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NSG 3100 Fundamental Concepts & Skills for Nursing Practice I EXAM 1 2026_2027.

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This comprehensive test bank features 150 multiple-choice questions with correct answers and detailed rationales for the WGU D027 Advanced Pathopharmacological Foundations Objective Assessment. Organized by key content domains including cellular regulation, immunology, fluid and electrolyte balance, genetics, cardiovascular system, respiratory system, endocrine disorders, neurologic conditions, and hematologic disorders, this resource provides graduate nursing students with rigorous preparation for their OA exam. Each question is accompanied by a thorough rationale explaining the pathophysiology and pharmacological principles tested. The test bank covers both foundational concepts and advanced applications, making it ideal for nurse practitioner students and those pursuing advanced nursing degrees.

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Institution
Nursing Fundamentals
Course
Nursing Fundamentals

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NSG 3100 Fundamental Concepts &
Skills for Nursing Practice I EXAM 1
2026/2027

Complete 150-Question Test Bank with Answers & Detailed Rationales
Galen College of Nursing | Graded A+




Instructions

This comprehensive test bank contains 150 multiple-choice questions covering key concepts for
NSG 3100 Exam 1 at Galen College of Nursing. Questions are organized by topic area and
include verified correct answers with detailed rationales based on course materials and nursing
fundamentals textbooks .




SECTION 1: NURSING PROCESS & CRITICAL THINKING (Questions 1-25)




Question 1
What is the correct order of the nursing process?

A) Planning, Assessment, Implementation, Diagnosis, Evaluation
B) Assessment, Diagnosis, Planning, Implementation, Evaluation
C) Diagnosis, Assessment, Planning, Evaluation, Implementation
D) Assessment, Planning, Diagnosis, Implementation, Evaluation

Correct Answer: B

Rationale: The nursing process follows a specific sequence: Assessment (collect data),
Diagnosis (analyze data), Planning (develop goals), Implementation (carry out plan), and
Evaluation (measure outcomes). This systematic, rational method provides individualized
nursing care .

,Question 2
Which action should the nurse take first when beginning to formulate a patient's plan of care?

A) List possible treatment options
B) Identify realistic outcome indicators
C) Consult with healthcare team members
D) Rank patient concerns from assessment data

Correct Answer: D

Rationale: Before any planning can occur, the nurse must analyze and cluster the data gathered
during the assessment phase. Prioritizing the patient's concerns (using Maslow's Hierarchy or
the ABCs) allows the nurse to identify which nursing diagnoses require immediate attention
versus which can be addressed later .




Question 3
A patient is exhibiting signs of fatigue, acute pain, lack of knowledge, and disturbed body image.
Which nursing diagnosis should the nurse address first while planning care?

A) Fatigue
B) Acute pain
C) Lack of knowledge
D) Disturbed body image

Correct Answer: B

Rationale: According to Maslow's Hierarchy of Needs, physiological needs (like pain, breathing,
and circulation) always take priority over psychosocial needs (body image) or safety needs
(knowledge deficits). Unmanaged acute pain can lead to physiological instability, making it the
priority .




Question 4
Which resource is most helpful when prioritizing identified nursing diagnoses?

A) Nursing Interventions Classification (NIC)
B) Gordon's Functional Health Patterns
C) Maslow's Hierarchy of Needs
D) Nursing Outcomes Classification (NOC)

Correct Answer: C

,Rationale: Maslow's Hierarchy of Needs helps the nurse prioritize care by addressing
physiologic needs (airway, breathing, circulation) before higher-level needs such as safety,
love/belonging, esteem, and self-actualization .




Question 5
Which statement correctly distinguishes subjective and objective data?

A) Subjective data is measurable; objective data is what the patient reports
B) Subjective data is what the patient reports; objective data is observable and measurable
C) Both subjective and objective data are obtained from the medical record
D) Subjective data is always more reliable than objective data

Correct Answer: B

Rationale: Subjective data are symptoms reported by the patient (e.g., "I feel dizzy"), while
objective data are observable and measurable (e.g., vital signs, lab results). Both are essential
for comprehensive assessment .




Question 6
A nurse is performing an admission assessment. Which data source is considered primary?

A) Family member's description of the client's symptoms
B) The client's verbal description of their symptoms
C) The client's medical record from another facility
D) The emergency department provider's notes

Correct Answer: B

Rationale: The client is the primary source of data. Family members, medical records, and other
healthcare providers are secondary sources of information .




Question 7
A nurse is documenting subjective data. Which statement is an example of subjective data?

A) Client's blood pressure is 140/90 mm Hg
B) Client's incision is red and warm to touch
C) Client states, "I feel nauseated and dizzy."

, D) Client's oxygen saturation is 94% on room air

Correct Answer: C

Rationale: Subjective data are symptoms reported by the patient that cannot be independently
verified. "I feel nauseated and dizzy" is subjective; blood pressure, incision appearance, and
oxygen saturation are objective data .




Question 8
Which finding is an example of objective data?

A) "I feel nauseated."
B) Blood pressure of 128/78 mmHg
C) "My pain is getting worse."
D) "I slept poorly."

Correct Answer: B

Rationale: Objective data are measurable observations obtained through assessment. Blood
pressure of 128/78 mmHg is objective data. Patient reports of nausea, pain, and sleep quality
are subjective data .




Question 9
A nurse is formulating a nursing diagnosis. Which statement demonstrates correct NANDA-I
format?

A) Risk for Infection related to surgical incision as evidenced by redness
B) Acute Pain related to incisional trauma as evidenced by client report of 8/10 pain
C) Acute Pain related to surgical incision as evidenced by client report of pain
D) Pain caused by surgery

Correct Answer: B

Rationale: The correct format is "Nursing Diagnosis (problem) related to (etiology) as evidenced
by (defining characteristics)." Option B includes all three components correctly. Option A
incorrectly uses "Risk for" with "as evidenced by" (risk diagnoses use "as evidenced by" only
when describing risk factors). Option C lacks the specific defining characteristic .

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Course
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