
B Nursing focuses on curing disease through medical interventions
C Nursing focuses on following physician orders without independent
judgment
D Nursing focuses on administrative tasks and documentation
E Nursing focuses on performing technical procedures only
Answer A Nursing focuses on the diagnosis and treatment of human
responses to actual or potential health problems
Rationale The American Nurses Association defines nursing as the diagnosis
and treatment of human responses to actual or potential health problems.
Nursing focuses on holistic patient care including physical, emotional, and
social responses. Curing disease, following orders, administrative tasks, and
technical procedures are components but do not define the essence of nursing
practice.
Question 3
A nurse is applying Maslow's Hierarchy of Needs when prioritizing patient
care. Which patient need should the nurse address first
A The patient has difficulty breathing with an oxygen saturation of 88 percent
B The patient expresses feelings of loneliness and isolation
C The patient is concerned about body image after surgery
D The patient reports feeling anxious about discharge planning
E The patient expresses fear about test results
,
Answer A The patient has difficulty breathing with an oxygen saturation of 88
percent
Rationale Maslow's Hierarchy of Needs prioritizes physiological needs air,
water, food, shelter as the most basic and essential for survival. Breathing
difficulty with low oxygen saturation is a physiological need that must be
addressed first. Loneliness, body image concerns, and anxiety are higher-level
needs that are addressed after physiological needs are met.
Question 4
A nurse is applying the principles of Dorothea Orem's Self-Care Deficit
Theory. Which nursing action best demonstrates application of this theory
A The nurse assesses the patient's ability to perform self-care and provides
assistance only when needed
B The nurse performs all activities of daily living for the patient to ensure
they are done correctly
C The nurse focuses exclusively on the patient's medical diagnosis
D The nurse follows a standardized care plan without individualization
E The nurse prioritizes physician orders over patient preferences
Answer A The nurse assesses the patient's ability to perform self-care and
provides assistance only when needed
Rationale Orem's Self-Care Deficit Theory focuses on the patient's ability to
perform self-care. The nurse's role is to assess the patient's self-care abilities
and provide support or education when a deficit exists. The goal is to promote
independence and enable the patient to perform self-care to the best of their
ability.
Question 5
A nurse is caring for a patient who is postoperative. The nurse notes that the
patient's vital signs are stable, pain is controlled, and the patient is able to
ambulate with assistance. The nurse documents that the patient is meeting
expected outcomes. Which step of the nursing process is the nurse performing
A Evaluation
B Assessment
C Diagnosis
D Planning
E Implementation
,
Answer A Evaluation
Rationale Evaluation is the step of the nursing process where the nurse
determines if the goals and interventions were effective. By assessing the
patient's vital signs, pain level, and mobility, the nurse is evaluating whether
the expected outcomes have been met. Assessment involves data collection,
planning involves goal setting, and implementation involves carrying out
interventions.
Question 6
A nurse is developing a care plan for a patient with impaired skin integrity.
Which nursing intervention is considered an independent nursing action
A Repositioning the patient every 2 hours
B Administering prescribed antibiotics
C Applying prescribed wound ointment
D Ordering a wound culture
E Consulting with a wound care specialist
Answer A Repositioning the patient every 2 hours
Rationale Independent nursing actions are interventions that nurses are legally
authorized to perform without a physician order. Repositioning is an
independent action based on nursing judgment. Administering antibiotics,
applying wound ointment, ordering cultures, and consulting specialists
require orders.
Question 7
A nurse is prioritizing patient care using the ABCs airway, breathing,
circulation. Which patient problem should the nurse address first
A Respiratory distress with oxygen saturation of 84 percent
B Pain rated 8 out of 10
C Anxiety about diagnosis
D Skin breakdown on the heel
E Social isolation
Answer A Respiratory distress with oxygen saturation of 84 percent
Comprehensive Practice Exam with Rationales and
Study Guide for Fall Quarter Nursing Students Just
Released Pass Guaranteed
TABLE OF CONTENTS
Topic Questions
1 Foundations of Nursing Practice Questions 1 to 20
2 Nursing Process and Critical Thinking Questions 21 to 40
3 Therapeutic Communication Questions 41 to 60
4 Ethical and Legal Issues Questions 61 to 80
5 Patient Safety and Quality Improvement Questions 81 to 100
6 Infection Control and Prevention Questions 101 to 120
7 Medication Administration Questions 121 to 140
8 Patient Education and Health Promotion Questions 141 to 160
9 Cultural Competence and Diversity Questions 161 to 180
10 Professionalism and Leadership Questions 181 to 200
Brief Study Tips by Topic
SECTION 1 FOUNDATIONS OF NURSING PRACTICE
Questions 1 to 20
Question 1
A nursing student is studying the history of nursing. The student learns that
Florence Nightingale's environmental theory emphasized the importance of
which factor in promoting patient healing
A Manipulation of the physical environment including fresh air, light,
cleanliness, and proper nutrition
B Strict adherence to physician orders and medical treatments
C Development of standardized nursing diagnoses
D Use of advanced technology and monitoring equipment
E Implementation of evidence-based practice protocols
,
Answer A Manipulation of the physical environment including fresh air, light,
cleanliness, and proper nutrition
Rationale Florence Nightingale's environmental theory emphasized that the
physical environment fresh air, light, warmth, cleanliness, quiet, and proper
nutrition directly impacts the patient's ability to heal. She believed nurses
should manipulate the environment to support nature's healing processes. The
other options are not central to Nightingale's theory.
Question 2
A nurse educator is discussing the difference between nursing and medicine.
Which statement accurately describes the focus of nursing practice
A Nursing focuses on the diagnosis and treatment of human responses to
actual or potential health problems
B Nursing focuses on curing disease through medical interventions
C Nursing focuses on following physician orders without independent
judgment
D Nursing focuses on administrative tasks and documentation
E Nursing focuses on performing technical procedures only
Answer A Nursing focuses on the diagnosis and treatment of human
responses to actual or potential health problems
Rationale The American Nurses Association defines nursing as the diagnosis
and treatment of human responses to actual or potential health problems.
Nursing focuses on holistic patient care including physical, emotional, and
social responses. Curing disease, following orders, administrative tasks, and
technical procedures are components but do not define the essence of nursing
practice.
Question 3
A nurse is applying Maslow's Hierarchy of Needs when prioritizing patient
care. Which patient need should the nurse address first
A The patient has difficulty breathing with an oxygen saturation of 88 percent
B The patient expresses feelings of loneliness and isolation
C The patient is concerned about body image after surgery
D The patient reports feeling anxious about discharge planning
E The patient expresses fear about test results
,
Answer A The patient has difficulty breathing with an oxygen saturation of 88
percent
Rationale Maslow's Hierarchy of Needs prioritizes physiological needs air,
water, food, shelter as the most basic and essential for survival. Breathing
difficulty with low oxygen saturation is a physiological need that must be
addressed first. Loneliness, body image concerns, and anxiety are higher-level
needs that are addressed after physiological needs are met.
Question 4
A nurse is applying the principles of Dorothea Orem's Self-Care Deficit
Theory. Which nursing action best demonstrates application of this theory
A The nurse assesses the patient's ability to perform self-care and provides
assistance only when needed
B The nurse performs all activities of daily living for the patient to ensure
they are done correctly
C The nurse focuses exclusively on the patient's medical diagnosis
D The nurse follows a standardized care plan without individualization
E The nurse prioritizes physician orders over patient preferences
Answer A The nurse assesses the patient's ability to perform self-care and
provides assistance only when needed
Rationale Orem's Self-Care Deficit Theory focuses on the patient's ability to
perform self-care. The nurse's role is to assess the patient's self-care abilities
and provide support or education when a deficit exists. The goal is to promote
independence and enable the patient to perform self-care to the best of their
ability.
Question 5
A nurse is caring for a patient who is postoperative. The nurse notes that the
patient's vital signs are stable, pain is controlled, and the patient is able to
ambulate with assistance. The nurse documents that the patient is meeting
expected outcomes. Which step of the nursing process is the nurse performing
A Evaluation
B Assessment
C Diagnosis
D Planning
E Implementation
,
Answer A Evaluation
Rationale Evaluation is the step of the nursing process where the nurse
determines if the goals and interventions were effective. By assessing the
patient's vital signs, pain level, and mobility, the nurse is evaluating whether
the expected outcomes have been met. Assessment involves data collection,
planning involves goal setting, and implementation involves carrying out
interventions.
Question 6
A nurse is developing a care plan for a patient with impaired skin integrity.
Which nursing intervention is considered an independent nursing action
A Repositioning the patient every 2 hours
B Administering prescribed antibiotics
C Applying prescribed wound ointment
D Ordering a wound culture
E Consulting with a wound care specialist
Answer A Repositioning the patient every 2 hours
Rationale Independent nursing actions are interventions that nurses are legally
authorized to perform without a physician order. Repositioning is an
independent action based on nursing judgment. Administering antibiotics,
applying wound ointment, ordering cultures, and consulting specialists
require orders.
Question 7
A nurse is prioritizing patient care using the ABCs airway, breathing,
circulation. Which patient problem should the nurse address first
A Respiratory distress with oxygen saturation of 84 percent
B Pain rated 8 out of 10
C Anxiety about diagnosis
D Skin breakdown on the heel
E Social isolation
Answer A Respiratory distress with oxygen saturation of 84 percent
